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Dallas Fire/Rescue EMS Vision Program

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In a message dated 6/26/2007 9:21:02 P.M. Central Daylight Time,

ExLngHrn@... writes:

Comments anyone?

You have way too much free time and access to the Internet?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

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author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

************************************** See what's free at http://www.aol.com.

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Pot. Meet kettle.

-Wes

In a message dated 6/26/2007 9:29:09 PM Central Daylight Time,

lnmolino@... writes:

In a message dated 6/26/2007 9:21:02 P.M. Central Daylight Time,

_ExLngHrn@..._ (mailto:ExLngHrn@...) writes:

Comments anyone?

You have way too much free time and access to the Internet?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/FF/N

Freelance Consultant/Trainer/Freelance CoFreelance Consultant/Trainer

_LNMolino@..._ (mailto:LNMolino@...)

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

******************************************<WBR>*********<WBR>*_http://www.aol.

http_ (http://www.aol.com./)

[Non-text portions of this message have been removed]

************************************** See what's free at http://www.aol.com.

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In a message dated 6/26/2007 9:31:08 P.M. Central Daylight Time,

ExLngHrn@... writes:

Pot. Meet kettle.

Oh this has a ring of truth in it for sure.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/TFW/FSS Office)

(IFW/TFW/FSS Fax)

" A Texan with a Jersey Attitude "

" Great minds discuss ideas; Average minds discuss events; Small minds

discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962)

The comments contained in this E-mail are the opinions of the author and the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with unless

I

specifically state that I am doing so. Further this E-mail is intended only for

its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by the

original author.

************************************** See what's free at http://www.aol.com.

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Interesting. I was unaware that Dallas felt there may be a need to improve their

EMS delivery. I appauld their effort.

I was concerned with the percieved inability to find competent Paramedic

personnel. Perhaps there is a problem with finding the co-ability of Firefighter

and Paramedic. Perhaps it would be a more beneficial action to seek personnel

who may only fit into one or the other tasks?

Very intersting.

ExLngHrn@... wrote:

I found this online:

_http://www.dallasfirerescue.com/ems_vision/vision.htm_

(http://www.dallasfirerescue.com/ems_vision/vision.htm)

Comments anyone?

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

************************************** See what's free at http://www.aol.com.

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Danny,

You have hit the nail on the head. I am in the Dallas Fire Rescue service

area at my work. It is hit or miss as to the level of service I will

receive. In the past received both excellent and terrible service but it

seems to depend on the crew, station and shift. I have called DFR twice in

the last week, one encounter was excellent and one was a total nightmare.

The crew I had a problem with told me they only had to ride the ambulance

every few shifts and the other times they got to ride the engine. I think if

Dallas Fire Rescue wants to improve the level of service and become the best

fire based EMS service in the country, they must change the perception of

their field staff. Riding the ambulance is not a punishment for Mongo, as

Wes so eloquently stated.

Bernie Stafford EMTP

Director PCC ERT

________________________________________

From: texasems-l [mailto:texasems-l ] On

Behalf Of Danny

Sent: Wednesday, June 27, 2007 8:53 AM

To: texasems-l

Subject: Re: Dallas Fire/Rescue EMS Vision Program

Interesting. I was unaware that Dallas felt there may be a need to improve

their EMS delivery. I applaud their effort.

I was concerned with the perceived inability to find competent Paramedic

personnel. Perhaps there is a problem with finding the co-ability of

Firefighter and Paramedic. Perhaps it would be a more beneficial action to

seek personnel who may only fit into one or the other tasks?

Very interesting.

ExLngHrn@... wrote:

I found this online:

_http://www.dallasfirerescue.com/ems_vision/vision.htm_

(http://www.dallasfirerescue.com/ems_vision/vision.htm)

Comments anyone?

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

************************************** See what's free at

http://www.aol.com.

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Call me a Pollyanna (and Lou has probably called me that along with other

things), but it's a privilege to provide medical care to others.? If you don't

have that attitude, I don't want you providing EMS care.

-Wes

Re: Dallas Fire/Rescue EMS Vision Program

Interesting. I was unaware that Dallas felt there may be a need to improve

their EMS delivery. I applaud their effort.

I was concerned with the perceived inability to find competent Paramedic

personnel. Perhaps there is a problem with finding the co-ability of

Firefighter and Paramedic. Perhaps it would be a more beneficial action to

seek personnel who may only fit into one or the other tasks?

Very interesting.

ExLngHrn@... wrote:

I found this online:

_http://www.dallasfirerescue.com/ems_vision/vision.htm_

(http://www.dallasfirerescue.com/ems_vision/vision.htm)

Comments anyone?

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

************************************** See what's free at

http://www.aol.com.

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As a child of the 70's and the great ny and Roy, I grew up believing

that Fire and Paramedicine went together. I had the privilege of doing

my internship there 16 years ago. Like Bernie, I saw both ends of the

spectrum in preceptors.

I applaud them for looking critically at their system with the goal of

improving it for the ultimate benefit of the patient. If you improve the

system for those that deliver the service, you may improve the patient

care. Much of it may be over utilization. The best of us get run down

running 20-30 calls a shift. Peak Demand units are an excellent idea,

especially when you consider these are staffed by personnel on overtime.

Decrease the overall number of calls per unit and allow adequate relief

from the Rescue. If you go to Paramedic only, there would never be any

relief from it.

Add a promotional component to the system where there are levels to

promote to such as FTO, Senior Medic (Engineer level), LT, Capt, etc and

give it equal budgetary and operational priority.

Enhance the training and match protocols in the best systems. These are

but a few things that might help. They are one of the largest and

busiest EMS systems in the state. They should be a model for emulation.

Hopefully with this look they will get there.

Steve Lemming

This e-mail is confidential and intended solely for the use of the

individual (s) to whom it is addressed. Any views or opinions presented

are solely those of the author and do not necessarily represent those of

The City of Azle or its policies. If you have received this e-mail

message in error, please phone Steve Lemming (817)444-7108. Please also

destroy and delete the message from your computer.

For more information on The City of Azle, visit our web site at:

<http://azle.govoffice.com/>

Re: Dallas Fire/Rescue EMS Vision Program

Interesting. I was unaware that Dallas felt there may be a need

to improve

their EMS delivery. I applaud their effort.

I was concerned with the perceived inability to find competent

Paramedic

personnel. Perhaps there is a problem with finding the

co-ability of

Firefighter and Paramedic. Perhaps it would be a more beneficial

action to

seek personnel who may only fit into one or the other tasks?

Very interesting.

ExLngHrn@... <mailto:ExLngHrn%40aol.com> wrote:

I found this online:

_http://www.dallasfirerescue.com/ems_vision/vision.htm_

<http://www.dallasfirerescue.com/ems_vision/vision.htm_>

(http://www.dallasfirerescue.com/ems_vision/vision.htm

<http://www.dallasfirerescue.com/ems_vision/vision.htm> )

Comments anyone?

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

************************************** See what's free at

http://www.aol.com. <http://www.aol.com.>

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This is something Amarillo Medical Services was doing 23 years ago when I worked

for them as a new paramedic. Glad to see DFR is doing the same. Maybe they

will be as good as AMS is.

-MH

________________________________

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

Lemming, Steve [slemming@...]

Sent: Wednesday, June 27, 2007 10:49 AM

To: texasems-l

Subject: RE: Dallas Fire/Rescue EMS Vision Program

As a child of the 70's and the great ny and Roy, I grew up believing

that Fire and Paramedicine went together. I had the privilege of doing

my internship there 16 years ago. Like Bernie, I saw both ends of the

spectrum in preceptors.

I applaud them for looking critically at their system with the goal of

improving it for the ultimate benefit of the patient. If you improve the

system for those that deliver the service, you may improve the patient

care. Much of it may be over utilization. The best of us get run down

running 20-30 calls a shift. Peak Demand units are an excellent idea,

especially when you consider these are staffed by personnel on overtime.

Decrease the overall number of calls per unit and allow adequate relief

from the Rescue. If you go to Paramedic only, there would never be any

relief from it.

Add a promotional component to the system where there are levels to

promote to such as FTO, Senior Medic (Engineer level), LT, Capt, etc and

give it equal budgetary and operational priority.

Enhance the training and match protocols in the best systems. These are

but a few things that might help. They are one of the largest and

busiest EMS systems in the state. They should be a model for emulation.

Hopefully with this look they will get there.

Steve Lemming

This e-mail is confidential and intended solely for the use of the

individual (s) to whom it is addressed. Any views or opinions presented

are solely those of the author and do not necessarily represent those of

The City of Azle or its policies. If you have received this e-mail

message in error, please phone Steve Lemming (817)444-7108. Please also

destroy and delete the message from your computer.

For more information on The City of Azle, visit our web site at:

<http://azle.govoffice.com/>

Re: Dallas Fire/Rescue EMS Vision Program

Interesting. I was unaware that Dallas felt there may be a need

to improve

their EMS delivery. I applaud their effort.

I was concerned with the perceived inability to find competent

Paramedic

personnel. Perhaps there is a problem with finding the

co-ability of

Firefighter and Paramedic. Perhaps it would be a more beneficial

action to

seek personnel who may only fit into one or the other tasks?

Very interesting.

ExLngHrn@...<mailto:ExLngHrn%40aol.com> <mailto:ExLngHrn%40aol.com> wrote:

I found this online:

_http://www.dallasfirerescue.com/ems_vision/vision.htm_

<http://www.dallasfirerescue.com/ems_vision/vision.htm_>

(http://www.dallasfirerescue.com/ems_vision/vision.htm

<http://www.dallasfirerescue.com/ems_vision/vision.htm> )

Comments anyone?

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

************************************** See what's free at

http://www.aol.com. <http://www.aol.com.>

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