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Posted

http://www.dsf.health.state.pa.us/health/l..._act_2005_3.pdf

For those unaware, Pennsylvaania has been revising ACT 45, the act which governs PA Emergency Medical Services. This link will lead you to the site which has the draft in its current form, as well as highlighted changes which seperate from its original form.

Feel free to take a look...thoughts?

PRPG

Posted

Remember guys, laws are normally vague. It is during the promulgation of the law/act by the governing agency where we see the specific information created. All the act is doing is allowing certain things to be created, it is up to the state EMS board to create them.

Posted

Three things caught my attention.

First, you have the makings of an ugly battle over patient control here. Lets say a prehospital RN, PA, and paramedic all show up to render aid. No judgement is made over which is considered higher and all have been tested and shown that they can provide prehospital care (so it isn't some random SNF RN showing up here...). Who's in charge?

Second.

Has successfully completed the first year of an emergency

medicine residency program that satisfies subparagraph (i) and has

successfully completed programs approved by the department in

advanced cardiac life support, advanced trauma life support, and

advanced pediatric life support.

Are second year EM residents really advanced enough to allow total control (PH Physicans do not need to follow protocol) of patient care (granted, by the end of PGY1 they are licensed MDs...)? ERDoc or Doczilla?

Has successfully completed an anesthesia, family practice, internal

medicine, or general surgery residency program that is accepted by

either the State Board of Medicine or the State Board of

Osteopathic Medicine as providing the graduate medical training

the board requires for issuance of a physician license without

restriction, and has successfully completed programs approved by

the department in advanced cardiac life support, advanced trauma

life support, and advanced pediatric life support.

Two problems with this one. First, they just have had to completed a residency? No board cert?

Second, does anyone here really feel comfortable with a family or IM doctor providing emergency medical care just because they passed an ACLS, PALS, ATLS, and a skills test?

This thread is quite old. Please consider starting a new thread rather than reviving this one.

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