spenac Posted September 25, 2007 Author Share Posted September 25, 2007 In jurisdictions where EMS is not able to refuse that patient, taking an ALS unit out of service to transport said nitwit is the worst abuse of resources for an EMS system that I can think of with the possible exception of cadaver transport. BLS transport is more than indicated. Seattle has an interesting system in this regard. It's fire-based but it has to be the best fire-based system anywhere, and probably one of the top EMS systems in general (I know Dust doesn't agree, but oh well). ALS patients go by SFD ALS "Medic One" transport units (their medic school is something of a legend in the area). SFD BLS units will transport life-threatening patients that are closer to the ER than ALS is to the patient, and respond with ALS to assist and drive as needed. The BLS trucks also respond to the obvious BLS calls. If the patient is not appropriate for ALS and can wait a little bit to get to the hospital (taxi ride), SFD BLS will request an AMR unit to transport the patient. AMR by contract is required to keep x number of units available for nothing but SFD transports at all times. CBEMT I had to say seems like a waste of resources. Send this truck, maybe have this one enroute just in case, and if complete BS call still another to transport. If all trucks were staffed ALS no need to be sending vehicles all over. EMS is really simple but to many try and complicate it. Simple, why do I say that, cause within a short time on scene you should tell them no or load and go. Also if all were staffed with educated paramedics maybe more medical directors would feel comfortable allowing your service to deny transport to the I sneezed last week so want to go checked out tonite patients. So tell them no or load and go. Quote Link to comment Share on other sites More sharing options...
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