What Does It Look Like to Work as an EMT: Life on the Front Lines

When you picture the life of an emergency medical technician (EMT), it often conjures up images of adrenaline-fueled emergencies, heroic rescues, and life-saving interventions. However, the reality of EMT work is much more nuanced and can involve a variety of duties, both thrilling and mundane. This article aims to provide an insight into what it is really like to work as an EMT in different capacities within the emergency medical services (EMS) system.

Duties and Shift Variations

EMT work can be highly varied, and it's not all about the heart-stopping rescues. The term 'ember' is commonly used in a derogatory manner by fellow EMTs as a shorthand for 'emotionally drained and burnt out.' This can be a fair representation, especially in interfacility transport (IFT) and emergency response roles.

IFS Crews: IFT crews primarily work on transporting patients between hospital and nursing homes. Their days can be predictable, spending a substantial portion of their time on repetitive tasks, which can weight heavily on their spirits when dealing with numerous, minor cases that could have been handled elsewhere. The switch from emergency calls to less critical IFT missions can be stark but equally demanding.

Emergency Response Crews: On the front lines, these EMTs handle 911 calls, often in chaotic environments. The majority of calls are for minor injuries and illnesses, which, while important, could have better been managed by a primary care physician (PCP). These cases may not evoke the same adrenaline rush as more critical emergencies, but they are equally vital. Each and every one of these calls can make a positive impact on a patient's life, even if it is just providing reassurance or ensuring timely follow-up care.

A Day in the Life

A day in the life of an EMT can look different every day. It's not uncommon to find oneself experiencing a high of "it's going to be a slow day" turning into the opposite with "are you kidding me?" as unexpected emergencies arise. One EMT mentioned that there can be days of only two to three calls in twelve hours, and then days with a load of 15 to 16 calls. The unpredictability is a constant, making each moment unique.

Supporting Roles

Despite the high-stress environment, a significant part of an EMT's job is behind the scenes: cleaning up. Returning to the station, EMTs write trip sheets, clean the ambulance, and clean the station. While this may seem mundane, it is a crucial aspect of maintaining organization and readiness for the next emergency. In essence, it's a job where clean-up is paramount.

Transparency and Privacy

For some EMTs, like the individual mentioned in the article, the job involves more than just emergency responses. They often find themselves in the role of a custodian, managing various day-to-day tasks. Despite the challenges, they maintain a level of privacy regarding their identity, as coming out as trans can be a sensitive issue in many environments.

Conclusion

Working as an EMT is a complex tapestry of moments that range from exhilarating to mundane. It is a job where every day is different, where the line between heroism and routine is constantly blurred. For those considering a career in EMS or for those already in the service, understanding these varied roles can offer a clearer picture of what this role entails. If you're thinking of entering this field, be prepared for the highs and lows, the emergencies and the clean-up.