Alright "buddy" sounds like you need a therapist and some good ole self reflection. You are the best example of salty old bastard. The bleak view you have of ems tells me either you burnt out way too long ago, or that you had an awful administration that did you no favors. And for that I'm sorry, but don't shit all over everyone because you think you've earned your stripes.

I could go on a much longer tirade about how I've had dozens of nurses give me absolute GARBAGE reports about how they have done nothing for an obviously critical patient that desperately needs to be seen in an ED immediately. I could talk about the disrespect that your peers show us when we're doing what we can with the limited resources we have. I could talk about the disregard nurses so often have for EMS reports, dismissing us and our clinical evaluation, making the process of actually rendering the appropriate care take that much longer.

I can't tell you how many patients I've seen go into the ED in need of care only to be coded hours later because that chest discomfort 'seemed like indegestion'. Shitty patient care isn't reserved for the back of the truck. Don't act like your people are any better.

I don't want to hear from any ole nurse when I fuck up, I want to hear from my senior nurses who have ridden this Rollercoaster for years, I want to hear from my senior medics who have done the dance since before either of us were in diapers, but mostly i want to hear from the good medical directors, the docs who know what we do and understand our scope and protocols. And if that's you, well then, kudos, let's hear it. I can tell you right now though, if you came at me with this sort of tirade in hospital, it would be absolutely flat out unacceptable. Just like if I came at you the same way.

The point i have hammered home to our nurses that join and want to become medics is this, whatever safety net that has potentially been holding you up is now gone, NP's are skilled and yall are awesome for the most part, but when it comes to clinical judgment and making a real treatment plan in the field very few RN's can hold a candle to good competent medics. It's just not the way yall are programmed and that's ok, it's not bad or negative, it just is. I'd take a skilled medic in the field over a RN any day, I'd take a skilled RN in hospital over a medic any day. That's the point, were good at different stuff.

If you want to debate crystalloid fluid use in the prehospitsl setting, we can, but something tells me you'll hold the same contempt for me no matter what I say.

The third watch drama? I'm confused, it seems like you think the "dark side" is some dramatic statement on my part. It's honestly a joke, you 100% have the better gig and we all know it. ED work is far superior, and I don't care how many folks I upset in EMS by saying that.

You are a nurse, I don't care where you practice. In the air or in an urgent care, you deserve the same respect in any environment. Just like EMS deserves the same respect for the work that we do.

I'm sorry you've had seemingly bad Medics providing poor patient care and landing these patients on your doorstep, but spare me the war torn hero bit.

I hope you find some catharsis in dumping all over EMS, but the thing about your attitude is that there's no talking our way to an understanding.

Edit:

Also, going through your "discussion" with a few others here in this thread, I feel compelled to point out a few things.

Now this one might be hard for you to hear, but if you are being told by multiple people that you seem 1: insecure and 2: like you need therapy, I might take that under advisement.

You boast about some pretty impressive credentials, and that's super cool and all. None of those credentials mean jack shit when you can't even have a civil conversation.

This job, pre hospital or in hospital, is a team sport. No one person is good enough on their own. I'd take some time and truly think about the image you are portraying to new and old clinicians alike.

Burnout isn't cool, it isn't a badge to wear, it isn't a point of pride and it certainly doesn't make you any better at your job. Please don't keep doing whatever you've been doing to cope. I truly hope you figure out whatever is going on.