Two paramedics in Kentucky are facing the threat of losing their licenses after administering antivenom to a man who had been bitten by a poisonous snake. The incident took place when Powell County paramedic Eddie Barnes and his colleague were summoned to the Kentucky Reptile Zoo in response to a mamba snake bite on the zoo’s co-director, James Harrison. The local news outlet LEX 18 reported that Barnes detailed how Harrison urgently needed antivenom and even had his own supply from the zoo. Barnes shared that Harrison expressed the severity of the situation, highlighting the potential stages of deterioration post-snakebite, creating a life-threatening scenario.
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Despite facing challenges in reaching their supervisor for guidance, Barnes took the initiative to contact the Clark Regional Medical Center, where an emergency room doctor approved the administration of the antivenom. However, the paramedics lacked the specific certification required by the Kentucky Board of Emergency Medical Services (KBEMS) to administer antivenom. The licensing regulation stipulates that only “wilderness paramedics” hold the authority to perform such treatments. As neither Barnes nor his colleague possessed this designation during the incident, they are now in danger of losing their licenses as a consequence of the technicality surrounding the treatment provided.


The policy requiring wilderness paramedic certification for antivenom administration was implemented by the KBEMS two years prior to the incident in question. Barnes and his colleague are scheduled for a hearing on September 30 to determine the status of their licenses. Eddie Slone, the Executive Director of the KBEMS, explained that standard protocol involves initiating an investigation upon receiving complaints or noting potential breaches of regulations. The outcomes often involve varied resolutions, ranging from additional training to license suspension or revocation.
Expressing disappointment at the potential consequences, Barnes emphasised the ethical responsibility to act swiftly in life-threatening situations. He defended the decision made, highlighting the paramount importance of preserving human life above all else. Harrison’s wife, Kristen Wiley, credited Barnes and his partner for their decisive actions, affirming that their timely intervention played a vital role in saving her husband’s life. She acknowledged their heroism and underscored the significance of having such dedicated individuals respond during emergencies.
Despite the critical role played by the paramedics, uncertainties loom over the future of their careers as they await the licensing board’s decision. Barnes remained steadfast in his commitment to prioritising life-saving measures in similar circumstances, reiterating his unwavering dedication to preserving human life. The case has sparked debate about the rigid regulations governing emergency medical procedures and the potential repercussions faced by first responders when compelled to act swiftly in crisis situations.
Efforts to reach Clark Regional Medical Center and the Kentucky Board of Emergency Medical Services for comment on the matter were unsuccessful at the time of reporting. The unfolding situation underscores the complexities within emergency medical services, shedding light on the delicate balance between adhering to regulatory protocols and prioritising urgent lifesaving interventions. As the paramedics navigate the impending hearing, the community awaits the decision that will determine the future of these individuals who risked their licenses to save a life.
Amidst the looming uncertainty, the narrative resonates with a broader discussion on the challenges faced by frontline responders who often find themselves at odds with regulatory frameworks while striving to uphold their commitment to preserving life under duress. The case serves as a poignant reminder of the moral dilemmas encountered by those tasked with making split-second decisions that can mean the difference between life and death. The conclusion of this chapter will not only impact the individuals involved but also prompt a reexamination of the existing protocols governing emergency medical practices to ensure the balance between compliance and crucial life-saving actions.
