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Why Don't Paramedics Run to Emergency Patients?

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Why don't paramedics run to emergency patients?

Ross Cohen:

I’m glad you asked, because I promise you it’s not due to a lack of concern. It’s actually perfectly logical when you see it from our point of view …

3 MAIN REASONS

  1. Running is risky. If we trip, fall, [and] get hurt—now there’s two patients.
  2. Running to a patient prevents us from spotting hazards on the way in. Remember, we’re walking into an unknown. We must carefully observe and assess for danger. On the walk in, we’ll notice the downed power lines, the room full of people passed out from a gas leak, the dog protecting its injured owner, the hoarder’s junk on the floor when we round the corner, the attacker who assaulted the victim, the weapon lying next to the bystander, etc.
  3. Running makes it harder to keep our cool and operate at peak effectiveness. We need to be the calmest person in the room. Everyone takes their cues from us. We need to think clearly and act deliberately, decisively, expeditiously, [and] smoothly. It’s hard to do that if your own heart is beating out of your chest, you’re breathing heavily, and visibly excited. It takes mental discipline to restrain our own excitement and concern to work professionally and unemotionally in scary situations and adding significant physical exertion to an already stressful situation is not helpful.

5 LESSER REASONS

  1. If the patient sees us running toward them, they may become even more distressed. Our demeanor can be either a calming or aggravating influence.
  2. We’re carrying equipment: stretchers, chairs, oversized bags, expensive EKG monitors, etc. Some of these things we can barely walk with, let alone run.
  3. It doesn’t actually save much time. If we parked far away, which is rare, we’ll be quite out of breath running a long distance with our equipment and have that much more opportunity to get hurt. If we parked close by as we usually do, we might shave at most a few seconds off our arrival time, which would not matter in 99.99 percent of cases.
  4. If you run on every call of every shift, across every street, down every driveway, up every flight of stairs, through every hallway … it’s just a matter of time before you twist an ankle, bang a knee, split a lip, fall down stairs, etc. I’ve known many EMTs who have gotten hurt and/or split their pants or something and that’s without running. We’re not professional athletes in tip top shape; injuries happen enough as it is and running would only add to it.
  5. We work on highways and highrises. We work in backyards and backwoods. We’re in people’s messy bedrooms and cramped basements. We climb stairwells and traverse steep inclines. We work in the rain, the heat, the cold, and everything in between. Running just makes all these things harder.

Those are some of the reasons we don’t run. The only real reason to run is that people would stop assuming a lack of urgency/concern when we merely walk briskly toward them. Trust us, it’s way better for all involved if we avoid running.

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How Does Catnip Work?
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If you have a cat, you probably keep a supply of catnip at home. Many cats are irresistibly drawn to the herb, and respond excitedly to its scent, rubbing against it, rolling around on the floor, and otherwise going nuts. There are few things that can get felines quite as riled up as a whiff of catnip—not even the most delicious treats. But why does catnip, as opposed to any other plant, have such a profound effect on our feline friends?

Catnip, or Nepeta cataria, is a member of the mint family. It contains a compound called nepetalactone, which is what causes the characteristic catnip reaction. Contrary to what you might expect, the reaction isn’t pheromone related—even though pheromones are the smelly chemicals we usually associate with a change in behavior. While pheromones bind to a set of specialized receptors in what’s known as a vomeronasal organ, located in the roof of a cat's mouth (which is why they sometimes open their mouths to detect pheromones), nepetalactone binds to olfactory receptors at the olfactory epithelium, or the tissue that lines the mucus membranes inside a cat’s nose and is linked to smell.

Scientists know the basics of the chemical structure of nepetalactone, but how it causes excitement in cats is less clear. “We don’t know the full mechanisms of how the binding of these compounds to the receptors in the nose ultimately changes their behavior,” as Bruce Kornreich, associate director of the Cornell Feline Health Center, tells Mental Floss. Sadly, sticking a bunch of cats in an MRI machine with catnip and analyzing their brain activity isn’t really feasible, either from a practical or a financial standpoint, so it’s hard to determine which parts of a cat’s brain are reacting to the chemical as they frolic and play.

Though it may look like they’re getting high, catnip doesn’t appear to be harmful or addictive to cats. The euphoric period only lasts for a short time before cats become temporarily immune to its charms, meaning that it’s hard for them to overdo it.

“Cats do seem to limit themselves," Michael Topper, president of the American Veterinary Medical Association, tells Mental Floss. "Their stimulation lasts for about 10 minutes, then it sort of goes away.” While you may not want to turn your house into a greenhouse for catnip and let your feline friend run loose, it’s a useful way to keep indoor cats—whose environment isn’t always the most thrilling—stimulated and happy. (If you need proof of just how much cats love this herb, we suggest checking out Cats on Catnip, a new book of photography from professional cat photographer Andrew Martilla featuring dozens of images of cats playing around with catnip.)

That said, not all cats respond to catnip. According to Topper, an estimated 70 percent of cats react to catnip, and it appears to have a genetic basis. Topper compares it to the genetic variation that causes some individuals to smell asparagus pee while others don’t. Even if a cat will eventually love the smell of catnip, it doesn’t come out of the womb yearning for a sniff. Young kittens don’t show any behavioral response to it, and may not develop one until several months after birth [PDF].

But some researchers contend that more cats may respond to catnip than we actually realize. In one 2017 study, a group of researchers in Mexico examined how cats might subtly respond to catnip in ways that aren’t always as obvious as rolling around on the floor with their tongue hanging out. It found that 80 percent of cats responded to catnip in a passive way, showing decreased motor activity and sitting the “sphinx” position, an indicator of a relaxed state.

There are also other plants that have similar effects on cats, some of which may appeal to a wider variety of felines than regular old catnip. In a 2017 study in the journal BMC Veterinary Research, researchers tested feline responses to not just catnip, but several other plants containing compounds similar in structure to nepetalactone, like valerian root, Tatarian honeysuckle, and silver vine. They found that 94 percent of cats responded to at least one of the plants, if not more than one. The majority of the cats that didn’t respond to catnip itself did respond to silver vine, suggesting that plant might be a potential alternative for cats that seem immune to catnip’s charms.

Despite the name, domestic cats aren’t the only species that love catnip. Many other feline species enjoy it, too, including lions and jaguars, though tigers are largely indifferent to it. The scent of the plant also attracts butterflies. (However, no matter what you’ve heard, humans can’t get high off it. When made into a tea, though, it reportedly has mild sedative effects.)

The reason Nepeta cataria releases nepetalactone doesn’t necessarily have to do with giving your cat a buzz. The fact that it gives cats that little charge of euphoria may be purely coincidental. The chemical is an insect repellant that the plant emits as a defense mechanism against pests like aphids. According to the American Chemical Society, nepetalactone attracts wasps and other insect predators that eat aphids, calling in protective reinforcements when the plant is in aphid-related distress. That it brings all the cats to the yard is just a side effect.

Because of this, catnip may have even more uses in the future beyond sending cats into a delighted frenzy. Rutgers University has spent more than a decade breeding a more potent version of catnip, called CR9, which produces more nepetalactone. It’s not just a matter of selling better cat toys; since catnip releases the compound to ward off insects, it’s also a great mosquito repellant, one that scientists hope can one day be adapted for human use. In that case, you might be as excited about catnip as your cat is.

Have you got a Big Question you'd like us to answer? If so, let us know by emailing us at bigquestions@mentalfloss.com.

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Why Are Mugshots Made Public Before a Suspect is Convicted by the Court?
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Jennifer Ellis:

Several reasons.

1. Mugshots can help find people when they have absconded, or warn people when someone is out and dangerous. So there is a good reason to share some mugshots.

2. Our legal system requires openness as per the federal constitution, and I imagine most if not all state constitutions. As such, this sort of information is not considered private and can be shared. Any effort to keep mugshots private would result in lawsuits by the press and lay people. This would be under the First and Sixth Amendments as well as the various Freedom of Information Acts. However, in 2016 a federal court ruled [PDF] that federal mugshots are no longer routinely available under the federal FOIA.

This is partially in recognition of the damage that mugshots can do online. In its opinion, the court noted that “[a] disclosed booking photo casts a long, damaging shadow over the depicted individual.” The court specifically mentions websites that put mugshots online, in its analysis. “In fact, mugshot websites collect and display booking photos from decades-old arrests: BustedMugshots and JustMugshots, to name a couple.” Some states have passed or are looking to pass laws to prevent release of mugshots prior to conviction. New Jersey is one example.

a) As the federal court recognizes, and as we all know, the reality is that if your picture in a mugshot is out there, regardless of whether you were convicted, it can have an unfortunate impact on your life. In the old days, this wasn’t too much of a problem because it really wasn’t easy to find mugshots. Now, with companies allegedly seeking to extort people into paying to get their images off the web, it has become a serious problem. Those companies may get in trouble if it can be proved that they are working in concert, getting paid to take the picture off one site and then putting it on another. But that is rare. In most cases, the picture is just public data to which there is no right of privacy under the law.

b) The underlying purpose of publicity is to avoid the government charging people and abusing the authority to do so. It was believed that the publicity would help protect people. And it does when you have a country that likes to hide what it is up to. But, it also can cause harm in a modern society like ours, where such things end up on the web and can cause permanent damage. Unfortunately, it is a bit of a catch-22. We have the right to know issues and free speech rights smack up against privacy rights and serious damage of reputation for people who have not been convicted of a crime. The law will no doubt continue to shake out over the next few years as it struggles to catch up with the technology.

This post originally appeared on Quora. Click here to view.

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