Thirty minutes on scene for EMS crews doing resuscitation of a cardiac arrest victim seemed preposterous to me so I wrote a small post declaring the new rule “nuts.”
I forgot that the EMS system where I worked (Providence Fire Department) for 25 years is actually what is “nuts.”
Thanks to BH (even though he has a tendency to let his contempt for Providence Fire show in his commentary,) Shane, Gerry and Brett Robert and especially David Hiltz at Code 1 Training Solutions for shining a light where my dark mind tends to wander.
At present there are seven ALS, BLS, BS, and disinterested ambulances responding to 40,000 plus EMS calls per year.
Some of the people assigned to EMS are there because they are great at it, and actually want to be there.
The rest are “Junior” firefighters trained as EMT-Cardiacs doing their time until a spot on a fire company opens.
There is no leadership.
We have an acting Captain running the division, which means he is buried under a mountain of paperwork and bureaucracy and seldom leaves his cubicle.
Morale is non-existent.
Burned out EMT’s are spit out, beat up and left to themselves to find a way to get back on the truck, day in, and day out.
For this to work Providence EMS needs to have an overhaul.
EMS units need to be able to stop CPR and declare a patient dead on scene. Until this happens the thirty minutes spent on scene is time wasted
Shift supervisors are imperative. The family of the fallen deserve to have a person invested in EMS, capable and professional tell them that their loved one is gone, not some kid fresh out of the academy, waiting for his spot on a fire truck, burned out from 90 hour weeks and BLS transports every hour, hour after hour, twenty-four hours a day.
Until that happens, nothing good will come of a thirty minute on scene effort in Providence.