Rural Vermont EMS Blog

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danvtemt

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Hi,
I'm new to the forum, looks like you have a great community here. I've been writing a blog (I'm new to that too) for a couple months now about my experiences and thoughts on my career as an EMT in Northern VT. If anyone has an interest in reading it or contributing, please feel free to visit at www.wayoutems.blogspot.com. Thanks!

Dan Parent
EMT-I03
 
Love your blog

I, for one in rural EMS, am glad to see that others need an outlet and a way to communicate with other rural EMS folks.

I love your stories. I love your issue discussion. I envy your website design. I recently got in trouble with writing about my area, due to HIPAA issues. Nothing serious, but people were angered by my writing.

Keep up the good work in rural Vermont.

Joe Moore
ruralemsisdifferent.com
 
rural ems was only addressed ONCE in the 15+ years of my subscription to JEMS

i figure we operate so differently that it blows all the newfangled concepts of ems out the door

we are another example of what i call a two tiered society in such respects, and as such we'll not rate the attention of the suck-ups to corporatism that has insisuously inflitrated our trade

~S~
 
Can we change this?

I am probably naive, but I wonder if we can't change the lack of knowledge about how rural EMS is different than urban EMS. How do we get this message out? I'd gladly post items on my website. I'd gladly collaborate with others. The urban folks seem to think that EMS is EMS no matter where it occurs. Those of us in the rural areas know that isn't true. How to we convince them that rural EMS is different? How do convince them that we have specific needs that are not addressed when all references point to urban EMS?

I'm open to suggestions and am willing to help in any way reasonable.

Joe
 
I have worked rural areas as well as metro. Medicine is medicine, wherever you live however; there is difference in the applications and nature of the beast.

In reality EMS needs to be more aggressive and technically is needed more in rural setting than in a metropolitan are.

R/r 911
 
how do we convince who Joe? the scarecrows that are voted into most municipal selectboards?

here's a start, what is the average age of an ambulance in Vermont? (et all rural states) vs. metro area's ?

that alone should get the 'do everything with nothing' attidude across to the cast of hee-haws in charge

~S~
 
Still want to get the message out

There are so many things that rural EMS needs. Proper funding, newer equipment, etc. are important. One of them is recognition that time with patient is a serious issue. I'm guessing that most Metro units don't need more than one D50, one anti-emetic dose, and one dose of many other drugs in the drug box. What if you are hours, not minutes away from definitive care? Even the drug boxes are stocked with the concept that the ambulance is minutes away from the hospital.

We also need more training because we are usually in a lower run volume area. We also need more continuing education for the same reason. One of our guys went down to the "big city" to work for the winter months. He quit counting runs after he hit 700. That is more runs than some rural EMS agencies run in five years. What do we do to keep our skills up? I like to hear some ideas from some of you other rural people.

Joe Moore
Beaver Island
 
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