When an EMT or Paramedic arrives on scene of a
call and the first impression of the patient is called the Pucker Factor. The Pucker can be visual as well as nasal. A person who has taken a dump in their pants can lead to a pucker factor, not only of the butt
hole but of the nasal passages as well, depending upon whether the EMT or Paramedic is a green
rookie or a seasoned veteran. The higher the pucker factor of the
EMS providers on scene, the more urgent the need for rapid and immediate transport to a hospital. A partial amputation would have a pucker factor of a
5 or 6 whereas a complete amputation would have a pucker factor of a
7 or an 8.
EMT1: What was that call last night, I heard it go out but I was out of town?
EMT2: It was a victim of pretty serious fall at the construction site over on Third Street.
EMT1: Damn, how bad was it?
EMT2: The way he landed, he was all twisted up like a
pretzel. It gave me a pucker factor of six right away.
EMT1: No shit, so what did you guys do?
EMT2: I called dispatch to get fly the
bird right away.
EMT1:
Wow, no shit. I wish I had been there.