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department health services Since we're on a fire department tangent... (1 viewing) (1) Guests
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TOPIC: department health services Since we're on a fire department tangent...
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department health services Since we're on a fire department tangent...
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I would argue against this statement. Come to the San Antonio area and I can show you two FD/EMS organizations that do both emergency and non-emergency transports in their city. I can also show you some organizations that are doing solely 911 in communities and can barely afford 2 trucks and are often calling upon the 4 private ambulances in the city to mutual aid them on 911 calls. If this 911 agency would get into the non-emergency market, their citizens would be protected by 4-6 units a day and not barely 2...plus they would have additional revenue on top of it. To prove this example, we will leave this county and move one county over where the 911 provider started doing it 2 years ago and is much, much better off financially than they were. If the plan is done effectively and marketed and supported by the department (and not undercut to the public with statements like you will be dying from your heart attack while I take grandma back home from the hospital ...) in today's economic times it can be seen as a truly wise decision. Lastly, and I will put my soapbox away for the day, by doing this we solve one of EMS's deep dark secrets we don't like to talk about: Why does a patient with a broken hip laying on the floor in a nursing home get different levels of care/training/RESPONSE than the patient laying on the floor in their private residence? Don't mean to stir the pot...okay...actually I do. I most often have found that those who do not want their fire (or 3rd service or volunteer) ambulances doing facility transports are the medics riding in the front of these trucks....most of them have done their time and consider it below them. Everyone have a great night. Dudley ________________________________ From:
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] On Behalf Of matthew nolting Sent: Wednesday, August 26, 2009 4:43 PM To:
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Subject: [NEMSMA List Serv] Re: Since we're on a fire department tangent... 911 systems do not make a profit in most cases. Most tax payers do not want to see their fire ambulances doing facility transports, which is the only way to get ahead in most areas. ________________________________ From: David Shrader <
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To:
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Sent: Monday, August 24, 2009 8:24:00 PM Subject: [NEMSMA List Serv] Re: Since we're on a fire department tangent... When looking at Arlington, TX a decade ago, we identified a few ALS items. Those included: 1) Defibrillation (now a BLS or Lay skill) 2) Advanced airway (debatable now) 3) Epinephrine in anaphylaxis (BLS now in some places) 4) Albuterol in status asthmaticus (BLS now in some places 5) IV or IO access in rapidly deteriorating or arrest patients 6) Possibly pleural decompression in tension pneumothorax We were looking at what, if anything would make a difference in 2 to 4 minutes. Didn't matter who you were, Joe Blow EMT or Dr. Michael DeBakey, what would help the patient. There we turned the FD into an all ALS agency by training everyone to the EMT-I level with those skills included. Some places can do most of this now as BLS, some as intermediates and others only with PM's. David A. Shrader David A. Shrader, President The Polaris Group EMS & Public Safety Consultants 273 North Dogwood Trail Southern Shores, NC 27949 252-441-8844 Direct Voice 252-441-8856 Fax 252-255-8262 Cell
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www.thepolarisgroup.org <http://www.thepolarisgroup.org/ On Aug 24, 2009, at 8:26 PM, Browett, Brent wrote: I am curious what evidence one would rely on for staffing with ALS units over BLS units for a first response? What ALS interventions have been shown to be that time sensitive that they should arrive in the first wave of response? We have continuously been reviewing this subject matter in our area for a number of years. Any dialogue posted here represents my personal thoughts and inquiries and are not representative of my employer. Brent Browett, AEMCA, ACP, BSc, MA, Director, Emergency Medical Services, Hamilton Emergency Services www.hamilton.ca <http://www.hamilton.ca/
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department health services Since we're on a fire department tangent...
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not want to see their fire ambulances doing facility transports, which is the only way to get ahead in most areas. From: David Shrader <
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To:
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Sent: Monday, August 24, 2009 8:24:00 PM Subject: [NEMSMA List Serv] Re: Since we're on a fire department tangent... When looking at Arlington, TX a decade ago, we identified a few ALS items. Those included: 1) Defibrillation (now a BLS or Lay skill) 2) Advanced airway (debatable now) 3) Epinephrine in anaphylaxis (BLS now in some places) 4) Albuterol in status asthmaticus (BLS now in some places 5) IV or IO access in rapidly deteriorating or arrest patients 6) Possibly pleural decompression in tension pneumothorax We were looking at what, if anything would make a difference in 2 to 4 minutes. Didn't matter who you were, Joe Blow EMT or Dr. Michael DeBakey, what would help the patient. There we turned the FD into an all ALS agency by training everyone to the EMT-I level with those skills included. Some places can do most of this now as BLS, some as intermediates and others only with PM's. David A. Shrader David A. Shrader, President The Polaris Group EMS & Public Safety Consultants 273 North Dogwood Trail Southern Shores, NC 27949 252-441-8844 Direct Voice 252-441-8856 Fax 252-255-8262 Cell
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
www.thepolarisgroup.org On Aug 24, 2009, at 8:26 PM, Browett, Brent wrote: I am curious what evidence one would rely on for staffing with ALS units over BLS units for a first response? What ALS interventions have been shown to be that time sensitive that they should arrive in the first wave of response? We have continuously been reviewing this subject matter in our area for a number of years. Any dialogue posted here represents my personal thoughts and inquiries and are not representative of my employer. Brent Browett, AEMCA, ACP, BSc, MA, Director, Emergency Medical Services, Hamilton Emergency Services www.hamilton.ca
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