EMTcity EMS

[brentoli]

So I have been thinking about this for a while.

We have some of the most intelligent paramedics in the world here. Doctors that are very involved and enthused by EMS. On top that that some Basics who are intelligent enough to be groomed and bred to be exactly what is needed in a medic.

Some people here have years on the ambulance, some people have years in administration.

So lets think about this for a moment, lets say EMTcity moved in to Anytown, USA and decided to buy/start an ambulance service.

How would it be ran? This isn't a argument about basics or medics, equipment or procedures. This is a discussion as to how we could make the best EMS service in America.

Would it be strictly 911? Would we have a division devoted to inter-facility transfers? What about protocols, medical direction? Would we even allow an EMT-B to work in the service? What about in house training? Paramedicne Academy of Anytown, USA?

[sub:a7c282735b]

(Sidenote, why has the spell checker still not learned EMT?)[/sub:a7c282735b]

[Dustdevil]

Ooooh! I like this!

As hypothetical as this is, it could be a reality. This is how great plans come together. You take great minds that think alike and channel them into a common cause.

Maybe Admin could spot us a couple million dollars to get started.

[EMT City Administrator]

Maybe Admin could spot us a couple million dollars to get started.

Still pinching pennies staying on a shared server with database errors....

You can still put in the paperwork though...

[AZCEP]

How would it be ran?

BLS first response, paramedic intercept.

Would it be strictly 911?

Tough to remain financially stable using only 911

Would we have a division devoted to inter-facility transfers?

Absolutely. As much as we dislike them, these calls do tend to pay better than 9-1-1.

What about protocols' date=' medical direction?[/quote']

Treatment guidelines, with medical direction available for tough cases.

Only those that are enrolled in a paramedic degree program.

Absolutely. Since it will be an accredited agency, we will also have an accredited education department.

[sub:a82d6cddba]

(Sidenote, why has the spell checker still not learned EMT?)[/sub:a82d6cddba]

[SSG G-man]

BLS first response, paramedic intercept.

.

Only those that are enrolled in a paramedic degree program.

[]

If everyone is a paramedic or paramedic to be, why run BLS response with paramedic intercept? I am not very familiar with different ways of doing response, but seems like a waste to me. IF you have all these paramedics and paramedic students, why not team them up in the unit? Less units running around Anytown!

[Dustdevil]

If everyone is a paramedic or paramedic to be, why run BLS response with paramedic intercept? I am not very familiar with different ways of doing response, but seems like a waste to me.

Not to mention the dilemma of where all these people are going to find a job once they finish paramedic school. Unless we have an ungodly turnover of our "intercept" medics, there will be no jobs for these people. Not much incentive to spend two years on a degree they can't find a job with.

Thumbs down on the BLS response/ALS intercept idea.

[SSG G-man]

WOW!!!!! I am so happy! Lowly volunteer Basic me said something that Dust actually agreed with!!!! He Quoted me!!! Woo-Hoo! Mark this day on my calendar!!!

[Dustdevil]

WOW!!!!! I am so happy! Lowly volunteer Basic me said something that Dust actually agreed with!!!! He Quoted me!!! Woo-Hoo! Mark this day on my calendar!!!

Well, while you're on a roll, you were right about the "less vehicles" thing too. Why send two vehicles to transport one patient? Especially when the first one has to wait for the second one to arrive, wasting the patient's time (he gets to get re-evaluated all over again when the intercept arrives) and double the resources out of service. As if the engine crew showing up too wasn't enough wasted resources.

To me, this just sounds like an even worse idea than the Kalifornia way of sending out ALS to assess the patient, and BLS later to handle transport. At least in that system, the patient gets assessment by an advanced educated provider, and doesn't have to wait after the fact for ALS care, if needed.

NOTE: Yes, I realise that the idea of an "advanced educated provider" is foreign to most of Kalifornia. Their idea of ALS education is 90 days of tech school dumbed down to the lowest common denominator necessary to pass the test and get on the LAFD waiting list. But we're talking theoretical here.

[mrmeaner]

I think this would have ben a good contest idea.

[zippyRN]

<snip>

How would it be ran?

third service (obviously) but with good links to 'health'

Would it be strictly 911?

no for good financial reasons

build a sustainable business

patient transport business unit

-patient transport (local) including ED 'take homes'

-long distance transfer

-critical care transfer

-organ /recipient/ team transport

emergency care business unit

- 911 Ambulance service

- 'middle tier' ambulance service (local)

- responders both 'first responders' and (ambulance professional) 'rapid responders

- Alternative Response (Emergency Care Practitioner model - if can be made to work financially given left pondian setting)

- Specialist immediate care (HART/ USAR / Specialist medical team / tactical)

-HEMS

access and service support business unit

- 'call centre' functions

- HR functions

- overall business management

- fleet support

training business unit

- continuining professional development

- PTS training

- 'middle tier ' training

- EVOC training

( emergency tier training contracted out to Higher education with significant number of joint appointments 'lecturer practitioner')

Would we have a division devoted to inter-facility transfers?

see above - both 'patient transport' and middle tier / emergency tier

What about protocols,

Guidelines

medical direction?

service provided, access available at all times ( both Physician and Clincial traige advisor Paramedic/Nurse) but not required for any routine reasons

- would also be available to scene via HEMS and specialist immediate care team

Would we even allow an EMT-B to work in the service?

-volunteer /retained First responder?

- basis of PTS staff training

What about in house training?

see above

Paramedicne Academy of Anytown, USA?

in partnership with local higher education institution ...