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Old 11-04-2012, 16:11   #149
DaleGribble
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Join Date: Mar 2003
Location: Land of the toothless!
Posts: 15,334
Quote:
Originally Posted by certifiedfunds View Post

Btw, we also have private emt/paramedic/ambulance services here.
Missed this the first time around.

Ok, here's a classic example of what I'm talking about. You, as a layperson (not meaning that disrespectfully) think a private for profit ambulance is the equivalent of a tax payer funded ambulance. That's understandable but highly inaccurate and I'll explain why.

In the state of SC (where I work) the state has a minimum requirement for ambulance staffing. That minimum requirement is one basic EMT and a driver. A basic EMT has the minimum amount of EMS training required by law to actually be an EMT. They can't provide advanced care like cardiac monitoring and treatment, they can't administer life saving medications, start IV's or pleural decompress. They can basically bandage, ventilate, compress (CPR) and transport. Most private ambulance companies staff their ambulances at the minimum level. They do that because for the vast majority of their calls that's all they need because they turn a profit by transporting people to dialysis, hospital discharge patients and transporting pt's to routine Dr. appointments. Their ambulances are typically stocked only to the basic level. If you have a heart attack and a private ambulance shows up you will receive oxygen and a ride. Sometimes the private companies actually do the right thing and actually call 911 so we can try and intercept them to provide a higher level of care.

Now, my tax payer funded municipal service has an ALS license. That means we have to have paramedics and all the required ALS equipment on our rigs. We have training standards we have to meet that BLS private services don't have to adhere to.


Now, at my tax payer funded service if you have a heart attack and I show up you'll get oxygen, bilateral IV's, cardiac 12 lead monitoring and interpretation and the necessary medicines to keep you alive and minimize ischemic damage to your heart. Most importantly, my tax payer funded equipment allows me to send my ECG findings to the hospital so they can have a cath lab team waiting on us when we roll in and you'll go straight to a cath lab, saving time and heart muscle.

Last edited by DaleGribble; 11-04-2012 at 16:23..
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