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	<title>Comments on: My Thoughts on Fire Based EMS</title>
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	<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/</link>
	<description>This blog is about EMS, and one Paramedic&#039;s quest to make this the profession it deserves to be.</description>
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		<title>By: The Happy Medic &#187; Blog Archive &#187; Fire Based EMS Not Efficient? Really?</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-3869</link>
		<dc:creator>The Happy Medic &#187; Blog Archive &#187; Fire Based EMS Not Efficient? Really?</dc:creator>
		<pubDate>Wed, 22 Jun 2011 02:37:12 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-3869</guid>
		<description>[...] the &#8220;retirement costs&#8221; and perhaps look at the system and how to deliver what our pal Chris Kaiser dubbed EMS based EMS.  Looks like Santa Clara needs to stop and rethink things, then start from scratch.  Someone [...]</description>
		<content:encoded><![CDATA[<p>[...] the &#8220;retirement costs&#8221; and perhaps look at the system and how to deliver what our pal Chris Kaiser dubbed EMS based EMS.  Looks like Santa Clara needs to stop and rethink things, then start from scratch.  Someone [...]</p>
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		<title>By: David</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-3865</link>
		<dc:creator>David</dc:creator>
		<pubDate>Tue, 21 Jun 2011 00:31:00 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-3865</guid>
		<description>How about this one. Since I work for a paid, non-ALS fire department and have a Paramedic license, I&#039;m not allowed to perform patient care because the state EMS office has me (and others in the dept.) listed as &quot;Inactive.&quot; This means legally, while I&#039;m on duty, I can&#039;t even perform CPR, even though I&#039;m an EMT and CPR Instructor. They have in effect taken several higher-trained advanced licenses out of play because the department only provides BLS.

I love my state. We&#039;re Number 1...alphabetically.</description>
		<content:encoded><![CDATA[<p>How about this one. Since I work for a paid, non-ALS fire department and have a Paramedic license, I&#8217;m not allowed to perform patient care because the state EMS office has me (and others in the dept.) listed as &#8220;Inactive.&#8221; This means legally, while I&#8217;m on duty, I can&#8217;t even perform CPR, even though I&#8217;m an EMT and CPR Instructor. They have in effect taken several higher-trained advanced licenses out of play because the department only provides BLS.</p>
<p>I love my state. We&#8217;re Number 1&#8230;alphabetically.</p>
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		<title>By: gwalter</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-3852</link>
		<dc:creator>gwalter</dc:creator>
		<pubDate>Sun, 19 Jun 2011 10:35:00 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-3852</guid>
		<description>Having worked on both sides of the track, I couldn&#039;t agree with you more.  Paramedics working for transporting agencies are very specialized and have a broader knowledge and experience in healthcare.  Paramedics working for non-transporting (generally fire-based) agencies, are more generalized rescue techs.  The jobs are different.

As a fire-medic, I continued to work for ground and air transport agencies, part-time, because I loved the patient contact - and my job.  I thought all my colleagues wanted to be excellent care providers and had a natural love for helping people.  Yet somehow, I just didn&#039;t fit.

Now, back in private EMS working for a transport ambulance corporation, I see things more clearly.  First, I&#039;m saddened to see the care provided by my former firefighter paramedics.  I know they don&#039;t have the support of their agencies or their union brothers and sisters, but it is really sad to watch sometimes.  Second, private ambulance services, for the most part, are just a stepping stone to a &quot;real&quot; job - but that has more to do with pay, benefits, and working conditions.  There are some really good medics working for the private agencies.

Finally, it is sad to see that fire-based agencies are holding back EMS because what we have is good enough; and private agencies are holding it back because of costs.  We are still stuck in the 1980s, and it&#039;s time to move forward.  We need a new model - and Wake County (as are others), may be paving the way for us.</description>
		<content:encoded><![CDATA[<p>Having worked on both sides of the track, I couldn&#8217;t agree with you more.  Paramedics working for transporting agencies are very specialized and have a broader knowledge and experience in healthcare.  Paramedics working for non-transporting (generally fire-based) agencies, are more generalized rescue techs.  The jobs are different.</p>
<p>As a fire-medic, I continued to work for ground and air transport agencies, part-time, because I loved the patient contact &#8211; and my job.  I thought all my colleagues wanted to be excellent care providers and had a natural love for helping people.  Yet somehow, I just didn&#8217;t fit.</p>
<p>Now, back in private EMS working for a transport ambulance corporation, I see things more clearly.  First, I&#8217;m saddened to see the care provided by my former firefighter paramedics.  I know they don&#8217;t have the support of their agencies or their union brothers and sisters, but it is really sad to watch sometimes.  Second, private ambulance services, for the most part, are just a stepping stone to a &#8220;real&#8221; job &#8211; but that has more to do with pay, benefits, and working conditions.  There are some really good medics working for the private agencies.</p>
<p>Finally, it is sad to see that fire-based agencies are holding back EMS because what we have is good enough; and private agencies are holding it back because of costs.  We are still stuck in the 1980s, and it&#8217;s time to move forward.  We need a new model &#8211; and Wake County (as are others), may be paving the way for us.</p>
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		<title>By: In Other News: Water Is Wet, Sky Is Blue &#124; A Day In The Life Of An Ambulance Driver</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-3849</link>
		<dc:creator>In Other News: Water Is Wet, Sky Is Blue &#124; A Day In The Life Of An Ambulance Driver</dc:creator>
		<pubDate>Fri, 17 Jun 2011 21:16:20 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-3849</guid>
		<description>[...] Chris Kaiser does a nice, even-handed job of summing up my major beefs with fire department EMS here... [...]</description>
		<content:encoded><![CDATA[<p>[...] Chris Kaiser does a nice, even-handed job of summing up my major beefs with fire department EMS here&#8230; [...]</p>
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		<title>By: Anonymous</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-3845</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 17 Jun 2011 13:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-3845</guid>
		<description>Preach it, brother!</description>
		<content:encoded><![CDATA[<p>Preach it, brother!</p>
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		<title>By: TC_Lifesaver</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-3826</link>
		<dc:creator>TC_Lifesaver</dc:creator>
		<pubDate>Sat, 11 Jun 2011 15:15:00 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-3826</guid>
		<description>Agreed. </description>
		<content:encoded><![CDATA[<p>Agreed.</p>
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		<title>By: Shug</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-1618</link>
		<dc:creator>Shug</dc:creator>
		<pubDate>Wed, 16 Jun 2010 18:22:22 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-1618</guid>
		<description>Interesting post... What part of IL are you from by the way? Im currently working on my medic to become part of the Elgin, IL FF, or the Northern IL FF&#039;s (Lake Villa, Fox Lakes, etc).&lt;br&gt;&lt;br&gt;I was actually not told I *needed* my medic. I was told that I would have about a 150% better shot if I had my medic. I have family up there in the public services (Brother is a police officer for Elgin, Father worked for Aurora PD for 10+ years).&lt;br&gt;&lt;br&gt;I took my medic because I wanted to be a medic. I am applying for fire because I want to be a medic, and run 911 calls (in Arizona, where I currently live, private ambo companies, like PMT and Southwest only do transport, fire does 911 calls)&lt;br&gt;&lt;br&gt;I think (speaking from my very very limited experience) that it all comes down to money. Honestly, if a house gets 100 calls a year for fire, if they dont do SOMETHING else, how can they justify a raise? Or better yet, if they run 100 calls a year, and their response time averages 3-3.5 minutes, and another station down the road runs 100 calls a year, and averages 4-4.5 minute response times to the same calls, why not get rid of one of the departments? I mean its only 1 minute right (easy to say, unless your the one in trouble)?&lt;br&gt;&lt;br&gt;So, and again I reiterate that my opinion is of limited experience in the field, I would say fire based EMS is really saving fire&#039;s *ss, as far as keeping houses open, and keeping firemen employed.&lt;br&gt;&lt;br&gt;my e-mail is &lt;a href=&quot;mailto:s@maricopa.edu&quot; rel=&quot;nofollow&quot;&gt;s@maricopa.edu&lt;/a&gt;. If you still check this post for comments, I&#039;d like to hear more about this from you.</description>
		<content:encoded><![CDATA[<p>Interesting post&#8230; What part of IL are you from by the way? Im currently working on my medic to become part of the Elgin, IL FF, or the Northern IL FF&#39;s (Lake Villa, Fox Lakes, etc).</p>
<p>I was actually not told I *needed* my medic. I was told that I would have about a 150% better shot if I had my medic. I have family up there in the public services (Brother is a police officer for Elgin, Father worked for Aurora PD for 10+ years).</p>
<p>I took my medic because I wanted to be a medic. I am applying for fire because I want to be a medic, and run 911 calls (in Arizona, where I currently live, private ambo companies, like PMT and Southwest only do transport, fire does 911 calls)</p>
<p>I think (speaking from my very very limited experience) that it all comes down to money. Honestly, if a house gets 100 calls a year for fire, if they dont do SOMETHING else, how can they justify a raise? Or better yet, if they run 100 calls a year, and their response time averages 3-3.5 minutes, and another station down the road runs 100 calls a year, and averages 4-4.5 minute response times to the same calls, why not get rid of one of the departments? I mean its only 1 minute right (easy to say, unless your the one in trouble)?</p>
<p>So, and again I reiterate that my opinion is of limited experience in the field, I would say fire based EMS is really saving fire&#39;s *ss, as far as keeping houses open, and keeping firemen employed.</p>
<p>my e-mail is <a href="mailto:s@maricopa.edu" rel="nofollow">s@maricopa.edu</a>. If you still check this post for comments, I&#39;d like to hear more about this from you.</p>
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		<title>By: Shug</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-1617</link>
		<dc:creator>Shug</dc:creator>
		<pubDate>Wed, 16 Jun 2010 14:22:22 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-1617</guid>
		<description>Interesting post... What part of IL are you from by the way? Im currently working on my medic to become part of the Elgin, IL FF, or the Northern IL FF&#039;s (Lake Villa, Fox Lakes, etc).&lt;br&gt;&lt;br&gt;I was actually not told I *needed* my medic. I was told that I would have about a 150% better shot if I had my medic. I have family up there in the public services (Brother is a police officer for Elgin, Father worked for Aurora PD for 10+ years).&lt;br&gt;&lt;br&gt;I took my medic because I wanted to be a medic. I am applying for fire because I want to be a medic, and run 911 calls (in Arizona, where I currently live, private ambo companies, like PMT and Southwest only do transport, fire does 911 calls)&lt;br&gt;&lt;br&gt;I think (speaking from my very very limited experience) that it all comes down to money. Honestly, if a house gets 100 calls a year for fire, if they dont do SOMETHING else, how can they justify a raise? Or better yet, if they run 100 calls a year, and their response time averages 3-3.5 minutes, and another station down the road runs 100 calls a year, and averages 4-4.5 minute response times to the same calls, why not get rid of one of the departments? I mean its only 1 minute right (easy to say, unless your the one in trouble)?&lt;br&gt;&lt;br&gt;So, and again I reiterate that my opinion is of limited experience in the field, I would say fire based EMS is really saving fire&#039;s *ss, as far as keeping houses open, and keeping firemen employed.&lt;br&gt;&lt;br&gt;my e-mail is &lt;a href=&quot;mailto:s@maricopa.edu&quot; rel=&quot;nofollow&quot;&gt;s@maricopa.edu&lt;/a&gt;. If you still check this post for comments, I&#039;d like to hear more about this from you.</description>
		<content:encoded><![CDATA[<p>Interesting post&#8230; What part of IL are you from by the way? Im currently working on my medic to become part of the Elgin, IL FF, or the Northern IL FF&#39;s (Lake Villa, Fox Lakes, etc).</p>
<p>I was actually not told I *needed* my medic. I was told that I would have about a 150% better shot if I had my medic. I have family up there in the public services (Brother is a police officer for Elgin, Father worked for Aurora PD for 10+ years).</p>
<p>I took my medic because I wanted to be a medic. I am applying for fire because I want to be a medic, and run 911 calls (in Arizona, where I currently live, private ambo companies, like PMT and Southwest only do transport, fire does 911 calls)</p>
<p>I think (speaking from my very very limited experience) that it all comes down to money. Honestly, if a house gets 100 calls a year for fire, if they dont do SOMETHING else, how can they justify a raise? Or better yet, if they run 100 calls a year, and their response time averages 3-3.5 minutes, and another station down the road runs 100 calls a year, and averages 4-4.5 minute response times to the same calls, why not get rid of one of the departments? I mean its only 1 minute right (easy to say, unless your the one in trouble)?</p>
<p>So, and again I reiterate that my opinion is of limited experience in the field, I would say fire based EMS is really saving fire&#39;s *ss, as far as keeping houses open, and keeping firemen employed.</p>
<p>my e-mail is <a href="mailto:s@maricopa.edu" rel="nofollow">s@maricopa.edu</a>. If you still check this post for comments, I&#39;d like to hear more about this from you.</p>
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		<title>By: Police Car Drivers, Ambulance Drivers, and their responsibilities &#124; Life Under the Lights</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-1611</link>
		<dc:creator>Police Car Drivers, Ambulance Drivers, and their responsibilities &#124; Life Under the Lights</dc:creator>
		<pubDate>Tue, 15 Jun 2010 18:19:16 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-1611</guid>
		<description>[...] before you think that I’m opening the Fire Based EMS can of worms, I want to direct you to this news story I just read on EMS1.com &#8211; Kentucky EMTs not called [...]</description>
		<content:encoded><![CDATA[<p>[...] before you think that I’m opening the Fire Based EMS can of worms, I want to direct you to this news story I just read on EMS1.com &#8211; Kentucky EMTs not called [...]</p>
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		<title>By: PGSIlva</title>
		<link>http://lifeunderthelights.com/2009/08/my-thoughts-on-fire-based-ems/comment-page-1/#comment-1610</link>
		<dc:creator>PGSIlva</dc:creator>
		<pubDate>Thu, 11 Feb 2010 03:45:22 +0000</pubDate>
		<guid isPermaLink="false">http://livingunderthelights9dev.wordpress.com/2009/08/18/my-thoughts-on-fire-based-ems#comment-1610</guid>
		<description>Amen....</description>
		<content:encoded><![CDATA[<p>Amen&#8230;.</p>
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