EMS Systems - Basic, Advanced Life Support and Everything in Between
Yih Yng Ng1
1HomeTeam Medical Services Division, Ministry of Home Affairs, Singapore
There are many ways of categorising EMS systems and many models of EMS care, such as by the way it is funded, the type of clinical governance, the geographical coverage, skill levels and by the organisation type that runs the services.
While there is little evidence that supports any particular EMS system as being superior; the dichotomy of basic vs advanced life support EMS systems is the most often debated as competing EMS philosophies. What are the operational, administrative and clinical advantages of a BLS EMS system? What are the disadvantages of such a system?
Why do some places only run BLS systems, while others run ALS? What is the value proposition to run a mixed BLS/ALS system and in what sort of environment does this model make sense? What are the pitfalls of running such mixed models? This session discusses the relative merits of either system and also reviews current examples in the real world with BLS, ALS as well as tiered BLS/ALS systems which are used to meet the needs of the different populations.