EMRs/First Responders and Insurance

JonTullos

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(note: this is mostly copied and pasted from an IM conversation I've been having)

Friday night/Saturday morning we had two trucks out on calls then we received a LifeAlert activation (we only run two trucks from 1600-0800). My truck would have been next out so as we're leaving our first call I call dispatch to let them know we're enroute to the ER with our patient and we would adv when we were en route to the LifeAlert call. At the direction of my medic, I also asked that EMRs (that's what we call them around here - most others probably still call them First Responders) be paged to go and do what they can until we got there. Ee clear the ER from our first call and go enroute to the LifeAlert activation. Dispatch calls and tells us to cancel that everything was ok. Found out when we got back to base that it was a lift assist but the EMRs were refusing to even help her up until we got there... something about insurance saying they can't do anything until we're on scene. The deputy who was there helped the lady up himself and that's all she needed so she said to cancel us because she was ok.

I've never heard of them not being able to do anything until we get there. Using that logic, it's pointless to even have them in the first place. Has anyone ever heard of this? How does your county/jurisdiction utilize EMRs/First Responders if at all? For those that use them, do you have restrictions saying they're pretty much not to do anything until EMS arrives? Again, if that's the case then it's pretty much pointless to even send them unless you need lifting assistance or something along those lines.

Jon T.
 
That is crazy;

It would be like EMS not being able to treat a patient burned by a fire, (even though they are not IN the fire) until fire arrives on scene
 
I don't understand either. If they're First Responders, isn't their prerogative to 'respond first', securing scene and patients until more advanced care is available?

In my area, first responders are often in rural locations before we are, and will have done such things as c-spine precautions, vitals, Hx, and even evacuation. They are a great resource, and often volunteer at that.

What is a first responder for if not to respond first and get the ball rolling?
 
In my area, the first responders would be expected to help the lady back up, but then they would have to stay on scene until an EMT or higher (lol or even a deputy) got on scene to have a refusal signed.
 
My guess would be that there is no blanket answer to this question. It is entirely dependent on the service, the structure, levels of care available, medical direction, distance to definitive care, etc. Your best bet would be to ask your medical director, operations officer, or legal council.

Good Luck,

Dan
 
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