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Can you cite something to back up the bolded statement?I'm reminded of the old adage, "Paramedics save lives, but EMTs save paramedics." From my experience, working in the B/P setup keeps a paramedic closer down to the earth. For example, why intubate a PT when a BLS King Tube will secure an airway for PPV just as effectively and save the PT some time in the ICU? The majority of my PTs need an ALS assessment but can be treated with a BLS intervention and I think paramedics forget that sometimes.
The "EMTs save paramedics" adage is at best, hogwash. I thought it was true when I was a new EMT, then I went to paramedic school and realized how little I knew in comparison. Paramedics don't just suddenly forget the basics.
The artificial distinction between ALS and BLS is silly. It's medicine. Provide the least invasive treatment needed. Sometimes that's something only a paramedic can provide. There isn't some sort of sliding scale.