Public Safety Training Facility

Monroe Community College
Rochester, New York

MCC Paramedic Program Alumni
Thomas Bonfiglio, BA, EMT-P

I received this E-Mail on Oct. 8, 2002 from Tom. I thought I would post it: (Once again, MCC Graduate Paramedics are changing the world!)


I stopped by the website and noticed the alumni notes. I thought you'd find it interesting to know how far away from Rochester one of your graduates ended up.

I've been working in Latin America since 1999 and am currently the president & ceo of Argentina's largest EMS service, Emergencias Cardiocoronarias (ECCO), S.A. 911 services are highly deficient in Latin America so most people subscribe to a private service.

We are a private subscription EMS and urgent care company serving over 800,000 subscribers in Buenos Aires, Cordoba, Rosario and Tucuman, Argentina. We employ over 1000 professionals and respond to approximately 2500 daily requests for service. Our ambulances are staffed by physicians and nurses. We also provide physician home visits for urgent care and minor medical complaints. We have both adult and pediatric divisions offering specialty services in critical care, cardiology, internal medicine and pediatrics.

We also provide heavy rescue service staffed by RN/firefighters, for the highway system surrounding Cordoba, the 2nd largest city in the country with a population of about 2.5 million.

In January of 2001, I founded Unidad de Emergencias Medicas (UDEM), Bolivia's first prehospital emergency service in the tropical city of Santa Cruz de la Sierra. We currently have over 25,000 subscribers to our emergency and urgent care service and also provide on-site physician medical services to the country's three major airports.

EMS is a little different down here, there are no paramedics as the profession does not exist in this country. However, our doc's were excited to learn to use their Lifepak 10's to perform diagnostic EKG's, thanks to the MCC paramedic program. Since our prehospital providers are physicians, our service, in comparison to the systems in the U.S., has the tremendous advantage of providing definitive treatment to patients without hospitalization for many diagnoses.

While I miss working as a paramedic, I have been able to apply many of the prehospital care and service concepts learned at MCC in the management of our high-performance EMS company. It's good to see that your program is going strong, I owe much of my success to the year+ that I spent in the course. Since U.S. 911 EMS is the gold standard for our service, we are always looking for ways to enhance our staff's education and frequently invite U.S. paramedics to Argentina for CME programs and professional conferences. If any of your students or colleagues ever would like to see a different way of providing EMS, they are welcome to drop me a line.


Tom Bonfiglio, BA, EMT-P


Bv. Illia 235

5000-Cordoba, Argentina

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Updated: October 9, 2002