On the Frontlines: Life as a New York City EMT During COVID-19
First-year student Maddy Wetterhall recalls her 50 days spent in New York City working as an EMT as the COVID-19 pandemic hit the country.
When the COVID-19 pandemic began spreading across the country, it brought along numerous changes within the world of medical education.
Beyond having much of their regular learning moved online, medical students of all ages found themselves eventually on the frontlines fighting the virus—from administering vaccines and tests to working in PPE during their rotations, they got a hands-on, unprecedented learning experience.
For one first-year student at the Augusta University/University of Georgia Medical Partnership, facing the pandemic head-on was a reality before she even entered medical school.
Prior to March of 2020, Maddy Wetterhall was working as an EMT running 911 calls in Dekalb County. When the pandemic hit, the Office of Emergency Management asked for volunteers who were able to be deployed with FEMA.
Wetterhall singed up and learned she would be deployed to New York City.
“We had no idea what to expect,” said Wetterhall. “We didn’t know if we would have to fly or drive up, if we would be living out of our ambulances, and didn’t know what our role would look like up there. We knew we were going into the hot zone of an incredibly contagious virus. We knew it was dangerous and something that we could possibly die from, but as emergency medical care providers, that is what we do. We overlook that fear and go into emergency situations and try to help in any way that we possibly can.”
When Wetterhall got to NYC, everyone was informed that the city’s 911 system was overwhelmed—911 call volume was double the norm, which resulted in wait times up to eight hours or more.
All EMTs were partnered off and separated into different tasks forces to run 911 calls in the boroughs.
“The types of calls we ran varied any given day,” said Wetterhall. “We had many patients with COVID-19 symptoms, but the regular 911 calls such as cardiac arrests, traumas, chest pain, strokes, overdoses, didn’t stop because of the pandemic.”
On a normal day, ninety percent of calls to EMS are noncritical while 10 percent are critical, but Wetterhall said that all changed while she was in NYC.
“In the state of emergency that New York was in, that statistic was flipped, and we could definitely feel that on the ground,” she said. “Many of the people who called 911 were scared to go to the hospital. Some waited too long to call just out of fear that they would have to go.”
Wetterhall’s first weeks in the city were like nothing she had ever seen.
“During my first few weeks there, hospitals were overcrowded and overwhelmed,” she said. “Critical patients who were intubated were in hall beds because there just wasn’t space. Refrigerator trucks were lined up outside and filling up within a few hours. In one hospital in Queens, I felt like I was like playing Tetris with stretchers of critically ill individuals, just trying to get to my patient. It truly was like a war scene.”
Even incoming calls that would normally be a simple fix were made more difficult due to the pandemic and made Wetterhall and her fellow EMTs think outside the box.
“My partner and I responded to an elderly man who was in dire need of dialysis but couldn’t get to his dialysis clinic because he was bedridden and the service that normally transported him was overwhelmed,” she said. “My partner and I knew that taking him to the hospital could mean a death sentence for him, but not doing anything could, too. As a solution, we ended up carrying him down five flights of stairs and putting him in a taxi with his daughter so he could get the help he needed while also reducing his risk of exposure.”
Wetterhall spent 50 days in March – May 2020 in NYC, and while she didn’t see much downtime, the end results were worth all the hours.
“We averaged 16-18 hour days, and in my 50 days there, I only had two days off,” she said. “By the end of my 50 days, hospitals started looking much better, and call volume was much closer to normal levels. It was really fulfilling to see the progress and know that our efforts had helped.”
With her feet back on the ground in Georgia, Wetterhall said her first year of medical school has been going well.
“I got my acceptance letter to the Medical College of Georgia just 10 days before orientation, and it’s been a whirlwind ever since. I definitely couldn’t have made it through this first year without the support of my family, friends, and the incredible faculty here. It’s been especially rewarding to learn the pathophysiology behind a lot of the conditions I ran into on the streets, as well as learning what happens next,” she said.
Looking back on her time in NYC, Wetterhall undoubtedly thinks that phase in her life helped her to prepare for medical school.
“I was challenged every day to think on my own,” she said. “I learned to trust my instincts and my training, and I became more confident. In addition to getting firsthand clinical exposure to a plethora of different conditions, the entire experience also confirmed to me that I am in the right field and that I want to continue to help people in their time of need. When I’m starting to feel burn-out from the constant studying, reminding myself about that helps me keep the big picture in mind.”
After getting a taste of excitement and the thrill of working as an EMT, Wetterhall said emergency medicine is on her list of specialties for the future, but she is excited to see what else may pique her interest.
“One of the things I most enjoyed about being an EMT is you get to know your patients in such a personal way. We are invited into their homes and meet their families, or we see firsthand the struggles they face if they are homeless,” she said. “It is such an honor and privilege to take part in some of the most intimate moments in my patients and their families’ lives. It brings me joy to know that I have helped, if even only a little, to make their day a little brighter.”
Even after fighting COVID-19 on the frontlines, Wetterhall has still found the opportunity to take part in the fight against the virus as a first-year medical student at the Medical Partnership.
“The most rewarding part of this year has been getting the opportunity to administer COVID vaccines,” she said. “It is so rewarding to be able to give people a little bit of hope and a reminder that there’s a light at the end of the tunnel.”