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Harvey Hall Fighting Paramedic Service By Firefighters Move our EMS standards from the Amish level tothe current century! Move our EMS standards from the Amish level to the current century... August 07 September 07 October 07 November 07 December 07 January 08 February 08 March 08 April 08 May 08 June 08 July 08
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Move our EMS standards from the Amish level to the current century...
Some little known information (from my point of view) about EMS (Emergency Medical Services) in Kern County:
Some of the Kern County firefighters as well as those working for the City of Bakersfield are Certified Emergency Paramedics. However, when they respond to a medical aid call, they are restricted from performing their duties as a Paramedic--they are only allowed to perform as an EMT, which is basically administering first aid and using the automatic defibrillation units that anyone with a current CPR card is trained to use. Their paramedic skills, including starting an IV and administering life saving fluids and drugs, are unable to be used. Why , you ask? Well, that is because Hall has the contract to provide ambulance service in this county and is not allowing anyone other than his paramedics to provide advanced life support services. So, the firefighter/paramedics that respond and arrive first on the scene of a medical aid have to wait until the Hall paramedics get there. Why is he doing this? The only reason I can think of is perhaps he is afraid someone else is going to get a piece of his pie. He may be afraid that if Kern County trains firefighters to be paramedics or allows the firefighters that are currently paramedics to use their skills, that they may eventually want to put ambulances at their fire stations, putting his sweet little monopoly to an end. Now that the problem has been identified... What is the solution? Kern County firefighters need to be able to function as paramedics. In most California counties and cities, firefighters are paramedics also. They already respond to all medical aid calls, so providing advance life support services could easily be implemented. That way, the Kern County firefighter/paramedic could immediatley begin to provide the advanced life support care that the people of Tehachapi and especially the outlying areas, need. Once Hall's ambulance arrived on the scene, report can be given, both the Kern County firefighter/paramedic and Hall's paramedic can work together to stabilize the patient. Once stabilized, care is transferred to Hall's paramedic and the patient is transported to the hospital by Hall's ambulance. This frees the Kern County firefighter/paramedic to return to his fire station, and keeps the level of EMS/fire supression at the level it has always been. Why isn't this being done? Well, do you think the City of Bakersfield, with Hall as their MAYOR, are going to complain? Who would they complain to? The MAYOR, WHO ALSO OWNS THE AMBULANCE COMPANY? Do you really think the Kern County Board of Supervisors are going to rock the boat and go up against Mayor Hall? It would probably be the end of their political careers. What are some other considerations? Well, training a firefighter to be a paramedic can be costly to the county. It takes that firefighter out of service while he attends the 6 mth paramedic program. It would be a huge expense covering his shifts and paying for the program. To minimize the financial impact, some cities/counties are now requiring that any new firefighter recruit hired must have already have completed paramedic training as well as the required Fire Science degree. But if the firefighter/paramedic training had been implemented years ago as it should have been, the impact would have been spread over a period of time. However, it is not too late to begin to provide the same level of service that most Californians, even those residing in rural areas, receive every day. 70 comments from 21 users
posted by
concernedcitizen
on Sep 9, 2007 at 02:10 PM
Anonymous--you also said Hall is all about money but the medics he employees care about the people and we act as they don't. I couldn't find ANYWHERE in this blog that people complained about the ambulance crews. I interact several times a years with Halls ambulance crews and have never once had a bad experience with any of them. They are top notch, dedicated people. No where was it stated that ambulance crews don't care. They are just low paid pawns in Halls plan to provide minimal service with maximum return.
Read Shanes post--and he should know--he is stating what one of the orginal statements from my blog. is about. There are fire fighters that are paramedics out there that have to watch patients go down hill becasue they can't carry ALS equipment on the engines--due to Hall. posted by
anonymous
on Sep 9, 2007 at 03:33 PM
"There are many ways you increase the EMS service level and provide a better service. Putting PM's on engines may be the fast way to make change, but not always the best." Name one way. I would not want to give tax dollars to Hall. He is in it for the money. With the County at lest they will be spending our tax dollars on us. Not their race team or what ever.
posted by
coolfire
on Sep 9, 2007 at 08:05 PM
Anonoymous, how many firefighters tests have you failed? All anyone wants is better paramedic service. The other night I saw 5 Halls ambulances waiting to unload or pick up a patient for a transfer at Memorial Hospital. Transfers take an ambulance out of service for hours, why because harvey knows he can collect on the insurance $$ guarenteed. The others were waiting for a bed. So, 5 ambulances out of service. I wonder if harvey was calling AMR, Care, or Liberty for back-up?? I talked to a hall paramedic supervisor who was scared to tell his supervisor that he was taking a firefighter test and would need the day off because he was afraid of losing his current job. Are you afraid of losing your hero complex if a ff/pm is already on scene providing ALS intervention? Do your history, look at how many more times the hall helicopter has been used now that the MAYOR own$ it. Are f/f's FAIRLY paid? yes, rich no. How many private medics have a rigorous 6-8 month testing process just to take a chance on getting hired, than a 4 month academy, and than 12 months of field training? If you were laying there bleeding to death, wouldn't you want a ff/pm to start treating you, or do you want to wait 10-2o minutes for a private ambulance medic? I have nothing against private medics. I know they are doing a good job working for greedy owners.
posted by
anonymous
on Sep 9, 2007 at 10:01 PM
Hey nerdgeek and the anonymous Hall dork, please use spell check or slow down. It is painful to read your posts. But keep up the dribble, its fun to read.
posted by
countygirl
on Sep 10, 2007 at 12:24 AM
Anonymous- I just noticed that you added to your post..... Harvey is all about money, but the medics that he employees care about the people they treat as well. You act as if they don't and that only the FD will be this saving grace of empathy and compassion. The only person that should have shame is you. I'll make sure I forward this to all the ambulance medics in Kern. So now we're resorting to putting words in people's mouths( there seems to be an epidemic going around)........nice! You go ahead and send this to all the ambulance medics and while you are at it send all my other posts (on different blogs on here) that praise them for the great job they are doing. Sound fair. Also if you are going to say you are bringing facts to the table will you please do so because so far you've given out so much false info it's mind boggling. If you want to sound like you know what you are talking about here are a few FACTS you should know..... 1.) There already is a full time Kern County fire station in Frazier Park! Surprise! 2.) The FD run on all medical calls placed through 911....how can you NOT know this??? 3.) All FD personnel have to stay current in their EMT status( this means training) and if they were medics the same would be true. 4.) Tehachapi Fire Dept. was dis banned because they were providing parallel services to KCFD. Funding had nothing to do with it ......it was a waste of money. 5.) BFD and KCFD aren't that busy???.......when was the last time you did a ride along?
posted by
coolfire
on Sep 10, 2007 at 08:43 AM
There are some KCFD and BFD stations that are running about 3000 calls a year, 70% are EMS I bet...
posted by
concernedcitizen
on Sep 10, 2007 at 09:15 AM
Wow! There for a few days I thought this blog was a full code...dead in the water. But with some CPR and Advanced Life Support skills (provided by all the new blogs)...it was successfully resuscitated!
Thanks to all of you who have expressed concern about the level of EMS care in Kern County...but I don't know what to do about improving it. There is an obvious conflict of interest between being a mayor/politition and making the decisions as to what level of EMS to provide, especially when he feel it may somehow affect his pocketbook. Most of us, including me, feel it would be career suicide to try to improve the level of EMS care provided. Any suggestions as to what the next step should be???? posted by
bigdaddy
on Sep 10, 2007 at 12:28 PM
I do work for KCFD and my name is Ryan Moore, so I’m not hiding. I think that this issue has been drawn out so much that the real basis has been missed. The real issue is the level of care that we can provide to the public. This is not an ambulance service versus fire department issue. There are no intentions of taking over patient transportation from the current ambulance companies, and the fact is we will always need ambulance companies to provide the transportation aspect. In the field level the relationship between ambulance companies and fire personnel is good in my opinion. There is a mutual and professional respect. We do what we can to help them on scene and they do what they can to help us. It seems like the issue lies in the upper management of one particular ambulance company. By the fire department receiving paramedic/firefighters the level of care can only increase. Every medical aid call, with the exception of some private requests made directly to the ambulance company, the fire department will respond and this will always occur regardless if we get paramedics or not. There are times that the ambulance gets on scene first and waves us off because they can handle the call by themselves, sometimes all that manpower is not needed but it is always started. With long response times in some areas in Now lets move back to Wasco where I work. The ambulance is almost right next door to us. Their response time is pretty much identical to the fire department. Either we are leading them or they are leading us. Say we both arrived on scene at the same time and are working the scene of a full arrest, now we have two paramedics on scene. One paramedic from Kern ambulance and one from KCFD. There is so much going on that a second paramedic is a real treat to have. One could be starting an IV and pushing medications and the other could be intubating. The engineer or captain from the fire department can be doing chest compressions and the emt on the ambulance can be getting the gurney ready to put the patient on. That is teamwork right there. Two highly trained paramedics backing one another up providing the best chance the patient can have. The next scenario is a car wreck with multiple patients. On a typical car wreck you get 1 Battalion Chief 2 Fire engines or 1 Fire engine and 1 Truck and 1 Ambulance. As it is now with that response you get 1 paramedic. If there were firefighter/paramedics on the fire department equipment you would get 3. If there are multiple patients 1 paramedic is going to get stretched thin. Him or her can only go so far. With 3 a more appropriate level of care can be initiated. We are interested in public safety since that is our job. If there is a tool out there that can help us do our job better and provide a better service to the public and possibly save a life then it should be criminal to deny us the tool. What affect will this have on ambulance companies serving posted by
concernedcitizen
on Sep 10, 2007 at 03:49 PM
Thank you Big Daddy for you input. You are right--some people tried to make this into a ambulance vs fire dept fight. That is the last thing I wanted to accomplish on this blog. Hall's ambulance and the fire dept have always worked together as a team to benefit one thing-the patient. Working a cardiac arrest or a multiple victim car accident with 2 paramedics should not be a luxury--it should be a neccessaity. More than one life would be saved if Kern County firefighters became paramedics. Hall would not lose any revenue as he would still be transporting the patient.
So what is the next step? How can we ensure that firefighters can become paramedics? We can blog all we want but will it do any good? posted by
anonymous
on Sep 10, 2007 at 03:58 PM
You would have to get rid of Halls boy BOS Watson and re-work county EMS. Then things would change for the better. I wonder how BOS Maben would vote.
posted by
coolfire
on Sep 10, 2007 at 05:21 PM
I believe Harvey and Maben are brothers.......... I would not be surprised to see Harv run for the BOS in the near future.
posted by
anonymous
on Sep 10, 2007 at 10:46 PM
Another Hall flip flop. How many sides of his face can this man speak out of? Let's play a game with this one. Its called "How Many Discrepancies Can You Find In The Hall Ambulance Official Stand In This Article." It sounds a lot like the Tehachapi City Council regarding the fire protection issue. If they can't have their way, they take their toys and go home. Only these toys save lives and property. Shame on all of you. Hall's Pine Mountain Club station to close| Monday, Sep 10 2007 9:40 PMLast Updated: Monday, Sep 10 2007 9:44 PM Hall Ambulance Service will be closing its Pine Mountain Club station Oct. 6 for reasons including a lack of support from some members of the community. The company will continue to provide service to the area from its unit in Frazier Park, said Mark Corum, Hall's director of public and media relations. The Pine Mountain Club station has been operating on weekends for the past year and a half. The station is closing because of low call volume, unreimbursed costs and a change in direction with new leadership for the Pine Mountain Club community, Corum said. Bakersfield Mayor Harvey Hall, owner of Hall Ambulance Service, said in a news release that keeping the station open required the continued support of everyone involved. Some residents of the south county mountain community have been upset with the service they've received. They have asked for coverage by county firefighters trained as paramedics so people could get immediate care while the ambulance was on its way. "We have a saying, 'Don't get sick during the week,' because the ambulance isn't here," said resident Frank Sanchez. A firefighter paramedic is what the community needs, he said. Kern County Fire Chief Dennis Thompson has said he was looking into the issue, according to archived stories in The Californian. Thompson could not immediately be reached for comment Monday evening. Corum said a firefighter paramedic won't do residents much good unless they also have the proper transportation to get a patient to a hospital as quickly as possible. As for Hall ambulances not arriving quickly enough, Corum said the company has met the county's standards and that ambulance companies have no control over the various time limits that have been set for reaching different types of areas. Also, when an ambulance covering the Pine Mountain Club area is called away, another replaces it so the area is never without coverage. Supervisor Ray Watson wasn't surprised the station was closing. "The community hasn't been very welcoming to Hall so I can understand why they would not want to continue that service," Watson said. Things will just go back to the way they were before the station opened -- with Hall operating out of Frazier Park -- so residents won't be left in the lurch, Watson said. Corum said there were only 52 calls for service in the Pine Mountain Club area during the past 15 months. Of those, 22 were non-transport calls. The company collected less than $30,000 on the calls that were completed, but spent $260,000 on wages, rent, utilities and equipment upgrades, Corum said. In June, Kern County supervisors approved new performance standards for the ambulance companies that operate in the county. Ambulances must arrive within time limits 90 percent of the time or risk losing their contract with the county. Hall Ambulance has met those standards.
posted by
coolfire
on Sep 11, 2007 at 09:32 AM
The typical double talk from the Halls propaganda machine.. It's time for fifrefighter/paramedics. First of all, Corum finally admits it's all about the Benjamin$$, not the people in Harv's special places. No money, no service, plain and simple. I am sure Watson is ok with this as he is mostly like trying to get a job with Hall's when he gets bounced out of office. Corum obviously has a beef with the fire dept as he makes another inaccurate statement. If ff/pm's can get on scene rapidly and stabilize a patient before an ambulance, isn't that a good thing??? Stabilize the patient than transport, kind of like the ambulances do. It will be interesting to see what happens in Harvs's other special place regarding ambulances. What will Mabens opinion be? Will Hall keep both ambulances running if and when he opens the Golden Hills post? Only time and $$ will tell........... posted by
anonymous
on Sep 11, 2007 at 04:34 PM
Per Corum, "A firefighter paramedic won't do much good...." tells me he is NOT acting in the patients best interest. A firefighter paramedic can assess, start IV's, administer drugs, externally pace, and have the patient ready for transport. When Hall ambulance gets there--they can just load and go. They don't have to wait another 5-10 min while a paramedic assessment has to be done.
posted by
concernedcitizen
on Sep 11, 2007 at 05:17 PM
Read www.mountainenterprise.com and the article an Pine Mountain and Hall ambulance. Hall requested that over $329,000 be given to him in payment from the community and FREE use of a wing of the new fire station so he can run his private busness. Can you believe IT? The grand jury report also stated the firefighters need to be paramedics at Pine Mountain...
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