Your Controversial EMS-Related Opinion

Tigger said:
The current tiered system is totally backwards. Sending someone with apx 120 hours of training to see if someone needs an actual assessment from a provider with formal education is backwards. You don’t know what you don’t know.
Click to expand...
This is the justification for the LA/OC model. ALS first response with BLS transport that a medic can jump on if necessary. So while I agree in principle with you, that has been completely *******ized into what we have in SoCal today.
 
Additional education (AEMT and Paramedic) should be required for all paid providers after a set period of time.

EMT-Basic > 1 year > EMT-Advanced > 1 year > Paramedic
 
When I mean employees, I mean the CEOs and those high level jobs, not the ones doing the real work.
 
Fezman92 said:
When I mean employees, I mean the CEOs and those high level jobs, not the ones doing the real work.
Click to expand...
Would you know all of the logistics and logistical challenges that go into the specifics of even a mundane renal-rodeo IFT? I don’t, I just transport.

Why shouldn’t those jobs exist? Please expound and your somewhat shortsighted comment.
 
Putting profit over everything else is wrong, when you only care about the bottom line, you put everyone at risk.
 
Fezman92 said:
Putting profit over everything else is wrong, when you only care about the bottom line, you put everyone at risk.
Click to expand...
Your first mistake is believing this is limited to private EMS. I assure you, nobody is in the business of EMS to lose money. Not privates, not third service, not municipal fire, nobody.

If there is profit to be made, everyone is trying. When you're older, you'll understand.
 
CCCSD said:
Needle Decomp is a BLS skill.
Click to expand...

This is interesting - do you think risk/reward makes it so? I guess the view I have been told is that it is infrequently used enough and too risky for an EMT to perform. That said, less trained folks (that is, in terms of hours of EMS-type training) do perform it in, say, the military, right?
 
Fezman92 said:
When I mean employees, I mean the CEOs and those high level jobs, not the ones doing the real work.
Click to expand...

You don’t think administering a large business or organization is real work? Tell that to the chief of the police department or the head of an oil company or a hospital administrator. Somebody has to hire staff, make budgets, buy equipment…to do it right is hard and that means it is going to cost a bunch, likely more than the rank and file will be paid.
 
EpiEMS said:
This is interesting - do you think risk/reward makes it so? I guess the view I have been told is that it is infrequently used enough and too risky for an EMT to perform. That said, less trained folks (that is, in terms of hours of EMS-type training) do perform it in, say, the military, right?
Click to expand...
It’s a monkey skill. It’s part of CLS/TCCC taught to 18 year old troops. I teach it in TECC. The reward is well worth the (minimal) risk.
 
CCCSD said:
It’s a monkey skill. It’s part of CLS/TCCC taught to 18 year old troops. I teach it in TECC. The reward is well worth the (minimal) risk.
Click to expand...

Makes sense. It was covered in TECC when I took it, but I would not want to be doing the skill unless refreshed on it/skill validated biannually (like any other), particularly because it wasn’t taught in my initial training to the degree I feel fully competent.
 
EpiEMS said:
Makes sense. It was covered in TECC when I took it, but I would not want to be doing the skill unless refreshed on it/skill validated biannually (like any other), particularly because it wasn’t taught in my initial training to the degree I feel fully competent.
Click to expand...
Agreed. I ensure repeated skills testing for my students throughout the year as part of my training programs.
 
Fire based versus hospital based versus government third service based is the red herring and almost entirely irrelevant to the care delivered.

The only thing that actually matters is the value the agency places on initial/ongoing training, quality improvement, and ensuring competency of their providers.
 
Needle decomp is life saving when needed, but it is also invasive and not without serious complications, and the biggest single failure point is employing it when it is not indicated which automatically adds potential for complication. For that reason alone in a non-combat environment, I can see the argument for keeping it above the EMT level, even though the actual skill is less complex and less difficult than other things that EMTs do. But it should be in the hands of AEMT at least.
 
You must log in or register to reply here.
Back
Top