I ended up with an anti-vaxx/anti-mask/anti-everything patient in my ambulance, for an hours long transport. Not the first one, and not the last one I'm sure. This one asked, as so many have before, if they could take their mask off in the ambulance, and I gave the same reply I always do... a firm ''no'', and a reminder that ''we are in a poorly ventilated tin can'', and ''there's going to be other patients back here after''. I'm also sitting about 12 inches away (that's a footlong sub from Subway btw) and face-to-face with the patients back there, so not exactly a safe distance between us.
This patient didn't like my reply, and proceeded to then bitch and complain about absolutely anything and everything they could think of, for the next hour, and make unreasonable demands. I even had to ask my partner to pull over on the highway, which is quite dangerous for us. And about 2 hours in I was injured and had blood running down my shin. The complaints got so bad that I finally had to take the seat behind the stretcher, where the patient can't see me. That also means I can't see the patient. Once the patient realized that, there were a few more demands, and then they finally settled for a bit.
They settled, because they sneakily took their mask off, without bothering to let me know. Had I known, I could have PPE'd appropriately, and turned on the evac to expel potentially contaminated air rather than recirculating it. But no. This person had me breathe their recirculated potentially contaminated air for 45 minutes. I literally bled for this patient, and in return... a giant F you and a potential prolonged covid exposure.
Covid cleaning an ambulance involves cleaning every exposed surface of the patient compartment... including all the nooks & crannies... and the walls... and the ceiling. It takes a long time, we have to let the unit sit with the doors open for 15+ minutes before we can even start cleaning, and we are out of service for the entire process.
Our next patient was 8 days old.
Was that newborn exposed to covid in our ambulance, from the recirculating air from vents with no filters?
Would that anti-V/M/E patient even give a crap if a paramedic and a newborn caught covid because they chose not to take a simple precaution?
There are real world consequences for these anti-V/M/E behaviours.