Overcoming Fears: How to Get Comfortable with Gruesome Paramedic Procedures in the UK

Many aspiring and rookie paramedics in the UK, particularly those new to the field, are often daunted by the idea of performing invasive procedures such as tracheostomies and cricothyrotomies. The prospect of these surgeries can be daunting, even to experienced paramedics who are well-trained. However, with the right mindset and approach, you can gain more comfort and confidence in these procedures. In this article, we will explore strategies to help you overcome such fears and become more adept in handling gruesome paramedic procedures.

Understanding the Role of Paramedics in the UK

Paramedics in the United Kingdom do not typically perform tracheostomies in the field. These procedures are usually carried out by specialist doctors, particularly those working in intensive care units (ICUs) and air ambulances. However, paramedics are trained to perform advanced life support, which includes intubation and other life-saving techniques. This training is critical, as it prepares you for the challenges you may face.

Preparing for Cricothyrotomies: Training and Practice

A common fear for many paramedics is the cricothyroidotomy, a surgical airway procedure performed when alternative methods fail. The first step in overcoming this fear is extensive training and practical experience. Manikins and simulated patients can help paramedics practice these procedures in a controlled and safe environment. By performing these procedures repeatedly, you can become more familiar and comfortable with the process.

It is essential to have a checklist to guide you through the process. For instance, when preparing for a cricothyrotomy or rescuing a dislodged tube (RDSI), you can create a checklist to ensure all necessary equipment is present and ready. Keep this checklist in a booklet that you can carry with you during your shifts.

Understanding the Likelihood and Context of These Procedures

While cricothyrotomies and tracheostomies are indeed gruesome, they are relatively rare. In the field, the likelihood of performing a tracheal intubation oneself is low, especially for those not on air ambulance teams. This rarity should alleviate some of the pressure and fear associated with these procedures.

Being prepared mentally and physically is key. When you do find yourself in a situation where a cricothyrotomy is necessary, remember that the patient is likely in a critical state. Your focus should be on providing the best possible care to save the person's life. The experience may be distressing, but it is a part of your job.

Lessons from Experience: A Real-World Example

A personal anecdote adds to the understanding of why such procedures are necessary. Once, a little girl in a local pre-school was choking. Despite the chaos and fear among the teachers, the paramedic was able to step in and successfully perform the necessary procedures to save the child. This experience, while traumatic, is a testament to the importance of being prepared and trained for such emergencies.

Other gruesome sights in prehospital care, such as traumatic injuries or critical illnesses, are indeed challenging. However, the reality may not be as horrific as Hollywood portrayals suggest. While the media often dramatizes tragedies, in reality, many situations are not as dramatic. For instance, a carpenter who sustained a deep cut might not look as severe as it appears in movies.

Psychological preparation is crucial. Desensitizing yourself by exposing yourself to graphic images on the internet without a clinical background can be harmful. Instead, consider educational videos that provide a realistic overview of surgical procedures. Shows such as 'The Operation' on TLC, which offers detailed, educational, and narrated surgical procedures, can be a good starting point.

Conclusion

Overcoming the fear of invasive procedures is a journey, but with training, preparation, and the right mindset, you can become more comfortable and effective in your role as a paramedic in the UK. Remember, your primary goal is to provide the best possible care and save lives, and with the right approach, you can face these challenges with confidence.