I work as an EMT in 911 where my transport times are ~10-15 minutes, sometimes even 20+ depending on where in district we're at, weather, etc. Even the shorter ones at around 10 minutes, i feel like I have plenty of time to do what I want in the ambulance: Get IV access (EMTs can do IV/IO where I'm at), maybe give some meds/fluids, thorough secondary, lots of conversation and history gathering with the pt, and a couple sets of vitals before biophone. It feels right.
I'm going to be doing paramedic school in a very very busy system, with 5 big hospitals in the city so no matter where you're at you're never more than 5-10 minutes away, sometimes transport is just a few blocks.
To me that feels so fast, and i'm having a hard time visualizing doing all the things I want to do in that short time span. Do people in these busy quick systems just typically stay on scene a tiny bit longer for IV before starting to move? That seems bad, but so does trying to fit EVERYTHING into the trip and ending up not really prepared for biophone/handoff because "I didnt have time to do what I wanted".
Obviously there are still going to be calls where the only clear option is to load and go to the close hospital and do as much stabilization as I can in the short time I have, maybe thats just a thorough trauma assessment and some bleeding control, or maybe that's just a 12-lead and an IV but no meds yet, but i'm thinking more in general.