Originally, fire departments only dealt with fires. In the 1960’s and 1970’s it became clear that a rapid response health service would be beneficial. Rather than create a whole new system from scratch, that function was tacked onto the existing fire service by having EMTs and paramedics on staff. And the initial focus was primarily on providing rapid transit: delivering the victim to a hospital as quickly as possible. Response time was the dominant metric used to grade emergency medical providers. It took more decades to fully appreciate that treatments applied at the accident scene or in transit could be as important as, or more important than, response time.
There’s an argument to be made that fire departments are somewhat obsolete. They spend most of their time dealing with medical and mental health issues, not fighting fires. We would probably benefit as a society by replacing a lot of firefighters with house call nurses to help manage people’s long-term health issues before they become emergencies.
Originally, fire departments only dealt with fires. In the 1960’s and 1970’s it became clear that a rapid response health service would be beneficial. Rather than create a whole new system from scratch, that function was tacked onto the existing fire service by having EMTs and paramedics on staff. And the initial focus was primarily on providing rapid transit: delivering the victim to a hospital as quickly as possible. Response time was the dominant metric used to grade emergency medical providers. It took more decades to fully appreciate that treatments applied at the accident scene or in transit could be as important as, or more important than, response time.
There’s an argument to be made that fire departments are somewhat obsolete. They spend most of their time dealing with medical and mental health issues, not fighting fires. We would probably benefit as a society by replacing a lot of firefighters with house call nurses to help manage people’s long-term health issues before they become emergencies.