Most Progressive EMS System?

[MMiz]

If we were to use a system as a model to others, does anyone know of any particularly progressive EMS systems? What about them makes them progressive.

I'd be looking for progressive scope of practice/treatment protocols/public service, etc.

 

[marineman]

I don't know details about it but if I had to guess I would use Dr. Bledsoe's area as a starting point and maybe add something here or there once I figured out what his protocols are.

 

[FF894]

Seattle, Peonix, Boston, a whole bunch more. They all try new trials and practice research-based protocols and studies. They have excellant QA/QI to critique their performance.

 

[Shishkabob]

Throughout all my training/clinicals, I was told Dr. Yamato of the Fort Worth area is a very aggressive Medical Director, allowing those agencies he oversees to use a lot of new methods.

 

[Ridryder911]

Many times, most of the progressive services are never heard of. They like it that way. I realize Seattle and whole bunch of others love the attention to be, but in reality when you read the so called studies and see the final results, they are just alike any others.

I know of a small service that employs real Critical Care Paramedics. They as well have advanced protocols such as fibro, RSI, Central Lines, Chest Tubes and amazing they work out of a small town about 10K or less although since it is a tourist type town have enough call volume to be experienced. Even more amazing is that their Medical Director is also a State Legislator and is very active to ensure their quality and credibility. I can say as a flight nurse/medic, they have an outstanding reputation of knowledge and skill perfection.
Yes, they have very few openings and no they do NOT want to draw attention. They are pleased to know they do the best they can.

So I suggest, is to ask ED's which service provide patients good care. What services has an active Medical Director and progressive administration. What qualities do they not only provide to their patients but to their employ and staff as well.

Many of our jewels are well hidden.


R/r 911

 

[TomB]

Seattle King County Medic One, Miami-Dade Fire Rescue, Boston EMS, Austin-Travis County EMS, Hennepin County EMS, Wake County EMS. In my opinion, EMS systems that are top notch can prove it. If you don't measure your success rates on key skills and your outcomes with key benchmarks, chances are excellent you're not nearly as good as you think you are.

 

[seanm028]

I've heard great things about the Phoenix Fire Department. I know they're currently in the process of trialing an induced hypothermia protocol for cardiac arrest patients. I'm meeting with the State Medical Director within the next month, anything in particular you want me to ask him?

 

[FF894]

Boston has been doing post-arrest hypothermia for about a year Pheonix has done some great trials.