Vollie Non Emerg Ambos Vs Paid State Staff

[Dustdevil]

I dunno, bro. That seems a bit like saying that Nationally Registered EMTs are the best in the world, and everyone else, with credentials from other countries, is a wannabe because NR doesn't recognise them.. Credentials don't define the quality of a provider.

[Kiwiology]

I dunno, bro. That seems a bit like saying that Nationally Registered EMTs are the best in the world, and everyone else, with credentials from other countries, is a wannabe because NR doesn't recognise them.. Credentials don't define the quality of a provider.

No true, but, the director of the organisation concerned has openly admitted to me that ACAP (the Australian Council of Ambulance Professionals) will not even give them the time of day nor are they (AREMT) involved in the Paramedic registration process with the AU Federal Govt.

Furthermore, none of the State Ambulance Services recognise anything this group does, neither do we, nor do the HPC in the UK.

It's a group for a bunch of dreamer first aid vollies.

The very fact he admits being a volunteer non-emerg first aider is highly suspect, and none of the Services in Australia except the QAS still have Diploma "Paramedics" you need the Degree now. So that doesn't help this guys case.

[scott33]

I have read of people asking about getting onto the UK HPC by means of attaining AREMT registration, so there certainly seems to be some misinformed individuals out there. Are they just a register for people to voluntarily sign up to, maybe like the US NAEMT? Do they provide any training courses or perhaps an external examination that would look good on a CV / resume (UK Dip IMC)? Is Paramedic a protected title in Oz? Most importantly, do the AREMT have a nice patch?

So many questions...

[Kiwiology]

They are a bunch of first aiders in la-la land who want to be something they are not so call themselves "EMTs" mainly aimed at miners or industrial first aid, so offer some training courses to that end but nothing that any actual Paramedic or jurisdictionally sanctioned organisation would look at or give a crap about.

To prove they are a bunch of feel good volunteers lost in some sort of fairy tale you can register as an EMT-B, EMT-I, or EMT-P and their website states they will accept US DOT courses, when even some of the state Ambulance Services in Australia will not accept them, or at best, look at them very suspiciously. Have they forgotten that such levels do not exist in Australia, never have and never will? Perhaps they have been watching too much Rescue 911?

Paramedic is not a registered title in AU but ACAP is working on it, that's the Australian College of Ambulance Professionals; an organisation that professionally represents Ambulance Paramedics in AU will have nothing to do with them ... you wonder why?

It's a treehouse club for dreamers. At least here in New Zealand from next year "Paramedic" and "Intensive Care Paramedic" will be restricted titles open only to those who are registered with the Health Professionals Act, so it will stop this sort of nonsense.

Edited May 20, 2011 by kiwimedic

[Bernhard]

the problem is in some places, the statutory service simply see themselves as 'above' other providers

I see. Known here between the different companies/organizations, too. Until reality strikes.

not all services dispatch on the basis of declared levels of skill of the crew , if response time is the primary metric and there is not penalty for not sending an ALS unit - they'll send anything - hence the phenomena in some places of 8 hour courses for 'community first responders' because the response target can be met by a monkey with an aed strapped to it

I smell another systematic error here. OK, I agree that a fast transport is better than nothing, but that puts the system way back to the very beginning of EMS.

We have volunteer first responders here, too (actually, I volly in such a team), but they are not counted for arrving time in official statistical evaluations. Only the public EMS counts (private companies/organizations are included into the public system). And: always an appropriate unit has to be given the call, any minor unit may serve as first responder but would be backed up by the appropriate one. So the evaluation is done by time (including call taking and turn out time) AND level of the unit (by the way, including "too much"). The volunteer first responders don't do transport and they are not financed from public sources.

Well, the needed public units are available here (law given maximum response time 12-15 minutes for ALS units on normal roads, exception only for some islands and high mountain areas) and there is constant evaluation in selected EMS areas plus every few years for the whole state. Surely the population density here can't be compared with rural Australia...

what there is in many services in the Uk at least ( and i suspect elsewhere) a protocol that says if you aren't trained to manage it you can't transport a patient with it - hence the reason hospital staff are needed on transfers etc ...

OK, sounds familiar. We have to be trained on every medical equipment brand we use, so a normal unit simply can't transport complex patients requiring special equipment because the medic isn't trained on (mostly involving complex breathing parameters, variety of i.v.pumps and special monitoring devices). In the far past we either tried with our equipment or took hospital staff with us. Since some 10-15 years we have enough specialised and equipped intensive care units and helicopters for those cases spread around the country. I miss the baby incubator transports, though (I had the training for).

But, back to the discussed case: Are there really EMS providers not able to handle a simple extremity i.v.-access? That is so basic, I can't imagine this. I don't write of poking a hole in the patient, but simply of taking care for an accessed i.v. line. What could happen? If something goes wrong, then stop the drop. If the needle falls out, then treat the wound. Just wondering what could be the cause for such a regulation. And if they really may not handle a simple i.v.-access, why are they allowed to draw the needle then? Sounds very strange and I doubt it as well as you are.

But I think the thread just gets another focus on certifications instead of the given case.

Edited May 20, 2011 by Bernhard

[NYCEMS9115]

http://www.aremt.com.au/Index.php

http://www.iarcedu.com/default.aspx

http://www.acpet.edu.au/

It seems like it's a growing organization. It has affiliations with 14 Countries including the UK, Germany, Saudi Arabia, and South Korea. Can I judge on the validity of this organization or what Penthrox says? I can't. I've never heard of AREMT nor am I familiar with EMS outside my Lower Hudson Valley of NY and NYC. That's why I ask, share, and research. Of course this is all conjecture...

[fiznat]

I'm really amused with all this aussie lingo. Best part of the whole thread as far as I'm concerned...

[zippyRN]

http://www.aremt.com.au/Index.php

http://www.iarcedu.com/default.aspx

http://www.acpet.edu.au/

It seems like it's a growing organization. It has affiliations with 14 Countries including the UK, Germany, Saudi Arabia, and South Korea. Can I judge on the validity of this organization or what Penthrox says? I can't. I've never heard of AREMT nor am I familiar with EMS outside my Lower Hudson Valley of NY and NYC. That's why I ask, share, and research. Of course this is all conjecture...

an AREMT 'qualification' is not going to get you a job in a NHS ambulance service or be recognised by St John Ambulance or the British Red Cross, it's not going to get you HPC paramedic registration ... and whether it is acceptable for private work as an EMT will be down to the CQC when they assess the provider organistion.

[Kiwiology]

an AREMT 'qualification' is not going to get you a job in a NHS ambulance service or be recognised by St John Ambulance or the British Red Cross, it's not going to get you HPC paramedic registration ... and whether it is acceptable for private work as an EMT will be down to the CQC when they assess the provider organistion.

That is the best way of putting it - this dreamers club is for the first aiders who work private and industrial, it has nothing to do with the state run ambulance services and never will.

[NYCEMS9115]

Just wanted to know more about this AREMT. It is, what it is; a chop-shop or a progressing organization. Thanks...