Ramping is real, and the sooner we set our students up for success in navigating this new way of working, the better. Educate them to expect long hours in limbo. Train them to titrate treatment over extended periods. Give them guidelines to let them meet the standards we’d like to see.

Undo buttons in ambulances don’t always make themselves obvious. Knowing how, why and when, or not, to go ahead is one thing, but knowing how to manage when something goes wrong, has to be our most sound safeguard in aiming for the safest of paramedic practice.