Big City vs. Small Rural EMT's

[Guest guest]

Let me start off by saying that I do agree with Gene. When I think

about the paramedics that I know, who I find very knowledgeable are

predominatley Rural area medics. Most of them can explain to me about

anything there is... that I may not know about or can't understand.

Some of the even better paramedics I know now work in rural area (If

you consider 10-20 calls per day rural) but have spent a year or so

in the DFW area and have gathered good experiance as far as blood,

guts and gore goes. They have seen it, and dealt with it. I like what

Gene said about rural EMT's looking up cool EMS websites and talking

about past calls, while they wait for the next call, that might not

even come. I am not going to say that FF/EMT's are bad, or not as

educated as the rest of " Us " . But I will say from doing some EMT-P

clincial ride outs at certain FD's, that I did not learn much at all,

and did not feel welcomed. The whole time I was there people were

arguing over who was going to have to work the " Box " and when they

finaly agreed on it, they had decided to split the 24hrs up amongst 3

paramedics. About half way through this ordeal I wanted to leave.

What was the point of me being there? I was supposed to be studying a

profession that I loved. I wanted to be around people who liked it as

much as I did, but I wasn't. I was sourounded by people who didn't

care and really didn't want to on EMS calls.

I'm not going to say, that a rural EMT isn't as good as a urban EMT,

but I will say that I think rural EMT's appreciate calls more. I

think that because of the low call volume, they seem to pour

themselves over every call. Going over in their heads what happend,

what was wrong with this pt, and what they could learn from it. I

relize that urban EMT's are often victims of fast burnout, and that

they see so much and have such a high call volume that each call

seems to become a faint memory of the past.

I am not a paramedic...not yet anyway (Got to take the NREMT-P Test)

but I also noticed that most of our calls are not MICU. So... with

that said maybe allowing Basics to do a little more such as IV

therapy wouldn't hurt.

In closing I'd like to say that I am not trying to stereotype

paramedics or firefighters...the same goes with rural and urban

EMT's. I just hope that whatever is best for the pt...is what is done

in the end.

-TXNREMT

[Guest guest]

Do our chosen profession a favor. Never ever consider the source of the care

recieved by what type of service delivers it, but instead by the quality of the

care delivered.

G. R. Randall

LT. / EMT-P

AFD 4 - C

>>> txnremt@... 03/26/04 11:20AM >>>

[Guest guest]

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?

> Do our chosen profession a favor. Never ever consider the source

of the care recieved by what type of service delivers it, but instead

by the quality of the care delivered.

>

> G. R. Randall

> LT. / EMT-P

> AFD 4 - C

>

> >>> txnremt@y... 03/26/04 11:20AM >>>

[Guest guest]

The answer to your question is I have no opinion. Having worked for many years

in all types you learn that the culture of any organization is influenced most

by the leadership. It is that culture which sets the example and influences the

overall quality of the services delivered. If you were to switch the type of

organization in which you were employed for tommorrow, would you also change the

quality of the care you deliver? I would hope not ... G. R.

>>> txnremt@... 03/26/04 03:09PM >>>

[Guest guest]

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...

> >

> >

> >

> >

> >

> >

> >

> >