PRPGfirerescuetech

Time is trauma yes. Nothing incredibly productive we can do for them in reality...

*seizes at the thought*

His sig line should answer that question...

Ok, you look like a 747 pilot bro... "Hello, this is dustdevil your captain speaking. The weather is -400 degrees, with no chance of anything but torrential snowfall. In just a minute, your In flight attendant paramedic will go over all life saving procedures with you. Again, Thank you for flying Ontario EMS airlines."

Interesting thought based from that. Is definative care defined with a definative treatment, or a treatment that definably treated the underlying pathology to a disease?

Word Soo...

Astonished nothing. Thats where I was going with it. Again i say, thoughts? No one is definative care anymore really...lol.

For a year? Im impressed you have paramedics already out there? Or does farmer Bill tie up the horses and hop on the squad whenever theres a call? Does lassie lead him out to Timmy everytime?

Good thoughts Whit. So your liability changes in this circumstance variant to if your certified or licensed? If thats the case, why wouldnt more medical directors be pushing for licensed EMS providers...?

So if a small amount of what an ER does is definative care, and a small amount of what we do is "definative care", lets take a step back and cross threads a minute. Relating this premise to scene times. Many peoples arguements for shorter scene times was getting a patient to definative care. But... ...it seems that emergency rooms do quite a bit of what we do, just on a larger scale. Emergency rooms are for stabilization as well. So... ...it seems to me that from a clinical perspective, getting a patient to an emergency room doesnt necessarily get them to definative care. So... ...why the rush? Can one accurately define a reason to rush through a call with a 10/20 scene time, when in reality, your simply taking them somewhere which has the same goal as you, and a list just as short of procedures which can be defined as "definative care"? Thoughts? PRPG

Some. Doesnt seem like a very definative word... I like stirring the pot...hehe

Ok, so everyone seems to agree. Definative care seems to be defined as care that "fixes" the problem. AZCEP defined what we do that could be termed as definative care. Now, let me ask this. What does an ER do that is "definative care"? BTW...im going somewhere with this....so bear with me

No, it doesnt fix the problem, it bypasses a symptom. At least according to the definations being thrown around thus far. PRPG

Pat Robertson is the devil, and should be burned at the stake with that EMT who put the baby in the trashbag and took the ambulance, and the lady who beat her breeder with the dead chiuhaha. Yeah...thats all I got.

Some things never change. Good luck with the hunting for "wildlife" dust, I hear its rampant up there? ) PRPG

Dear Punisher, I've looked and looked, and can't find it. Little help here? :oops: I remember the story, just looking for the link or specifics. PRPG

Interesting thought. Then, consequently, i pose the question, what is "definative care"?

Much better tone. Welcome to EMTcity. As a side note, we are equal opportunity bashers here. Medics suck, EMT's suck, american EMS sucks, and were all looking for housing and jobs in Canada. Any other questions? PRPG

Someone made an interesting statement on a thread today. Can EMS be defined as definative care? People are advocating heavily on field pronouncements of arrests, where EMS is described as being able to do just as much as an ED. In reality, EMS can do much of what an ED can do. I know this question is a bit intangible, but im curious. Can EMS be defined as definative care? XoXo PRPG

Ace. The time standard, in my opinion, applies to nothing but critical trauma, which in large is due to ER's, EMS's and anything less than a surgeon not being able to do anything productive for a patient. Well put sir. Now. Heres a thought. Could the dogma of 20/10 minutes for medical/trauma be more from a EMS oversight perspective? Too long in field = less available squads = more covers = less cash? Not that i believe this, but its a thought.

They just created it through the Act 45 re write. You should be hearing about it in the next 6 to 10 months

So, education seems to supercede protocols? Am I reading that right? *gasp*

Excellent. Thanks for that. Also, lets toss in the certification vs. licensure differences in the discussion. Would someone licensed be held more liable that someone certified?

Hello. While reading the thread in regards to PEA SVT arrests, it seems another discussion and subsequent thought process is upon us. In regards to liability. There was a discussion of the inclusion of calcium chloride in a particular posters protocols for cardiac arrest. I dont remember where in the protocol it fell, but i dont care, because i forwarded that knowledge with the extra 1.50 of ALS pay in my check. Anyhoo... If you follow a protocol to a T, regardless of medical literature being against the action you take, can you be held liable as a medical practioner? Or does the region and designer of the protocol take the hit from (insert greasy haired lawyer type here). Thoughts?

Now everyone's getting lost in the black hole....This is cool.... I'm kinda likin' what it's doing to my eyes. WORD! :rr: Luv, 8