I have never said there are no politics in Peoria. Having been in on a couple meetings to decide the Peoria County FDs response to the incident with Dunlap FD last year, I know quite well how things work sometimes. I have stated before that I have had both good and bad experiences with the PAEMS system.

The full truth continues to escape you.

Regarding your comments to Rebel Yell: Exactly. You have, using logic, proven how AMT has nothing to lose if the PFD was an ILS or ALS agency. Continue the thought process… Why isn’t the PFD at a higher level?

To answer that you could either ask their leaders (I have) or ask the PAEMS office (another reader did and posted her finding).

The answer is that they aren’t ready to make that step, and they haven’t applied to do so, respectively.

You are right John, it ISN’T that difficult.

Since the PFD can’t transport, someone needs to. So let the PFD Paramedics and Intermediates function at the scene for the patient, and AMT can transport and then bill the patient.

Everyone would be happy including the patient.

It is not that difficult.

John

Read http://www.peoriasmedicalmafia.com for full explanation.

John

Many other EMS agencies in the state knows how this plays in Peoria and they understand the Peoria politics quite well. And I am sure you do too.

I don’t think they should because that would go against what IDPH says and what the leaders of the PFD want. Two good reasons. If one of them weren’t the case you might have an argument.

Tony knows that the Peoria Fire Department Paramedics can intubate at the scene which is above the Basic level training of the Peoria Fire Department. That negates his argument above.

And understand his last sentence when he writes, “You wouldn’t want a person to utilize a tool or med that they are not fully trained to use.” I think we know this, don’t we? Tony responded to me that he did not think that the Peoria Fire Department Paramedics should be able to use their skills at the scene if AMT is not present. I bet he would if he were the one on the ground in pulseless ventricular tachycardia.

John

As I have documented on http://www.peoriasmedicalmafia.com, the paramedic notes and their observations were very important for patient management in the Emergency Room. I relied on them enormously.

The AMT paramedics are obviously not the problem. The problem is that the Peoria Fire Department Intermediates and Paramedics could not offer their skills at the scene of a 911 call. It seems the rule is changed now, and if AMT asks for their help at the scene, the PFD Intermediates and Paramedics can help the patient. This still seems very inadequate for Peoria’s EMS, but does reflect the political situation in Peoria.

When PFD paramedics can moonlight for AMT in their sparetime, but need to wait for AMT to ask for their paramedic help when working for the PFD, something seems quite fishy.

If I am wrong with the above assumptions regarding care at the scene, please let me know.

John

Roman, your question/statement doesn’t make total sense. You don’t understand the confusing EMS vernacular, so I have no idea how to answer your question. But I am glad you did well.