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I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@...).

BEB

E. Bledsoe, DO, FACEP

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Are we talking about current day....or ancient history? And are talking Texas

or other states as well?

Help Needed

I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@... <mailto:bbledsoe%40earthlink.net> ).

BEB

E. Bledsoe, DO, FACEP

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Any. I am trying to identify what practices make one department perform well

and another not.

BEB

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

Of Shaw, Kenny

Sent: Thursday, October 09, 2008 9:38 PM

To: texasems-l ; Paramedicine

Subject: Re: Help Needed

Are we talking about current day....or ancient history? And are talking Texas or

other states as well?

Help Needed

I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@... <mailto:bbledsoe%40earthlink.net>

<mailto:bbledsoe%40earthlink.net> ).

BEB

E. Bledsoe, DO, FACEP

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Look at harker heights and Plano, also kilee.

Sent from my iPhone

Any. I am trying to identify what practices make one department perform well and

another not.

BEB

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

Of Shaw, Kenny

Sent: Thursday, October 09, 2008 9:38 PM

To: texasems-l ; Paramedicine

Subject: Re: Help Needed

Are we talking about current day....or ancient history? And are talking Texas or

other states as well?

Help Needed

I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@... <mailto:bbledsoe%40earthlink.net>

<mailto:bbledsoe%40earthlink.net> ).

BEB

E. Bledsoe, DO, FACEP

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Okay....well then be prepared for that " firestorm " of inconsequential

comparisons from the old days...that have now been fixed.

Help Needed

I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@... <mailto:bbledsoe%40earthlink.net>

<mailto:bbledsoe%40earthlink.net> <mailto:bbledsoe%40earthlink.net> ).

BEB

E. Bledsoe, DO, FACEP

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On Thursday, October 9, 2008 22:13, " Shaw, Kenny "

said:

>

> Okay....well then be prepared for that " firestorm " of inconsequential

comparisons

> from the old days...that have now been fixed.

Those would not be inconsequential. Those would be exactly the answers that Dr.

Bledsoe is looking for, which is answers that tell us what makes it good and

what makes it bad. If one department has been both, that would be the best

possible example.

Although, it is important to remember that Dr. Bledsoe asked for examples that

are " exemplary or first-class " , not just good. I have seen no fire department

make that transition.

Rob

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" Although, it is important to remember that Dr. Bledsoe asked for examples

that are " exemplary or first-class " , not just good. I have seen no fire

department make that transition. "

Mr. ,

I expect you were trying to FLAME the firestorm with that comment.

Almaguer, Sr. Captain

HFD - EMS Command

_____

From: rob.davis@...

Sent: Thursday, October 09, 2008 11:08 PM

To: texasems-l

Subject: Re: Help Needed

On Thursday, October 9, 2008 22:13, " Shaw, Kenny " <kenny.shaw@dallasci

<mailto:kenny.shaw%40dallascityhall.com> tyhall.com> said:

>

> Okay....well then be prepared for that " firestorm " of inconsequential

comparisons

> from the old days...that have now been fixed.

Those would not be inconsequential. Those would be exactly the answers that

Dr. Bledsoe is looking for, which is answers that tell us what makes it good

and what makes it bad. If one department has been both, that would be the

best possible example.

Although, it is important to remember that Dr. Bledsoe asked for examples

that are " exemplary or first-class " , not just good. I have seen no fire

department make that transition.

Rob

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I would think a better question should be : Should fire services be in the EMS

business or should EMS services provide fire service?

Henry

Help Needed

I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@... <mailto:bbledsoe%40earthlink.net> ).

BEB

E. Bledsoe, DO, FACEP

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Why try to answer a question on a " global " scale that is (IMHO) a local issue?

What works in National Park, NJ may well be a disaster in Flynn, TX.

LNM from Baku, Azerbaijan

Louis N. Molino, Sr. FF/NREMT-B/FSI/EMSI

LNMolino@...

Sent via BlackBerry by AT & T

Re: Help Needed

I would think a better question should be : Should fire services be in the EMS

business or should EMS services provide fire service?

Henry

Help Needed

I am working on a lecture for next year and could use some help. What fire

departments that operate EMS would you consider exemplary or first-class EMS

operations? Which would you consider the worst? What is it about fire

departments in either of these categories that causes you to include them?

Please email me off list to avoid a fire storm on these lists

(bbledsoe@... <mailto:bbledsoe%40earthlink.net> ).

BEB

E. Bledsoe, DO, FACEP

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On Friday, October 10, 2008 08:17, lnmolino@... said:

> Why try to answer a question on a " global " scale that is (IMHO) a local issue?

That seems a bit short sighted. Let's face it; the tendency for so many to

casually trivialise an entire profession as nothing more than a " local issue " is

one of the most significant factors preventing the progress of that profession.

It institutionalises the fragmentation that we hear people say daily is our

biggest enemy. Why should we just accept that?

And again, Dr. Bledsoe is not interested in what simply " works " . Like me, he

prefers to focus upon what is " first class and exemplary " . Anything less only

holds back the profession.

Rob

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But the fact is that there is no national EMS system in the US. At best you have

50+ systems when in reality you have hundreds more. I don't think allowing a

local area to determine structure and operational parameters of the day in and

day out operations when based on some set of accepted criteria will harm

professionalism. Is the MD and RN any less a professional in a rural health care

clinic than their counterpart in a big University based teaching hospital?

LNM from Baku, Azerbaijan

Louis N. Molino, Sr. FF/NREMT-B/FSI/EMSI

LNMolino@...

Sent via BlackBerry by AT & T

Re: Help Needed

On Friday, October 10, 2008 08:17, lnmolino@... said:

> Why try to answer a question on a " global " scale that is (IMHO) a local issue?

That seems a bit short sighted. Let's face it; the tendency for so many to

casually trivialise an entire profession as nothing more than a " local issue " is

one of the most significant factors preventing the progress of that profession.

It institutionalises the fragmentation that we hear people say daily is our

biggest enemy. Why should we just accept that?

And again, Dr. Bledsoe is not interested in what simply " works " . Like me, he

prefers to focus upon what is " first class and exemplary " . Anything less only

holds back the profession.

Rob

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

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On Friday, October 10, 2008 23:09, lnmolino@... said:

> But the fact is that there is no national EMS system in the US. At best you

have

> 50+ systems when in reality you have hundreds more. I don't think allowing a

local

> area to determine structure and operational parameters of the day in and day

out

> operations when based on some set of accepted criteria will harm

professionalism.

Ah, but the devil is in the details of those " accepted criteria " . The fire

service consistently fights the elevation of those criteria, which does harm

professionalism. If that were not the case, you would be absolutely correct.

Rob

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Ah but there we bring in the ugly (at times) specter of politics.

The term " the fire service " is I'm my view a broad based brush stroke as well.

Where I came up the " fire service " did not buck the systems of standards

development and criteria building but in fact was a part of those systems. The

problem here is again that certain large vocal political entities within the

emergency services community have this penchant for bucking the aforementioned

systems and frankly they seem to thrive on the proverbial head butting that

ensures. Thus is the nature of the game of politics and it is also the game of

life in that place called the " real world " . We can bemoan it to death but that

is the at times sad reality.

LNM from Baku, Azerbaijan

Louis N. Molino, Sr. FF/NREMT-B/FSI/EMSI

LNMolino@...

Sent via BlackBerry by AT & T

Re: Help Needed

On Friday, October 10, 2008 23:09, lnmolino@... said:

> But the fact is that there is no national EMS system in the US. At best you

have

> 50+ systems when in reality you have hundreds more. I don't think allowing a

local

> area to determine structure and operational parameters of the day in and day

out

> operations when based on some set of accepted criteria will harm

professionalism.

Ah, but the devil is in the details of those " accepted criteria " . The fire

service consistently fights the elevation of those criteria, which does harm

professionalism. If that were not the case, you would be absolutely correct.

Rob

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

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