RE: 2 Paramedic or EMT / Paramedic

[Guest guest]

Without stating my opinion, let me ask a question.

Suppose I were to submit that EMT / Paramedic systems save more lives than

Paramedic / Paramedic ones. Is there anyone who could prove me wrong? Not

with anecdote, years of experience, HFPA guideline, or war story - but with

research? Is there any published study that shows better outcomes for 2

paramedics? How about shorter scene times? Better performance at

individual skills? Is the any evidence at all on the subject?

Sims EMT-P

Director of Operations

Cypress Creek EMS

question

What is the reason that not many ems companies run double medics? It might

sound like a stupid question but humor me. Shortage? Cost? etc?

[Guest guest]

Ok to ask a question... how about EMT-I/Paramedic trucks. I believe

it easier to get a person to the intermediate level that paramedic.

I work with several that would love it working with a I/P truck

rather that a P/P truck and still you haven't run up your cost too

much. But in all reality we to still have the B/P & I/P trucks with

a rare occasion of a P/P truck

Just my 2 cents:

Jeff

> You know ETMC is the one who saves more lives by carrying only

national registered paramedics, (used to say that on their

website).......as I recall.

>

>

>

>

> Re: RE: 2 Paramedic or EMT / Paramedic

>

>

> >

> >

> > Bigger picture. Where is the person sitting that is making the

decision on

> > going double medic or not? In the drivers seat or the managers?

> >

> > If it's about having two Paramedics on an ambulance, and

someone calls

> off,

> > how hard is it to fill that slot? Are you placing your service

in a

> dangerous

> > position of fines because of compliance? If you have double

medic rigs,

> it's

> > less of an issue. You might come up short when people don't

want to work,

> > however, it's better than short changing the city you protect

with less

> than MICU

> > capibility. I would like to believe, double medic rigs cover

each other

> and less

> > errors are made. To top it off, you can take turns taking

patients, and

> > lowers burnout.

> >

> > As far as the person that does the payroll, you may have a

different

> issue.

> > MONEY. It's not a huge leap, but if you add OT, it does add up

quickly. Do

> you

> > agree, Joby?

> >

> > just my .02

> >

> > Ron

> >

> >

> >

> >

> > In a message dated 7/2/04 5:55:12 PM Central Daylight Time,

> > thomas.phillip@s... writes:

> >

> > > Think about this. If trauma or even medical scene times are

important

> to

> > > you, than the dual paramedic unit is the way to go and here

is why.

> With a

> > > EMT/Paramedic unit the paramedic must perform all necessary

invasive

> skills on

> > > a critical trauma, i.e. IV, Intubation, Surgical Cric, ect.

This will

> > > increase your scene time simply because your EMT is

proficient nor

> certified to

> > > perform those skills. This is not to say that they're not

well seasoned

> EMT's

> > > out there that could probably perform every invasive skill,

maybe even

> better

> > > than some paramedics, in which case they should get their

butts in class

> and

> > > become paramedics.

> > >

> >

> >

> >

> >

[Guest guest]

Ok to ask a question... how about EMT-I/Paramedic trucks. I believe

it easier to get a person to the intermediate level that paramedic.

I work with several that would love it working with a I/P truck

rather that a P/P truck and still you haven't run up your cost too

much. But in all reality we to still have the B/P & I/P trucks with

a rare occasion of a P/P truck

Just my 2 cents:

Jeff

> You know ETMC is the one who saves more lives by carrying only

national registered paramedics, (used to say that on their

website).......as I recall.

>

>

>

>

> Re: RE: 2 Paramedic or EMT / Paramedic

>

>

> >

> >

> > Bigger picture. Where is the person sitting that is making the

decision on

> > going double medic or not? In the drivers seat or the managers?

> >

> > If it's about having two Paramedics on an ambulance, and

someone calls

> off,

> > how hard is it to fill that slot? Are you placing your service

in a

> dangerous

> > position of fines because of compliance? If you have double

medic rigs,

> it's

> > less of an issue. You might come up short when people don't

want to work,

> > however, it's better than short changing the city you protect

with less

> than MICU

> > capibility. I would like to believe, double medic rigs cover

each other

> and less

> > errors are made. To top it off, you can take turns taking

patients, and

> > lowers burnout.

> >

> > As far as the person that does the payroll, you may have a

different

> issue.

> > MONEY. It's not a huge leap, but if you add OT, it does add up

quickly. Do

> you

> > agree, Joby?

> >

> > just my .02

> >

> > Ron

> >

> >

> >

> >

> > In a message dated 7/2/04 5:55:12 PM Central Daylight Time,

> > thomas.phillip@s... writes:

> >

> > > Think about this. If trauma or even medical scene times are

important

> to

> > > you, than the dual paramedic unit is the way to go and here

is why.

> With a

> > > EMT/Paramedic unit the paramedic must perform all necessary

invasive

> skills on

> > > a critical trauma, i.e. IV, Intubation, Surgical Cric, ect.

This will

> > > increase your scene time simply because your EMT is

proficient nor

> certified to

> > > perform those skills. This is not to say that they're not

well seasoned

> EMT's

> > > out there that could probably perform every invasive skill,

maybe even

> better

> > > than some paramedics, in which case they should get their

butts in class

> and

> > > become paramedics.

> > >

> >

> >

> >

> >

[Guest guest]

Ok to ask a question... how about EMT-I/Paramedic trucks. I believe

it easier to get a person to the intermediate level that paramedic.

I work with several that would love it working with a I/P truck

rather that a P/P truck and still you haven't run up your cost too

much. But in all reality we to still have the B/P & I/P trucks with

a rare occasion of a P/P truck

Just my 2 cents:

Jeff

> You know ETMC is the one who saves more lives by carrying only

national registered paramedics, (used to say that on their

website).......as I recall.

>

>

>

>

> Re: RE: 2 Paramedic or EMT / Paramedic

>

>

> >

> >

> > Bigger picture. Where is the person sitting that is making the

decision on

> > going double medic or not? In the drivers seat or the managers?

> >

> > If it's about having two Paramedics on an ambulance, and

someone calls

> off,

> > how hard is it to fill that slot? Are you placing your service

in a

> dangerous

> > position of fines because of compliance? If you have double

medic rigs,

> it's

> > less of an issue. You might come up short when people don't

want to work,

> > however, it's better than short changing the city you protect

with less

> than MICU

> > capibility. I would like to believe, double medic rigs cover

each other

> and less

> > errors are made. To top it off, you can take turns taking

patients, and

> > lowers burnout.

> >

> > As far as the person that does the payroll, you may have a

different

> issue.

> > MONEY. It's not a huge leap, but if you add OT, it does add up

quickly. Do

> you

> > agree, Joby?

> >

> > just my .02

> >

> > Ron

> >

> >

> >

> >

> > In a message dated 7/2/04 5:55:12 PM Central Daylight Time,

> > thomas.phillip@s... writes:

> >

> > > Think about this. If trauma or even medical scene times are

important

> to

> > > you, than the dual paramedic unit is the way to go and here

is why.

> With a

> > > EMT/Paramedic unit the paramedic must perform all necessary

invasive

> skills on

> > > a critical trauma, i.e. IV, Intubation, Surgical Cric, ect.

This will

> > > increase your scene time simply because your EMT is

proficient nor

> certified to

> > > perform those skills. This is not to say that they're not

well seasoned

> EMT's

> > > out there that could probably perform every invasive skill,

maybe even

> better

> > > than some paramedics, in which case they should get their

butts in class

> and

> > > become paramedics.

> > >

> >

> >

> >

> >