ubiquitin – Sorry that I attributed those comments to you, this is not a debate and not trying to win anyone over nor am I trying to put anyone down, sorry if it was taken that way.
Regarding the outcome of patients, I do not think that such data exists and why would any hospital even try to gather this data?
Yet anecdotally people have situations in which time was of essence or where the dedication and caring had a difference in patient outcome.
For example, someone I know that had a widowmaker heart attack (LAD) with massive global ST elevations. This patient had a 17 minute dispatch to cath time (!). This means 17 minutes from when the first ring to hatzolah was made until this patient was on the table. These patients have a very high mortality rate.
Another example, Hatzolah brought in a patient which the attending ER physician refused to activate the cath lab, the paramedics contacted the cardiologist on call and were able to get the patient to the cath lab, I doubt that FDNY medics or any other EMS would have done that. This pt would have been diagnosed as an NSTEMI and had a scheduled cath during regular business hours, if he would have survived. (this patient had a 100% occlusion).
By no means am I mocking EMS, nor am I saying that there is data to suggest that outcome might be different depending on the agency that manages the patient. But given the choice most people would chose speed, dedication and resources vs a municipal agency.