Re: Re: Paramedics Cannot Determine Which Patients Require Trans...

[Guest guest]

Hey Gene,

You know, I kind of have to agree with Kistner. I havent figured out yet

whether you are stepping on my toes or not as a fire based guy. The end part

is very tongue in cheek, but stay with me for the ramp up.

I am a crackerjack fire suppression guy. (of course, that is my own

opinion, but I'm just saying) and as far as prehospital, well " expert " might be

a

stronger word than I would have used, but why not? HA

But seriously, I meant to bring this up with another thread the other day.

All the years I was in the field, (and on many days making 20-24 calls per

shift) the one thing I NEVER had to do was sit even ONE hour posting because

of SSM. Then, once in a while I would be tailboard on the truck and get a

break from the ambulance for a shift. If we caught a fire, we would go put it

out, or even a medical call where we went to assist. If it is your job, how

hard is it really to keep up and be good at both? We have a lot of guys who

have been medics for twenty years, (and in my case, even longer) because of

the rotation on the firetruck to medic unit keeps the guys from " burning

out " . What is the average career of an EMS only paramedic, like five years

before they are looking to do something else? Some of the guys have their RN,

and work part-time in the hospitals. Does that mean that they are crappy at

being an RN because they are already a firefighter and paramedic? If they

were, wouldnt they fire them from the hospital? In a recent thread we were

talking about people studying while they are posting SSM to " get out " . I dont

feel the need to get out. I have seen the opinion (yours and others) that say I

can't do either one well because I do both. When I see a person that is

only a paramedic and not a firefighter, I have a tendency to think, " That's all

you got? " So, see, it is all in your perspective. There is a guy that I

work with two offices down that is a firefighter, paramedic, arson investigator

and and police officer. So we could put the fire out in the house, drag the

occupant out and resuscitate him, get him to the hospital, investigate who

started it, and go arrest the bastard that did it, all with equal acuity.

And the people I work for seem to think that is pretty cost effective.

That whole preamble was working up to this, which is purely tongue in

cheek. You are a lawyer and a paramedic. Based on what has been said by you and

others, does that mean you are a " journeyman " at both, and not really good at

either? Is lawyer based EMS better than fire based EMS?

Have a good day, my friend.

Chris

[Guest guest]

In a message dated 9/9/2009 9:49:39 A.M. Central Daylight Time,

spenair@... writes:

As to reimbursement. I am sorry when did money start coming before being a

patient advocate?

Renny if there is no money there is no service it is that simple. No one

does EMS for FREE not even volunteer services are FREE they all take MONEY.

Being a Patient Advocate has nothing to do with money but if you're not

there no one is the Patients Advocate.

The most fundamental problem in EMS is the lack of monies.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

" 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)

[Guest guest]

In a message dated 9/9/2009 9:49:39 A.M. Central Daylight Time,

spenair@... writes:

As to reimbursement. I am sorry when did money start coming before being a

patient advocate?

Renny if there is no money there is no service it is that simple. No one

does EMS for FREE not even volunteer services are FREE they all take MONEY.

Being a Patient Advocate has nothing to do with money but if you're not

there no one is the Patients Advocate.

The most fundamental problem in EMS is the lack of monies.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

" 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)

[Guest guest]

In a message dated 9/9/2009 9:49:39 A.M. Central Daylight Time,

spenair@... writes:

As to reimbursement. I am sorry when did money start coming before being a

patient advocate?

Renny if there is no money there is no service it is that simple. No one

does EMS for FREE not even volunteer services are FREE they all take MONEY.

Being a Patient Advocate has nothing to do with money but if you're not

there no one is the Patients Advocate.

The most fundamental problem in EMS is the lack of monies.

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

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

LNMolino@...

(Cell Phone)

" 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)

[Guest guest]

You raise some excellent points, and I cannot disagree. As I said, there

are always exceptions. I know some excellent fire based paramedics.

I'm trying to generalize and paint a broad picture. My observations have

been what I said, but I know there are exceptions. I know some extremely

good suburban fire based EMS services and have good friends who work in them.

GG

>  

> Hey Gene,

> You know, I kind of have to agree with Kistner. I havent figured out yet

> whether you are stepping on my toes or not as a fire based guy. The end

> part

> is very tongue in cheek, but stay with me for the ramp up.

>

> I am a crackerjack fire suppression guy. (of course, that is my own

> opinion, but I'm just saying) and as far as prehospital, well " expert "

> might be a

> stronger word than I would have used, but why not? HA

>

> But seriously, I meant to bring this up with another thread the other day.

> All the years I was in the field, (and on many days making 20-24 calls per

> shift) the one thing I NEVER had to do was sit even ONE hour posting

> because

> of SSM. Then, once in a while I would be tailboard on the truck and get a

> break from the ambulance for a shift. If we caught a fire, we would go put

> it

> out, or even a medical call where we went to assist. If it is your job,

> how

> hard is it really to keep up and be good at both? We have a lot of guys

> who

> have been medics for twenty years, (and in my case, even longer) because

> of

> the rotation on the firetruck to medic unit keeps the guys from " burning

> out " . What is the average career of an EMS only paramedic, like five years

> before they are looking to do something else? Some of the guys have their

> RN,

> and work part-time in the hospitals. Does that mean that they are crappy

> at

> being an RN because they are already a firefighter and paramedic? If they

> were, wouldnt they fire them from the hospital? In a recent thread we were

> talking about people studying while they are posting SSM to " get out " . I

> dont

> feel the need to get out. I have seen the opinion (yours and others) that

> say I

> can't do either one well because I do both. When I see a person that is

> only a paramedic and not a firefighter, I have a tendency to think,

> " That's all

> you got? " So, see, it is all in your perspective. There is a guy that I

> work with two offices down that is a firefighter, paramedic, arson

> investigator

> and and police officer. So we could put the fire out in the house, drag

> the

> occupant out and resuscitate him, get him to the hospital, investigate who

> started it, and go arrest the bastard that did it, all with equal acuity.

> And the people I work for seem to think that is pretty cost effective.

>

> That whole preamble was working up to this, which is purely tongue in

> cheek. You are a lawyer and a paramedic. Based on what has been said by

> you and

> others, does that mean you are a " journeyman " at both, and not really good

> at

> either? Is lawyer based EMS better than fire based EMS?

>

> Have a good day, my friend.

> Chris

>

>