The critique, which starts at 13:10, sees Mike criticize the series for having its paramedics diagnosing patients on the scene and jumping to conclusions without evidence. At one point, when a paramedic diagnoses a patient in the field, Mike begins to list off more probable diagnoses.

Why 9-1-1: Lone Star Doesn’t Portray Realistic Paramedic Procedures

In the same video, Mike tears apart 9-1-1: Lone Star‘s depiction of mercury poisoning, underscoring how the series doesn’t always lean into realism for its medical scenes. 9-1-1: Lone Star and 9-1-1 were created by American Horror Story creators Ryan Murphy, Brad Falchuk, and Tim Minear, whose TV series are often heavily dramatized. As a result, it makes sense as to why 9-1-1: Lone Star‘s paramedic scenes may not always be realistic.

While 9-1-1: Lone Star may not have realistic medical scenes, embracing an over-dramatized version of paramedic procedures gives the show a more dramatic flair. It also makes it fun for people with medical knowledge like Doctor Mike to point out the show’s goofier aspects if it were happening in real life. Because 9-1-1: Lone Star embraces its over the top emergencies and responses to them, the series maintains its entertainment value in every episode.

With 9-1-1: Lone Star season 5 already confirmed, it’s possible the series will lean into even more dramatic territory. While it would be interesting to see the show tone down its wilder moments, it may not be as fun for viewers tuning in each week expecting something over the top. Despite Doctor Mike’s critique, the unrealistic nature of 9-1-1: Lone Star seems to be part of its identity, making it stand out from other procedural dramas.