ROANOKE TIMES

                         Roanoke Times
                 Copyright (c) 1995, Landmark Communications, Inc.

DATE: WEDNESDAY, June 2, 1993                   TAG: 9306020279
SECTION: EDITORIAL                    PAGE: A-6   EDITION: METRO 
SOURCE: 
DATELINE:                                 LENGTH: Medium


IMPROVING VALLEY'S EMERGENCY SERVICES

REGARDING Dana Garrett's May 18 letter entitled "Emergency service not like on television":

Pre-arrival instructions on shows like "Rescue 911" are part of emergency medical dispatch. In EMD, dispatchers ask key questions and give pre-arrival instructions. Of Roanoke, Salem and the counties of Roanoke and Botetourt, only Botetourt has implemented an EMD program.

Officials of both cities have cited average five-minute responses that they say make EMD costs unjustifiable. All three non-EMD localities cite liability fears.

The facts refute these arguments. EMD costs can be minimal. Botetourt spent approximately $200 per dispatcher (including manuals and training). Reacting to a person's medical needs within four to six minutes is critical, especially if it involves airway, breathing and/or circulation. EMD can mean the difference between life and death. Liability is not increased when dispatchers give legally sound, medically approved pre-arrival instruction. Liability can even be reduced. And since 1990, the Good Samaritan Law in Virginia that protects rescuers also protects dispatchers who act in "good faith."

Since Botetourt implemented EMD, not only are 911 callers receiving pre-arrival instructions, but responding emergency personnel receive information on the patient or patients so we may better prepare. I commend the county's administration, Sheriff Reed Kelly, Chief Dispatcher Brenda Neas and dispatchers for their efforts.

As for dialing 0 in an emergency, don't. In the city of Roanoke, Roanoke County and Salem, the 911 system is "enhanced" (gives location). Though not infallible, it's a very effective, reliable system to initiate emergency responses. Botetourt, though not enhanced, has 911 and the only established EMD program among the localities discussed.

Given the substantial budgets of these localities' emergency services, EMD would be a financial drop in the bucket. Citizens must demand EMD throughout the Roanoke Valley.

Everyone can make a difference by learning cardiopulmonary resuscitation, first-aid skills and by supporting fire and rescue services through volunteer time and donations. Citizens, dispatchers and emergency personnel - working together can save lives. KAE A. BRUCH Emergency Medical Technician/firefighter ROANOKE



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