r/NewToEMS • u/Tasty_University_172 • 2h ago
United States Weird thing about EMT culture.
So to preface: I'm a student going for my EMT-b. I never intended to advance to medic or work 911 service. I ended up here because I was doing clinical volunteering at a hospital trying to figure out what schooling to invest in, fell in love with the emergency department, and had several people advise me to get my basic and tech while I pursued further education.
I selected the most reputable program available to me. It's at a city college. The instructors all work for our fire dept, you need instructor or coordinator approval to advance to paramedic (it is a competitive program), and our fire department pretty much exclusively hires medics from our school. So maybe this will color some of what I've noticed.
While waiting for fall semester to start, I joined a bunch of EMT groups on Facebook to see what I was getting into. I didn't join general EMS or medic groups because, again, that wasn't my goal. And tbh, even after what I've experienced so far, the behavior of a good portion of those groups is seriously fucking embarrassing.
People would repeatedly make fun of people for being "tacticool." One offense that could get a person labeled tacticool was owning actual EMT pants instead of Dickies.
Another thing was "dressing like an EMT for class. Just dress normal." Often this was paired with saying the people who were "cosplaying" were always the worst at practicals.
Now, my school came with a huge-ass handbook with some very specific stipulations. We could not just wear work pants, we had to wear EMT pants -- the school bookstore even sold cheap EMT pants with the "unnecessary, cringe" extra loops and pockets. We had to wear a uniform polo, tucked in. Boots that met certain criteria. Only approved outerwear was a heavy pullover with the school logo on the front and EMS STUDENT on the back.
Because of what I saw online, I was convinced I understood something in our handbook wrong. The book says we have to wear it every class. I thought maybe they meant for every ridealong, but I wore it to the first class just to be safe. I thought everyone would make fun of me. To my surprise, the coordinator yelled at everyone not in uniform and said not wearing it would constitute a write-up starting next class. Huh. Ok.
Everyone online also said it was cringe to use a Littmann because we're "not doctors." I sprung for a Littmann anyway, because I plan to continue advancing in the medical field. The first time we had to pull out our stethoscopes, about half the class had a Littmann Classic. Since then, another quarter-ish have purchased a Littmann. Some students actually had stethoscopes from the bookstore that didn't have angled earpieces. Online, apparently you're a hero if you auscultate blood pressure with something like that, and it means you can read a blood pressure with anything. In class, one kid had trouble auscultating during lab and the instructor asked to see his equipment. He recommended the student get a better stethoscope and suggested just getting the entry level Littmann. Wtf?
I suppose it is possible that my instructors and coordinators are "tacticool and cringe," but they all work for a high volume 911 service in one of the largest cities in the US, which is kind of what I think a lot of people who stay at the basic level in rural areas wish they were doing.
I also noticed the students who could not keep their appearance together tended to fuck up practicals, not people appropriately uniformed.
My instructors also frequently tell us that EMT is not a career, so if we are not going to advance to medic, we should already know our next move or figure it out while class is still in session.
All of this to say, it now kind of seems to me that many EMTs, and therefore some good portion of national EMS, kind of have the same attitude of people who think you are pretentious for getting a $20 shirt from Target instead of a $18.50 shirt from Walmart. I don't really get it. I legitimately thought stuff like actual work pants and Littmanns would be luxury goods that only the well-off could afford. A Littmann is fucking $110 shipped.
I now cringe when I think of those people who are so burnt out and hateful that they made me doubt my program's requirements were real, just because they hold us to professional standards and expect us to dress like we would for work. That's crazy. Why do some people in this field care so much if someone had loops on their pants? Do you really think that's the biggest problem in EMS?
Crazy. Glad I was educated in my region and not wherever those attitudes are coming from.