EMTcity EMS

[unknown]

On the topic of dispatch, would we want to be part of a consolidated dispatch system? Anytown wide? Would we want our own? What would be the requirements. Would our dispatch do EMD? Powerphone? APCO? Our own developed system?

Develope your own system. This is where your EMTB could be handy. Yes even in the dispatch center a good basic level of medical care comprehension is a good key to getting more vital pt information to the units in route- so they may have a better understanding of what is going on with the patient.

EMD protocols should be a must. You don't want a hand full of fire monkeys sitting around with a phone in one hand spouting 10 codes in the radio that is held in the other. Make sure they are all very well trained and know what they are doing. Monthly protocols test even for dispatch. Academy for the dispatch as well- Pass or fail. You don't pass the Academy you don't work for us. Make the Academy real time with tuff scenarios. Hold their feet to the fire. If they can make it through the Academy they will make it through any thing in the com center. If they lack common sense or if they can not multitask then they are booted!! Quarterly recurrent training Pass Fail!

Required Ride time to go along with that quarterly training. As an EMTB they would be required to use there basic skills to assist on any call they responded with. If they can't hang with the crews out in the field then they don't need to be in the Comm Center. Make them experience the ground crews jobs 10 fold. They must be required to assist with every aspect of the job for a full 24 hours. If they gripe about it then they can walk.

Your end result? A Communication Specialist with a full understanding of how it feels to be in that truck running a call- what kind of information is needed from the dispatch to the crew and a good ground level of medical understanding to assist in the best way possible. I would highly recommend making radio communications a vital part of the Academy. Make sure they know the equipment and the basic level of how radio communications work.

Just my four cents.

[AZCEP]

Something I forgot to mention, shifts would be no longer than 12 hours. Performance suffers with anything longer and we want to maintain a quality level of service.

[kristo]

How about having mobile medical command? An ambulance staffed with 2 paramedics and one doctor. The doc provides online medical command, but has the option to come to the scene and even accompany the transporting ambulance. Maybe dispatch could even dispatch the doctor to calls fitting certain criteria.

This would probably improve the quality of medical direction, as the doctor would be more in touch with medical care in the field. Also, the option to get a doctor on scene could improve patient care.

[firedoc5]

You know, I might be thinking off my head and out my ears, but theoretically something like this could work. It might take 3-5 yrs, a lot of cussing & discussing, give & take, and maybe have to conceive a new way of coordinating EMS as we know.

But I could be wrong. :dontknow:

[akroeze]

firedoc,

The real problem with getting something like this to work is everyone here already has their own career and would be hesitant to leave it to try this. That and where would we do it?

[firedoc5]

firedoc,

The real problem with getting something like this to work is everyone here already has their own career and would be hesitant to leave it to try this. That and where would we do it?

I guess I was being wacky. Not too serious. Funny, ha, ha,. :happy7:

But if I was being serious, I'm sure there are areas that has expanded growth, especially out in the South West, or where there is an old, outdated private service getting ready to fold that may want take on new a new organization or want to sell outright.

And I know that there are some here that would like to at least give it a shot, running their own system once a resource hospital willing to take it on.

But as for management amongst this group...no offense to anyone at all, but it would be a bloody free for all. :boxing:

[AnthonyM83]

Honestly, I think working in a transfer car first helps make new providers a bit more functional in the 911 field. Part of becoming comfortable is related to time on the job (moreso than in other fields) (learning to map, scene control, interacting with hospital staff, patients, and public, self-organization, an assessment routine, ambulance operations, paperwork)...

I'm not sure how to provide all that to a new trainee unless you either give them a super long on-the-job training period....(there's no schools around here that teach all that, as well...and well)

[JakeEMTP]

I'd like to see dual paramedic ambulances with paramedic supervisor QRV.

12 hr shifts, 4 days on/3 off, 3 days on/ 4 off.

No SSM! Rather strategically positioned stations.

No fugly uniforms.

A IFT division could work. It might be an incentive for those not medics to become one. Dust, Ruff, AZCEP and Ryd ( with others instructors also, I don't want to hurt any feelings :wink: ) could run the in-house Paramedic programme.

I think Mediccjh has a good idea with the ePCR.

[Dustdevil]

How is your ideal system set up?

Dude, don't even bother. His ideal system is a chatroom full of young girls. He only comes out to whine and start crap.

[Dustdevil]

Develope your own system. This is where your EMTB could be handy. Yes even in the dispatch center a good basic level of medical care comprehension is a good key to getting more vital pt information to the units in route- so they may have a better understanding of what is going on with the patient.

EMD protocols should be a must. You don't want a hand full of fire monkeys sitting around with a phone in one hand spouting 10 codes in the radio that is held in the other.

No EMTs in dispatch. No EMD. Both are useless wastes of money.

Our plan is to provide the very best, not just what we can get by with. This is not a jobs programme. This is a professional dream team agency, utilising the top of the line in personnel and resources. If not, why even bother? There are already plenty of mediocre EMS teams out there doing that quite well.