Response of Emergency Medical Technicians and Paramedics

At the heart of the EMS musical arrangement is the EMT. EMTs may use special equipment, monitor vital signs and launch additional c ar as needed. Beyond these general duties, the particularized duties of EMTs depend on their level of qualification and training. A important responsibility of the EMT is to conserve life, tout ensembleeviate suffering, promote health, do no harm, and encourage the quality and equal availability of emergency medical examination care (www.gaemt.org/ga00010.htm, 1998). Further, the EMT is mandatory under professional codes of ethics to extol and hold in confidence, all information of a mysterious nature obtained in the course of professional work unless required by law to divulge such information. Other prescriptive and ethical issues impacting upon the EMT include the refusal to participate in unethical procedures.

EMTs are also ethically required to determine the competency of the patient with respect to treatment decisions, and respond accordingly. Health care workers should not jeopardize their own safety but should provide all clients with state-of-the-art care. The Eastern Pennsylvania Emergency Medical serve Council (1999) stated that EMTs should be cognizant of the fact that all patients moldiness be considered potential carriers of hereditary disease and precautions should be taken to avoid exposure to blood or body fluids. Gloves should be worn when dealing with known or suspected communicable disease

Population density is incessantly associated with higher demands for EMS operations. In New Haven, Connecticut, budgetary constraints have agility-emitting diode the city officials to combine EMS and the fire department to achieve greater economies of scale (Swersey, Goldring, & Geyer, 1993). Swersey, Goldring and Geyer (1993) conducted a study of EMS and fire department activities, utilize 911 emergency call data, and found that this was an inherently cost-effective regularity of nursing that residents would have access to high quality EMS go and that the natural synergies between fire department and EMS operations would be exploited.

The alternatives available range from using the public purse to consecrate for all medical emergency proceedss offered in the residential area to privatizing selected services to incorporating EMS into fire department systems. Each of these strategies has been found to be successful. Making decisions as to which strategy will be selected requires a thoroughgoing analysis of local emergency medical service needs and an assessment of existing infrastructure. Smaller cities or jurisdictions a great deal find that privatization is more beneficial in terms of twain cost and quality of care. Larger jurisdictions and urban areas which are mob to substantial populations of the poor may need to dig intricate to find the revenues to provide no-cost or low-cost EMS to their citizens. From a precaution perspective, these represent difficult choices which must be undertaken in light of political, social, and economic considerations. The needs of each jurisdiction must be recognized as unique, consequently requiring unique program design.

Anonymous. (1999). 911 emergencies: Who pays the chit? Kipliners Personal Finance Magazine, 53(12), 30.

In Philadelphia, a public-private partnership for the bringing of EMS under the aegis of the fire department has been in sharpen since 1988. In this plan, the city provides and staffs the EMS operations, while a private sphere firm, Lo
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