Let me relay one experience with “cheat sheets” or “reminder” cards for emergency medical care that has shaped my negative opinion on relying too heavily upon them for immediate care interventions. Many EMS providers carry both homemade and/or commercially available pocket reference books on a wide range of topics including but not limited to: drug dosages, triage guidelines, treatment algorithms, vital standards, etc. There are even quick reference charts, measuring tapes for pediatric drug doses, I.V., E.T. sizes all produced to reduce the time and potential error in treating life-threatening conditions. Many EMS providers have much of this information committed to memory, either though study and/or experience.
A few years ago, my partner and I were evaluating a relatively new paramedic; we were dispatched to a serious motor vehicle accident. As part of his evaluation we expected him to take charge of the patient care and direct us and other EMS providers to perform the necessary care and treatment. Upon arrival, the first thing he did was to pull out his pocket reference, he stood there for several minutes reading and trying to decide upon a course of action. My partner and I, seeing that he was not making decisions fast enough for the current circumstances, went ahead and proceeded with patient care. In this particular case, delay in treatment would have led to less than a survivable result. After the call we debriefed the individual and let him know in no uncertain terms, the time to check his “cheat sheet” was not at the scene, but either back at quarters or in route to the scene.
Too often people put on the backburner the need to obtain training and then practice what they learned. Personally, I see little difference, in fact I would consider it a more significant “sin” for those who purport to prepare for emergencies though putting together kits and supplies for emergencies, but fail to obtain the necessary training or to practice/train lifesavings skills, then those individuals who rely upon others for equipment in times of adversity. Pete