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Improving EMS in the near future. Part 1.

I’ve been going over a few ideas I have for improving EMS as a whole. I’m going to start a small series detailing some of my points. I will post a new part every Thursday for at least the next 5 weeks. Any ideas on my posts or your own ideas on what is needed would be greatly appreciated.

I’ve said it before, and I’m probably going to say it again many times before my career with EMS is done, we are a young field in the grand scheme of things. I believe some mistakes were made at the inception of EMS and now we are having growing pains.

The first thing I’m going to talk about is education.

We do more on a full arrest than nurses with 4 year diplomas and most of it is on our own without immediate supervision. I’m serious, depending on the service, you can do intraosseous establishment, intubations, ventilator use (something that requires a respiratory tech in most ERs), rhythm interpretation and appropriate treatment. Some systems have the ability to do rapid sequence intubation, tracheostomy, needle decompressions, and very potent narcotic use. Yet we are still not considered a profession.

I have been studying some online classes for my RN degree and have learned something. At the very inception of nurses there were groups of people that were thinking of the future. They were planning and they understood what was going to be needed for future growth as a profession.

Where EMS is still in many communities provided by the lowest bidder Nurses were organizing themselves to protect their investments. Where EMS grew out of direct profit and has for a long time been considered a step child to the fire department, nurses were developing guidelines to establish bare minimums in education. Some of their guidelines included:

  1. The minimum education required for a technical nurse was a 2 year degree. Associates. This was developed for registered nurses and could be considered the foot soldiers of nursing. They can do the technical aspects of patient care and even supervise others in patient care.
  2. The minimum education required for a professional nurse is a 4 year degree. Baccalaureate. They can climb the ladder in different facilities and can take more managerial positions.

Now I’m not saying this would instantly benefit all involved in EMS, I’m not even saying that it wouldn’t hurt some systems that have horrible paramedic retention. I am saying that we cannot be a 2 day a week class for 9 months field anymore. We are not fire fighters, we are not police officers. We are EMS and we have the potential to do things medically to people that have far reaching and long standing consequences.

Any thoughts?

You know you’re in fire and ems when…

jumpingjokerswild:

Somebody in your house is sick with the flu and you treat them like an isolation patient.

Definitely glad I have a spare stock pile of gloves. However my house smells nice and clean, and bleachy. Did some hard core decon.

artkat:

despairnaegami:

personasanta:

does anybody else think tired and sleepy mean two totally different things

sleepy is cute and dozing off and happy but tired is 10 cups of coffee and murder

image

This works with EMS too.

(Source: minato-arisato)

Got a call: Man hit by gunfire

(Dispatch was a little confused)

Dispatch: Scene is safe, shooter is not at the scene.

Me: ...are you sure the shooter has left the scene, is the police there?

Dispatch: Yes, pt has been disarmed by police....and well...he was shot by the police....So I guess you could say the shooter is still at the scene... but that’s all good, cause y’know.... it’s the police....”

andrewgeelugo:


In Phoenix , Arizona , a 26-year-old mother stared down


at her 6 year old son, who was dying of leukemia.Although her heart was filled with sadness,she also had a strong feeling of determinationLike any mother, she wanted her son to grow up &fulfill all his dreams. Now that was no longer possible..The leukemia would see to that. But she stillwanted her son’s dream to come true.She took her son’ s hand and asked,‘Billy, did you ever think about what you wantedto be once you grew up?Did you ever dream and wish about what you woulddo with your life?’Mommy, ‘I always wanted to be a firemanwhen I grew up.’Mom smiled back and said, ‘Let’s see if we canmake your wish come true.’Later that day she went to her local fireDepartment in Phoenix , Arizona , where she metFireman Bob, who had! a heart as big as Phoenix She explained her son’s final wish andasked if it might be possible to give her 6 year-old
son a ride around the block on a fire engineFireman Bob said, ‘Look, we can dobetter than that. If you’ll have your son ready at7 o’clock Wednesday morning, we’ll makehim an honorary Fireman for the whole day.He can come down to the fire station, eat with us,go out on all the fire calls, the whole nine yards! And if you’ll give us his sizes, we’ll get a real fire uniformfor him, with a real fire hat - not a toy — one-with the emblem
of the Phoenix Fire Department on it, a yellow slicker like
we wear, and rubber boots.’‘They’re all manufactured right here in Phoenix ,so we can get them fast.’ Three days later Fireman Bob picked up Billy,dressed him in his uniform and escorted him from his hospital
bed to the waiting hook and ladder truck.Billy got to sit on the back of the truckand help steer it back to the fire station.He was in heaven.There were three fire calls in Phoenix that dayand Billy got to go out on all three calls.He rode in the different fire engines,the Paramedic’s’ van,and even the fire chief’s car.He was also videotaped for thelocal news program.Having his dream come true,with all the love and attention that was lavished upon him,
so deeply touched Billy, that he lived three months longer
than any doctor thought possible.One night all of his vital signs began todrop dramatically and the head nurse, who believedin the hospice concept - that no one should die alone,
began to call the family members to the hospital.Then she remembered the day Billy had spentas a Fireman, so she called the Fire Chief andasked if it would be possible to send a firemanin uniform to the hospital to be with Billy as he
made his transition.The chief replied, “We can do better than that.We’ll be there in five minutes.. Will you please do me a favor?When you hear the sirens screaming and see thelights flashing, will you announce over thePA system at the hospital that there is not a fire?”‘It’s the department coming to see one of its finest members
one more time. And will you open the window to his room?’About five minutes later a hook and ladder truck arrived
at the hospital and extended its ladder up to Billy’s third floor
open window 16 fire-fighters climbed up the ladder into Billy’s
room.With his mother’s permission, they hugged him and held
him and told him how much they LOVED him.

With his dying breath, Billy looked up at the fire chief and said,‘Chief, am I really a fireman now?’‘Billy, you are, and The Head Chief, Jesus,
is holding your hand,’ the chief said.With those words, Billy smiled and said,‘I know, He’s been holding my hand all day, and the angels have been singing..’He closed his eyes one last time.

andrewgeelugo:

In Phoenix , Arizona , a 26-year-old mother stared down

at her 6 year old son, who was dying of leukemia.

Although her heart was filled with sadness,

she also had a strong feeling of determination
Like any mother, she wanted her son to grow up &
fulfill all his dreams. Now that was no longer possible..

The leukemia would see to that. But she still
wanted her son’s dream to come true.

She took her son’ s hand and asked,
‘Billy, did you ever think about what you wanted
to be once you grew up?
Did you ever dream and wish about what you would
do with your life?’

Mommy, ‘I always wanted to be a fireman
when I grew up.’

Mom smiled back and said, ‘Let’s see if we can
make your wish come true.’

Later that day she went to her local fire
Department in Phoenix , Arizona , where she met
Fireman Bob, who had! a heart as big as Phoenix 

She explained her son’s final wish and
asked if it might be possible to give her 6 year-old

son a ride around the block on a fire engine

Fireman Bob said, ‘Look, we can do
better than that. If you’ll have your son ready at
7 o’clock Wednesday morning, we’ll make
him an honorary Fireman for the whole day.
He can come down to the fire station, eat with us,
go out on all the fire calls, the whole nine yards! 

And if you’ll give us his sizes, we’ll get a real fire uniform
for him, with a real fire hat - not a toy — one-with the emblem

of the Phoenix Fire Department on it, a yellow slicker like

we wear, and rubber boots.’

‘They’re all manufactured right here in Phoenix ,
so we can get them fast.’ 


Three days later Fireman Bob picked up Billy,
dressed him in his uniform and escorted him from his hospital

bed to the waiting hook and ladder truck.

Billy got to sit on the back of the truck
and help steer it back to the fire station.
He was in heaven.

There were three fire calls in Phoenix that day
and Billy got to go out on all three calls.

He rode in the different fire engines,
the Paramedic’s’ van,
and even the fire chief’s car.

He was also videotaped for the
local news program.

Having his dream come true,
with all the love and attention that was lavished upon him,

so deeply touched Billy, that he lived three months longer

than any doctor thought possible.

One night all of his vital signs began to
drop dramatically and the head nurse, who believed
in the hospice concept - that no one should die alone,

began to call the family members to the hospital.

Then she remembered the day Billy had spent
as a Fireman, so she called the Fire Chief and
asked if it would be possible to send a fireman
in uniform to the hospital to be with Billy as he

made his transition.

The chief replied, “We can do better than that.
We’ll be there in five minutes.. Will you please do me a favor?

When you hear the sirens screaming and see the
lights flashing, will you announce over the
PA system at the hospital that there is not a fire?”

‘It’s the department coming to see one of its finest members

one more time. And will you open the window to his room?’

About five minutes later a hook and ladder truck arrived

at the hospital and extended its ladder up to Billy’s third floor

open window 16 fire-fighters climbed up the ladder into Billy’s

room.

With his mother’s permission, they hugged him and held

him and told him how much they LOVED him.

With his dying breath, Billy looked up at the fire chief and said,

‘Chief, am I really a fireman now?’

‘Billy, you are, and The Head Chief, Jesus,

is holding your hand,’ the chief said.

With those words, Billy smiled and said,
‘I know, He’s been holding my hand all day, and 
the angels have been singing..’

He closed his eyes one last time.

fearfullywonderfullymade:

Is anyone a full time paramedic that can tell me how much you make in an average year? Does your department require you to be a firefighter?

Unfortunately this is a hard question to answer because the answers vary depending on where you live and where your going to be working. Some services are starting at 28,000 a year up to over 60,000. In the services starting at 60,000 you will have to have advanced certifications such as flight certifications and critical care training for the most part. My service does not require firefighting cross training as we work alongside the fire department and not a direct component of it. A few cities to the east and they do have dual systems in place, so again it depends on where you want to work and if you want to work for a service that is going to be firefighting too.