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Humanism

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Submitted By BeanieC10
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Benjamin Castellot
Trends of Paramedicine
October 6, 2009

Humanism in Pre-Hospital Emergency Medicine

There are several factors to consider when discussing the role of humanism in both emergency room medicine and pre-hospital emergency medicine. Dr. Rosenwieg provides a detailed description of the various aspects of the human character as it pertains to their humanistic needs and wants, but his discussion on the resolution of conflicts arising from these desires is focused solely on emergency room physicians. Many of the concepts he discusses can be applied directly to pre-hospital care, but there are several important differences between patient-paramedic and patient-doctor relationships that may require the paramedic to use alternative strategies to achieve similar goals. Dr. Rosenwieg illuminates several techniques that can resolve the issues of time constraint, patient discomfort and general unease that can be used in the pre-hospital setting as well as in emergency rooms. The ability to both initiate physical interventions while simultaneously acquiring patient history and information is an invaluable tool to the paramedic. However, as Dr. Rosenwieg suggests, the manner in which the interventions are put into place as well as the approach the paramedic takes when discerning patient history can have positive or negative effects on the patient’s physical and emotional health. Over-aggressive physical interactions with the patient can leave the patient feeling both helpless and scared. A patient feeling emotional stress may not be as compliant when answering questions which could compromise the care the patient receives. Using the techniques of pacing, anchoring and reframing could be extremely beneficial in maintaining a calm scene and keeping a steady and accurate flow of information between the paramedic and patient. The good paramedic adapts

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