Abstract: Controversies in EMS Design: All ALS vs Tiered Systems An Operational Perspective | 19 January 2011

For 20 years, All-ALS systems seemed to be the way to go. But is it time to rethink this “essential truth?” Alan Craig recently provided a well researched and convincing presentation supporting the specialization of ALS in EMS. In this session EMS System designers David Shrader and Jonathan Washko provide a different perspective in support of single tier ALS systems.

Objectives of this session include:

  • Review the issues related to single tier and multi-tiered EMS systems
  • Understand the economic impact of system design choices
  • Evaluate staffing models for efficiency and concentration of skills

David Shrader is the President of The Polaris Group, a consulting firm specializing in EMS system design and evaluation. Jonathan Washko is the Assistant Vice President of North Shore – LIJ Center for EMS on Long Island, NY and is President of Washko & Associates, LLC.

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