No Holster in the Drug Box: Arming of EMTs

EMS/Legal Tidbits, First Responder, Paramedic

I received an email from a fellow firefighter and EMT that asked me about South Carolina law concerning firefighters, EMT’s and paramedics arming themselves with either lethal and/or non-lethal weapons.

I will first discuss the applicable South Carolina law on this issue.  Next, I will discuss fire and EMS departmental concerns on this issue.  I will conclude with my personal thoughts.

N.B.:  South Carolina has a number of public-safety departments whose members are both certified law enforcement officers and firefighters/emts/paramedics.  The majority of the below will not apply to these departments and their members, as SC provides expressly for certified law enforcement offers the ability to carry openly and/or concealed just about everywhere in the State.

I.  South Carolina Law

A.  SC Authorization to Carry a Pistol

South Carolina law does not expressly provide for firefighters, EMTs, and paramedics to “carry about the person, any pistol whether concealed or not…”1

In South Carolina your occupational status as a firefighter, EMT, or paramedic does not provide you open-carry or concealed-carry rights in the performance of your fire and EMS duties.

In other words, in order for you to carry while on duty, and in the performance of your fire and EMS duties, you must possess a valid South Carolina Concealed Weapons Permit issued from the State Law Enforcement Division.

B.  SC Prohibited Places for Concealed Carry

1. South Carolina law expressly forbids concealed weapons permit holders from carrying in the following places:  “private or public school, college, university, technical college, other post‑secondary institution, or into any publicly‑owned building2

Your fire station or EMS station is likely a publicly owned building, therefore should you carry there, you are committing a criminal offense.

If you work for a private fire or EMS agency that is not publicly-owned, mere carry into that building may not be a crime, but South Carolina sets forth other prohibited places for concealed carry.

2. South Carolina law expressly forbids concealed weapons permit holders from carrying “into the residence or dwelling place of another person without the express permission of the owner or person in legal control or possession.”3

The majority of fire and EMS calls are to “the residence or dwelling place of another person.” In order for you to legally carry concealed into someones house, you would have to get their permission first.

Asking for permission gives away the fact that you are carrying concealed, defeating the purpose.  Additionally, since you arrive at their doorstep in an official capacity, any consent they do give would likely be determined to be invalid as being made under duress.  The consent is likely invalid because they may reasonably believe should they deny your request it would prevent you from putting out their fire or rendering them medical assistance.

If you violate this provision you are guilty of a misdemeanor and, upon conviction, must be fined not less than one thousand dollars or imprisoned for not more than one year, or both, at the discretion of the court and have [your] permit revoked for five years.4

3. South Carolina law expressly forbids concealed weapons permit holders from carrying into a “hospital, medical clinic, doctor’s office, or any other facility where medical services or procedures are performed unless expressly authorized by the employer.”

This covers where we transport our patients, and sometimes where we pick them up.

If you violate this provision you are guilty of a misdemeanor and, upon conviction, must be fined not less than one thousand dollars or imprisoned for not more than one year, or both, at the discretion of the court and have [your] permit revoked for five years.5

C.  Non-Lethal Self Defense Weapons

Self-defense weapons generally considered non-lethal, such as pepper spray, are not covered by the SC Concealed Weapons Permit law, and are not expressly forbidden for firefighters, EMTs or paramedics to carry.6

D.  SC Law, Conclusion

There are other prohibitions on places of carry, however I feel these are the most applicable ones to the issue at hand.  If you hold a valid South Carolina CWP, you should have been made aware of these prohibitions in your training class.  If not, or if you have forgotten them, visit the SC Code sections referenced, or visit one of the many Concealed Carry advocacy groups.

It should be rather evident that from the above that South Carolina law is quite hostile to any firefighter, EMT, or paramedic that chooses to employ their Concealed Weapons Permit to carry concealed on-duty.

Self-defense weapons generally considered non-lethal, such as pepper spray, are not covered by the SC Concealed Weapons Permit law, and are not expressly forbidden for firefighters, EMTs or paramedics to carry.

The carry of non-lethal self defense weapons will likely be determined by individual department or service policy, and is what we will discuss next.

II.  Fire and EMS Department Policy on Lethal and Non-lethal Weapons

A.  Policy on Concealed Weapons

If your fire or EMS department does not have a policy forbidding the concealed carry of weapons into the stations, and forbidding the concealed carry of weapons while on duty, it should.  Immediately.

My discussion of the applicable South Carolina law above should be all that is required to support such a policy, aside from the liability implications of an employee discharging a firearm on duty.

B.  Volunteers and Concealed Carry

Volunteers are a valuable resource to lots of departments across this State.  If your fire or EMS department utilizes volunteers who respond POV from various locations, you need to be aware that your members may be carrying concealed weapons and bringing them to your scene.

While it may have been legal for them to carry where they were prior to their response, it may not be legal for them to carry into your scene, your station, and the hospital.

Your department should have a policy in place that deals specifically with volunteers responding with concealed weapons.  An easy solution would be to have your members secure their weapons in a locked glove box or console within their vehicle prior to exiting and performing their duties.

C.  Sign Requirements for Prohibiting Concealed Carry

Even though SC law expressly forbids carry into publicly-owned buildings, your department needs to reference SC Code Section 23-31-235, on the proper signage requirements required by law designating the station or other facilities as a prohibited place for concealed carry.

If you are a private fire or EMS agency, then you definitely need to reference this code section.  The stickers you buy at Staples to stick on the door likely fail to meet the legal signage requirements for legally prohibiting concealed carry.

D.  Policy on Carry of Non-Lethal Self-Defense Weapons

If your fire or EMS department does not have a policy on the  carry of non-lethal self defense weapons you may need to consider one.  You need to be aware that your personnel may already be carrying a variety of such weapons on-duty without your knowledge.

If you lack any policy and your personnel carry non-lethal self defense weapons, you should know that your department is liable for any injury that results from their use of such weapons.  Non-lethal does not mean non-injurious.

If your personnel are carrying non-lethal self defense weapons with your permission, hopefully you have considered the following:

  1. Does your department have a continuum of force protocol?
  2. Does your Medical Director approve of a Non-Lethal Self Defense protocol?
  3. Does your department train your personnel in the proper use of non-lethal self defense weapons?
  4. Does your department issue non-lethal self defense weapons?

These are just some basic questions, but you should get the idea.  A plaintiff’s lawyer could have a field day with you on the stand over just these questions, and this is just the tip of the iceberg of considerations.

III.  Personal Opinions on the Arming of Firefighters and EMTs

First off, I hunt, I shoot, and I own firearms, including firearms for self-defense.  I am a firm believer in the Second Amendment imparting an individual right.

I cannot, however, support arming firefighters, EMTs or paramedics with lethal weapons.  Ambulance Driver has a previous post on this as well.  Further, I cannot imagine a department knowingly permitting their members to carry concealed weapons on duty.  The potential liability and public relations implications are huge.

If the scene is not safe, stage and wait for law enforcement.  Wait however long it takes.

If the scene deteriorates, retreat to a position of safety.  If law enforcement is not already on scene, get them.  Do not re-enter the scene until law enforcement has secured it and made it safe to re-enter.

If a patient attacks you or is uncontrollably combatative in the back of the ambulance, stop the ambulance in a safe place and retreat.  Use only what force is required to retreat and get to a position of safety.  It is not patient abandonment if you retreat for your own safety.  Get law enforcement on scene and allow them to use their tools and training to handle the combatative patient.

Further, if you were assaulted then you will need them anyway to file charges on the patient.  It is a crime in SC to assault a firefighter, EMT or paramedic in the performance of their duties.

Some may argue that pepper spray or other non-lethal weapons are needed to ensure that you can escape a situation.  That may be true.   It is a crazy and violent world.  I have worked in Savannah with medics wearing body armor and carrying pepper spray.  (Although I had neither!)  I understand that fire and EMS departments are issuing body armor to their members.

However, I consider the carry and use of  non-lethal weapons anathema to our mission and in violation of our hard earned status as non-combatants.  We are not the police, and that affords us a level of patient trust and interaction that our LEO friends don’t receive.

In my opinion carrying weapons and deploying weapons on our patients (or bystanders) revokes our non-combatant status and places us in greater danger.

These are just my personal thoughts on the matter.

Each jurisdiction is different, and may determine that their members need these tools.  I just hope that those of us in the streets and those in administration take the time to answer the tough questions and perform the proper risk-benefit analysis in making a decision on this topic.

I would enjoy hearing why you agree or disagree.

  1. SC Code of Laws, Section 16-23-20.  See also, SC Code of Laws, Section 23-31-240. []
  2. SC Code of Laws, Section 16-23-420. []
  3. SC Code of Laws, Section 23-31-225 []
  4. Id. []
  5. SC Code of Laws, Section 23-31-215. []
  6. Id. []
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31 Comments

31 Responses

  1. This post is outstanding. Thank you.

    Do you have any thoughts on single blade knives or utility knives carried by EMS personnel. I have yet to encounter a situation where I needed anything more than a trauma shears so have often wondered what the intent of a knife with a 3-5″ blade is.

  2. Greg, thank you for your comment and question about carrying edged weapons on duty.

    Most EMTs and Paramedics that I have seen carrying an edged weapon carry some variant of the tactical folding knife. When asked why they carry it, their first response is along the lines of “for cutting seat belts.” I don’t accept that as an acceptable rationale, as there are specially designed seat belt cutters that are safer to use than an open bladed knife. Further, the standard trauma shear will suffice for all the cutting an EMT or Paramedic likely requires.

    If you probe deeper into why they really carry the knife, they will likely respond along some variant of “for protection.” Again, I do not accept this as an acceptable rationale.

    From an administrative perspective it is my opinion the potential liability and public relations concerns equal those related to carrying or discharging firearms on duty. The same policy considerations should also apply.

  3. This is a great article encompassing many of the concerns and legalities. I would like to ask your thoughts on this general topic under specific circumstances. Would your position remain the same for medics deployed with tactical teams into hostil environments? Many teams utilize non-LEO paramedics in forward positions (point of entry, vehicle driver) to allow for rapid deployment into the structure on most calls, and will place them into the stack for deployment into large buildings or active shooter scenarios. How would you address these situations?

  4. This is a great article encompassing many of the concerns and legalities. I would like to ask your thoughts on this general topic under specific circumstances. Would your position remain the same for paramedics operating with tactical teams?

  5. Great article! I share your views with respect to carrying both lethal and less-than-lethal weapons. Another concern I have specifically about defensive sprays arises from a personal health issue. I have asthma and in general aerosol sprays are irritating to me so I can only imagine what even an indirect exposure to pepper, or other sprays, would do to me. Additionally, although many people may say the aggressor would get what he deserves, I would be concerned about medical effects of the spray on the patient. Why make my job more complicated by increasing things I may have to treat if the person is allergic to the spray or has an underlying respiratory disease.
    Finally, I have seen too many EMS providers who are ready to dial up the testosterone to prove who is in control of the situation. If EMS providers were allowed to carry weapons I would be concerned that they would choose to rely more on those devices rather than using verbal de-escalation techniques to truly gain control over the situation.

  6. Many teams utilize non-LEO paramedics in forward positions (point of entry, vehicle driver) to allow for rapid deployment into the structure on most calls, and will place them into the stack for deployment into large buildings or active shooter scenarios. How would you address these situations?

  7. I think this is an excellent article that reflects an excellent point of view from one side of the argument. I however am a supporter of the contrary. Before you scroll on or let your b.p get the best of you, please here me out. I think we are all in agreement that present day public service is not what it use to be. Today we face a more prevelant violent, anti-authority community than ever before. However the vast majority are respectful and complient , but its not this popullation that is the threat. I am on the fence about lethal forms of protection in the fire,ems line of work. I am 100% in favor of non-lethal forms (i.e oc spray , taser ). The reason is simple. Beyond any oath, or creed, to do no harm to the patient; my personal safety is number one! In previous discussions with local officials the argument was raised of waiting toill the scene was safe, and we have all heard this a thousand times. Those situations are not the ones that raise the concern. Its the responses that turn south post arrival of ems or fire that pose the threat. Or the run response that was dispatched innappropriatly and now your in the middle of a potentially violent situation. If personnal safety was clear cut LEO would not have to implement various forms of defense. There would be no need for the ASP,Taser, OC spray, 2 side arms, vest. Yet we respond to the same situations often times ahead of LEO for whatever the reason and are afforded no deffensive measure for the worst case senario other that hand to hand combat! This in it self is the most obsered! The thought and position by most agencies that they would rather their personel be engaged in hand to hand deffensive measure than have the ability to deploy a non-lethal form of deffense is appaling. As for the risk management POV it looks like instituting a policy on the do’s-dont’s to non lethal protection would be much more easily defendable in court, than defending multiple personnel engaged in hand to hand defense with usually one individual. I would like to hear your thoughts on the points made. I think this is something that will be the topic of discussion more and more. In closing , For those rare instances does EMS and Fire personnel deserve the same protection as LEO.

  8. UPDATE: NY FF/EMT SHOT AND KILLED IN THE LINE OF DUTY

    Mont. EMT shot in back as leaving hospital

    An off-duty EMT was shot in the face at Greenhouse nightclub on 150 Varick St. in Manhattan Sunday night.

    Dan McIntosh was a true hero who served his community in every capacity of a first responder. Dan was a Paramedic and Firefighter . Dan died in the line of duty while helping a suicidal person on March 7th 2010.

    Two Police Officers Killed, Two EMTs Shot and Injured in Louisiana

    SENSELESS SHOOTING IN NEW YORK KILLS
    FF/EMT IN THE LINE OF DUTY

    Teen Charged In Stabbing Death Of Off-Duty EMT

    Life sucks man and its filled with a people that dont give a shit about you or me, Ive been doing this for almost 20 yrs in 2 states and its the same everywhere. you can get on youre soap box and speek till you turn blue, but till you have been in the middle of a gang shot out’s and the cops that are with you turn and say ” shit man I wish you guys had guns also” as our rig and there cars get shot to shit. Or how the cops let a pt’s brother in the back of the rig to see him and he pulls out a .45 cal and shots him 5x while he is being worked on. There are a tons of these calls going on everyday and you sound like a person that has worked the streets a long time, you know there is no such thing as a secured secne and come on guy you know that when the shit goes down you ain’t going to leave your partner behind when the shit hits the fan!!
    I understand what you are saying about our dumb ass coworkers that have a shit out look on things and want to show there ccp off, there are just as many asshole cops that act the same way about carrying a gun. Laws need to change for EMS people, we always get the shit end of every stick out there. I was a FF/ medic for most of my time and 3 years ago I started to do just EMS and felt great about it, hell I didnt even miss the FD! But thats when I could see what guys were telling me for years, that FF’s and cops get all the thanks and the good end of the stick. On 9/11 the count of 343 where FF’s AND medic’s but you dont see anybody saying that or telling there familys there sorry. We need to be able to protect ourself just like any other law abiding citizen, cause when the smoke clears there will only be 3 people around to help you a cop, a ff and A MEDIC!!!.
    Well enough with the rolling on and on about shit it’s 4.15 and my shift ends at 8 and I need to try to get some sleep.
    Take care and stay safe guys.

  9. Many teams utilize non-LEO paramedics in forward positions (point of entry, vehicle driver) to allow for rapid deployment into the structure on most calls, and will place them into the stack for deployment into large buildings or active shooter scenarios. How would you address these situations?

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