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Post by flamethrower on Apr 8, 2006 21:50:34 GMT -5
How about the new proposal in EMS law for the commonwealth that would allow for an EMT-I to practice in the state. Do you think it will be worth it? How can we justify training people to do more advanced skills and potentially increase adverse patient outcomes because of piss poor providers doing things just because they can and its cool?
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Post by blueeighty8 on Apr 9, 2006 11:17:58 GMT -5
I haven't seen any proposal for EMT-I..? I have read the new EMS act and state wide protocol changes, and understand they would like to have an EMT-Advanced. In my opinion, that just seems like it comes twenty years too late. Too many people are still too far away from ALS, some are too far away from competent BLS services. If you have to wait more than 10 minutes for anyone, from any branch of Emergency Services to get on scene, you are waiting too long. Obviously people put themselves far away from ambulances, and I'm not suggesting we need more. I'm suggesting that we need more basic level quick response units... that respond.. quickly.. With out quick and competent basic level care, advanced level care isn't going to do much good.
Not authorized to comment on this matter. Portions of this opinion deleted.
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Post by GVEMS11 on Apr 9, 2006 17:07:02 GMT -5
There is indeed an EMT-Advanced listed in the new Act 45 rewrite. There are also a few other levels/changes to levels in the rewrite. The Act was rewritten because it hadn't been updated in so long, and also to mirror the National Scope of Practice that is being proposed. For those of you that have questions/concerns, the Director of the State EMS Office has visited each of the 16 regions and had an open forum for feedback on the Act rewrite. Having an EMT-Advanced in a particular area that does not have quick access to ALS would only benefit the patient... Areas like Sullivan County, actually. The Act doesn't contain skill sets or protocols, these are published in the PA Bulletin. But any skills that an EMT-Advanced would have will be above and beyond the current EMT. When you are waiting 30+ minutes for ALS, the EMT-Advanced will be able to initiate some types of advanced treatment.
New York State has two levels of intermediate providers -- the EMT-Intermediate and the EMT-Crititical Care, with EMT-CC being just below Paramedic. Each has advanced practices available, but each is also limited.
Now, that being said, just because the EMT-Advanced is in the Act, that doesn't mean that there will necessarily be a skill set for the EMT-Advanced right away. It could be a position that is phased in immediately, phased in at some point down the road, or it may never even go beyond the verbage of the Act. The first step is getting it in there and getting the Act passed through the legislature.
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Post by 911wacker on Apr 9, 2006 21:53:39 GMT -5
Having an EMT-Advanced in a particular area that does not have quick access to ALS would only benefit the patient... Areas like Sullivan County, actually. This is soooo true. If this does happen it will be a good thing, but only if the providers are held to a qaulity standard. I would also like to see the basic EMT's that currently run with ALS services to achieve this level, it will help us when the fecal matter is hitting the oscilater.
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GVEMS30
Full Member
"Anyone who has never made a mistake has never tried anything new." - Albert Einstein
Posts: 75
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Post by GVEMS30 on Apr 12, 2006 16:42:49 GMT -5
I agree with the last couple of posts. If an EMT-I or –A will increase access and lower response times, then go for it. The focus should be on providing Platinum Ten response times. I have family in Sullivan and Northern Lycoming County, on a good day they are at least half an hour from ALS if not more, and little better for BLS. The people who live in this area know that, and do not seem, as a population, to care. They do not know what they do not have. Most would not blink at calling 911 for a fire, but a medical emergency? My uncle, who lives in that area, had a heart attack last year and my 85-year-old grandmother drove him to the hospital POV. When I asked her why, she said she could get him there faster then the ambulance. She has no idea what EMS is and saw no danger in what she did. The fact is, where they live, the would have bettered an EMS transport by great deal of time, unless someone just happened to be at the station. Was she totally wrong? What if lawmakers who like to throw money at things tossed a few dollars at public education about EMS?
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Post by rescue on Dec 10, 2007 20:21:01 GMT -5
I would love to see the emt-i brought to pa for the ems personal in pa that want to take the class and or the training i would be interested in taking the training i have been a emt for 24 years now and this would help with my con ed training
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