Research in EMS (WAs: Re: Re: Accreditation and NR success rates)

[Guest guest]

I agree with on research in general.

Why does everyone seemingly want a one size one way fits all EMS system? You

can't make that work where you have NYC, LA County, Paducah, KY and Flynn,

TX in the same great big country. If you research Boston and find good things

then systems the seize of Boston need to emulate that and see if it fits but

it's not likely gonna fit in Flynn, TX etc.

Plus why is it every time there is one good study on anything we want ton

change EMS practices on a global scale. No one I know in the research world in

any field advocates that practice.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

Owner and President of LNM Emergency Services Consulting Services (LNMECS)

Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant

LNMolino@...

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(IFW/TFW/FSS Fax)

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[Guest guest]

>>I agree with on research in general.

Ditto

>Why does everyone seemingly want a one size one way fits all EMS system? >You

can't make that work where you have NYC, LA County, Paducah, KY and >Flynn, TX

in the same great big country. If you research Boston and find good >things

then systems the seize of Boston need to emulate that and see if it fits

>but?it's not likely gonna fit in Flynn, TX etc.

All true..however, there can be a baseline (base not ceiling) standard for EMS.

Iowa has begun that process and will be piloting the project next year. A task

force was formed a year ago with the goal of developing EMS system standards. We

began by attempting to wipe out the thoughts of " this is how WE do it now and we

are awesome " . Not to mention the ever present " my system works well, why fix

what isn't broken? "

We set out with a clean slate... " IF you had to build a system from scratch,

where there is nothing, what should it look like? What should every single

person who drives through, lives or works in Iowa be able to expect from an EMS

response, regardless of where in the state the event takes place? "

There can be a baseline standard for EMS..it isn't one size fits all, but every

single person who calls EMS should be able to have a reasonable expectation of

the basic care they receive.

Unfortunately, too much knee jerk reaction takes place to research, which as

stated, does usually have some bias or slant of the researcher. Until

research is no longer conducted by humans, that is simply a fact that has to be

considered.

Jules

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[Guest guest]

Kenny....post your monkeys aligory..heard it at your talk it had been a long

time since I heard it....

" hey they just killed Kenny " - Southpark

________________________________

From: texasems-l [texasems-l ] On Behalf Of

jkaymdc@... [jkaymdc@...]

Sent: Thursday, November 29, 2007 2:46 PM

To: texasems-l

Subject: Re: Research in EMS (WAs: Re: Re: Accreditation and NR

success rates)

>>I agree with on research in general.

Ditto

>Why does everyone seemingly want a one size one way fits all EMS system? >You

can't make that work where you have NYC, LA County, Paducah, KY and >Flynn, TX

in the same great big country. If you research Boston and find good >things then

systems the seize of Boston need to emulate that and see if it fits >but?it's

not likely gonna fit in Flynn, TX etc.

All true..however, there can be a baseline (base not ceiling) standard for EMS.

Iowa has begun that process and will be piloting the project next year. A task

force was formed a year ago with the goal of developing EMS system standards. We

began by attempting to wipe out the thoughts of " this is how WE do it now and we

are awesome " . Not to mention the ever present " my system works well, why fix

what isn't broken? "

We set out with a clean slate... " IF you had to build a system from scratch,

where there is nothing, what should it look like? What should every single

person who drives through, lives or works in Iowa be able to expect from an EMS

response, regardless of where in the state the event takes place? "

There can be a baseline standard for EMS..it isn't one size fits all, but every

single person who calls EMS should be able to have a reasonable expectation of

the basic care they receive.

Unfortunately, too much knee jerk reaction takes place to research, which as

stated, does usually have some bias or slant of the researcher. Until

research is no longer conducted by humans, that is simply a fact that has to be

considered.

Jules

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