>
>In article <[log in to unmask]>,
>Danny McGeehan <[log in to unmask]> writes
>>No Gautam you've got it all wrong they can keep the patients out in the
>>field until the beds are cleared. Prevents long trolley waits etc.
>>Pivotal role
>>Best wishes.
At 12:04 AM 01/11/00 +0000, Danny McGeehan wrote:
>Danny - so close to the truth
! ! !
My apologies ! ?
I really thought he was kidding !
Now why should EMS take the slack ?
Be more efficient in spreading the Pt load, Certainly !
Stacking them ! ? NOT !
>I know Jel it is the truth and some people thought it was a wind up. A
>service not too far away from us has had all its front line ambulances tied
>up because it cannot off load the patients to trolleys as they have run out.
That is preposterous.
The only place that I saw that done, was in Montreal (not a flattering
comparison)
Not only did they tie down EMS in their A & Es
They used to requisition the Ambo trolley ! ?
Putting the ambulance out of service for an hour... not their problem ! ?
And mind you they don't do it anymore.
Now, the effort to release the ambulance is variable from hospital to the
other (I'm talking routine circumstances)
I think the BLS ambulance average 40 min hosp. stays (normally 15 min is
acceptable)
In the States or ROC(Rest of Canada)
A V A I B I L I T Y
Is a valuable EMS resources
Recognized by all
... response times ARE an issue here
... not to be dickered with
The slack, when their is one, has to be picked up where lies the most
resources
That's not Pre-hospital
Not the A & E per say
But the whole hospital
... If you function that way
then maybe you HAVE a systems approach.
& that's a good thing
Charles Brault EMT-P
PS I am enjoying your "pre-hospital docs: What's the point?" discussion
very much !
I am in a province where docs have scholarly & successfully ruled out the
use of medics
They have no qualms using a few doctors prehosp in Montreal only ! ?
Like the reasoning was not the same !
Remember their is a time warp here.
The only major NA city with an average ALS response of 15-20 min
They are not very Anglogical in my province
... that want to separate from the rest of you guys ! ?
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