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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Comments
Steve
Static v. Dynamic: A Continuum of Cost
Except it costs money to pay for a station. Skip the station and instead put the money you would have spent on the station and instead pay your providers more AND get more providers out on the street. Fire departments are going to have a hell of a time justifying their wastes in coming years...
2014-09-30 17:48:40
HP-EMS Profile: MedStar Mobile Healthcare | Hig...
HP-EMS Profile: MedStar Mobile Healthcare
[…] What I learned from MedStar about community paramedicine and how they support their crews on my visit to their facility in Fort Worth, Texas.  […]
2014-09-23 08:52:21
Betty lou Schau
HP-EMS Profile: MedStar Mobile Healthcare
What a great article, and kudos to MedStar for leading the way in Mobile Integrated Healthcare!
2014-09-15 11:32:45
Matt Zavadsky
HP-EMS Profile: MedStar Mobile Healthcare
WOW!! What a great article! Thanks so much for recognizing the people AND technology that make these programs work, whether here, or anywhere!
2014-09-12 08:06:15
Julia Harris
Is ‘SSM’ Still a ‘Bad Idea’?
I refuse to work for a system that does SSM. I did ride time in one of these county systems, and it was exhausting. I love running calls. I would like to work in a busier system but not at the cost of getting stuck in a truck for hours on end. I've done this…
2014-09-10 20:28:36

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