pretty sure that's not the standard... The standard is an ambulance will arrive. In Delaware it's a BLS ambulance. In New Jersey, it's a BLS ambulance. In Boston and NYC, it's a BLS ambulance. Unless the call meets the criteria for ALS, than ALS is sent too.Right now the standard is if you dial 911 you're getting ALS.
you think that's bad... I now live in a state that has counties that have only four ambulances county wide, including one if the worst small cities in the US (or so the web reports say). And others without a hospital in the county.When there are only two rigs covering an entire city this can be disasterous.
ok, what area are you referring to? SoCal?Basics running any 911's is still very taboo in my area.... I still think this would help considering the only other opposing arguments were that trauma patients don't need fluid.
Sounds like your system has an issue..... If you have a patient who is bleeding out, and you pump them full of fluid, all you are going to do is have pink koolaid on the floor of your ambulance. Maybe your system should look at the studies that say that trauma patient don't need a paramedic? And scoop and run will save more lives than IV fluid or any paramedic.May not be the standard in your area but it is in mine. And I know trauma patients need an OR. protocol in my area states they need fluid, that means they are only going to send units capable of providing that to those scenes.
As a BLS provider, 10 minutes is the maximum time i want to spend on scene with a patient who m taking to trauma. I can do 99% of my job in the back of the rig, so however long it takes to do my rapid assessment, control and massive hemorrhage and package is ideal. If ALS is there by then, great, get in and let boogie. If not, oh well. With the advent of better blind airways, i really dont see the need for ALS on most calls. Unless its some kind of neck injury that would require a tricky tube or a cric, all ALS is doing is giving TXA.I'm almost getting to the point where I think that penetrating trauma without airway & breathing complications should only get a BLS unit dispatched.
Better yet, do away with EMR altogether. There's hardly a need for a basics basic.I am only an EMT not a paramedic, but I feel like it could be useful if EMR's (I'm not super familiar with their curriculum) could use a c-collar / very basic until EMS arrives. What about an OPA airway? I feel like it's basic enough an EMR could manage? Anyone agree, disagree? Why?
I understand this but I think the EMR cirriculum is an important role in terms of police officers or other civilians that don't want to take the next step into diving deeper. I think of police officers and city officials when I think of EMR. Do you disagree?Better yet, do away with EMR altogether. There's hardly a need for a basics basic.
If you want to learn first aid, take a first aid course. Otherwise, sit through the whopping couple of hundred hours and pass registry like everyone else.
But EMRs have a registry exam - in many states, it is an 80 hour course, which is pretty good for cops & firefighters that don't perform EMS as a primary duty. The EMR level captures takes the most important BLS skills that can be done prior to EMS arrival - CPR/AED, BVM, hemorrhage control, etc. & adds background above what a first aid class does. Yes, I'd rather have folks take the EMT class, but, again, for single-role cops, firefighters, lifeguards, etc., EMR is appropriate.and pass registry like everyone else.
I think all firefighters should be an EMT, but then again fire and ems respond as one in my area to medical calls. Majority of which EMT-A or Paramedics.But EMRs have a registry exam - in many states, it is an 80 hour course, which is pretty good for cops & firefighters that don't perform EMS as a primary duty. The EMR level captures takes the most important BLS skills that can be done prior to EMS arrival - CPR/AED, BVM, hemorrhage control, etc. & adds background above what a first aid class does. Yes, I'd rather have folks take the EMT class, but, again, for single-role cops, firefighters, lifeguards, etc., EMR is appropriate.
CPR, and basic first aid--moreover hemorrhage control--is all law enforcement in theory needs to know. AED use prior to EMS? Sure, but I can't see any of this taking 80 hours collectively.
Babies have been delivered for centuries prior to the advent of these courses. That's hardly a skill so much so as maternal, and paternal instincts.
Absolutely, do you think basic air management can be taught in that span or would you disagree?I am still a fan of having EMR as a level of training especially for LEO, lifeguards, search and rescue, security guards, etc when obtaining an EMT cert or having a medical director is not an option.