Guest guest Posted February 28, 2006 Report Posted February 28, 2006 I've been discussing the topic of skills degradation off-list with a paramedic who believes that some skills degradation that comes from having too many paramedics competing for a finite number of ALS interventions, even in a busy urban system. My question for all of you is four-fold: 1) Is skills degradation caused (even in part) by a large number of paramedics with a limited number of ALS interventional opportunities? 2) Is reducing the number of paramedics a way to address this issue? 3) If reducing the number of paramedics was to happen, what additional skills might an EMT-B need to possess? 4) On which call types does ALS intervention make a difference? Is there empirical evidence/proof? There's something that seems counterintuitive about reducing the availability of ALS to the general public, but I may well be wrong. I'm just curious to see what the collective consciousness of EMS is regarding this issue. Best regards, Wes Ogilvie, MPA, JD, EMT-B Austin, Texas Quote
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