Mosh
@mosh3.bsky.social
EMS officer, hobby firefighter, enjoyer of games, TV, movies, books, and natural and unnatural vistas
When I was a volunteer firefighter I'd pretend I was getting a call and needed to rush out of the house.
December 11, 2025 at 12:03 AM
When I was a volunteer firefighter I'd pretend I was getting a call and needed to rush out of the house.
Culture is all encompassing. This is innocuous and maybe even slightly positive (re: increasing options for people that don't drink caffeine). It's also indicative of a cultural trend against perceptions of vice and a subcultural drive towards things that vibe as healthy.
December 10, 2025 at 11:58 PM
Culture is all encompassing. This is innocuous and maybe even slightly positive (re: increasing options for people that don't drink caffeine). It's also indicative of a cultural trend against perceptions of vice and a subcultural drive towards things that vibe as healthy.
If you have like a local farmers or flea market places like that often have specialty importers of British and European sweets.
December 9, 2025 at 12:11 AM
If you have like a local farmers or flea market places like that often have specialty importers of British and European sweets.
Maybe! And if it works out that way I'll have been happily wrong. I just worry this is an example of left wing politicians getting elected and then closing the door behind them. Not out of malice, but because it's really hard to constantly be fighting the machine. We will have to see.
November 20, 2025 at 1:27 AM
Maybe! And if it works out that way I'll have been happily wrong. I just worry this is an example of left wing politicians getting elected and then closing the door behind them. Not out of malice, but because it's really hard to constantly be fighting the machine. We will have to see.
EMS are not equipped to handle violent scenes. Period.
November 16, 2025 at 12:51 PM
EMS are not equipped to handle violent scenes. Period.
If it's not a fix then what are we even talking about here. Police should stop killing non violent suspects, civilians, and patients. The first police response to violence should not be lethal force. Police violence is a real problem. It's something we need to fix with training and consequences.
November 16, 2025 at 12:19 PM
If it's not a fix then what are we even talking about here. Police should stop killing non violent suspects, civilians, and patients. The first police response to violence should not be lethal force. Police violence is a real problem. It's something we need to fix with training and consequences.
Imagine doing this much work to miss the point. If you call EMS for a violent situation you will also get police. If a psych gets violent with me I am calling the police. If a psych gets violent with crisis workers they call the police. You cannot fix this problem by pretending that's not the case.
November 16, 2025 at 12:01 PM
Imagine doing this much work to miss the point. If you call EMS for a violent situation you will also get police. If a psych gets violent with me I am calling the police. If a psych gets violent with crisis workers they call the police. You cannot fix this problem by pretending that's not the case.
The solution is to build a robust mental healthcare system to take care of these patients, keep them safer, keep our streets safer, and actually improve quality of life a little bit. (11/11)
November 16, 2025 at 5:25 AM
The solution is to build a robust mental healthcare system to take care of these patients, keep them safer, keep our streets safer, and actually improve quality of life a little bit. (11/11)
You want psych patients to stop having violent interactions with police. So do I. The solution isn't to replace the people they're having violent interactions with so EMS professionals get hung out to dry when one of these patients has a knife or a car or is big enough to do some real damage. (10/?)
November 16, 2025 at 5:23 AM
You want psych patients to stop having violent interactions with police. So do I. The solution isn't to replace the people they're having violent interactions with so EMS professionals get hung out to dry when one of these patients has a knife or a car or is big enough to do some real damage. (10/?)
Back on the street, where they may have nowhere to sleep. They may be struggling with drug addiction. They almost certainly have no means to get their psych medication, and they're likely too ill to want it anyways. Before long, sometimes the same day, 911 is called again. The cycle continues. (9/?)
November 16, 2025 at 5:18 AM
Back on the street, where they may have nowhere to sleep. They may be struggling with drug addiction. They almost certainly have no means to get their psych medication, and they're likely too ill to want it anyways. Before long, sometimes the same day, 911 is called again. The cycle continues. (9/?)
That's because those hospitals barely exist. There are very few beds. Certainly none available to people who have no insurance, or Medicaid, or Medicare. That whole ecosystem was gutted 50 years ago. So, not long after they were picked up, these people are back on the street. (8/?)
November 16, 2025 at 5:16 AM
That's because those hospitals barely exist. There are very few beds. Certainly none available to people who have no insurance, or Medicaid, or Medicare. That whole ecosystem was gutted 50 years ago. So, not long after they were picked up, these people are back on the street. (8/?)
The hospital keeps them for a day or two. They are medicated, fed, clothed. Some hospitals may keep them for a while to ensure stabilization. Others may discharge them as soon as they can string a cogent sentence together. Either way, they won't be admitted to a proper crisis hospital. (7/?)
November 16, 2025 at 5:14 AM
The hospital keeps them for a day or two. They are medicated, fed, clothed. Some hospitals may keep them for a while to ensure stabilization. Others may discharge them as soon as they can string a cogent sentence together. Either way, they won't be admitted to a proper crisis hospital. (7/?)
This is not how the system works right now. Right now, these patients are left to their own devices until someone calls 911. Police, EMS, or crisis workers respond. The person may be subdued chemically or physically. They may face harm. They may harm others. They are taken to the hospital. (6/?)
November 16, 2025 at 5:10 AM
This is not how the system works right now. Right now, these patients are left to their own devices until someone calls 911. Police, EMS, or crisis workers respond. The person may be subdued chemically or physically. They may face harm. They may harm others. They are taken to the hospital. (6/?)
Many of these patients, after extended treatment, may be able to live independently, with social support and accountability. Some may require permanent institutionalization. Provided with a mind towards welfare, respect, and care for these patients, this is not a bad thing. (5/?)
November 16, 2025 at 5:08 AM
Many of these patients, after extended treatment, may be able to live independently, with social support and accountability. Some may require permanent institutionalization. Provided with a mind towards welfare, respect, and care for these patients, this is not a bad thing. (5/?)
They suffer with severe uncontrolled mental conditions and often end up landing in prison, straining the correctional system and furthering cycles of destitution and injustice. These people need to be cared for in institutions where they can be medicated and cared for socially and physically. (4/?)
November 16, 2025 at 5:06 AM
They suffer with severe uncontrolled mental conditions and often end up landing in prison, straining the correctional system and furthering cycles of destitution and injustice. These people need to be cared for in institutions where they can be medicated and cared for socially and physically. (4/?)
What we are talking about is a subset of violent psychiatric patients who present a harm to themselves or others and need to be subdued by emergency workers. Many of these people are homeless or in substandard living conditions, and are non compliant with medications on their best days. (3/?)
November 16, 2025 at 5:01 AM
What we are talking about is a subset of violent psychiatric patients who present a harm to themselves or others and need to be subdued by emergency workers. Many of these people are homeless or in substandard living conditions, and are non compliant with medications on their best days. (3/?)
..."call an ambulance" is not the alternative to these things being handled by police. It is not good that these things are being handled prehospitally at all. The vast majority of crisis patients are cooperative people who may simply need to talk to a professional and adjust their medication. (2/?)
November 16, 2025 at 4:59 AM
..."call an ambulance" is not the alternative to these things being handled by police. It is not good that these things are being handled prehospitally at all. The vast majority of crisis patients are cooperative people who may simply need to talk to a professional and adjust their medication. (2/?)
My point isn't that EMS should never go to crisis calls. EMS, alongside police, are the best option in most communities to handle crisis situations. Social workers can also be a good solution, however they have major limitations. The point I'm trying to get across here is that...(1/?)
November 16, 2025 at 4:56 AM
My point isn't that EMS should never go to crisis calls. EMS, alongside police, are the best option in most communities to handle crisis situations. Social workers can also be a good solution, however they have major limitations. The point I'm trying to get across here is that...(1/?)
I'm centralizing EMTs as the victim because EMTs are being used to stopgap a system that does not work. Parents don't want to find out their 20 year old kid died because they responded to the wrong call on an ambulance. EMTs aren't trained or equipped to be crisis workers.
November 16, 2025 at 4:53 AM
I'm centralizing EMTs as the victim because EMTs are being used to stopgap a system that does not work. Parents don't want to find out their 20 year old kid died because they responded to the wrong call on an ambulance. EMTs aren't trained or equipped to be crisis workers.
How about being stabbed, strangled, run over, or beaten into hospitalization? EMTs bare the brunt of the failure of the healthcare system to institutionalize violent psychiatric cases. EMTs shouldn't have to worry about being shot either.
November 15, 2025 at 11:20 PM
How about being stabbed, strangled, run over, or beaten into hospitalization? EMTs bare the brunt of the failure of the healthcare system to institutionalize violent psychiatric cases. EMTs shouldn't have to worry about being shot either.
To be clear, police aren't a good solution to this either! These people, who to no fault of their own are very mentally ill, are being deeply let down by a society which systematically gutted long term care for the mentally ill. These patients need to be monitored in extended care facilities.
November 11, 2025 at 12:30 AM
To be clear, police aren't a good solution to this either! These people, who to no fault of their own are very mentally ill, are being deeply let down by a society which systematically gutted long term care for the mentally ill. These patients need to be monitored in extended care facilities.
That's nice. Real hard to understand why it's so hard to hire EMS personnel with a populace that cares so little about our health and wellbeing.
When EMS personnel are assaulted by patients we call the police for assistance.
When EMS personnel are assaulted by patients we call the police for assistance.
November 11, 2025 at 12:14 AM
That's nice. Real hard to understand why it's so hard to hire EMS personnel with a populace that cares so little about our health and wellbeing.
When EMS personnel are assaulted by patients we call the police for assistance.
When EMS personnel are assaulted by patients we call the police for assistance.
Every EMT I know has been punched, strangled, or otherwise significantly injured by a person who was experiencing a mental health crisis. "Call an ambulance" is not an acceptable solution.
November 10, 2025 at 11:11 PM
Every EMT I know has been punched, strangled, or otherwise significantly injured by a person who was experiencing a mental health crisis. "Call an ambulance" is not an acceptable solution.