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.

1 Trackback

Leave a Reply

Your email address will not be published. Required fields are marked *

background image Blogger Img

High Performance EMS

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.

Comments
Joey
Static v. Dynamic: A Continuum of Cost
There are pros and cons with each model but the bottom line comes down to optimizing your EMS system and delivering rapid care within a cost efficient model. I have always worked in a drama series called "housewives of a static system" as well as in a nationally recognized dynamic system and I can honestly…
2014-08-26 06:31:07
David
Static v. Dynamic: A Continuum of Cost
John Brophy is that you.... If having a sustainable funding source , money for research, proper equipment like power cots, video laryngoscopes, state retirement, community education funding, and not eating and pooping in a gas station makes me Emergency. Then Rampart I need orders for a lobotomy. If running more calls to bill Medicare and…
2014-08-23 18:41:36
David
Is ‘SSM’ Still a ‘Bad Idea’?
If it's such a great idea why hasn't Fire Dept embraced it?
2014-08-23 14:19:25
Todd
Static v. Dynamic: A Continuum of Cost
David...I agree with John and Roger. EMS is a business and we've got to start treating it that way. The days of sitting around the station waiting for a call have come and gone. To be efficient you've got to be out in your service where the calls happen. This is the future of EMS…
2014-08-23 13:55:46
John
Static v. Dynamic: A Continuum of Cost
I thought Johnny and Roy retired in the 70's. People with a mindset like yours are what keeps the paramedicine profession from evolving like the other emergency services have. The definition of insanity...doing the same things over and over expecting something different to happen.
2014-08-23 10:53:29

Dale Loberger's Discussions


Follow Dale Loberger

FireEMS Blogs eNewsletter

Sign-up to receive our free monthly eNewsletter

LATEST EMS NEWS

HOT FORUM DISCUSSIONS