Reasons I didn't become an EMT, ranked

(ben.stolovitz.com)

54 points | by citelao 3 hours ago

14 comments

  • fm2606 1 minute ago
    I have written about this before here on HN.

    I obtained a BS in Aerospace Engineer in 1998. After job jumping several times I realized I didn't care for it. I was basically a "paper" engineer, which was my fault as I never pursued jobs that did "real" engineering.

    Anyway, around 2003/2004 I went to night school for EMT. The purpose was to be a dive master on dive boats (I was/am a dive master - I don't dive anymore). It was fun.

    My engineering job sucked so I jumped into paramedic school right after EMT. I really enjoyed it. About a month from graduating PM school, county fire department came in to class and said they would hire paramedic only but we would have to cross train to firefighter.

    In Feb 2006 I was 35 yo with a 9 month old baby and decided if I didn't do it then I never would so I applied and got hired then department put me through fire school.

    It was the best career decision of my life. It didn't take long to see a bunch of people get hurt from the job, so I figured I better have a back up plan since I also have chronic health issues. From 2010 to 2015 I did an online Masters degree in CS. After completing it I started working part time remote jobs as a developer.

    Then COVID hit in 2020 and they pulled me out of the field due to my health issues. I turned 50 and was getting tired after 14 years. I started applying to full time jobs and landed one.

    In 2022 I switched jobs again for a better org and I am still here. I just switched positions from Java dev to cloud engineer in May.

    I absolutely enjoyed 85+% of FF/pm but it is a young person's game. It gave me confidence I probably never would have found. Again, it was literally the best career move I ever made and would recommend anyone to do it.

  • a_lizard 20 minutes ago
    This is a surprisingly interesting and relevant post to me that I decided to make an account to comment. I worked in IT and eventually as a programmer for 6 years, had a rough point in my life, and decided to take some time to reconsider my goals. I had always been interested in the medical field, and this was as good an opportunity as ever to do something new. I got my license and now am lucky to work 911 rescue in a larger city, both high call volume and high acuity (5 to 10 calls in 12 hours just on my truck).

    Pros: - Societal good: There are few who would argue Emergency Medical personnel do harm. Being able to visibly see your work improving people's lives and contributing directly to the public good is incredibly self gratifying. - Handling emergencies: I am the one people call when things go wrong, in charge of patient care, managing scenes on the medical side. - Problem solving: each situation is unique. Assessing situations, determining patient care, and actively working difficult scenes can be fun and helps fulfill my unmedicated ADHD needs. - Handing out ambulance stickers to kids.

    Cons: - Smells - Limited medical scope: I stop bleeding, give people oxygen, and get them to the hospital. I have very few medications, cannot intubate, and am not allowed to interpret an ECG. Paramedic is a 14 month program minimum that is a much larger time and money commitment, and even then, doctors are the ones that actually end up managing full patient care and make final decisions. - Pay: I took a very large pay cut. I knew this would happen, and I was incredibly burnt out at my previous job, but the medical field, especially first responders, gets away with low pay and high hours because they often rely on passion and many new people entering the field at the lower levels.

    Ultimately, I still have not figured out what I want to do long term. I could go back to programming, but with the current job market, that seems inadvisable. THe medical field will pretty much always guarantee some job. I do want to pivot (still have not completed college), but see above untreated ADHD along with a few other personal things I need to work on. Nursing has higher pay, but puts you underneath doctors such that you rarely make independent medical decisions. And paramedic/firefighter is nice, but hard on the body plus issues in the culture previously discussed.

    For anyone considering it, I do recommend taking a class. You can do it in 4 months with a one day a week class (how I did it), and volunteer somewhere. But understand the tradeoffs and recognize that is far from glamorous most of the time.

    • le-mark 2 minutes ago
      > Nursing has higher pay, but puts you underneath doctors such that you rarely make independent medical decisions

      But a good nurse can listen and advocate for patients in a very impactful way!

  • whartung 1 hour ago
    Friend of mine was an EMT, and he advanced on and became a paramedic.

    The work seemed to suit him, he enjoyed it. I'd hang out with him at his base of operations (he was a private paramedic in LA County).

    Then, one day, he quit.

    He quit, and didn't renew his certification.

    And he won't talk about it, and, boy, yea, did he have some stories.

    But something got to him.

    • matheusmoreira 1 minute ago
      My first time riding an ambulance as a medical student: motorcycle/car collision, a man and a woman lying down on the scorching pavement in a lot of pain and with exposed fractures, and an elderly woman who hit her head on the car's dashboard because she wasn't wearing her seatbelt. When I came back next week, we had a case where someone literally blew up while trying to set up a barbecue.

      It's just one of those jobs where you see some shit.

  • keane 1 hour ago
    The Coursera course will give you a good idea of the content of the class and can help you decide if you want the license: https://coursera.org/specializations/become-an-emt
  • vcoppola 45 minutes ago
    I kind of did this in reverse lol. I was an EMT on private ambulance for 5 years, went to paramedic school, then dropped out and became a software engineer. Coming from the other side, I can definitely relate to the experience of delaying something you want to do for reasons that, in hindsight, were mostly irrational.
  • citelao 3 hours ago
    OP: I've wanted to be an EMT for a long time, but I made excuses for years. I wanted to share some of them with y'all; maybe they resonate with you, or inspire you to do something you've been putting off.

    Because worst-case, you might enjoy it.

    • yoyohello13 1 hour ago
      Hey this is awesome! I’ve also always wanted to do EMT work but gravitated more toward software in college. I really related to all these reasons. Especially the feeling coming up more when I’m dissatisfied with work. The main reason I delayed was because if I’m going to do it, I want to be a good care provider and it seems really hard to keep the skills sharp if it’s just volunteer part time. How do you balance keeping the skills sharp while working another job full time?

      Also, I’m 38, so I tend to feel too old. But I just started a part time program at a community college. Worst case I just learn some interesting skills.

      Anyway, thanks for writing it. It’s good know I’m not just crazy wanting to do part time EMT work and keep my software career. I kind of feel like an idiot sometimes when other people ask me why I’m doing it.

      • MissionControl 47 minutes ago
        You've got it exactly- learn a skill and why not? I'm a VC and founder and I also just passed my NREMT last month. Am I going to work as an EMT? No. But I'm proud of the skills.

        Like OP and others, it would be great if there were better volunteer opportunities in big cities. Lmk if you want to start something.

      • detourdog 38 minutes ago
        I'm 20 years older and just started a composite construction certification course at a trade school. So far it's been great.
  • JumpCrisscross 20 minutes ago
    What is the time commitment for a volunteer EMT?
  • switchbak 1 hour ago
    How about: raging PTSD? A former buddy of mine had that like crazy, and apparently it's rampant in the profession (of course it is!).

    Also, they (BC Ambulance) treat you like garbage when you need assistance, and effectively force you back to work or to go find a job elsewhere.

    It's shocking how badly we treat the people that willingly take on life's hardest challenges (for low pay, I might add). It's amazing any are even left after all that BS.

    • howunfortunate 1 hour ago
      > need assistance, and effectively force you back to work

      As a former PTSD therapist, there's a lot more overlap between these two than you might expect.

      Often (not always, some people are great suppressors) the worst thing you can do as a trauma survivor is continually avoid the source of trauma.

      • switchbak 56 minutes ago
        Sure, but it's very context dependent, and that statement isn't particularly useful here devoid of that context.
  • einpoklum 21 minutes ago
    I like it when people are willing (and capable, writing-wise) to wear their hearts on their sleeve like that.

    Also, I bet the whole blog post's worth would flash through the author's mind within all of 10 seconds whenever they were reminded of the possibility of taking the course. It takes both patience and self-discipline to put it all on paper like that.

    Great blog post! Makes me want to take an EMT course :-)

  • sergiotapia 54 minutes ago
    There has to be a toll seeing people suffer probably one of the lowest points of their lives, seeing kids die, seeing brutality like that where an EMT is warranted.

    You probably pay the cost.

  • vjulian 3 hours ago
    David Lee Roth did it.
  • chaostheory 1 hour ago
    Going on a slight tangent, I wanted to do the same thing but with firefighting instead. One thing I've found is that a good portion of your time is supposedly spent doing fundraisers
  • swozey 1 hour ago
    My dad liked to tell me about cadaver college because I gag at the thought or sight of gore and that's kept me working on trees, cars and computers and not humans
  • CurbStomper4 34 minutes ago
    [dead]