[/font:2196f7d245] Dustdevil, as I expressed in an earlier post, please forgive my newness to this arena. My reaction and subsequent communication, was "knee-jerk" at best and an ineffective attempt to defend a system, (Fire/EMT), that I firmly believe in. This is your arena and I reacted badly.
I've been a Fire/EMT for a LONG time and I have never experienced the levels animosity that I perceived reading some of the posts in this forum. To be totally honest, I took it personally. In my career I've taken great pride in the the competence levels of my personnel as well a maintaining a training and working relationship with the EMS side. I haven't experienced Fire trying to put Professional EMS out of business but if you say it exists I believe you.
I have experienced second-guessing, posturing, and bad-mouthing, (in both directions), on occasion but I would try to make a point of addressing any of those issues as soon as possible, in a effort to maintain our working relationship.
I don't have the answers or solutions to the issues that you and others have expressed, but I can tell you that, in my experience, my "firemonkeys"welcome the arrival of the ambulance personnel on scene. Any Firefighter that's worth-a-shit will appreciate the value of any trained and competent EMS resource. I would have hoped that the feeling would have been mutual.
I don't quite understand the expressed difference in skill or competence levels between Fire and Ambulance EMTs. I thought we all received the same training and passed the same National Registry exam. If those on this forum are experiencing poor Fire/EMT performance then that issue should be challenged and presented formally. There's no doubt we could all point fingers and trade tales of perceived malpractice or negligence on both sides, but there is no excuse for poor patient care from anyone. As a Training Officer, I posted a sign in my office that stated: "Mediocre is NOT an Acceptable Level of Service". I firmly believe that but I will not accept that mediocre only exists on the Fire side.
Here's my bottom line on EMS. EMS to me is similar to CPR in that, the critical factor is often the time to patient contact and administration of care. And to be absolutely-totally honest with you, assuming that all responders are competent, that's all I care about. (I will not argue the competence of responders because, from experience, it can be argued BOTH ways)
If my wife or sons will have a better chance of survival because the first arriving unit capable of rendering emergency medical care happens to be a fire engine, then that service will get my vote every time. If it's an ambulance, that's fine too, but I will not support putting lives in jeopardy for some of the reasons that I've read on this forum.
I'll admit that I haven't read every post but so far the gist of what I've read seems to suggest that:
1. the firemonkeys (or what-ever) are taking our jobs or trying to put us out of business
2. the firemonkeys should just do fire and rescue
3. the fire monkeys can't be as skilled in EMS as we are
I haven't read a solution yet (realistic or otherwise) that would guarantee the same EMS to contact times with the elimination of Fire/EMS.
I promise to read and try to understand any response to this rambling attempt at clarity. If this is just a place to bitch, that's cool, but I can't accept that this is all there is or will be.
I've tried to be respectful in this post, in YOUR forum, and would appreciate the same in any response.
Dustdevil, just as a side note, I don't consider the term Professional EMT an oxymoron. I respect the position and the fact that some certified EMTs are not employed as such. I have EMTs on staff that make a living as Professionals.
Sincerely,
Andy