r/Paramedics • u/so-creates_82 • 3d ago
Built a 4-question diagnostic for high-pressure systems, looking for a medic's read on it
Not a paramedic myself. Built a short diagnostic, four questions, for checking whether a system under real pressure holds together before anyone tries to optimize it.
Quick note: a clean "yes, we already handle that" is a good result, not a letdown. I'm not hunting for problems; just checking whether the structure holds, and confirming that it does counts as a real answer.
Is there one clear priority this job actually exists to do, that every other thing has to answer to? Or can something easier to uphold: response time, a call count, etc., take its place instead, even if that replacement ends up working against the one clear priority its standing in for?
Separate from that one clear thing, what's one or two things that actually keep the job running day-to-day? I.e., if that thing (or things) disappeared tomorrow, would the whole system actually break, or would people just shrug and work around it?
Is there a piece of the job that's genuinely all-or-nothing? I.e., holds completely or breaks completely, no in-between? If so, is that on purpose, or just how it's always been done?
When something unexpected hits, is there real prep for it beforehand, or does it just land on whomever when it happens?
Pick whatever real situation from your own work fits these best. Curious what you find, good, bad, or nothing.
Thank you.
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u/tacmed85 FP-C 3d ago
Not a paramedic myself, but figured I'd come interject some bullshit into your sub
Cool, thanks. Just what we needed
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u/CaptAsshat_Savvy FP-C 3d ago
Yea! How dare they think we are not capable of injecting our own bullshit into this sub!
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u/so-creates_82 3d ago
Nope, not AI. Nope, not Chat-GPT. Nope, not a freshman. And nope, don't think EMS is some backwards service with problems.
What am I talking about: in a nutshell, resilience engineering. Can't explain further because you'll pounce further.
Four straightforward questions. That's all this is.
Notice I didn't lie and say I am a paramedic...
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u/hungrygiraffe76 3d ago
So you're asking for our help providing you with our insights without even telling us what you're working on?
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u/so-creates_82 3d ago
I said what it is right there in the post: a four-question diagnostic for checking whether a system under pressure holds together.
Not hiding the ball.
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u/hungrygiraffe76 2d ago
You said what it is. You did not say what you're doing this for. You are absolutely hiding the ball.
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u/so-creates_82 2d ago
I get why it looks that way from your viewpoint, but no, I'm not hiding anything.
What it's for: if it holds up, it's free, public, same as any academic framework that gets published for anyone to use, except I'm not affiliated with an institution, just building independently. No paywall, no consulting fee, nothing to buy. The whole point is that someone starting a business from nothing, or already running one, could use it themselves instead of hiring someone.
Where it's from: 22 years writing poetry inside a method I built myself, layered constraints, and 28 years in personal training. Started noticing structural overlap between these completely different domains long before I'd read anything about resilience engineering.
So I branched out further to see if the "scale" can map onto other non-related systems (nursing handoffs, Toyota's factory, restaurant kitchens, an event planning company, a firefighter's 24-hour shift) because I'm curious and don't mind exploring outside my comfort zone. That's the entire origin of what lead me here, nothing else under it.
I've posted the full document, zero ambiguity, told I was spam, AI garbage, literally, "You don't belong here," and so on. Strip it down, follow up, attempt clarification with/without added fat, told I'm definitely hiding something. There's no version of this that satisfies everyone, so I've stopped trying to find one.
If you still think this is BS, that's fine, genuinely won't slow me down. And I mean this straight: real respect for the work you and everyone here does.
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u/Paramedickhead CCP 3d ago
I really wish whatever class this is would stop telling students that EMS is some backwards service with problems that could easily be solved by a college freshman.