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I have been a Paramedic for 16yrs and have worked in many different configurations of EMS delivery. And fact of the matter is with or without Paramedics in those areas the need for transport is what the residents need. Paramedics on a fire engine like their counterparts on a ambulance can start IV's give meds, and defibrillate and many other procedures, but fact of the matter is without transport they are useless. Honestly, the only thing a fire engine needs is a defibrillator, combi-tube, and an epi-pen. All the other stuff is pointless without transport. So a patient has chest pain, and the fire medic starts tx, then what.............wait, wait, wait and...... you know the rest. The medications do not cure the heart attack, the cath lab does that, and the only way to get to a cath lab is with an ambulance. The other issue and not pine mountain related but EMS related is there are too many Paramedics already in the field. More...
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