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Mother, may I ...?

¹Scott Bourn Associates, Broomfield, CO.

JEMS : a Journal of Emergency Medical Services

|December 9, 1993

Summary

This summary is machine-generated.

Emergency Medical Services (EMS) systems requiring paramedics to obtain base hospital authorization before interventions are often met with resistance. Field personnel generally prefer more autonomy in decision-making during patient care.

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Area of Science:

Emergency Medical Services
Prehospital Care
Medical Systems

Background:

The "Mother, may I...?" system in Emergency Medical Services (EMS) mandates pre-hospital personnel to contact base hospitals for authorization before interventions.
This protocol is a long-standing practice in many EMS systems.
Field practitioners often express dissatisfaction with the limitations imposed by this system.

Purpose of the Study:

To explore the challenges and perceptions associated with "Mother, may I...?" protocols in EMS.
To understand the desire for increased autonomy among EMTs and paramedics.
To advocate for a shift towards more flexible EMS system protocols.

Main Methods:

Qualitative analysis of anecdotal evidence and common sentiments within the EMS community.

Related Experiment Videos

Discussion of the operational impact of restrictive protocols on pre-hospital care.

Exploration of alternative "Mother, I'm going out now" models.

Main Results:

The "Mother, may I...?" approach is perceived as overly restrictive by many EMS providers.
There is a widespread preference for protocols that grant more procedural autonomy.
The current system can hinder timely and efficient patient care.

Conclusions:

The traditional "Mother, may I...?" EMS protocol may not align with the needs and expertise of modern pre-hospital providers.
A re-evaluation of EMS system oversight is warranted to balance safety with operational efficiency.
Implementing more autonomous protocols could improve provider morale and patient outcomes.