U.S. Fire Administration Library Citation(s)

 

Making smart choices about fire and emergency medical services in a difficult economy [in "INFOCUS"]

Author(s):Fitch, Joseph J., Ragone, Michael G., and Griffiths, Keith.
Description: In "INFOCUS". v. 42 (5) p. 1-22
Publication Data: 2010
Identifier/s:Misc. No.: E-43636/ OCLC Record No.: 705289066
Type of Item: (ELECTRONIC JOURNAL)
Subjects:1. MUNICIPAL GOVERNMENT 2. BUDGETING 3. FIRE SERVICE 4. EMERGENCY MEDICAL SERVICES 5. RECESSION 6. DECISION MAKING 7. AMBULANCE SERVICE 8. PRIVATE SECTOR 9. TRENDS 10. RESPONSE TIMES 11. PUBLIC OPINION 12. MUTUAL AID 13. DATA ANALYSIS 14. COMMUNICATIONS
Notes:The "20 tough questions that city managers and county administrators should be ready to ask their fire chief" is excerpted from this article
Availability:Available on Interlibrary Loan
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Collective influence and positive relationships: private providers pose a threat to fire service deployment models [in "FIREHOUSE"]

Author(s):Compton, Dennis R.
Description: In "FIREHOUSE". v. 35 (9) p. 28+
Publication Data: September 2010
Identifier/s:OCLC Record No.: 671271724
Type of Item: (JOURNAL) JOURNAL
Subjects:1. LABOR MANAGEMENT RELATIONS 2. FIRE DEPARTMENTS 3. LOBBYING 4. RECESSION 5. AMBULANCE SERVICE 6. PRIVATIZATION 7. PLANNING
Series Data:Fire politics
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Work harder, smarter to avoid the chopping block [in "FIRE CHIEF"]

Author(s):Evans, Bruce.
Description: In "FIRE CHIEF". v. 54 (8) p. 20+
Publication Data: August 2010
Identifier/s:OCLC Record No.: 669244223
Type of Item: (JOURNAL) JOURNAL
Subjects:1. DALLAS, TX 2. EMERGENCY MEDICAL SERVICES 3. FIRE SERVICE 4. PRIVATIZATION 5. COST EFFECTIVENESS 6. STATISTICS 7. PUBLIC EDUCATION
Series Data:EMS viewpoints
Availability:Available on Interlibrary Loan
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Transitioning to fire-based EMS systems: more cities and towns abandon private-ambulance model [in "FIREHOUSE"]

Author(s):Ludwig, Gary G.
Description: In "FIREHOUSE". v. 35 (8) p. 36
Publication Data: August 2010
Identifier/s:OCLC Record No.: 667689842
Type of Item: (JOURNAL) JOURNAL
Subjects:1. CONSOLIDATION 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS 4. COST CONTROL 5. RESPONSE TIMES
Series Data:EMS
Availability:Available on Interlibrary Loan
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Call Number:

44263

An evaluation of the level of service and delivery costs of fire and emergency medical service in Waukesha County, Wisconsin

Author(s):Stedman, Robert W.
Description: 48 p.
Publication Data:Menomonie, WI : University of Wisconsin-Stout. May 2000
Identifier/s:OCLC Record No.: 45286590/ Accession No.: 134511
Type of Item: (DISSERTATION/THESIS) DISSERTATION/THESIS

PDF

URLs are tested and verified at time of data entry.
www.uwstout.edu/lib/thesis/2000/2000stedmanr.pdf (113.8kb)
Subjects:1. FIRE SERVICE 2. EMERGENCY MEDICAL SERVICES 3. COST EFFECTIVENESS 4. ORGANIZATIONAL EFFECTIVENESS 5. EVALUATION
Summary/abstract:
  • The purpose of the study was to evaluate the level of service currently being provided by the fire departments as measured by their Fire Insurance Rating and to determine the costs associated with the delivery of fire and emergency medical services. The study could assist the municipalities and fire departments in determining methods of improving services and lowering their costs per capita. Research was conducted by a survey sent to all 31 fire departments in Waukesha County. The survey was used to determine the type of fire departments, the number of emergency calls responded to annually, the fire insurance rating for each department, the resources each department had available, and the annual budget costs. The data collected was used to compare the Fire Insurance Ratings of the fire departments, to identify the overlap of resources available, and to compare the operating and capital budget costs per capita of the fire departments within Waukesha County.
Notes:In partial fulfillment of requirements for the degree of Master of Science
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Sighs of the times [in "FIRE CHIEF"]

Author(s):Wilmoth, Janet.
Description: In "FIRE CHIEF". v. 54 (1) p. 66-68+
Publication Data: January 2010
Identifier/s:OCLC Record No.: 664745992
Type of Item: (JOURNAL) JOURNAL
Subjects:1. FIRE SERVICE 2. EMERGENCY MEDICAL SERVICES 3. TRENDS 4. CULTURE 5. BUDGETING 6. FIREFIGHTER SAFETY 7. VOLUNTEER FIREFIGHTERS 8. FIRE SAFETY PROGRAMS 9. FIRE APPARATUS
Table of Contents :Segments include: "Cultural barriers", by Kelvin Cochran "Expanded EMS", by Gary Ludwig "Booming woes", by Denis Onieal "Federal deficits", by Bill Webb "Emerging economy", by Rob Brown "Safety first", by Rob McLeod "Creative city managers", by Bill Wolpin "Volunteer issues", by Philip Stittleburg "Renewed hope", by Meri-K Appy "Budget efficiencies", by John R. Hill "Apparatus advances", by Peter Darley
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Times are a-changin': response will always be a priority, but prevention must take a larger role [in "FIRE-RESCUE MAGAZINE"]

Author(s):Sendelbach, Timothy E.
Description: In "FIRE-RESCUE MAGAZINE". v. 27 (10) p. 12
Publication Data: October 2009
Identifier/s:OCLC Record No.: 550049198
Type of Item: (JOURNAL) JOURNAL
Subjects:1. FIRE SERVICE 2. EMERGENCY MEDICAL SERVICES 3. DISASTER RESPONSE 4. FIRE PREVENTION 5. BUDGETING 6. CHANGE
Series Data:From the editor
Availability:Available on Interlibrary Loan
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Call Number:

42956

Feasibility study for rapid transition to a fire based EMS system for the city of Alice, Texas

Author(s):Van Nest, Dean W. ; Alice. Fire Department.
Description: 89 p.
Publication Data:Emmitsburg, MD : National Fire Academy. January 2009
Identifier/s:Accession No.: 131340/ OCLC Record No.: 666118011
Type of Item: (EFO PAPER) EFO PAPER

PDF

Sections of this paper not on the Internet.
www.usfa.dhs.gov/pdf/efop/efo42956.pdf (271.3 kb)
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE 3. CONSOLIDATION 4. MODELS 5. LEGISLATION 6. REGULATIONS 7. DATA 8. COST EFFECTIVENESS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The City of Alice Fire Department is in need of developing a contingency plan for fire-based Emergency Medical Services (EMS) due to a possible ending of services by the contractor. The purpose of the research was to determine the timeline and resources needed to develop fire based EMS. Evaluative methodology was employed for this study. There were four questions the researcher needed answered for this research project: (a) what are the National recognized models available in providing Emergency Medical Services? (b) What are the state laws, rules, regulations that governing EMS service in the State of Texas? (c) How many calls for service is the current contract EMS provider fulfilling? In addition, (d) what will the required resources in employees and equipment cost the City of Alice to start the program? The researcher employed both personal interviews and email questionnaires to collect the information needed for this project. Literature for this project was difficult to locate since most departments in the country had already transitioned to fire based EMS services and were focused primarily on customer service and maintaining the required in-service training. The results of this research showed that the City of Alice Fire Department would not be able to assume EMS responsibilities with a short time line for acquisition. The city would need between twelve and eighteen months in order to be prepared to provide fire based EMS services. The city would need to hire twenty-nine additional personnel in order to provide this service. Based on this study, it was recommended that the city form a committee to determine how the EMS system is to be implemented. In addition, the city would have to establish a fund to be used to offset the initial cost of starting an EMS system from scratch.
Notes:Alice, TX; Executive Development; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
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Call Number:

42686

Weathering the economic storm: fiscal challenges in fire and emergency medical services

Author(s):International Association of Fire Chiefs.
Description: 22 p.
Publication Data:Fairfax, VA : The Association. December 2008
Identifier/s:OCLC Record No.: 297118981/ Accession No.: 130488
Type of Item: (REPORT) REPORT

PDF

URLs are tested and verified at time of data entry.
www.iafc.org/associations/4685/files/deptAdmin-Econ_WeatheringTheEconomicStorm.pdf (860.2kb)
Subjects:1. FIRE SERVICE 2. EMERGENCY MEDICAL SERVICES 3. FINANCIAL MANAGEMENT 4. ECONOMICS 5. ALTERNATIVE FUNDING 6. LEADERSHIP
Availability:Available on Interlibrary Loan
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Merged fire and EMS: running separate agencies was costly and ineffective; the savings and improved service more than offset the growing pains [in "FIRE CHIEF"]

Author(s):Foster, David.
Description: In "FIRE CHIEF". v. 52 (8) p. 42+
Publication Data: August 2008
Identifier/s:OCLC Record No.: 550027828
Type of Item: (JOURNAL) JOURNAL
Subjects:1. DEKALB COUNTY, GA 2. FIRE SERVICE 3. EMERGENCY MEDICAL SERVICES 4. CONSOLIDATION 5. COST EFFECTIVENESS
Availability:Available on Interlibrary Loan
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Despite efforts to date, EMS problems remain [in "FIRE CHIEF"]

Author(s):Evans, Bruce.
Description: In "FIRE CHIEF". v. 50 (11) p. 20+
Publication Data: November 2006
Identifier/s:OCLC Record No.: 549961267
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE DEPARTMENTS 3. ADVANCED LIFE SUPPORT 4. COST EFFECTIVENESS 5. TRENDS
Series Data:EMS viewpoints
Availability:Available on Interlibrary Loan
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Benefits of shared use of facilities at two Surrey fire stations [in "FIRE"]

Author(s):Kitchen, Martin.
Description: In "FIRE". v. 91 (1125) p. 19
Publication Data: March 1999
Identifier/s:OCLC Record No.: 610091991
Type of Item: (JOURNAL) JOURNAL
Subjects:1. AMBULANCE SERVICE 2. COST EFFECTIVENESS 3. FIRE SERVICE 4. INTERAGENCY COOPERATION 5. SURREY, ENGLAND
Series Data:First responders
Availability:Available on Interlibrary Loan
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Move to a fire-based EMS system would save both lives and money [in "FIRE"]

Author(s):Burnett, Hal.
Description: In "FIRE". v. 91 (1125) p. 17-18
Publication Data: March 1999
Identifier/s:OCLC Record No.: 610091987
Type of Item: (JOURNAL) JOURNAL
Subjects:1. AMBULANCE SERVICE 2. COST EFFECTIVENESS 3. FIRE SERVICE 4. GREAT BRITAIN 5. INTERAGENCY COOPERATION 6. RESPONSE TIMES
Series Data:First responders
Availability:Available on Interlibrary Loan
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Call Number:

27416

The effects of privatization in the fire and EMS service

Author(s):Koelz, Kent W. ; Palm Beach. Fire-Rescue.
Description: 38 p.
Publication Data:Emmitsburg, MD : National Fire Academy. October 1, 1996
Identifier/s:Accession No.: 86719/ OCLC Record No.: 502540397
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. COST EFFECTIVENESS 2. EMERGENCY MEDICAL SERVICES 3. FIRE SERVICE 4. PRIVATIZATION
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • Fire Chiefs are faced today with the threat of privatization. Some feel the service provided by private sector are sub-standard and do not meet the high values of public fire service. Other chiefs have been working side by side with private enterprise for years. The threat goes deeper than the standard of service. Taxpayers are no longer willing to pay high taxes for services that can be provided cheaper by private companies. The purpose of this report is to provide fire executives an in-depth look at the pros and cons of using private agencies for fire and emergency medical services. This study examines the challenges private sector is placing on public agencies. Cost effectiveness is a primary concern. This study used an evaluative method to research and answer the following questions: 1. With privatization increasing, what can public fire service do to become more competitive in the delivery of emergency service? 2. Does the quality of service differ between private and public sector of emergency fire service? 3. Could privatizing emergency service cut costs and save lives? 4. Does privatization challenge the fire service to provide additional or enhanced services that are not currently provided? Procedures to completing this report included a literature review of the most current information available from fire and emergency medical journals and a survey of fire officers from around the country. The results showed that fire services can do more in most cases for less. When the public agencies are challenged, they rise to the demands put on them by the taxpayers. This report recommends that public fire service take the threat serious. Fire service leaders need to look to new innovative ways to compete with the private sector. Cost effective measures must be examined and considered by the public fire service in order to survive as public departments. Labor and management must work together, learn from the past and challenge the future.
Notes:Palm Beach, FL; Strategic Management of Change; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
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EMS cost, administrative issues confront local governments [in "FIRE CHIEF"]

Author(s):Merrill, Larry.
Description: In "FIRE CHIEF". v. 40 (4) p. 39-40
Publication Data: April 1996
Identifier/s:OCLC Record No.: 549871367
Type of Item: (JOURNAL) JOURNAL
Subjects:1. COST EFFECTIVENESS 2. EMERGENCY MEDICAL SERVICES 3. FIRE DEPARTMENTS 4. LOCAL GOVERNMENT
Series Data:An EMS roundtable
Notes:A viewpoint of the National Association of Towns and Townships.
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Privatisation of fire emergency services [in "FIRE INTERNATIONAL"]

Author(s):Barber, Steve.
Description: In "FIRE INTERNATIONAL". v. 20 (150) p. 13+
Publication Data: February 1996
Identifier/s:OCLC Record No.: 610085268
Type of Item: (JOURNAL) JOURNAL
Subjects:1. COST EFFECTIVENESS 2. EMERGENCY MEDICAL SERVICES 3. FIRE SERVICE 4. PRIVATIZATION 5. SOUTH AFRICA
Availability:Available on Interlibrary Loan
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Call Number:

22663

Fire service delivery of emergency medical service - a comparative study

Author(s):Sudol, Robert M.
Description: 64 p.
Publication Data:New York, NY : John Jay College of Criminal Justice. March 1, 1993
Identifier/s:Accession No.: 73181/ OCLC Record No.: 502501138
Type of Item: (REPORT) REPORT
Subjects:1. BELLEVILLE, NJ 2. BLOOMFIELD, NJ 3. COST EFFECTIVENESS 4. EMERGENCY MEDICAL SERVICES 5. FIRE DEPARTMENTS 6. RESEARCH 7. UNION, NJ
Availability:Available on Interlibrary Loan
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When will Britain benefit from fire brigade paramedics? [in "FIRE"]

Author(s):Burnett, Hal.
Description: In "FIRE". v. 89 (1101) p. 9+
Publication Data: March 1997
Identifier/s:OCLC Record No.: 610105710
Type of Item: (JOURNAL) JOURNAL
Subjects:1. GREAT BRITAIN 2. FIRE SERVICE 3. PARAMEDICS 4. EMERGENCY MEDICAL SERVICES 5. COST EFFECTIVENESS
Series Data:Emergency care
Availability:Available on Interlibrary Loan
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Call Number:

23147

Analyzing the cost and risk of accepting a medical 1st responder proviso

Author(s):Wyatt, Alfred N. ; Burton. Fire District.
Description: 25 p.
Publication Data:Emmitsburg, MD : National Fire Academy. June 30, 1993
Identifier/s:Accession No.: 74213/ OCLC Record No.: 502525141
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. COST ESTIMATES 2. EMERGENCY MEDICAL SERVICES 3. FIRE SERVICE 4. FIRST RESPONDERS
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • In many areas throughout the United States the fire service has accepted a full service commitment to include the role of providing a medical response service to those constituents for which it serves. In South Carolina, Emergency Medical Services (E.M.S.) has been kept as a separate agency which has been allowed to operate independently of fire service agencies and to conduct their own training, set their own standards and manage their own affairs. In the last two years my county's government has experienced a tightening of the belt regarding property tax relief. The county which turned to local fire service agencies to assist in reducing the burden of operating their E.M.S. system, allowed it's fire service agencies to form medical first responder units that would limit overall county E.M.S. system manpower cost and enhanced response times to patients. County Council members meanwhile considered that a modest funding of five to eight percent above each agencies previous years spending limits would suffice in keeping tax dollars down. No one addressed the overall cost to the fire service that a fire service contribution to the County's E.M.S. First Responder System would create. The purpose of this research paper was to identify those costs. A survey form was developed through research and distributed to those participating agencies. The results indicated that a higher than realized expense. In the final analysis, County Council adjusted their spending limit caps to compensate for the additional expenses their new program had placed on fire service budgets.
Notes:Burton, SC; Strategic Analysis of Fire Prevention Programs; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
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Call Number:

25303

Implementation of a fire service based ambulance transport system

Author(s):Montoya, Thomas P. ; Castlewood. Fire Protection District.
Description: 41 p.
Publication Data:Emmitsburg, MD : National Fire Academy. January 31, 1995
Identifier/s:Accession No.: 80833/ OCLC Record No.: 502524909
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. AMBULANCE SERVICE 2. COST EFFECTIVENESS 3. FIRE SERVICE 4. PATIENT TRANSFER 5. SYSTEM STATUS MANAGEMENT
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • In 1993, the Board of the Castlewood Fire Protection District approved the implementation of a fire department based ambulance transport system. This decision was based upon the need to improve the level of ambulance service provided to the community. Specifically, there was a need to reduce the ambulance response times. The decision was also based on the need for the district to find new sources of revenue. The district had experienced a twenty-five percent decline in revenues over a four year period. There were insufficient funds to continue the operations of the fire district at its present level of service. The study resulted in the implementation of a fire department based ambulance transport system. The system was managed using a modified form of Systems Status Management. This integrated the private ambulance company into the system to provide coverage during peak loading periods and around the clock back-up services. The district's ambulance transport system improved the service to the community by reducing the response time of transport units to the patients. The management strategy was cost effective due to the utilization of the private provider. This allowed the district to reduce the number of fire department rescue units that were needed to maintain high levels of service at all times and in all areas.
Notes:Greenwood Village, CO; Executive Analysis of Fire Service Operations in Emergency Management; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
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ALS on a shoestring [in "FIRE CHIEF"]

Author(s):Vance, Bret.
Description: In "FIRE CHIEF". v. 43 (5) p. 60+
Publication Data: May 1999
Identifier/s:OCLC Record No.: 549762232
Type of Item: (JOURNAL) JOURNAL
Subjects:1. EMERGENCY MEDICAL SERVICES 2. FIRE SERVICE 3. LARAMIE, WY 4. MANNING 5. ADVANCED LIFE SUPPORT 6. BUDGETING
Availability:Available on Interlibrary Loan
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Call Number:

27127

Are non-transporting fire departments charging for medical supplies used on EMS alarms in Central Illinois?

Author(s):Albert, Leslie A. ; Decatur. Fire Department.
Description: 28 p.
Publication Data:Emmitsburg, MD : National Fire Academy. January 1997
Identifier/s:Accession No.: 87590/ OCLC Record No.: 487862418
Type of Item: (EFO PAPER) EFO PAPER
Subjects:1. COST EFFECTIVENESS 2. EMERGENCY MEDICAL CARE 3. EMERGENCY MEDICAL SERVICES 4. FIRE DEPARTMENTS 5. SUPPLIES
Series Data:Executive Fire Officer Program. Applied Research Project
Summary/abstract:
  • The city of Decatur had seen a reduction in revenues, and taxation was not council's answer to correcting the problem. If the fire department wanted to maintain the level of equipment as in the past and add a much needed clerical position, the fire department was told to come up with possible revenue options. The author was given the task of researching possible sources of revenue for the fire department by the city staff and council. Since Emergency Medical Service (EMS) alarms make up a majority of Decatur's fire alarms, this was the area researched. The purpose of this research was to find possible revenue resources for the Decatur Fire Department from its Emergency Medical Service (EMS). Questions asked of the author, "Were there ways of producing income from EMS without transporting? Do other fire departments in central Illinois charge for their EMS supplies?" The descriptive method of research was chosen for this project. It was used to identify possible solutions or options to the task given to the author. There were two research questions that were addressed by other fire departments in central Illinois. 1. Do non-transporting fire departments charge for medical supplies used on EMS calls? 2. What other options are used in Illinois by fire departments to provide their medical supplies for EMS? A survey questionnaire was mailed to seventeen (17) fire departments throughout central Illinois. The fire departments were either paid or combination departments. The geography of the departments chosen needed to be approximately the same as Decatur. Most of the fire departments surveyed had similar response assignments. Many of these cities had been used by city staff before for different types of surveys. The results of the survey showed that only twenty percent (20%) of the fire departments surveyed charged for their medical supplies. Over half, eight (8) out of the fifteen (15) responses stated they received replacement supplies from the private ambulance companies in their cities. There were two fire departments that did not respond to the surveys. The results of the research showed that there were a few non-transporting fire departments in central Illinois charging for medical supplies. Some of the departments were including charges for medical supplies with that of transportation. The charges for the supplies varied but most agreed over billing both the individuals and the insurance companies. One fire department surveyed, charged for vehicle extrication to help support their EMS operations. Charging for medical supplies by non-transporting fire departments seemed to be a rather new concept in central Illinois. The recommendation based on the results of the survey are to develop an agreement with the ambulance company in your city for the replacement of medical supplies used on patients in pre-hospital care if the fire department is a non-transporting agency. If a fire department decides to charge for medical supplies used in pre-hospital care, legal council should be contacted for assistance with this matter. Mutual aid agreements, city codes, and ordinances may need to be developed. Medicare and Medicaid laws will have to be reviewed before billing patients. Further research for all these areas needs to be conducted before any action is taken by any EMS agency due to frequent changes in laws and medical policies.
Notes:Decatur, IL; Advanced Leadership Issues in Emergency Medical Services; Abstracts for EFO papers are written by the author
Availability:Available on Interlibrary Loan
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