Re: Ambulance restaffing talks causing stir

[Guest guest]

AMEN!

  Don Abernathy,CCEMT-P

AHA Regional Faculty

________________________________

To: texasems-l

Sent: Mon, December 13, 2010 10:14:14 AM

Subject: Re: Ambulance restaffing talks causing stir

Wes,

It's not reductio ad absurdum, but rather an extension of the same

" rationale " that has been employed by EMS for decades. The only thing that

matters is clinical outcomes - not preferences, not unions, not politics and

certainly not system cost increases that cannot be justified by measurable

and beneficial clinical outcomes. Using improved clinical outcomes as

the standard will necessarily distill the provision of EMS to its core

components, which in turn will produce economies that are essential to the

industry's survival - which is in my opinion is seriously in doubt.

>

>

> Bob,

>

> Respectfully, Rick and I were just mentioning services that do use dual

> paramedic staffing. About the only universal truth that I've discovered in

> my career as an EMS clinician and educator is that no one solution fits EMS

> as a whole.

>

> I've always respected your opinions even when we disagree. Reductio ad

> absurdum is not something I'd have expected from you. And for the record, in

> several EMS systems in continental Europe, you do get trained physicians for

> ALS response.

>

> Best,

> Wes Ogilvie, MPA, JD, NREMT-P/Lic.P.

> Austin, Texas

>

> Sent from my iPad

>

> On Dec 13, 2010, at 9:41, Bob Kellow

>kellow.bob@...>

> wrote:

>

> > Since empirical evidence apparently doesn't mean anything (i.e., OPALS),

> and

> > governmental payers are paying less and less, thus shifting more of the

> > unjustified direct cost burden to the local tax base - why not staff

> > ambulances with residency trained, board certified emergency physicians?

> Oh

> > wait, make that two per unit. If some is good and more is better, why

> stop

> > with dual paramedic staffing?

> >

> > On Mon, Dec 13, 2010 at 9:14 AM,

>rick.moore@...>

> wrote:

> >

> >>

> >>

> >> City of Fredericksburg runs dual paramedics, City of San Angelo runs

> dual

> >> paramedics, I believe City of Kerrville also.

> >> Rick

> >>

> >> From: texasems-l

40yahoogroups.com> [mailto:

> >> texasems-l

40yahoogroups.com>] On Behalf Of

> >> Wes Ogilvie

> >> Sent: Monday, December 13, 2010 9:12 AM

> >> To: texasems-l

40yahoogroups.com>

> >> Subject: Re: Ambulance restaffing talks causing stir

> >>

> >> If I remember correctly, Lubbock runs dual paramedic trucks. on

> >> County too. I believe that several of the fire-based systems also run

> dual

> >> paramedic.

> >>

> >> And several services that I've been around require the primary medic to

> be

> >> a paramedic and are flexible about the certification level of the second

> >> provider.

> >>

> >> Wes Ogilvie

> >>

> >> Sent from my iPad

> >>

> >> On Dec 13, 2010, at 9:06, Bob Kellow

>kellow.bob@...

>

> >>

2540gmail.com>>> wrote:

> >>

> >>> As a matter of static staffing policy (and not demand or necessity), I

> >> would

> >>> speculate that there are very few - if any at all.

> >>>

> >>> Bob

> >>>

> >>> On Mon, Dec 13, 2010 at 9:02 AM, McGee

>summedic@...

>

> >>

2540yahoo.com>>> wrote:

> >>>

> >>>>

> >>>>

> >>>> Just out of curiosity, how many major services run double paramedics

> in

> >>>> Texas? I have always worked rural and smaller services and have always

> >> ran

> >>>> paramedic with a basic or intermediate partner.

> >>>>

> >>>>

> >>>> McGee, EMT-P, EMT-T

> >>>>

> >>>>

> >>>>

> >>>>

> >>>>

> >>>> From: Ron Haussecker

>haussecker87@...

>

> >>

2540cebridge.net>

> >>>

> >>>>>

> >>>> Subject: Ambulance restaffing talks causing stir

> >>>> To: " A A " emsn-news@...

40att.net>

>> emsn-news%40att.net > >,

> >>>> texasems-l

40yahoogroups.com>

>> texasems-l%40yahoogroups.com >

> >>

> >>>> Date: Monday, December 13, 2010, 12:57 AM

> >>>>

> >>>>

> >>>>

> >>>>

> >>>>

> >>

>http://www.statesman.com/news/local/ambulance-restaffing-talks-causing-stir-111\

6081.html

>l

> >>>>

> >>>>

[Guest guest]

I know realize that Lubbock is a distance from the Dallas metroplex and from

Austin. That being said UMC Lubbock EMS is a service that covers a population of

230,00 plus in its city limits runs dual paramedics as a rule. The exception is

if they hire EMT or EMT-I who is currently in paramedic school.

Bt

Turnbow, NREMT-P, CCEMTP

2617 76th Street

Lubbock Texas, 79423

Cell

Home

Email turnbow31@...

> To: texasems-l

> From: kellow.bob@...

> Date: Mon, 13 Dec 2010 09:06:54 -0600

> Subject: Re: Ambulance restaffing talks causing stir

>

> As a matter of static staffing policy (and not demand or necessity), I would

> speculate that there are very few - if any at all.

>

> Bob

>

>

>

> >

> >

> > Just out of curiosity, how many major services run double paramedics in

> > Texas? I have always worked rural and smaller services and have always ran

> > paramedic with a basic or intermediate partner.

> >

> >

> > McGee, EMT-P, EMT-T

> >

> >

> >

> >

> >

> > From: Ron Haussecker haussecker87@...

> > >

> > Subject: Ambulance restaffing talks causing stir

> > To: " A A " emsn-news@... >,

> > texasems-l

> > Date: Monday, December 13, 2010, 12:57 AM

> >

> >

> >

> >

> >

http://www.statesman.com/news/local/ambulance-restaffing-talks-causing-stir-1116\

081.html

> >

> >