Bieber, I must say, it is a pleasure watching your progression as a paramedic. Almost like reading my story…
In regards to the topic though, you pose an interesting question…
(I’m just going to ignore all the parts of you stopping at a crash scene for something other than distressed models involved in a fender-bender on the Playboy Bus and focus on the part about scene presence)
This may sound cliché, but being in charge is not about acting the part, so much as knowing you are in charge. In a way, it is about having the right mindset to guide your actions and not just being able to bark the loudest.
Being young, you will have to get used to the fact that other responders, patients, and their families will commonly address the older looking crewmember. The same kinds of things happen to other providers who happen to be ugly, non-white skinned, are rude, have physical defects, or whatever. Just one of those things man…
Being confrontational with others on a scene, unless it is necessary, is ill advised. Confrontation will mostly create uneasiness between the different providers and the patient’s perception of said providers rendering care to them. Plus, honestly man, being confrontational, rude, or the like is just what all the old heads are going to expect from you. Please do not play into that trap.
Honestly, I find the best ways to have scene control is to do a few simple things: Be calm, cool, and collected. Speaking up a little always seems to help, but not so loud people don’t want to hear your voice. During a ‘bad call’ giving directions to others helps establish your control. On the not so bad calls, how you explain things or ask questions can help establish your scene control. For example, saying to a patient “is it ok for my coworker Amy to take your blood pressure?” Indirectly, it lets others know what they are to do and it is a nicer way to take scene control.
I think you will find on most ‘bad calls’ taking scene control is quite easy. Most people are scared on the bad calls to begin with. Being calm and guiding others’ actions usually does the trick, as most people don’t want to be the one in charge of a bad call.
Your scene presence will develop over time along with feeling comfortable in the new paramedic skin. Being in charge can be quite an eye opener, especially when you may be responsible for leading folks with more age/life experience than yourself. Definitely learn from what anyone with that experience has to teach but work on being the adult you’re expected to be and not so much the kid you were trained to be for the past majority of your life.