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David,

As a career Paramedic and Firefighter for many (30+) years, I appreciate the time and effort you took to address these issues. As you know, in the past empirical evidence was rarely used in the development of policy, procedures and protocols for EMS systems. It still is the exception and not the rule. In the past I have shared your information with my former SWAT supervisor (now in a leadership position within a large police department) and will share todays article with a EMS Division Chief within a large Fire based EMS System.

Tom

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