At the current time, the status of Emergency Medical Services on the island of Grenada is
              almost non-existent.  If you placed a "911" call (which does not exist), you may have to
              wait over an hour to get a response.  Does this seem acceptable to you on an island where
              a medical school that houses some of the best professors, students, and staff is located?

         Here is one training program in the construction process of being implemented.

         The program relates to the improvement (both structurally and operationally) of the current
             Ministry of Health ambulance service.  There has been funding supplied by the government, and
             an individual with administrative experience has been placed in control of the program.  Two
             additional ambulances have been purchased by the government, making the total number of
             seven to be placed in operation.  Each ambulance is staffed by three crew members - one nurse
             and two "attendants."  Does that word "attendants" bother you as much as it bothers me?  If
             you have ever worked in the pre-hospital realm it gives you a really sour taste in your gut.

         That is where we come into the picture.  Mr. James (the administrative operations of the
             ambulance development program) is constructing a group of twenty individuals who will be the
             FIRST medically trained individuals working in conjunction with the nurse on the ambulance.
             These twenty people have little to no medical experience, BUT they WANT to learn the
             necessary skills which they can incorporate into the appropriate care of the sick individual.

         What I have proposed to do was train these individuals to the Medical Response Technician level,
             thoroughly provide them with the concepts of ambulance operations, and finally precept them
             for a limited time once they have completed the necessary didactic requirements. This is a
             something which MUST BE INITIATED on this island!  The long-term goal is to have these MRT's
             trained to an Emergency Medical Technician level of skill, with a complete knowledge of
             ambulance operations (including the initiation of a radio dispatched control/communication
             network with the hospital).  Unfortunately it takes a bit of time and dedication to do
             something like this, quite difficult with everyone's already overloaded schedule.  BUT we can
             start what needs to be done, and continue to help the EMS progression status through the
             actions of future club members.

         Are you interested in assisting with this project?  You will not have to dedicate too much of your
             time (unless you desire to do so).  I am in particular need of assistance from those with
             experience in Emergency Medical Services - from First Response to Advanced Life Support
             Level.  Additionally, if you are a nurse or nurse practitioner, you will play a strong role in
             helping instruct and guide the nursing staff onboard each ambulance.  CPR instructors are
             needed to train these individuals to the BCLS-C level.  Any other individuals who may not
             have an extended amount of experience with Emergency Medical Services, but who want
             to be involved in helping establish EMS on this island -- PLEASE do get involved!  You can
             work alongside someone who has had experience in the field.  Regardless of your
             training or experience, it is your desire to help make an imperative change on this island
             for the promotion of proper health care that is important.  We can and will make a
             difference.