Re: BLS-only ambulances to launch in San

[Guest guest]

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@... writes:

On Thursday, April 2, 2009 20:44, " " jimmnn@...>

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------------------------------

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**************Feeling the pinch at the grocery store? Make dinner for $10 or

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[Guest guest]

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@... writes:

On Thursday, April 2, 2009 20:44, " " jimmnn@...>

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------------------------------

Yahoo! Groups Links

**************Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)

[Guest guest]

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@... writes:

On Thursday, April 2, 2009 20:44, " " jimmnn@...>

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------------------------------

Yahoo! Groups Links

**************Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)

[Guest guest]

ly I'm a strong proponent of tiered systems given my background.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone. Please excuse any typo's

(Cell)

LNMolino@...

> Tiered response works very well in a number of EMS systems - Boston

> for

> example.

>

> And telephone triage does indeed suck. But it doesn't matter much when

> the vast majority of calls only need BLS anyway.

>

> lnmolino@... wrote:

>>

>> Telephone triage has proven so well in the past in Texas hasn't it?

>>

>> Does anyone read history or do we just continue to repeat it?

>>

>> Louis N. Molino, Sr., CET

>> FF/NREMT-B/FSI/EMSI

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

>> Consultant

>>

>> LNMolino@...

>>

>> (Cell Phone)

>> (IFW/FSS Office)/

>> (IFWF/SS 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.

>>

>> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

>> rob.davis@...

>> writes:

>>

>> On Thursday, April 2, 2009 20:44, " "

>> jimmnn@... >

>> said:

>>

>>>

>>> The 9-1-1 dispatchers will decide which should get sent out. Chief

>>

>>> Hood says he doesn't anticipate any problems.

>>

>> Does anyone ever?

>>

>> Rob

>>

>> ------------------------------------

>>

>>

[Guest guest]

The tiered response will work well here in San .

 

With hospitals spaced out like they are, the trip time to any facility is

extremely short, out in the boonies though........

 

Chief Hood hasn't done a half bad job so far, let's hope he keeps it up.

 

Mike

>>

>> Telephone triage has proven so well in the past in Texas hasn't it?

>>

>> Does anyone read history or do we just continue to repeat it?

>>

>> Louis N. Molino, Sr., CET

>> FF/NREMT-B/FSI/ EMSI

>> Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

>> Consultant

>>

>> LNMolino (AT) aol (DOT) com

>>

>> (Cell Phone)

>> (IFW/FSS Office)/

>> (IFWF/SS 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.

>>

>> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

>> rob.davis@armynurse corps.com

>> writes:

>>

>> On Thursday, April 2, 2009 20:44, " "

>> >

>> said:

>>

>>>

>>> The 9-1-1 dispatchers will decide which should get sent out. Chief

>>

>>> Hood says he doesn't anticipate any problems.

>>

>> Does anyone ever?

>>

>> Rob

>>

>> ------------ --------- --------- ------

>>

>>

[Guest guest]

TATER SALAD!!! How goes it, brother?

Hatfield wrote:

>

> The tiered response will work well here in San .

>

> With hospitals spaced out like they are, the trip time to any facility

> is extremely short, out in the boonies though........

>

> Chief Hood hasn't done a half bad job so far, let's hope he keeps it up.

>

> Mike

>

>

> >>

> >> Telephone triage has proven so well in the past in Texas hasn't it?

> >>

> >> Does anyone read history or do we just continue to repeat it?

> >>

> >> Louis N. Molino, Sr., CET

> >> FF/NREMT-B/FSI/ EMSI

> >> Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

> >> Consultant

> >>

> >> LNMolino (AT) aol (DOT) com

> >>

> >> (Cell Phone)

> >> (IFW/FSS Office)/

> >> (IFWF/SS 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.

> >>

> >> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

> >> rob.davis@armynurse corps.com

> >> writes:

> >>

> >> On Thursday, April 2, 2009 20:44, " "

> >> >

> >> said:

> >>

> >>>

> >>> The 9-1-1 dispatchers will decide which should get sent out. Chief

> >>

> >>> Hood says he doesn't anticipate any problems.

> >>

> >> Does anyone ever?

> >>

> >> Rob

> >>

> >> ------------ --------- --------- ------

> >>

> >>

[Guest guest]

MICHAEL!! I'm SO happy to see you!

Jules

On Fri, Apr 3, 2009 at 12:27 AM, Hatfield <

michaelwhatfield@...> wrote:

> The tiered response will work well here in San .

>

> With hospitals spaced out like they are, the trip time to any facility is

> extremely short, out in the boonies though........

>

> Chief Hood hasn't done a half bad job so far, let's hope he keeps it up.

>

> Mike

>

>

> >>

> >> Telephone triage has proven so well in the past in Texas hasn't it?

> >>

> >> Does anyone read history or do we just continue to repeat it?

> >>

> >> Louis N. Molino, Sr., CET

> >> FF/NREMT-B/FSI/ EMSI

> >> Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

> >> Consultant

> >>

> >> LNMolino (AT) aol (DOT) com 40aol.com>

> >>

> >> (Cell Phone)

> >> (IFW/FSS Office)/

> >> (IFWF/SS 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.

> >>

> >> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

> >> rob.davis@armynurse corps.com

> >> writes:

> >>

> >> On Thursday, April 2, 2009 20:44, " "

> >> 40comcast. net>>

> >> said:

> >>

> >>>

> >>> The 9-1-1 dispatchers will decide which should get sent out. Chief

> >>

> >>> Hood says he doesn't anticipate any problems.

> >>

> >> Does anyone ever?

> >>

> >> Rob

> >>

> >> ------------ --------- --------- ------

> >>

> >>

[Guest guest]

On Friday, April 3, 2009 00:27, " Hatfield "

michaelwhatfield@...> said:

>

> Chief Hood hasn't done a half bad job so far, let's hope he keeps it up.

Maybe not, but it sure sounds like he is well on his way to that half-way point

now. What do you think the chances are that he ever will ponder whether or not

a tiered response to fire calls is a good idea? After all, it's an " extremely

short " trip to any house in the city from the nearest fire stations, right? Why

send five apparatus screaming down the street code-3 to every report of the

" smell of smoke in the area " , or a fire reported out on the stove, or a fire

alarm, when two rookies in a brush truck could handle it code-1? After all,

most fires don't require a full alarm response to extinguish, right? If it

works so well for EMS, shouldn't it work equally well for fire? If he is so

convinced that this is the way of the future, shouldn't he be falling all over

himself to impose the policy on the suppression division too? Or could it be

that he is smart enough to realise that it is a dubious plan at best, and knows

better than to try it with fire? After all, if people die, it's easy to say

they were just going to die anyhow. But if a house burns, that makes the news

and is highly embarrassing. We can't risk that!

It just amazes me that these genius fire chiefs spend so much time trying to

find ways to shirk their EMS responsibilities (without ever actually just giving

it to someone who truly wants to do it in the first place), but never once

consider that maybe fire apparatus overkill might also be a good idea to address

for the very same reasons.

Does anyone else see the ironic disparity here?

Rob

[Guest guest]

But why is it we never seem to discuss this concept of tiered response with

the idea of skills degradation among Paramedics? If one of my kids needed ALS

I'd prefer them to get it from a Medic from a system like New jersey where

nearly every treat that most Medics see is a true ALS call and the BLS runs are

treated by EMT's that see BLS work and do the skills regularly. granted New

Jersey is no where near a perfect system and I am sure someone will point out

it's failures and such but the fact is that of all the EMS folks I would ant

to see treat my kids BLS or ALS many are from the system that is called New

Jersey.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:51:50 P.M. Central Daylight Time,

Grayson902@... writes:

Tiered response works very well in a number of EMS systems - Boston for

example.

And telephone triage does indeed suck. But it doesn't matter much when

the vast majority of calls only need BLS anyway.

lnmolino@... wrote:

>

> Telephone triage has proven so well in the past in Texas hasn't it?

>

> Does anyone read history or do we just continue to repeat it?

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

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

>

> LNMolino@...

>

> (Cell Phone)

> (IFW/FSS Office)/

> (IFWF/SS 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.

>

> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

> rob.davis@...

> writes:

>

> On Thursday, April 2, 2009 20:44, " "

> jimmnn@... >

> said:

>

> >

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

> > Hood says he doesn't anticipate any problems.

>

> Does anyone ever?

>

> Rob

>

> ------------------------------------

>

>

[Guest guest]

But why is it we never seem to discuss this concept of tiered response with

the idea of skills degradation among Paramedics? If one of my kids needed ALS

I'd prefer them to get it from a Medic from a system like New jersey where

nearly every treat that most Medics see is a true ALS call and the BLS runs are

treated by EMT's that see BLS work and do the skills regularly. granted New

Jersey is no where near a perfect system and I am sure someone will point out

it's failures and such but the fact is that of all the EMS folks I would ant

to see treat my kids BLS or ALS many are from the system that is called New

Jersey.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:51:50 P.M. Central Daylight Time,

Grayson902@... writes:

Tiered response works very well in a number of EMS systems - Boston for

example.

And telephone triage does indeed suck. But it doesn't matter much when

the vast majority of calls only need BLS anyway.

lnmolino@... wrote:

>

> Telephone triage has proven so well in the past in Texas hasn't it?

>

> Does anyone read history or do we just continue to repeat it?

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

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

>

> LNMolino@...

>

> (Cell Phone)

> (IFW/FSS Office)/

> (IFWF/SS 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.

>

> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

> rob.davis@...

> writes:

>

> On Thursday, April 2, 2009 20:44, " "

> jimmnn@... >

> said:

>

> >

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

> > Hood says he doesn't anticipate any problems.

>

> Does anyone ever?

>

> Rob

>

> ------------------------------------

>

>

[Guest guest]

I wish AOL had a macro where when ever I see the words evidence and EMS in

the same sentence I could push one button and say where is there any evidence

and when are we someday going to actually get some research done that means

something?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/3/2009 10:23:47 A.M. Central Daylight Time,

bbledsoe@... writes:

Where is the evidence that telephone triage or these dispatch schemes

improves outcomes or do we just do them because a consultant said they are the

thing to do?

Sent from my Verizon Wireless BlackBerry

Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Thursday, April 2, 2009, 10:41 PM

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/ EMSI

Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

Consultant

LNMolino (AT) aol (DOT) com

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@armynurse corps.com writes:

On Thursday, April 2, 2009 20:44, " "

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------ --------- --------- ------

Yahoo! Groups Links

************ **Feeling the pinch at the grocery store? Make dinner for $10

or

less. (http://food. aol.com/frugal- feasts?ncid= emlcntusfood0000 0001)

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

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

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------------------------------------

Yahoo! Groups Links

**************Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)

[Guest guest]

I wish AOL had a macro where when ever I see the words evidence and EMS in

the same sentence I could push one button and say where is there any evidence

and when are we someday going to actually get some research done that means

something?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/3/2009 10:23:47 A.M. Central Daylight Time,

bbledsoe@... writes:

Where is the evidence that telephone triage or these dispatch schemes

improves outcomes or do we just do them because a consultant said they are the

thing to do?

Sent from my Verizon Wireless BlackBerry

Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Thursday, April 2, 2009, 10:41 PM

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/ EMSI

Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

Consultant

LNMolino (AT) aol (DOT) com

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@armynurse corps.com writes:

On Thursday, April 2, 2009 20:44, " "

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------ --------- --------- ------

Yahoo! Groups Links

************ **Feeling the pinch at the grocery store? Make dinner for $10

or

less. (http://food. aol.com/frugal- feasts?ncid= emlcntusfood0000 0001)

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

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

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

------------------------------------

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[Guest guest]

I wish AOL had a macro where when ever I see the words evidence and EMS in

the same sentence I could push one button and say where is there any evidence

and when are we someday going to actually get some research done that means

something?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/3/2009 10:23:47 A.M. Central Daylight Time,

bbledsoe@... writes:

Where is the evidence that telephone triage or these dispatch schemes

improves outcomes or do we just do them because a consultant said they are the

thing to do?

Sent from my Verizon Wireless BlackBerry

Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Thursday, April 2, 2009, 10:41 PM

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/ EMSI

Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

Consultant

LNMolino (AT) aol (DOT) com

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@armynurse corps.com writes:

On Thursday, April 2, 2009 20:44, " "

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------ --------- --------- ------

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or

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

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

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

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**************Feeling the pinch at the grocery store? Make dinner for $10 or

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[Guest guest]

The story as reported is wrong. An ALS unit will respond to every call. After

arrival and assessment, if a specific set of criteria are met and then under the

consultation with medical control, a BLS unit will respond and transport the

patient. The goal is to free the ALS unit for another call when the BLS unit

arrives.

Lance Villers

UTHSCSA

>

> WOAI

>

> SAN ANTONIO - The next time you call for an ambulance, a paramedic may not

> show up at your door. The San Fire Department is working on a

> program to save time and money.

>

> Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> ambulances will be for minor emergencies. That leaves the other 32

> ambulances ready to save lives.

>

> The new ambulances are called Basic Life Support Ambulances.

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

>

> Full Story: System expected to be implemented smoothly

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call

> /pxkg7PU3QkedlVmS-rJr4Q.cspx>

[Guest guest]

The Fly Car concept works well in parts of PA where a single medic in a

single car type unit (mostly Crown Vic's in the old days) would intercept the

BLS

and if need be the medic treated with a BLS member driving or the car was

left locked on the side of the road and the medic was returned to the unit after

the call. There are a ton of models where transports are BLS based and non

transports are ALS.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/3/2009 8:58:27 A.M. Central Daylight Time,

airmedic51@... writes:

So now you have TWO UNITS responding? That makes no sense to me. Why not

have a paramedic respond in a Squad unit with a " chaffuer " instead of using the

TWO UNIT concept? If I'm not mistaken, this is utilized in some of the other

major cities. Let the medic jump on to their unit. I'm sure I'll hear about

this.

Also, I pose another question: Is this just to relieve cost and the

paramedic shortage? OR

Is it something more ominus to come?

Subject: Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Friday, April 3, 2009, 8:30 AM

The story as reported is wrong. An ALS unit will respond to every call.

After arrival and assessment, if a specific set of criteria are met and then

under the consultation with medical control, a BLS unit will respond and

transport the patient. The goal is to free the ALS unit for another call when

the BLS

unit arrives.

Lance Villers

UTHSCSA

>

> WOAI

>

> SAN ANTONIO - The next time you call for an ambulance, a paramedic may not

> show up at your door. The San Fire Department is working on a

> program to save time and money.

>

> Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> ambulances will be for minor emergencies. That leaves the other 32

> ambulances ready to save lives.

>

> The new ambulances are called Basic Life Support Ambulances.

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

>

> Full Story: System expected to be implemented smoothly

> http://www.woai. com/news/ local/story/ Paramedics- won-t-respond-

to-every- call

> /pxkg7PU3QkedlVmS- rJr4Q.cspx>

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

------------------------------------

Yahoo! Groups Links

**************Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)

[Guest guest]

The Fly Car concept works well in parts of PA where a single medic in a

single car type unit (mostly Crown Vic's in the old days) would intercept the

BLS

and if need be the medic treated with a BLS member driving or the car was

left locked on the side of the road and the medic was returned to the unit after

the call. There are a ton of models where transports are BLS based and non

transports are ALS.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/3/2009 8:58:27 A.M. Central Daylight Time,

airmedic51@... writes:

So now you have TWO UNITS responding? That makes no sense to me. Why not

have a paramedic respond in a Squad unit with a " chaffuer " instead of using the

TWO UNIT concept? If I'm not mistaken, this is utilized in some of the other

major cities. Let the medic jump on to their unit. I'm sure I'll hear about

this.

Also, I pose another question: Is this just to relieve cost and the

paramedic shortage? OR

Is it something more ominus to come?

Subject: Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Friday, April 3, 2009, 8:30 AM

The story as reported is wrong. An ALS unit will respond to every call.

After arrival and assessment, if a specific set of criteria are met and then

under the consultation with medical control, a BLS unit will respond and

transport the patient. The goal is to free the ALS unit for another call when

the BLS

unit arrives.

Lance Villers

UTHSCSA

>

> WOAI

>

> SAN ANTONIO - The next time you call for an ambulance, a paramedic may not

> show up at your door. The San Fire Department is working on a

> program to save time and money.

>

> Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> ambulances will be for minor emergencies. That leaves the other 32

> ambulances ready to save lives.

>

> The new ambulances are called Basic Life Support Ambulances.

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

>

> Full Story: System expected to be implemented smoothly

> http://www.woai. com/news/ local/story/ Paramedics- won-t-respond-

to-every- call

> /pxkg7PU3QkedlVmS- rJr4Q.cspx>

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

------------------------------------

Yahoo! Groups Links

**************Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)

[Guest guest]

The Fly Car concept works well in parts of PA where a single medic in a

single car type unit (mostly Crown Vic's in the old days) would intercept the

BLS

and if need be the medic treated with a BLS member driving or the car was

left locked on the side of the road and the medic was returned to the unit after

the call. There are a ton of models where transports are BLS based and non

transports are ALS.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/3/2009 8:58:27 A.M. Central Daylight Time,

airmedic51@... writes:

So now you have TWO UNITS responding? That makes no sense to me. Why not

have a paramedic respond in a Squad unit with a " chaffuer " instead of using the

TWO UNIT concept? If I'm not mistaken, this is utilized in some of the other

major cities. Let the medic jump on to their unit. I'm sure I'll hear about

this.

Also, I pose another question: Is this just to relieve cost and the

paramedic shortage? OR

Is it something more ominus to come?

Subject: Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Friday, April 3, 2009, 8:30 AM

The story as reported is wrong. An ALS unit will respond to every call.

After arrival and assessment, if a specific set of criteria are met and then

under the consultation with medical control, a BLS unit will respond and

transport the patient. The goal is to free the ALS unit for another call when

the BLS

unit arrives.

Lance Villers

UTHSCSA

>

> WOAI

>

> SAN ANTONIO - The next time you call for an ambulance, a paramedic may not

> show up at your door. The San Fire Department is working on a

> program to save time and money.

>

> Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> ambulances will be for minor emergencies. That leaves the other 32

> ambulances ready to save lives.

>

> The new ambulances are called Basic Life Support Ambulances.

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

>

> Full Story: System expected to be implemented smoothly

> http://www.woai. com/news/ local/story/ Paramedics- won-t-respond-

to-every- call

> /pxkg7PU3QkedlVmS- rJr4Q.cspx>

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

------------------------------------

Yahoo! Groups Links

**************Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food.aol.com/frugal-feasts?ncid=emlcntusfood00000001)

[Guest guest]

So now you have TWO UNITS responding? That makes no sense to me. Why not have a

paramedic respond in a Squad unit with a " chaffuer " instead of using the TWO

UNIT concept? If I'm not mistaken, this is utilized in some of the other major

cities. Let the medic jump on to their unit. I'm sure I'll hear about this.

 

Also, I pose another question: Is this just to relieve cost and the paramedic

shortage? OR

Is it something more ominus to come? 

Subject: Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Friday, April 3, 2009, 8:30 AM

The story as reported is wrong. An ALS unit will respond to every call. After

arrival and assessment, if a specific set of criteria are met and then under the

consultation with medical control, a BLS unit will respond and transport the

patient. The goal is to free the ALS unit for another call when the BLS unit

arrives.

Lance Villers

UTHSCSA

>

> WOAI

>

> SAN ANTONIO - The next time you call for an ambulance, a paramedic may not

> show up at your door. The San Fire Department is working on a

> program to save time and money.

>

> Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> ambulances will be for minor emergencies. That leaves the other 32

> ambulances ready to save lives.

>

> The new ambulances are called Basic Life Support Ambulances.

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

>

> Full Story: System expected to be implemented smoothly

> http://www.woai. com/news/ local/story/ Paramedics- won-t-respond- to-every-

call

> /pxkg7PU3QkedlVmS- rJr4Q.cspx>

[Guest guest]

You know, instead of finding ways to " avoid " dealing with patients who we don't

deem " worthy " of ALS, why don't we just transport the patient to the hospital??

First, we know from research that EMS providers aren't good judges of who might

need to be admitted to the hospital.? Second, by the time you factor in response

times, unit availability, and the cost of sending multiple trucks, it's probably

going to be cheaper and easier in the long run to just transport the patient!

-Wes Ogilvie, MPA, JD, Lic. P.

-Austin, Texas

Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Friday, April 3, 2009, 8:30 AM

The story as reported is wrong. An ALS unit will respond to every call. After

arrival and assessment, if a specific set of criteria are met and then under the

consultation with medical control, a BLS unit will respond and transport the

patient. The goal is to free the ALS unit for another call when the BLS unit

arrives.

Lance Villers

UTHSCSA

>

> WOAI

>

> SAN ANTONIO - The next time you call for an ambulance, a paramedic may not

> show up at your door. The San Fire Department is working on a

> program to save time and money.

>

> Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> ambulances will be for minor emergencies. That leaves the other 32

> ambulances ready to save lives.

>

> The new ambulances are called Basic Life Support Ambulances.

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

>

> Full Story: System expected to be implemented smoothly

> http://www.woai. com/news/ local/story/ Paramedics- won-t-respond- to-every-

call

> /pxkg7PU3QkedlVmS- rJr4Q.cspx>

[Guest guest]

San does have squads currently but I believe they are BLS are

they upping the staffing to ALS does anyone know so they can do

essentially what Houston does?

- Chris

> So now you have TWO UNITS responding? That makes no sense to me. Why

> not have a paramedic respond in a Squad unit with a " chaffuer "

> instead of using the TWO UNIT concept? If I'm not mistaken, this is

> utilized in some of the other major cities. Let the medic jump on to

> their unit. I'm sure I'll hear about this.

>

> Also, I pose another question: Is this just to relieve cost and the

> paramedic shortage? OR

> Is it something more ominus to come?

>

>

>

>

> Subject: Re: BLS-only ambulances to launch in San

> To: texasems-l

> Date: Friday, April 3, 2009, 8:30 AM

>

> The story as reported is wrong. An ALS unit will respond to every

> call. After arrival and assessment, if a specific set of criteria

> are met and then under the consultation with medical control, a BLS

> unit will respond and transport the patient. The goal is to free the

> ALS unit for another call when the BLS unit arrives.

>

> Lance Villers

> UTHSCSA

>

>

> >

> > WOAI

> >

> > SAN ANTONIO - The next time you call for an ambulance, a paramedic

> may not

> > show up at your door. The San Fire Department is working

> on a

> > program to save time and money.

> >

> > Starting on Wednesday, 6 more ambulances will be on the road.

> Those 6

> > ambulances will be for minor emergencies. That leaves the other 32

> > ambulances ready to save lives.

> >

> > The new ambulances are called Basic Life Support Ambulances.

> >

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

> > Hood says he doesn't anticipate any problems.

> >

> > Full Story: System expected to be implemented smoothly

> > http://www.woai. com/news/ local/story/ Paramedics- won-t-

> respond- to-every- call

> > /pxkg7PU3QkedlVmS- rJr4Q.cspx>

>

>

[Guest guest]

The major problem with telephone triage is the lack of a standard questioning

protocol in the communicaiton center.  Some good ones are put out by National

Academy of Emergency Dispatch as well as by APCO.  The use of these protocols

insures that dispatchers ask ALL the pertinent questions and don't lose focus

and control of the call while trying to think of what to do next.  The other

major issue is a little harder to solve. It is the inability of some

communications centers and personnel to work together on an incident without the

power struggles. (all areas of emergency service run into this at some time

--ex.  police and ems at times have power struggles over crime scenes.)

 Telephone triage can and does work with the proper tools and training.  It save

time, money and lives.

L~  former communications officer, training officer and comm center

manager(police fire and ems)

Subject: Re: BLS-only ambulances to launch in San

To: texasems-l

Date: Thursday, April 2, 2009, 10:41 PM

Telephone triage has proven so well in the past in Texas hasn't it?

Does anyone read history or do we just continue to repeat it?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/ EMSI

Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection Consultant

LNMolino (AT) aol (DOT) com

(Cell Phone)

(IFW/FSS Office)/

(IFWF/SS 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.

In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

rob.davis@armynurse corps.com writes:

On Thursday, April 2, 2009 20:44, " "

said:

>

> The 9-1-1 dispatchers will decide which should get sent out. Chief

> Hood says he doesn't anticipate any problems.

Does anyone ever?

Rob

------------ --------- --------- ------

Yahoo! Groups Links

************ **Feeling the pinch at the grocery store? Make dinner for $10 or

less. (http://food. aol.com/frugal- feasts?ncid= emlcntusfood0000 0001)

[Guest guest]

So a tiered system, but a bastardized one.

Lance Villers wrote:

>

>

> The story as reported is wrong. An ALS unit will respond to every

> call. After arrival and assessment, if a specific set of criteria are

> met and then under the consultation with medical control, a BLS unit

> will respond and transport the patient. The goal is to free the ALS

> unit for another call when the BLS unit arrives.

>

> Lance Villers

> UTHSCSA

>

>

> >

> > WOAI

> >

> > SAN ANTONIO - The next time you call for an ambulance, a paramedic

> may not

> > show up at your door. The San Fire Department is working on a

> > program to save time and money.

> >

> > Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> > ambulances will be for minor emergencies. That leaves the other 32

> > ambulances ready to save lives.

> >

> > The new ambulances are called Basic Life Support Ambulances.

> >

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

> > Hood says he doesn't anticipate any problems.

> >

> > Full Story: System expected to be implemented smoothly

> >

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call>

> > /pxkg7PU3QkedlVmS-rJr4Q.cspx>

>

>

--

Grayson

www.kellygrayson.com

[Guest guest]

So a tiered system, but a bastardized one.

Lance Villers wrote:

>

>

> The story as reported is wrong. An ALS unit will respond to every

> call. After arrival and assessment, if a specific set of criteria are

> met and then under the consultation with medical control, a BLS unit

> will respond and transport the patient. The goal is to free the ALS

> unit for another call when the BLS unit arrives.

>

> Lance Villers

> UTHSCSA

>

>

> >

> > WOAI

> >

> > SAN ANTONIO - The next time you call for an ambulance, a paramedic

> may not

> > show up at your door. The San Fire Department is working on a

> > program to save time and money.

> >

> > Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> > ambulances will be for minor emergencies. That leaves the other 32

> > ambulances ready to save lives.

> >

> > The new ambulances are called Basic Life Support Ambulances.

> >

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

> > Hood says he doesn't anticipate any problems.

> >

> > Full Story: System expected to be implemented smoothly

> >

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call>

> > /pxkg7PU3QkedlVmS-rJr4Q.cspx>

>

>

--

Grayson

www.kellygrayson.com

[Guest guest]

So a tiered system, but a bastardized one.

Lance Villers wrote:

>

>

> The story as reported is wrong. An ALS unit will respond to every

> call. After arrival and assessment, if a specific set of criteria are

> met and then under the consultation with medical control, a BLS unit

> will respond and transport the patient. The goal is to free the ALS

> unit for another call when the BLS unit arrives.

>

> Lance Villers

> UTHSCSA

>

>

> >

> > WOAI

> >

> > SAN ANTONIO - The next time you call for an ambulance, a paramedic

> may not

> > show up at your door. The San Fire Department is working on a

> > program to save time and money.

> >

> > Starting on Wednesday, 6 more ambulances will be on the road. Those 6

> > ambulances will be for minor emergencies. That leaves the other 32

> > ambulances ready to save lives.

> >

> > The new ambulances are called Basic Life Support Ambulances.

> >

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

> > Hood says he doesn't anticipate any problems.

> >

> > Full Story: System expected to be implemented smoothly

> >

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call

> http://www.woai.com/news/local/story/Paramedics-won-t-respond-to-every-call>

> > /pxkg7PU3QkedlVmS-rJr4Q.cspx>

>

>

--

Grayson

www.kellygrayson.com

[Guest guest]

Well, " Good " is a relative term, even when applied to APCO and MPDS.

As far as MPDS goes, only half the cards are as accurate as a coin flip

at determining the appropriate level of response.

And the other half aren't even THAT accurate.

l a wrote:

>

> The major problem with telephone triage is the lack of a standard

> questioning protocol in the communicaiton center. Some good ones are

> put out by National Academy of Emergency Dispatch as well as by APCO.

> The use of these protocols insures that dispatchers ask ALL the

> pertinent questions and don't lose focus and control of the call while

> trying to think of what to do next. The other major issue is a little

> harder to solve. It is the inability of some communications centers

> and personnel to work together on an incident without the power

> struggles. (all areas of emergency service run into this at some time

> --ex. police and ems at times have power struggles over crime

> scenes.) Telephone triage can and does work with the proper tools and

> training. It save time, money and lives.

> L~ former communications officer, training officer and comm center

> manager(police fire and ems)

>

>

>

> From: lnmolino@... lnmolino@...

> >

> Subject: Re: BLS-only ambulances to launch in San

> To: texasems-l

> Date: Thursday, April 2, 2009, 10:41 PM

>

> Telephone triage has proven so well in the past in Texas hasn't it?

>

> Does anyone read history or do we just continue to repeat it?

>

> Louis N. Molino, Sr., CET

>

> FF/NREMT-B/FSI/ EMSI

>

> Freelance Consultant/Trainer/ Author/Journalis t/Fire Protection

> Consultant

>

> LNMolino (AT) aol (DOT) com

>

> (Cell Phone)

>

> (IFW/FSS Office)/

>

> (IFWF/SS 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.

>

> In a message dated 4/2/2009 10:35:58 P.M. Central Daylight Time,

>

> rob.davis@armynurse corps.com writes:

>

> On Thursday, April 2, 2009 20:44, " "

net>

>

> said:

>

> >

>

> > The 9-1-1 dispatchers will decide which should get sent out. Chief

>

>

> > Hood says he doesn't anticipate any problems.

>

> Does anyone ever?

>

> Rob

>

> ------------ --------- --------- ------

>

>