AMESEMT Posted October 23, 2008 Share Posted October 23, 2008 I have seen both dual paramedic services, and an EMT/Paramedic service. When I did my field time for my medic, I was with the service that had an EMT and a paramedic on a truck. From what I experienced that is the best I have seen. You arrive on scene and the EMT does what the medic wants (i.e. vitals, hook them up to the EKG, prepare IV bag, etc.) while the medic determines what is going on and the appropriate treatment. The EMT is operating in their scope of practice without wasting skills (like with a dual medic truck, will explain in a minute) and the medic has someone there to help them. This gives the patient immediate ALS care, and the EMT experience. With the dual medic truck it seemed like the one who was driving at the time was basically a glorified EMT. Yea, they helped the other medic (i.e. starting IV's, preparing medications, etc.) but the one attending did the vast majority of the ALS skills. The plus side is the one attending had someone to help them when the c%&p hit the fan. People complain about wasting a ALS truck on a BS call, but sometimes those BS calls do need ALS care. Someone mentioned a broken ankle earlier, and how a BLS truck could handle it. Yea, they could but how comfortable would that patient be going down the road when it is bumpy? If there were a medic on the truck they could start a line and give morphine or fentanyl or some other analgesic to help make the patient comfortable. While doing my ride time for medic we did our fair share of BS calls but each call presents a new challenge and sometimes does end up being a good call. Another person brought up the point that sometimes what the patient presents with may be considered BS but turns out to be something quite serious. I am all for having an EMT/Paramedic truck. Just my 2 cents worth. Quote Link to comment Share on other sites More sharing options...
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