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Pilot Program Uses Paramedics to Cut ER Overcrowding

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Emergency medical technician Ivan Ufimtsev of AmeriCare Ambulance brings a patient into UCLA Medical Center and Orthopedic Hospital in Santa Monica. (Maya Sugarman/KPCC)

The call comes in late on a recent afternoon: A 48-year-old woman is complaining of shortness of breath and a pain in her chest. Firefighters and paramedics from Santa Monica Fire Station Number One jump in their rig, navigating the traffic-filled city streets with sirens blaring and horn honking until they reach their destination several blocks away.

It's a fairly routine case. Santa Monica's first responders handle up to 40 medical 911 calls each day, says Capt. Matthew Hill, the Fire Department's head of paramedic training.

In most instances -- this call included -- patients require follow-up care by emergency room doctors. But for others, it’s not necessary. And for them, some experts say, transport to an urgent care clinic may provide quicker care and a much smaller bill.

"For minor and non life-threatening types of problems, they really are a good option for the consumer," says Baxter Larmon, a professor of medicine and director of UCLA’s Center for Prehospital Care.

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Larmon will be testing out that theory starting this month in parts of Santa Monica and Glendale. Under the pilot programs he’s heading in those cities -- and in similar pilot projects happening in three other regions of the state -- paramedics will be allowed to offer qualified patients a trip to an urgent care clinic instead of an ER (a state law requiring transport to an ER was waived for the pilot projects).

Read the full story via KPCC

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