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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. 
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