This is very good advice, especially if someone has taken drugs. Please tell us. The medicine I give for chest pain can kill someone if they’re having that pain from doing a ton of cocaine and not a possible heart attack.

After the first time someone went into cardiac arrest after I started treating them after telling me they didn’t use any drugs or alcohol today - I followed up found out he survived but had in fact taken a ton of cocaine today, I’ve changed my wording to “Have you taken any drugs or alcohol recently? It’s okay if you have I’m not a cop but if you have it changes which medicine I can safely give you.”

That's exactly why it needs to be something you are willing to explain. It makes their stories better.

If what you’d be embarrassed to tell the paramedics is "I shoved stuff without a flared base up my ass" then yes. Never skip the flared base!

That depends

No explanation required for that one.

Yes it does.

You never have to explain to family what you broke. You do have to explain it to the guy scraping your ass off the pavement so they find all your pieces.

there's very little we haven't seen