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Quick Clip: Can more BLS free up ALS for community roles?

Hosts Chris Cebollero and Kelly Grayson debate if it makes sense to put more BLS providers on the street while scaling back ALS for calls that better match their skills

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Hosts Chris Cebollero and Kelly Grayson debate the idea of putting more BLS providers on the street in order to move ALS providers to more of a community role, running ALS intercept if it’s needed.

“I think there’s a lot of blueprints of the future that that’s the way they’re going to look and I’ve got to tell you, I just don’t feel comfortable with that concept,” Cebollero said.

Grayson disagreed, saying more BLS on the streets would be easier to field, staff and pay, and create a more efficient, leaner EMS system.

Cebollero brought up the problem that advanced-level providers are often not available for calls where their needed, such as cardiac and respiratory calls, or to do 12-lead interpretations.

“You know why we’re not having them there? Because they’re too busy running calls that do not require their unique knowledge and skill set,” Grayson said. “We need more BLS providers, and let the ALS providers do ALS things.”

The Inside EMS podcast is a regular expert discussion of hot topics, clinical issues, operational and leadership lessons for EMTs, paramedics and chiefs
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