Emergency Service

I sometimes remember to marvel at some of my colleagues and did so again over the Christmas period – ordinary men and women doing an extraordinary job, away from their friends and families whilst we were at home – (it was my turn to be off!)  Their pay has been frozen for the last few years with their pensions being eroded compared to those they were promised when they joined up; there is comparatively little or absolutely no training for some of the functions that they are expected to undertake in their role; and sometimes they are patronised and misunderstood by senior members of Government who don’t really get their role at all.


A while ago, one of them was at a job where a man had attacked his partner with a knife and the man was known to have a risk history that flags up whenever you attend the address.  Back up was a distance away and consumed by an instinct to protect the woman and get to her aid, she went in to that unknowable environment on her own.  What she did what she got in there meant the man fled with his knife, the woman was safeguarded from any further threat and it could be declared safe for paramedics to roll the ambulance up to the door.  The man was arrested a short-distance away, but that early evidence meant we could prove that he *was* holding a knife during the incident.  Crucial evidence, nicely preserved by a brave professional witness who put herself at risk.

You’ll remember this blog was prompted whilst I was off work this Christmas:  I remembered what it was like working on the frontline last year – Christmas Eve in particular was a real bender of a shift and resources were so stretched that by about 3am (on Christmas Day!) I was first on the scene of a stabbing.  A man so badly injured that his wound was an open chasm in his neck and there were half-pints of blood all over the pavement.  I was soon joined by another set of blue flashing lights and before much else could happen, my colleague and I were rolling on the floor with this bloke, fighting him to let us apply pressure to his neck wound so he didn’t bleed to death in the road.  We both got knocked about a bit, but nothing serious and wondered afterwards whether this man was as high-as-a-kite on cocaine?  But the ambulance crew and more officers turned up and off he went to hospital.

Earlier this year, we had a very mentally distressed lady in police custody – a person in a condition of some particular agitation and obviously very unwell.  As various medical professionals have suggested we should, I remember asking the custody nurse whether we could be sure that her basic obs indicated nothing was seriously physically wrong with her – was she actually safe in police custody?  The nurse checked the custody record medical forms and admitted she didn’t know.  She agreed she should do them again to be certain and saw what I was getting at.  Was her heart rate OK, her blood sugar, etc., etc..  The nurse being there with all of her gear, you’d hope and think that a nurse would be able to reassure someone perhaps to a greater degree than someone in uniform that they wanted to check them out, to help make sure they’re OK?  This lady couldn’t see that and I patiently watched two of my colleagues spent 90 minutes of constant patient and compassionate conversation turn this into a position whereby the obs could be done and we could relax that she was not potentially seriously medically ill, as well as distressed.


I could go on and on – the point I want to make here is that none of the colleagues I’m referring to above are police officers.

They were all paramedics from our ambulance service. 

It was a paramedic first-responder that intentionally put herself at risk where a man had taken a large blade to his wife, to safeguard her and she unintentionally contrived to be able to provide evidence against him that helped convince the court he was a dangerous liar; it was a paramedic who got physically stuck in to a man who was bleeding heavily but fighting not to be helped; it was two paramedics who came into police custody and spent 90 minutes patiently persuading one of the most vulnerable, psychotic and distressed people I have ever met, to let them care for her.

I could still go on and on – the story of the paramedic in London who continued to provide care for a drunk man just after he’d been hit over the head with a fence post by that man; the paramedic in Suffolk this Christmas who ran into a burning building before the Fire Brigade could arrive to rescue a trapped woman and immediately give her respiratory support; the paramedic who accompanied three officers into a building where there was a risk of a gas explosion in order to assess a man inside – all were hurt when the building exploded, a risk that they knew they were taking.

It is my genuine privilege to work alongside these people – as we do every single day.  Despite the very obvious differences between policing and pre-hospital healthcare, there are many overlaps and at the core of it all is dedicated public service at times like Christmas or during family birthdays and other events.  It is my view that paramedics are paid peanuts for what they do and they are probably more messed about and taken for granted with the rubbish that is thrown at them, than we realise.  The stories of people ringing 999 for an ambulance because they can’t be bothered to walk to hospital or see their GP; the Home Secretary contriving to refer to them as “ambulance drivers” in apparent disregard of the training and qualifications they must have and the media quick to pick up on paramedics not diving into a lake but aren’t mentioning the one who ran into the burning building.

It just beggars all belief that they aren’t considered an emergency service – I have certain views about that!

The practice guidelines for paramedics is a telephone directory sized book and it has four pages of information on about mental health, some of which is wrong!  It probably isn’t as widely known as it should be, how many paramedics will say that they want to be able to do more for people in mental distress – they want to access NHS referral pathways, have options for removal to care settings that are more appropriate than A&E and be trusted to take pre-hospital clinical decisions.  Let them serve us better, because they want to do it and are currently blocked from trying.  We trust these people to get to grips with our heart attacks and strokes and to know what to do when time is of the essence – surely we can open up the mental health pathways and trust their clinical judgements?

So I want to circulate my admiration for my colleagues in green and help build awareness of the stuff they do for you and for all of us each and every day.

We would notice if they weren’t there to do it for us, trust me on that.

Winner of the President’s Medal, the Royal College of Psychiatrists.

Winner of the Mind Digital Media Award


All opinions expressed are my own – they do not represent the views of any organisation. (c) Michael Brown, 2014

I try to keep this blog up to date, but inevitably over time, amendments to the law as well as court rulings and other findings from inquests and complaints processes mean it is difficult to ensure all the articles and pages remain current.  Please ensure you check all legal issues in particular and take appropriate professional advice where necessary.

Government legislation website – www.legislation.gov.uk


7 thoughts on “Emergency Service

  1. Well said. Totally agree. When there are inadequate procedures and provisions for people with mental health problems and brain disorders, which is most of the time, it’s those on the front line who have to step up and do the best they can for vulnerable people when they are in trouble. Incredible bravery, good judgement calls and amazing kindness so often go unrecognized.

    1. I am confused about posting here. I wrote a detailed post praising the author of this blog and recommended several other excellent sources to further clarify the “mental death profession” for Mentalhealthcop.

      Instead of showing up here, it said my post would go up in the U.S. at Word Press, but I don’t have a clue as to how to find it or if the Mentalhealthcop saw it or will see it.

      Could you please enlighten me about this mystery since I live in the U.S. I must say I am very impressed with Mentalhealthcop’s human decency in not wanting to violate people’s rights which is mostly all the mental death profession does with it bogus, life destroying stigmas and lethal brain/body damaging drugs, ECT, etc.

      1. Thanks for these comments and sorry your original comment got lost. All I can say is, no other comment you’ve posted has made it’s way to my blog – only this one. 😦

  2. Reblogged this on gerrysmum and commented:
    I have a friend who works for the Ambulance Service and I am sure I am not alone in being as supportive of them as I am the Police and Fire Brigade. Remember, we do have 3 emergency services people 🙂

  3. Could not agree more. Very well said. Paramedics are incredibly skilled people and I remain in disbelief at how little is understood about their role. It is tragic that their incredible skills are frequently left unused owing to their frequent response to 999 calls which should have never been made, let alone attended.

  4. This is a very interesting article, I couldn’t agree more that a paramedic’s job is diverse and often challenging. Treating mental heath, particularly in the pre hospital environment is a complex topic, as a paramedic who works in Manchester I have often found inadequacies in the care people receive for mental health in comparison to physical injury.
    Mentalhealthcop I’d love to have you as a guest blogger on our site: http://www.uktraumaacademy.co.uk

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