What was your first 911 call?

ChrisEMTA

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My first call after being fully certified? Terrorist Attack. A bus exploded and I treated the driver alone. He had a partial amputation of the lower leg. Don't recommend it for a first pt.

On another track, I don't understand what you mean by working but only having 2 911 calls. In the US are all ambulances not controlled by 911? Do you have emergency calls that come from somewhere else?
In the US we have 911 service ambulances, private ambulance service for like dialysis treatments, and some can call the private service for a transfer to the hospital and it could be a emergency.
 

Jim37F

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On another track, I don't understand what you mean by working but only having 2 911 calls. In the US are all ambulances not controlled by 911? Do you have emergency calls that come from somewhere else?
A lot (most even?) US ambulances aren't a part of the 911 System. They solely do IFT (Inter Facility Transport). Things like ER discharge to Nursing homes, transfers from Nursing homes to the hospital, transports between the various tertiary care facilities (cancer clinics, stand alone MRI offices, etc).

Usually non-emergency, often pre scheduled, though a lot are "call and they'll send a unit".
There are emergent transfers, CCT (Critical Care Transport, often staffed with a Nurse and/or Repiratory Therapist alongside the EMTs, I've even seen CCT with an MD...) are usually all considered IFT.

Dialysis transports alone are a huge chunk of the IFT business, and that keeps a lot of private ambulance companies in business just doing these transports.
 

IsraelEMS

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Interesting. So how does 911 decide which ambulane to send? Are there ambulances that only do 911 calls? Does this differ by state?
 

ChrisEMTA

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Interesting. So how does 911 decide which ambulane to send? Are there ambulances that only do 911 calls? Does this differ by state?
Yes there are some ambulances that only do 911 calls. Also some companies are mix and take some 911s and IFT
 

IsraelEMS

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Does 911 dispatch you directly?

In Israel there is only 1 national dispatch that answers 101 (our version of 911 calls) and dispatches ambulances. Its a national ambulance service so no different companies. Also, all of our dispatches are also field medics. This helps in getting the right info from callers or walking callers through cpr. Do the people who answr 911 calls also have ems training? Can the dispatch the closest ambulance across state lines (like if the caller is in Nevada and the closest ambulance is in California)? So curious how it works there.
 

ChrisEMTA

Forum Crew Member
93
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8
Does 911 dispatch you directly?

In Israel there is only 1 national dispatch that answers 101 (our version of 911 calls) and dispatches ambulances. Its a national ambulance service so no different companies. Also, all of our dispatches are also field medics. This helps in getting the right info from callers or walking callers through cpr. Do the people who answr 911 calls also have ems training? Can the dispatch the closest ambulance across state lines (like if the caller is in Nevada and the closest ambulance is in California)? So curious how it works there.
Yes essentially 911 only companies. We get direct if close enough if not they will find someone else.
 

Jim37F

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So there's no single central 911 system. But the phone system is designed to route a 911 call to the appropriate local 911 center . It may be regional in rural areas, or cities like LA may have a dozen different ones. They have their 911 providers (either the Govt provided Third Service EMS or Fire Dept ambulance or they call the contracted private company who dispatches their unit)

Otherwise the non 911 IFT calls, the hospital or whoever calls the ambulance dispatch directly. Some facilities will "shop around" and call different companies
 
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