Business Lessons from an EMT
When I decided to get certified as a Wilderness EMT, I knew there would be lessons applicable to my life as a small business strategist. I learned new ways to approach problems and more about myself and my limits.
Your brain can survive for 4-6 minutes without adequate oxygen before you have brain damage. Your body can only lose 20% of its liquid volume before you go into shock and die. These are small numbers and short time frames.
We have lots of ways to remember what to do and when, but you cannot be paralyzed making decisions.
EMTs have to think very quickly, act very quickly, make changes, and know when to get help AND keep a super cool face on the outside.
I’m going to break these down individually and draw a comparison to the business world, also I’ve been reading a lot of Mark Suster‘s writing today and think he has valuable insight, so I’ve linked to some of this work where relevant. I plan on adding to these in the coming weeks.
Think Quickly:
- EMT: Part of EMT training (ok, a lot of EMT training) centers around doing the same things over and over again until it becomes second nature. You’re training your brain to act in a specific way. This way when you turn up the pressure, you may forget your name but you wont forget what you have to do to get your patient out alive. In the beginning, there is no speed. But you build it up. Every encounter you have makes you a little quicker and a little smarter. You’ll never be as fast as you want to be, and that’s a good thing. Pushing yourself to be better is key.
- Business: In business, you have similar core competencies that can be honed with constant practice. You can get quicker on your feet, but only if you decide it is necessary. True, lives are not on the line, but thinking quickly is the first step in moving forward.
Act Quickly:
- EMT: Once you’ve gotten through your information gathering (for paramedics this takes less than 45 seconds, super cool to watch), you must act. There are certain times you stop and fix issues before you finish gathering information. If someone is bleeding, you fix it. If someone isn’t breathing, you figure out why and help them (often at the same time). Either way, you can’t sit around and second guess your decision. You have to move, and fail, forward. If something isn’t working, figure out why and fix it.
- Business: This one is possibly my favorite business lesson. Are you dealing with the same consequences? No. EMTs are taught to trust their instincts. If something doesn’t feel right, it usually isn’t. Act with essentially very little and limited information. The faster you make mistakes the faster you can fix them.
More reading: Mark Suster,Guy Kawasaki
Make Changes:
- EMT: You’ve gathered information, acted, and now something isn’t working. EMTs make changes. There’s no ego involved saying, but I liked that idea. It was my best work. Someone is bleeding, or not breathing, or seizing and you’re not sure why. Fix it. Analyze (fast) and make changes.
- Business: Businesses don’t always recognize when something isn’t working. That’s not true, someone does, but that someone may not trust their instinct or feel empowered to actually discuss a potential failure. Also, in business, there are always egos involved. It is hard to admit that a seemingly brilliant plan may not be working. But every day spent not making changes is costing money.
More reading: Mark Suster
Know When to Get Help:
- EMT: An EMT needs to know when to transport, when to call in Advanced Life Support, and when to blast the sirens and go. Again, there is no room for one person to walk in and say, I’ve got this covered. There is always at least one more person. The decision to get outside help, and how fast is key. It takes a thorough knowledge of the EMT, patient, facilities and capabilities.
- Business: Small business owners and start-ups have to be able to do many things well. But everyone has to know where their limits are. Ideally, we’re putting together a team of people who complement each other. Sometimes you need outside help, and knowing when to call in that outside help and who it will be is a very good conversation to have before you have your sirens blaring.
More reading: Mark Suster
Cool on the Outside:
- EMT: Panic will exacerbate any situation. Someone who was mildly hurt or sick may work themselves into being seriously sick. As an EMT, you have to exude confidence, professionalism, and compassion. A patient cannot question whether or not they are safe in your care. Your team cannot question whether or not you are in charge. On the inside your stomach is in knots, but you can’t let that show on the outside.
- Business: This one seems incredibly obvious. Has anyone else noticed that when working with others (or pitching) you have to exude confidence, professionalism, and compassion?

