r/Paramedics • u/Ok_Assistance69 • Jun 21 '25
US Overruling captain!
Just getting opinions here. Other night we had a well known psych patient who’s not only know to verbally accost medics/hospital staff, but can get aggressive. Delt with her multiple times where our local PD had her cuffed, hands on a taser. On scene for the THIRD time that week same patient, different captain (not mine, was working OT) and I told this captain “we’re going to need PD” Captain replied back “THIS IS NOT A PD ISSUE” very loud and aggressively I might add. I stated “she can get aggressive” he replied back “SHES NOT AGGRESSIVE”and he denied calling PD. Once she was loaded on the stretcher, she started to become verbally hostile, then and only then did the captain call PD. Then I was instructed to go to my patient. She started getting verbally hostile with me. I was told to get in the engine at this point and the other medics would run the call. PD followed the medic unit to our local ER.
Now, we all learned “BSI/scene safety” right? I always thought it was a medics discretion if it came to safety. KC firefighter died over a psychiatric patient after being stabbed by her. Another psych call, patient flew out the back doors and ended up being killed by a semi truck.
Does anyone think this needs to go up the chain? I feel mine AND my crews safety was compromised by a captain with a superiority complex and this captain has been known for his temper. His behavior was unprofessional, unacceptable and unbecoming an officer.
Opinions???
3
u/Ok_Assistance69 Jun 21 '25
The patient was hostile from the moment we arrived to scene, the point was she “CAN” get aggressive. Our EMS captain makes it known that yes, if you feel PD is needed, you get PD. Regardless of what said captain wants, at that point in time my red patch overrides his “bugles” just because you are a captain does not necessarily mean you are correct in ALL instances and negate safety due to being an “in charge” in fact, most captains here will immediately extinguish a possible threat. We work in a high crime area. At the end of the day, this captain put his crew in jeopardy. We have lost captains on less infractions. We are now in 2025, not 2005. Times have changed and this antiquated thought process of being above the policies or being a dictator gets people killed. I’m not willing to die over someone else’s decisions nor am I willing to subject my patch to revocation. No one was “hurt” but it’s best to be proactive, not reactive. The risk was still there.