Non-traditional Public Utility Model with 14 first responder fire agencies as help, varying from BLS-vollies to full Paramedic staffing.
Typically 1 Paramedic and 1 other provider on a truck.
Just for clarification, by "hospital-based" it is meant that the ALS services are administered by a hospital or hospital system. In most cases, the medic unit is not actually stationed at a hospital. For example, the MICU I worked for now staffs 9 FT medic units and 3 PT units. Only one is actually stationed at a hospital. A MICU project to the south had 2 of 7 actually stationed at hospitals, and one to the north had 1 of 5 stationed at a hospital. Some places might have units based at a hospital, but it is typically for shift change and restocking with the medic units posting at various locations (IIRC, this is how it is done in Newark and Jersey City).
What is your opinion on Jersey's 2-medic fly car system? Do you or anybody else here think it's something that's going to last for much longer? Is it something that's simply going to stay isolated? Or something that will expand?
Why is it bad? This week I work dayshift on Monday and Tuesday, and Wednesday night and Thursday night. I have Friday, Saturday, Sunday and Monday off. We're not so busy that we're getting crushed, I usually sleep at night. It works for me. It's certainly better than 24 hour shifts.
So on most of your calls you get FD? Also, do you find it harder handling 911 calls with only an EMT-B partner?
some fire department, to ensure no one got stuck working days or night or weekends. it's great if you can sleep at night, and if it's slow, but it does get old if you are doing 12 calls during your night shifts. typically they do 10s and 14s, 10 hour days and 14 hour night shifts.
as a Jersey EMS provider, I can say with near certainty that NJ's 2 medic fly car system isn't going anywhere. the only thing that will change is those two medics will start driving around in ambulances, especially with more an more ALS projects starting their own BLS system.What is your opinion on Jersey's 2-medic fly car system? Do you or anybody else here think it's something that's going to last for much longer? Is it something that's simply going to stay isolated? Or something that will expand?
FD based EMS.
911 only, no transports.
Staff 2 medics on the box.
EMS works 24/72, Fire works 24/48
Almost all calls get Fire as first responders. The majority of fire crews now will have a paramedic on the first responder unit. So if :censored::censored::censored::censored: hits the fan, EMS will have plenty of manpower (sometimes too much).
Major city with roughly 20 hospitals, including two Lvl 1s, so transport times are typically pretty short- 5-15 minutes.
We also have Intensive Care Paramedics that work on Helos and fly cars. They have extra cardiac drugs, cardioversion, pacing, intubation etc.
No fire involvement.