EMS World

OCT 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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Page 49 of 87

EMSWORLD.com | OCTOBER 2018 49 For More Information Circle 43 on Reader Service Card t ype drug use. 1 This was all before the prevalence of opioids and ease of access to them. Though Anne's case was not the result of abuse, she was still a nurse who had overdosed. The staf f routinely spoke about her a s if she wa s not there. They would exchange reports right outside her door. She would have to listen to the nurses tell each other about her "huge problem with addiction," but that her husband is the CEO, "so we have to be nice to her." She wasn't a person anymore, she was the sum of her medication list. Anne's experience occurred right at the cusp of national recognition of the opioid crisis. Narcan kits were not regu- larly available. Both Chris and Anne say it never occurred to them to have the drug at home. They were so meticulous with following their doctor's orders, they'd never considered it. They realized there was no reasoning with the hospital staf f, and Anne was continuing to go unmanaged. Nobody listened when they explained how care- fully regulated Anne was, how they were already de-escalating her from her meds, safely and slowly. They didn't have the exper tise to manage her complex case and were unwilling to go fur ther. Chris and Anne agreed to whatever discharge in s tr u c tio n s th ey we re gi ve n jus t to escape. In retrospect Chris says he would never have agreed to have her transpor ted if he'd known what kind of care they'd get from the medical community. Healing vs. Correcting This is an important statement coming from a leader in EMS, someone whose bread and butter is being a component of this care system. Chronic pain patients rou- tinely suffer from stigmatization. According to research, the trust rela- tionship between patient and clinician must exist and be reciprocal, and it's more important in the management of pain than perhaps any other specialty. Failure to reach that accord results in iatrogenic suf fering by the patient, because the physician is unable to move from previous negative experiences and projects them onto the patient. The neg- ative stereotype causes the clinician to assign the patient less credibility, result- ing in testimonial injustice. Anne with friend Erin Osbourne (Photo by Chris Montera) Accredited Online EMSA Degrees Justin Arnone CSU Graduate Columbia Southern University offers completely online degrees for EMS professionals interested in taking the next step in their career. CSU's coursework covers relevant topics within the emergency medical services industry including community relations, EMS communications, risk management, public safety and more. ColumbiaSouthern.edu/EMSA ยป 877.347.6050 Located in Orange Beach, Alabama. Gainful employment information available at ColumbiaSouthern.edu/Disclosure.

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