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Family dysfunction in DCFEMS?

DC service is broken, but sometimes you have to break things to reset them

The ongoing circus that is DCFEMS serves as a live case study to EMS management and labor everywhere. The issues that plague the department are well known, except perhaps to its government leadership. The vitriol surrounding the ambulance fires is a very public squabble between members of a dysfunctional family. It doesn’t really serve any purpose other than to try to degrade each other.

The department continues to cobble together a variety of Band-Aid solutions to a patient that is hemorrhaging internally due to a lack of vision, commitment and support to provide quality service to the District. Hiring more EMS providers will not help, not even in the short term. Replacing equipment? Nah. Until the real, underlying reasons of why the department fails in its mission are exposed, dissected and smashed into a million pieces, the department will continue to muddle along, just as it has for decades.

It’s sad, really — embarrassing, even. This is the nation’s capital, home of majestic national monuments that pay tribute and respect to the individuals who shaped this country and the commitments we made to the cause of liberty. Of course, given the current government impasse, it’s also showcasing the lack of leadership and political will of our government to put aside differences and solve the problems that face them.

Hmm, sounds familiar. Maybe there’s something in the drinking water there.

Art Hsieh, MA, NRP teaches in Northern California at the Public Safety Training Center, Santa Rosa Junior College in the Emergency Care Program. An EMS provider since 1982, Art has served as a line medic, supervisor and chief officer in the private, third service and fire-based EMS. He has directed both primary and EMS continuing education programs. Art is a textbook writer, author of “EMT Exam for Dummies,” has presented at conferences nationwide and continues to provide direct patient care regularly. Art is a member of the EMS1 Editorial Advisory Board.