http://gomerville.com/2009/04/26/a-need-to-know-basis-part-tres-a-pig-defrocked/ I am a paramedic who works for an organ procurement organization in the wilds of Kentucky. I am also a husband and a father. Occasionally I fancy myself to be a writer, hence the blog. You are welcome to witness this train wreck but the experience can be disorienting. Don't go swimming for at least thirty minutes. Thu, 26 Apr 2012 14:55:25 +0000 hourly 1 http://wordpress.org/?v=3.3.2 http://gomerville.com/2009/04/26/a-need-to-know-basis-part-tres-a-pig-defrocked/comment-page-1/#comment-763 Buckman Mon, 27 Apr 2009 06:14:43 +0000 http://gomerville.com/?p=269#comment-763 Nice to see you here Joel. Don't be afraid to plug yourself either. http://joelneild.com/ One of the things I did not mention is the possibility in rural areas to act like the town practitioner. I can't tell you how many calls we get for this, and we just do it for public service out of the good of our hearts. The odd blood pressure check or "what do these symptoms mean." Perhaps we need to chase this down. Skip Kirkwood who is on these podcasts all the time is fond of saying that we don't have Health Care in America. We have Symptom Treatment and Disease Treatment. Nothing about the system keeps you healthy. Nice to see you here Joel. Don’t be afraid to plug yourself either. http://joelneild.com/ One of the things I did not mention is the possibility in rural areas to act like the town practitioner. I can’t tell you how many calls we get for this, and we just do it for public service out of the good of our hearts. The odd blood pressure check or “what do these symptoms mean.” Perhaps we need to chase this down. Skip Kirkwood who is on these podcasts all the time is fond of saying that we don’t have Health Care in America. We have Symptom Treatment and Disease Treatment. Nothing about the system keeps you healthy.

]]> http://gomerville.com/2009/04/26/a-need-to-know-basis-part-tres-a-pig-defrocked/comment-page-1/#comment-760 Joel Sun, 26 Apr 2009 15:54:50 +0000 http://gomerville.com/?p=269#comment-760 Sadly, Mr. Buck is correct. Not many new entrants in to the EMS service (due to a variety of reasons) and increasing demands on the EMS system are a recipe for failure. Unfortunately too many people are making a boatload of money in the insurance business. Politicians are also on the take, and we will NEVER get to a true socialized health care system. We can still expand our scope of practice as prehospital practitioners. The next wave will be treat and release (back into the wild) similar to the Doc in the box "Urgent Kill (Care) centers" and Little Clinics in the local grocery store. Luckily for the adrenaline junkies we will always have a need for rapid transport to definitive care centers but the majority of prehospital medicine will (and should) be focused on treating BEFORE it becomes an emergency. Fire departments have been educating the public for years on fire prevention (and it has worked much to the chagrin of the fire fighters)and early detection. EMS needs to think like this, or be stuck in this continuous downward spiral. Sadly, Mr. Buck is correct. Not many new entrants in to the EMS service (due to a variety of reasons) and increasing demands on the EMS system are a recipe for failure. Unfortunately too many people are making a boatload of money in the insurance business. Politicians are also on the take, and we will NEVER get to a true socialized health care system. We can still expand our scope of practice as prehospital practitioners. The next wave will be treat and release (back into the wild) similar to the Doc in the box “Urgent Kill (Care) centers” and Little Clinics in the local grocery store. Luckily for the adrenaline junkies we will always have a need for rapid transport to definitive care centers but the majority of prehospital medicine will (and should) be focused on treating BEFORE it becomes an emergency. Fire departments have been educating the public for years on fire prevention (and it has worked much to the chagrin of the fire fighters)and early detection. EMS needs to think like this, or be stuck in this continuous downward spiral.

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