Ridryder911
EMS Guru
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So, having said that ...........
Again, you are one of the unique situation and are are the unusual. Yeah, I flew into areas where the Trauma Center was hours away and yes even communities that had roving Paramedics. They understood that ALS was more essential in those areas than anywhere else.
Again, you are one of the exceptions and truthfully should be excluded as EMS as more as First Responder agencies that should rendezvous with EMS. Communities doing the best they can and having a back up with professional services to provide ALS and to maintain skill and CEU's.
I have always stated I honor those type of volunteers, for this is where it should be used and be allowable but for communities that can afford and refuse to is negligence to the citizens of that community.
But don't always throw the "rural" flag too high. I have worked as a Paramedic in communities of <1000 people and ED's at the least 45 minutes away. It can occur if properly planned and worked upon. There is a reason so many in the rural does not activate EMS. One can study this by comparing ED visits.
R/r 911
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