"Union vs Non Union"

[Bones42]

...It's commonly considered a measurement of how advanced, effective, and competent an EMS system and its providers are, and helps identify areas for improvement.

The systems that have no idea what their Utstein is... well, that's usually a sign of larger issues. ...

Interesting. Seeing that cardiac arrests are only about 1% of my local EMS agency's calls, I'd suggest that's a pretty poor measurement of their effectiveness.

Interesting information though.

[FireMedic049]

Interesting. Seeing that cardiac arrests are only about 1% of my local EMS agency's calls, I'd suggest that's a pretty poor measurement of their effectiveness.

Interesting information though.

It's also a poor measurement of EMS performance because probably at least half of the care a patient receives from onset to discharge is not provided by the EMS system. If a patient is still viable once it hits the ER, but dies before being discharged, then how is that a negative reflection of the EMS system's performance?

I worked a cardiac arrest a few years ago, probably mid-50s female. By the time we got her into the ambulance, we had a rhythm, good pulses and a reasonable BP, however she was not breathing on her own yet. We transported to the closest facility (about 5 minutes away) arriving in pretty much the same condition.

Before the primary Paramedic was finished giving the report, due to the ER staff's inattention, the patient was back in cardiac arrest (unknown how long before they noticed) and pronounced dead before we had the unit clean up. How exactly does that reflect poorly on us (EMS)?

[JayDudley]

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[emt161]

P.S. I just Checked with our Fire Chief and we do not tract Utstein...we do Stemmy Protocol...

Utstein statistics and a STEMI (S-T Elevation Myocardial Infarction) protocol are two completely different...

Nevermind.

We do the work as it is our EMT's who do the work not theirs we just get the County to pay for their benefits and wages.

Your EMT. Their paramedic. But you're doing the work. Got it.

You have to see our interactions to know what I'm talking about.....

Then why did you ask?

[JayDudley]

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[jccrabby3084]

The original question was......Union members working with non-union members. I think we got off tract as it is a simple question.............Our Union and the District has and always will work great together and to say different is wrong. So who ever it is out there who is saying different needs to stop. I was just asking a simple question and that was all......

Really Jay, while the question may have been simplistic, the reality is the circumstances involved are quite complicated. There really is much more involved and valid concerns than to just easily feign this off as just union vs non-union as has been mentioned.

I don't know where you get the idea that someone is saying that your district and union don't work together, because I haven't seen that in the comments here. Although you did say that you see the big picture and the union president doesn't, which can be taken out of context too.

The question is simple, the circumstances aren't.

[JayDudley]

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