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911 in the bay area is sewn up pretty tight, but I always hear about EMT jobs at the IFT companies. Rural Metro down in San Jose just advertised some EMT jobs too. Have you had a look in the East bay?

The last few pages are very interesting, but not exactly relevant to the topic... "Why Basic level Technicians?" Perhaps a new thread for "What's wrong with the US healthcare system?"

That's the plan, I'm just thinking about the long term. Mine are already on their last legs so I'm having a look around.

Digging up an old thread here, but what do you guys think about zips? I have 2 sets left over from being in the Army. Some super comfy jungle boots (that are entirely inappropriate) and my most prized Altber Sneekers. As you can see, they don't have zips. I've (obviously) got a lot of...

If you want it to be an AED... then why not make it an AED? If you're worried about all the buttons etc confusing people, and if it's for BLS providers, why does it need all these bells and whistles? How about an AED with one of this CPR puck type devices as standard?

No matter what happens, you will be paying for your ambulance ride. You can't get around that. But from what you're saying you'd rather pay more money for an inferior service, and pay it to you insurance company. If you paid the same amount in a healthcare tax, just like the rest of the world...

That's quite right. There are already taxes in place that provide for emergency healthcare. A slight increase in that area could fund a proper EMS system, which would in turn drive down pre-hospital healthcare and insurance costs. So you may end up paying an extra .05% in taxes but you would...

What happens to the fire departments that want everyone to be EMT-B qualified? How about: Old EMT-B = Certificate or what ever it is New EMT -B (obviously needs a sexy new name) = Associates New Paramedic = BS Practitioners / CCT / HEMS = MS It may sound like dumbing down, bur for...

I feel like we're arguing two sides of the same coin. We both want higher levels of training, I agree with you entirely there. But you have already pointed out how easy it is to make it all the way to the top of our EMS food chain, so making the first rung harder to get on doesn't solve this...

With our 'top flight' HEMS Paramedics not requiring a degree, I just feel it's a bit of a stretch to require that as entry level. I do agree that further education is the way forward, but I don't think starting at the entry level should be the first step. And I don't want to transport everyone...

I'm going to stick by my guns on this one. I agree with most of what you guys are saying but I really don't believe that increasing the training of our Basic level is the solution here. I see you point Mycroft, but I can't help but feel that you're saying it just to stir things up a bit. I...

The issue is that some areas cannot afford to provide Paramedics / ALS ambulances. Ideally, all 911 would have at least one Paramedic on board but unfortunately that isn't the case. So having a tiered system should make a higher level care available without the Paramedic price tag.

I'm with you 100% on that point. My suggestion would be instead of improving / upgrading the existing EMT-B scope, we should properly implement the existing Intermediate scope. So in these (I'm assuming rural) communities there is an ability to provide better care while keeping costs down (EMT-B...