The only reasonable explanation I can think of is ability
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In EMT school, our instructor often joked that crews will give half the dosage on scene and the other half when a couple minutes away from the hospital. People can [get combative when they come out of a high](https://youtu.be/FUwF75X-oz0?si=GaoXvuTYmcUztsLL) so letting the full dose hit in the hospital means more people who can restrain the patient. Also means we don’t have to convince someone who doesn’t want to go to the hospital even though they’re in a life-threatening situation or restrain them when they start thrashing around in the back of the rig.
Another thing is EMTs and other basic life support responders use a preset 2-4mg spray. Paramedics are allowed to titrate the dosage in 0.4mg increments instead, letting them control how much needs to be given. Takes some time but it’s best to use the minimum amount of medicine needed to get someone breathing adequately rather than putting them through a ton of pain.
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