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RE: Re: Big City vs. Small Rural EMT's

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It's not how many medics you have, it's whether or not the ones you do have

possess the education and desire to perform what they were taught to do. You

will see laziness and incompetence everywhere, not just big city fire

departments. It's just easier to get away with laziness in the city because of

quicker

transport times. Compare and contrast San EMS's protocols to those of

say Canyon Lake EMS or Kendall County EMS.

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Just to add my two cents in. I have worked for both type agencies..FD and

private and seen both big city work and work of Medics in rural setting.

One of the factors that determine standard of care is the Medical Director

that you are working for. Smaller departments get the benefit of knowing

there MD one on one. From what I have seen that translates into better and

more aggressive protocols that all of us Medics love to work under. The big

cities don't get that type of one on one time and as a result are limited in

what they can do in the field.

I am sure every Medic out there want to do the best patient care possible,

if they didn't they wouldn't have subjected themselves to the training and

24hr shifts. You are going to find good and bad Medics everywhere you go

and I don't think it is a matter of Rural vs City

Quinten

FF/NREMTP

Re: Big City vs. Small Rural EMT's

Well Said.

> > In regards to your experience at the FD, I have done both worked

at the

> big city FD and in the small rural private EMS setting. I do not

think

> that it matters which service you are with or are riding with when

it

> comes down to the time to render care. I think every service should

have

> as many medics as possible only for the mere sake of the people they

> serve not the calls they run or the area that they service. So

basically

> what I am trying to say is...it is not the service you work for, or

> where you work, it is how you work and the quality of care one

delivers.

>

> txpamedic81

>

> NREMT-P

> >

> >

> > My argument was not what type of service it delivers. Mereley

> > debating the fact on who provides a better quality of care. I am

not

> > here to argue, to say that FD vs. Private vs. 3rd Service.... or

> > Urban vs. Rural. I am mereley curious to what your opinions are in

> > this matter. Who do you think is more opt to provide the better

> > quality of service? Do you think that every large urban area

should

> > flood that area with paramedics? ... I am not trying to stereotype

> > either. But who in YOUR OWN OPINION is able to provide the better

> > service most consistantly?--- In texasems-

l , " Gerald

> > Randall " >;randallg@c...

> >

> >

> >

> >

> >

> >

> >

> >

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> In regards to your experience at the FD, I have done both worked at the

big city FD and in the small rural private EMS setting. I do not think

that it matters which service you are with or are riding with when it

comes down to the time to render care. I think every service should have

as many medics as possible only for the mere sake of the people they

serve not the calls they run or the area that they service. So basically

what I am trying to say is...it is not the service you work for, or

where you work, it is how you work and the quality of care one delivers.

txpamedic81

NREMT-P

>

>

> My argument was not what type of service it delivers. Mereley

> debating the fact on who provides a better quality of care. I am not

> here to argue, to say that FD vs. Private vs. 3rd Service.... or

> Urban vs. Rural. I am mereley curious to what your opinions are in

> this matter. Who do you think is more opt to provide the better

> quality of service? Do you think that every large urban area should

> flood that area with paramedics? ... I am not trying to stereotype

> either. But who in YOUR OWN OPINION is able to provide the better

> service most consistantly?--- In , " Gerald

> Randall " >;randallg@c...

>

>

>

>

>

>

>

>

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