Fire-based EMS vs EMTs?

[JPINFV]

Having a medic trained to enter a buring building and treat the patient inside can not be a bad things.

Wouldn't the first thing to be done is remove the victim from a location that presents an imminent threat to life? You don't need any special EMS training to do that.

 

[emt seeking first job]

Is there any benefit, especially if momentarily 'stuck', to performing interventions in the thick of things.

I sort of have a gut feeling that fire/EMS/and even law enforcement are not so drastically different, and since people in one field have worked in the other, that the two disciplines could be blended or at least overlapped.

Is someone in fire refuses to do EMS, I am sure there are dozens of people waiting in the wings willing to be cross trained and cross assigned.

 

[Shishkabob]

Is there any benefit, especially if momentarily 'stuck', to performing interventions in the thick of things.

Respiratory arrest with palpable pulses entrapped in a rolled car.

 

[Veneficus]

Respiratory arrest with palpable pulses entrapped in a rolled car.

In theory, yes. In most cases it will make little difference past the ED.

I have intubated and decompressed people prior to extrication on several occasions, none have survived.

I have run fluid (as well as pressors as acts of desperation) on many more.

All that has ever happened is the patient is stable enough to survive without it anyway, it complicates and prolongs the extrication, or they die.

Perhaps if you have an isolated tension pneumo(almost impossible in an MVA roll over that is all there is)it might help.

In a handful of crush scenarios, high angle rescue, or confined space entrapments there is some benefit, but those are comparitively infrequent.

 

[Shishkabob]

Hey, he didn't ask if there was any long term benefit, just benefit