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Although Detroit has a messed up EMS system and they aren't the best example they fixed themselves a lot lately and I'm sugg w That's probably more likely to happen than anything I've suggested. Still, it's a grey area. A lot of the medics don't think of basics as competent enough and don't...

That's weird considering I'm not arguing to change the kind of treatment people get. Just to make sure they get the care they need and quickly. We run ALS trucks medic-medic. Most nights theres only two of them covering a city of 60,000. Basics will not get any sort of Emergencies if ALS won't...

Sounds like many of you are looking at the problem as if it's a perfect world. I was hardly even making a medicine related argument, I'm arguing for efficiency and getting people the help they need when they call. Basics running any 911's is still very taboo in my area. Even when we bring in...

I feel many of you misunderstand what I'm trying to say. To summarize, give basics the ability to run more of the easy BS calls so that ALS is available and doesn't have to come from 20-30 minutes away. All I'm saying.

I know they're a busy department and if there was any way to make sure that were enough units capable of getting the job done I'd be all for it.

Exactly, but basics aren't getting those calls in my system. I really do agree with what everyone is saying but basics will not get any sort of trauma or time sensitive calls alone. My idea is only an attempt to make ALS more available so response times are increased for the patients that need...

I'm not saying I disagree with you. I understand it would be much better to Just slap some o2 on the patient and boogie. But if protocols state they need fluid then they are going to get fluid, basics will not be getting that call. So while all the cities medics are out giving sugar to diabetics...

I agree completely. The reason I was saying basics should have to go through a more rigourous education program is so that the system would have more confidence in us and realize that not all calls need ALS. If the 911 dispatching system can simply modernize on its own then great, but I don't...

The facts don't change protocols. This patient will still be bleeding out waiting for ALS that's half an hour away.

Maybe, but if I worked anywhere else around me I'd be doing IFT's all day so I'm happy hehe. It's really just a sticky situation and I think someday someone is going die waiting for ALS instead of getting raced to the hospital. Maybe we disagree on how to fix that problem but I think we can all...

That's exactly right. The problem is within the 911 system and the reality of it is that some of them are really messed up. I'll run on people that took their insulin and forgot to eat all day and be happy. But when ALS is busy with all of that and a call comes up where they are actually needed...

Those statistics also don't change the fact that protocols are protocols. If a patient is bleeding out they need fluids according to my protocols and basics will not be getting that call for that reason. Now the scene to OR time is increased dramatically.

But at the end of the day, basics will not get dispatched to that call alone. Instead, an ALS unit that's twenty minutes will get it while the patient will still be on scene bleeding out. I just used that specific example because it's something that I have actually seen happen. Along with their...

And you speak as if prehospital medicine is entirely pointless. Why do any of it? Why not just have an empty rig with a stretcher since anything we do in the field won't help a patient at all.

They also need fluid which as a basic I can't provide. I'm not preaching that this needs to be revised on a national level. I'm simply stating that are places in the US that need it.

I'm gonna have to disagree. theres a number of emergencies that I believe basics should have the ability to run themselves. At the very least have the ability to run an arrest by themselves, deal with hypoglycemia, and give a patient fluids. Maybe if you were working the road when there was no...

We do a tiered response with medics and basics on a lot of calls simply because you need the extra manpower. However, advanced EMT's are no longer a thing in my county. Hiring more medics is not getting any easier so if the city gets busy it's residence are SOL and I don't think that's fair.

Sorry for reviving this post but I have some insight that I'd like to add. There are states that simply need basics that have a wider scope of practice. I work for a private ems company that works all the 911 calls for a whole city ( don't want to specify which.) nevertheless, it's a poor city...

Yeah I'm aware it was a huge screw up. We just got another call as soon as we cleared and it just skipped my mind. All of the information was on my run report so they should be able to get a hold of it. Good thing about making this mistake is I'll never make it again.

I just have a quick question about something that's been bugging me for some of you that may be familiar with Private EMS billing. We were dispatched priority one to a 911 call. After everything was said and done I left the face sheet from the hospital on the stretcher and it must've flew away...