I AM NOT A PARAMEDIC!
And the patient runs screaming from the truck…
"I've got a real problem here one that only a real paramedic can handle and these bums show up and now I'm running wild through the streets of providence looking for the real thing while my heart is racing at 200 beats a minute and I can't slow it down on my own and those EMT things don't know nuthin bout no SVT who the hell do they think they are stickin needles in my arm and telling me to bear down dumb asses probably can't even splint a broken arm which is what I'm gonna have if i don't stop runnin around looking for a paramedic…"
Can't say that's ever happened to me, I've never had a patient ask for credentials, inquire about my training or skill level, or licensure. But I have been questioned once or twice about such things by Paramedics-never in real life mind you- where the medics I run with are top notch, but in this weird place we call cyberspace, well, that's another story.
My alter-ego, The Director of THE EMS hires only Paramedics, but keep in mind that the director of THE EMS also does not tolerate any nonsense from the populace, and when a Paramedic responds to an emergency, a real emergency had best be awaiting him/her or the repercussions for the perpetrator who called are severe.
If that we only responded only to Paramedic level emergencies then all of this hee-ha I'm a medic and you're a wannabe might make sense, but we don't, we respond to emergencies, perceived emergencies, non-emergencies and even emergencies that have yet to happen.
Staffing every ambulance or even every 911 EMS response vehicle with paramedics is nuts. Its overkill. Its like sending a surgeon into the ER on a Friday night.
Basics do a great job most times, here in Rhode Island we have EMT-Cardiac, which is a lot like an EMT-I, I think, I really don't know. I do know that I've done a lot of things in the field that have saved some lives, and only a small percentage of those things needed the EMT C level training. Mind you that there is hospital on every corner here in the Capitol City, and rapid transport to an emergency room-cath lab-surgery suite-stroke center is most often the most prudent course of action.
That being said, if ever I'm attacked by a bear, or fall off a cliff, or cut off my dick with a chain saw, or run myself over with a tractor, or crash my car on some desolate stretch of highway, send the Paramedics!
Anyway, we are what we are, and if we all do the best job we can at the level we are trained at I think we can all get along, save some lives and act like professionals.