A Country EMS in The Big City

Last night I was fortunate enough to have been given the opportunity by Baltimore City FD to ride-along with one of their EMS crews as part of the EMS Today 2012 conference.† My desire was to learn some of the many differences between their service and the more rural EMS service back home.† While there clearly were definite differences, the thing that struck me more than anything else was actually how similar we all are, not how different.

I anticipated the promise that each tone held to expose me to some uniquely urban situation.† And while the individuals I met were clearly unique, the choreography between us all was mostly a repeat.† This is exactly how we are trained in EMS.† We take whatever situation is given to us and we bring a defined order to the chaos.† We seek sameness in purpose and outcome.† The empathy I felt for the apparently homeless patient with the self-induced alteration in LOC and the young woman facing a possible miscarriage was no different here than anywhere.† I simply wanted to help.† The public attitude toward EMS leading to abuse of the system and the painful inefficiencies it causes was also no surprise.† We face the same issues everywhere even if the proportions change.

It was witnessing the banter between calls that told me I wasnít back home.† The teams and even the sports were different, the union issues too.† But then then there was the discussion of changes in protocols, the latest findings in medicine, the issues faced in home life.† Maybe I am not so far from home after all.

At this conference I have already met medics from truly rural areas as far apart as Georgia and Alaska.† Iíve met some who work for private agencies and others who come from city or county services.† It is a commonality that brings us together and that allows us to discuss and learn from each other about our unique situations and approaches.† The pre-conference session I attended yesterday has also helped me think about operational questions I had never considered before.† Personally, I am definitely ready to start this conference today with a proper perspective.

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High Performance Emergency Medical Services (HP-EMS) systems provide effective clinical care promoting positive patient outcomes and community wellness while maintaining a focus on improving economic efficiency of the system.  This site is dedicated as a community seeking to increase agency performance by promoting useful information regarding the developing trends and improvements in the efficiency of delivering basic and advanced medical care in the field.

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Comments
daleloberger
We Need Some New Stories
A thoughtful response by Caitlyn Armistead in rebuttal: http://caitlynarmistead.blogspot.com/2014/11/tell-me-old-stories.html?showComment=1417016415539#c8401466510366332407
2014-11-26 10:41:49
daleloberger
EMS Deployment Community of Practice
A reader offered up this link to multiple fire department EMS analysis reports over time: https://sites.google.com/site/standardsofcoverfire/
2014-11-16 17:51:01
Rob Lawrence
Quick Thoughts from EMS World Expo 2014
In my High Performance EMS session I presented 'Robs 10 top tips' or Healthy Habits of High Performing Systems'. I majored on key elements of business practice, organizational performance and clinical excellence required in any high performing system, EMS or otherwise. My ten top tips were as follows: 1. Economic Efficiency. - money is getting…
2014-11-16 08:59:44
CJ Ewell
Is our success a sign of our failure?
A couple things- first, your discussion has nothing to do with schizophrenia and it does a disservice to your readers and the mentally ill to use this term inappropriately. Second, people need access to appropriate primary care options. Delivering these services in an expensive vehicle with a revolving cast of providers is a stop-gap, not…
2014-11-04 15:56:29
Phil Jordon
Impressions of the Ferno iN/X
John Staymose- You're only half correct on the weight issue. If you are lucky enough to work for an agency that has the Stryker lift system as well as the power cot, you do indeed enjoy having to do very little lifting. However, there are instances when your conclusion is erroneous. The major instance is…
2014-11-03 15:03:16

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