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Your horse mounted idea will run into the same problem that motorcycle EMS runs into. Unless you are doing almost unilaterally treat and releases, the responder will need to ride with the patient. What do you do with the horse, then? Can you like tie them to a stake and leave some water or something? I am writing this from a paramedic point of view where you really can't hand off to anyone. I guess maybe you could get ride over in a first responder role and then hand off and then ride off into the sunset with Grace Kelly.

Even if you do manage to get some sort of trailer hook up to the horse, if someone is seriously injured you are going to get some very strange looks bringing them out by horse and buggy. Since it is an unorthodox approach, some bad person somewhere could get some bad lawyer to sue the pants off of your outfit for 'needlessly delaying' extraction to where ever you are meeting the ambulance. Those are the hurdles you would need to clear before trying this out.

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Unless you are doing almost unilaterally treat and releases, the responder will need to ride with the patient.

Most First Responders, and in this instance, I am including Certified First Responders, EMTs, and Paramedics, doing other than ambulance responses, are initiating treatment, not transporting, in some "Special Event" setting, to attempt to stabilize the patient until transport can either arrive, or the patient be removed to where the ambulance can receive the patient for transport, hence, no trailer holding horse, segway, bicycle or golf cart en route to the hospital, just the ambulance.

I'm presuming that most of us have either policy, protocol, or laws allowing us to hand off patients to anyone trained to the same level of care as oneself, or a higher level of care, so, hopefully, that becomes a non-issue.

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