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Ventura I was a Firefighter AND the towns only paramedic for years in a rural area.  We had the same senario--up to an hr for an ambulance and no ACLS til I was certified as a medic.   Some of our calls were the routine BLS calls but there were many that if ACLS was not available for an hr., people would have died.  Same exact senario here in the rural areas.  What about a head on colllision out on the 202? You got 4 people seriously injured and all the firefighters, some of whom are already paramedics, are waiting for the ONE medic to show up.  Then the ambulance medic shows up and has to do an ALS assessment/ start IV's etc. on all 4 pts. when that could have been done BEFORE the ambulance got there.  Then they could load and GO! I have worked as a firefighter, as a firefighter/paramedic and as a paramedic for a private ambulance company that covered the Mogillon Rim.  So I have seen this senario from all sides--something you have not...
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