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Fire Service-Based EMS: The Right Response

Thu, 9 Sep 2010|

Fire Service-Based EMS Advocates video documenting the strategic position of the fire service to deliver timely, safe, competent, cost-effective and compassionate prehospital Emergency Medical Services.

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Automatically Generated Transcript (may not be 100% accurate)

The advocates for fire service based EMS coalition believe that fire service based EMS systems are strategically positioned to deliver pre hospital Emergency Medical Services that incorporate time critical response and effective patient care. Fire service based EMS emphasizes responder safety competent and compassionate workers. And cost effective operations. In a medical emergency. 90% of the people in North America rely on fire service based Emergency Medical Services. Because firefighters provide multiple skills timely arrival and competent care. -- EMS the right response. Firefighters have dedicated their careers to saving lives and property. Firefighters EMTs and paramedics are trained to arrive quickly and perform their roles efficiently and effectively. Because quick response can mean the difference between life and death. But there's a medical emergency at my home my place to work. I want fire -- pianist to respond. Is there the organization. And the people. With the training in the equipment. To handle any contingency that comes up. Today fire service based EMS professionals provide the community with the most rapid response times. And the highest quality of pre hospital patient care possible. The -- -- and every one of their emergency medical response vehicles as at all. It is called the star of life. The serpent and staff in the middle of the star part time honored symbols of feelings for each point in the star has a significant meaning. Detection and reporting. Response. Unseen care. Chairman transit. And transferred to definitive care. Detection and reporting are for the most part handled by dedicated emergency systems established within each community. The remaining four points of the star. Each is a constant reminder that quick response means the difference between life. And death. Decades ago. Firefighters helped establish the use -- vital life sustaining services such as first day oxygen systems. And CPR. I answer that call and I was doing CPR EMS pioneer Eugene -- cardiac arrest was unsuccessful. And this fire lieutenant said to me. Well they all die anyway. And at that time 1960 history. In the hospital we would occasionally have a success. As a cardiac progress. And when he said they all die outside in the street. I said there has to be. Some reason there. We obviously can save lives in the street if we do something like we do in the hospital. And that became. The center of the idea or trying to change. How we treat patients industry. The modern approach to Emergency Medical Services was supported by the revolutionary study. Accidental death and disability. The neglected disease have modern society. We chose the firefighters delivered this emergency care because of firefighters were available. We didn't have to venom they were there and they were stationed throughout the community. And they were willing to alarm Hillary. Easy to teach today we are guided by another landmark. The institute of medicine's future of emergency care record. If there any government agencies. Are public groups that thank EMS. As a static. Discipline. They are sadly wrong. And in fact. There is a recent Paper by the institute of medicine and abortions and that lists the areas. Where improvements and changes are needed. The -- recommendations. Envision -- 21 century emergency care system. Where -- is seamless between all points on the star of life accountable. And able to perform well both day -- day and in times of disaster. There's a real benefit to having seamless care some care where you're not transferring -- patient through another agency there's something lost every time you do that. Many improvements medical care have unfortunately been the product of war. We've also learned that ending injuries that occurred in the battlefield. And those -- current civilian sector times century. -- that means is you have very human. To stop that process -- in that case. Fire service based responders are professionally trained to operate within the time critical windows common to both medical emergencies and fires. A structure fire must be attacked within eight to ten minutes after ignition. Firefighters are usually on the scene within three and a half to four and a half minutes. In cardiac arrest brain -- typically occurs within eight to ten minutes. The time between cessation of the heart beat and initiation of CPR if revelation and advanced cardiac life support. Determines the patient's chances for survival. For the treatment of heart attack victims -- medical experts including the American Heart Association. Recommend response times of less than five minutes. Fire service based EMS professionals regularly meet such response times. Documented survival rates for cardiac arrest patients are markedly higher for patients served by cross -- multi role firefighters. -- for those victims served by providers and non fire service based systems. For the public it means you -- one number 911. And no matter what's your emergency. You get the fire department the fire department is equipped and trained to handle the emergency whether to fire and EMS call or anything else. We are naturally deployed in virtually every community in this country and and every neighborhood in this country. -- departments are deployed rapid response. And then -- emergency responses and fast it's not emergency response. And we're not gonna get any awards for same day service that has to be fast for its not emergence. Response time is also key in cases of traumatic injury. Here again firefighters worked together performing extra -- -- Rescue and decontamination. Simultaneously. Providing medical assessments and interventions. Fire based DM us puts the best things together. -- there is this. Funds needed in the community. If you need a response for fire -- -- for EMS for Hazmat. Dive rescue. We have more less a standing army it's busy doing many things but the same time. When we can add something as efficient as EMS. And efficient of the citizens into our system that's a benefit to the community. I can think of no other systems that come with the complete toolbox if you -- to handle whatever you could possibly counter. Out of the hospital that requires emergency medical care. That is the head and shoulders advantage of fire -- in this over any other delivery system and our country. When it comes to multi casualty emergencies. Fire service based Emergency Medical Services are there. During hurricane Andrew down in Miami. Years ago the private ambulances. Chose not to respond. That's a problem. -- Systems that are not based and a public -- department like bars where you have to respond. We are going to respond that's our job. And that's one of the big benefits of the community of having EMS and fire department. The major changes need to -- in -- today. -- to move dollars for the patients take care. Today buyer base unit provides hundreds of thousands of patients -- context. That are it. That issue here is just as important as the transportation that patients at a hospital. Firefighters. When the community calls they are there. 24 hours a day. Every day of the year. When decisions are made at the national state and local levels of government. Remember that the most common and effective means of delivering 911 emergency medical care throughout the nation. Is through fire service based EMS systems. Policies that protect support and enhance the capabilities of fire service based EMS systems our critical.

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