JPINFV

Sounds like a job for Data Dots and an online compter trace program.

Are you arguing that people who require the services of medical providers should not be billed?

[devils advocate] But that's 15 minutes on top of our hour of pharmacology and two hours of anatomy and physiology [using NHTSA/DOT standards].

I'd rather have teachers have access to Epi-Pens like that [how many lay providers would really know what an epi-pen is unless they've been trained on it] than have them go around banning peanut butter sandwiches. I'm also going to bet that the average grade school teacher knows more about her students than the average EMT-B or P knows about their patient. http://query.nytimes.com/gst/fullpage.html...;pagewanted=all http://www.freerepublic.com/focus/f-news/1813632/posts

Wow, that's messed up.

I think I've seen advertisements for the competition before. As well, I'm slightly saddened that physicians are not eligible to compete.

What the hell do the Brits know about speaking English? 8)

It also upregulates gluconeogensis and fat breakdown [glycerol backbone can be converted to glucose as well].

:computer: :coffee2: :happy1: :violent2: :violent3:

Alternatively clicking on the text also zooms in, and then you can click and drag to move the page around.

Can we first train Basics not to shock each other with the defibs though? http://www.turnto23.com/health/8027465/detail.html

Yes it does. BP cuffs are a bad example since a patient's blood pressure will dictate if paramedics are needed and/or rapid transport. Similarly, if a patient has an altered level of consciousness, then they should get rapid transport and a paramedic. BGL doesn't come into play. Please don't compare Canadian PCPs to American EMT-Bs. That's just ignorant [not knowing any better] and dragging PCPs down to our level.

Anyone can buy a pulse ox off the shelf and use it, should we let EMT-Bs use pulseox's since it's so easy to use [clip on finger, read number]? How about spirometers? Those are available to the general public, should BLS units be equipped with them? Should BLS be giving insulin to hyperglycemics? Afterall, there's a ton of people who give themselves insulin everyday and they aren't medical providers. AEDs aren't allowed on ambulances in places? I know that some places require a special license for the company [cooperate, not the provider], but the possibility of doing something stupid with an AED, like postponing transport to get a number [you know that'll happen, right. Little EMT-Suzy with her 110 hour bare bones class is going to stop for 5 minutes to get a reading and delay transport/calling ALS], is less likely. As far as ECGs, do you think EMT-Bs should have access to those? There's a thread someplace asking to be revived if you do.

I honestly have no clue, but I have no clue why the government thinks that 110 hours of training is enough for people to respond to, assess, treat, and transport medical emergencies either.

You can't tell me that most Basics understand the patho behind hypoglycemia, though, either. It certainly isn't taught in class nor required in a prereq class.

It's a pretty lengthy article actually. Link, requires Adobe to view

You can teach a kid to take care of a lot of things. That doesn't mean that you hand him the keys to treat everyone anywhere.

Assessment == skills Assessment == tools Assessment = knowledge and understanding Why give Basics a tool if that tool doesn't substantially change their treatment? Hypoglycemia or stroke would still mean immediate transport for a BLS crew. Why wait around on scene for a finger stick?

Best part of the article.

Playing devils advocate here, but why would you wait to see if it has an affect? It doesn't change your transport decision regardless if the patient is suffering from hypoglycemia or a stroke.

I say "No" and it's due to the education issue. I do see the utility of a glucometer as an assessment tool [LA Prehospital Stroke Scale, for example], but there's too many bad apples among us to justify extending the scope.

Wow, this thread is still going, complete with the ad hominem attacks...

Ahh, the service I worked for simply punched holes in the cabinet doors and used tags [similar to the ones found on hospital crash carts] to 'seal' the cabinet. Also, which I think was the major problem, was that the crews never restocked at the end of the shift. That was the job of some minimum wage unmotivated drone's job over night.

Assuming, of course, that the resupply isn't done half ass. I stopped trusting the tags when I was constantly missing supplies [open OB kit, empty spare O2 tanks, missing BVMs, or my favorite, adult BVM with a pediatric mask]. After seemingly missing something every check out I just took off all of the seals. Management played the "well, you're the only one that complains [i was one of the few people actually checking], so there's nothing wrong" game.