Where will EMS be in 20 years? 100 years?

[RHEMT406]

I know many have asked this question, but one thing that always comes across my mind is where we go from here. In the media, we hear about abandoning traditional c-spine precautions. We often hear about cutting back on oxygen.

But what will our job descriptions be in the duration of this century? A big thing I always look at is what will our cots be like? Will we carry different equipment? And, will there be a differences between EMR, EMT, AEMT, and Paramedic? Or will government systems mandate everyone be trained at the paramedic level?

Anyone else have similar thoughts?

 

[mycrofft]

The future

Standards will tighten and enforcement will be lax until they want to smack someone down. Local EMSAs will continue to promulgate their own standards not entirely in accordance with but very close to NHTSA suggestions.

The only non-governmental entities who will want to take on actual emergency PEMS (versus interfacility transfer or contract movement of indigent non- emergent cases) are those who have a skeezy way to cut care and costs, and make money/live high until they get fined and shut down. Government services will cut serves and pretend they haven't. NHTSA will continue to run EMS because NIH doesn't want it.

Oh, wait, 100 years? I thought you said 100 hours!

 

[TheLocalMedic]

How about our cardiac monitors? They're big, bulky and heavy! I predict that current trends in improving batteries and computing power will make our monitors a whole lot smaller and lighter. How great would it be to have a tablet-sized piece of equipment capable of everything our current monitors are?

And when will we get rid of Amiodarone?

 

[medictinysc]

How about our cardiac monitors? They're big, bulky and heavy! I predict that current trends in improving batteries and computing power will make our monitors a whole lot smaller and lighter. How great would it be to have a tablet-sized piece of equipment capable of everything our current monitors are?



And when will we get rid of Amiodarone?

We will get rid of amio when someone else pays off the AHA

 

[DerekC]

How about our cardiac monitors? They're big, bulky and heavy! I predict that current trends in improving batteries and computing power will make our monitors a whole lot smaller and lighter. How great would it be to have a tablet-sized piece of equipment capable of everything our current monitors are?

And when will we get rid of Amiodarone?

Or wireless leads!!

 

[TheLocalMedic]

Or wireless leads!!

Or smaller ones. Or ones that will actually stick to the sweaty diaphoretic guy you're trying to do a 12 lead on.

 

[medictinysc]

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What?

 

[DesertMedic66]

What?

That is where the poster thinks EMS is heading. "I spilt something! Quick call 912 and get the ERCS (Emergency Rug Cleaning Service) here!!"

It's been a long night

 

[dalmain]

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Vacuum complete opposite of the grain of your rug for deeper cleaning up The resultant rubbing will more assist with serious cleaning As soon as you take the contaminants up, then vacuum together with the grain

Solicit recommendations from loved ones who have been happy with their carpet cleaning companies Eventually, every person will should hire someone to wash their rugs and carpets You should certainly discover a person who has utilized a carpets and rugs solution Therefore, you must be able to locate someone that can recommend a carpets and rugs cleaner for yourself In addition, should they be not pleased about the quality of their prior carpeting cleanser, they can warn you so that you will don't have the exact same blunder they do

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Just before having your lingerie carpets heavy steam washed, be certain they may be vacuumed This is extremely crucial due to the fact any soil or spots which are at first glance will smear once you begin This will likely ready your carpets properly, enabling the vapor to penetrate strong to your carpet

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[unleashedfury]

We will get rid of amio when someone else pays off the AHA

Seconded,, BTW we still have the option of lidocaine or AmioEverything

It could go both ways from the current state we are in

with poor reimbursement rates, piss poor education requirements, and limited advancement in the prehospital field in itself. I feel that eventually providers will either become even more limited in prehospital treatments. Where we will become a Taxi driver vs. a clinician. Providers will end their careers in EMS much shorter time

Or we can advance and evolve to adapt to the new America, offering Omega triage where a heavily skilled paramedic can perform an appropriate triage and some minor home health care with the availablility of skyping a doc to show visually whats going on consider alternative treatment plans and the patient doesn't have to leave home.

 

[lightsandsirens5]

Pretty sure they already have wireless leads...and a full function monitor based in a laptop. Not certain, but I can check with who I heard from.

 

[DerekC]

Laptop? Laptops are old news. iPads/tablets are where it's at.... But a tablet can't replace a whole LP15.

 

[chaz90]

Laptop? Laptops are old news. iPads/tablets are where it's at.... But a tablet can't replace a whole LP15.

Enough improvements in battery technology and it might be able to. That would be ideal. Can you imagine a tablet able to do such a thing? I'm picturing a device like the tablet of today that also has "Monitor," "Defibrillation/Cardioversion," and "Pacing" apps. A guy can dream.

 

[DerekC]

That would be nice.... But not happening anytime soon.

 

[RHEMT406]

That would be nice.... But not happening anytime soon.

Keep in mind we are talking about 20-100 years from now. More than possible with our recent advancements.

 

[DerekC]

Touché

 

[TheLocalMedic]

How about some kind of stat labs we can do in the ambulance? Like troponin? If we can to that en route and detect a NSTEMI we can divert to a hospital with a cardiac cath lab if we aren't already headed there.

 

[zacdav89]

i say we look at what we are doing today to improve tomorrow. many areas are working on implementing community paramedic programs, taking care of the issues before they build up into dire emergencies. I see increased present of TEMS trained units, movement towards the use of Nurse practitioners, and PA’s in the field. Equipment is getting smaller with costs going down as well as network interfaced equipment allowing for more real time access between the patient and the hospital. Maybe more room for treat and release at the ems level. Or we could just fade into the past as a system tried and failed?