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Published on: 12/2/2008
Last Visited: 12/2/2008
"It's a basic skill level," said John DuPuy, the former Glen Arbor fire chief, who is now the manager of Munson Healthcare's department of emergency medical education.
Licenses for emergency medical technicians (EMTs) require 223 hours of coursework and 40 hours of clinical experience in a hospital emergency room.
Paramedic licenses require nearly four times the number of hours in the classroom, plus an internshipsand "ride along" experience with an established ALS unit.
"The EMT coursework takes about 5½ months — paramedics usually take 1½ to 2 years to complete," DuPuy said.
The most urgent cases, identified as "Priority One" calls, require advanced medical service.
In areas without ALS, first responders provide limited service before handing patients over for ALS care, most often through North Flight EMS.
DuPuy said the level of service offered is to crucial in Leelanau County, which by land can be as much as a 45-minute trip to the nearest medical facility in Traverse City.
"In emergency medicine, time is muscle and brain.
There's a ,golden hour' in which the lives of a majority of critically injured trauma patients can be saved," he said.
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"There's turmoil out there and there has been for 25 years," DuPuy said.
"There are all these fiefdoms and nobody wants to give them up , It's a case of not wanting anyone else playing in your sandbox."
Changes in demographics, increased training requirements and a lack of affordable housing in the county have pushed more and more townships toward paid professional staffs.
This requires money — a lot of money.
"The fact is that there is more time involved to get people trained," DuPuy, the former township fire chief said.
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"It depends on what people want and how they feel about the level of service they're receiving," DuPuy added.
"My wife's life is more important to me than the cost."
Rockwood agreed.
"People don't think about the level of service until it's too late," he said.