Emergency Workers Testify Against Plan to Eliminate 2-Paramedic Teams

More than a dozen paramedics, nurses and firefighters testified Wednesday against a plan to reorganize some emergency medical services, telling a county commission that the change would jeopardize patient care.

But Los Angeles Fire Chief William Bamattre, the architect of the proposal, told members of the Emergency Medical Services Commission that the plan would trim at least two minutes from the average emergency response time in the San Fernando Valley.

Bamattre was seeking the commission’s approval of a one-year trial program that would eliminate the two-paramedic ambulances that now respond to the most serious medical emergencies. Instead, advanced life-support ambulances would be staffed with one paramedic and an emergency medical technician, who receives one-tenth the medical training of a paramedic.

Under the Fire Department’s plan, a second paramedic traveling on a firetruck would then join the first crew at the scene, a so-called ‘one-plus-one’ system.

Valley response times average 8 minutes, 4 seconds, the longest wait citywide, according to Bamattre. The plan also would spare the department from forcing firefighter/paramedics to work grueling shifts on busy ambulances at a time when many dual-trained firefighters prefer working on fire companies.

But after listening to a parade of speakers opposed to the plan, many of them off-duty paramedics, the commission put off a decision until March and asked fire officials to produce a computer analysis projecting the impact of the changes before putting the system to a life-or-death test on the city’s hurt and sick residents.

“So many of [the paramedics] keep coming here and saying, ‘This is bad, this is bad, this is bad,’ ” said one commissioner, Dr. Vidya S. Kaushik, a cardiologist at Martin Luther Kind/Drew Medical Center. “This may be a great idea, but if the guys who will execute it are against it, how is it going to come out with good results? I’m very, very, very disturbed by this.”

More than 100 people crowded into a meeting room at the Hospital of the Good Samaritan for the public hearing, most of them opposed to the plan. The firefighters union and two professional groups representing firefighters and paramedics strongly object to the change, as does the county Assn. of Prehospital Care Coordinators, a group representing hospitals that oversee paramedic care in the field.

Several paramedics warned that losing their paramedic partners, a critical “second pair of eyes” in life-or-death emergencies, would lead to fatigue and errors. Already, they said, city paramedics must work 140% of their regular shifts to fill vacancies on ambulances.

“In my personal experience in the field, I need my partner,” paramedic Wendy Cummings said. “I am an excellent paramedic, but I need to bounce my ideas off [my partner] and my partner’s ideas need to be bounced off me. Working with a different person every day, on every call, there are too many variables.”

Several residents of Bel-Air and other hillside neighborhoods with long response times also lined up against the plan, demonstrating outside the hospital with hand-lettered signs with phrases like “Hire More Paramedics” and “Don’t Buy Bamattre’s Bogus Plan.”

Harold Tennen, vice president of the Glenridge Homeowners Assn., said poor department planning had led to a paramedic shortage and compared the plan to watering down a meal to feed more hungry mouths.

“You’re forced to water down the soup and then you proudly tell your guests it’s a special light soup recipe,” he told the commission.

Bamattre said the department had enough paramedics. The problem, he said, lies in making ambulance duty attractive enough, by reducing the workload and providing opportunities for advancement, to entice firefighter/paramedics to work these shifts.

“Our goal,” he said, “is to create an environment so we encourage more paramedics [to come] into the mix.”