Re: Re: The Most Fundamental Problem

[Guest guest]

Rob,

I have to respectfully disagree with you again.  The practice of medicine is

filled with protocols.  Every action, every diagnostic practice has a standard

set of rules to follow, otherwise known as protocols.  Ask any doctor you know

if it is common practice to order lab tests or x-ray at random on any patient. 

I am sure you already know the answer to that question.  Protocols must be

followed.  Sure some flexibility is given in extraordinary cases, but all in

all, standards must be followed.  Medicine is an art, and as such it needs to

fit within a framework.

 

As to your assertion that most paramedics are not even trained well enough to

properly perform their jobs, does this stem from personal experience?   I

suppose this relates back to when you stated that all non-degree holding

paramedics are either lazy or stupid.  You have a very low opinion of your

collegues and coworkers.  Not all of us have only had a " ten-week " course.

Live for today, tomorrow is not here yet and laugh at yourself often before

someone else does.

 

McGee, EMT-P

 

Subject: Re: Re: The Most Fundamental Problem

To: texasems-l

Date: Sunday, August 30, 2009, 7:01 PM

 

On Sunday, August 30, 2009 15:29, " Danny "

said:

> So my question is this: Why not implement in Texas what the National Formula

for

> EMS was stating?  Place a protocol whereby the Paramedic can evaluate, write

> prescriptions if necessary, and refer to a private dr. those pt.s that do not

meet

> the requsites for transport? A fee could still be charged for the call.  What

> would be the downside?

The practice of medicine is not about protocols. And protocols don't replace

education. The greater percentage of our paramedics are currently not well

enough educated to do even the emergency portion of their job competently. There

is not the slightest chance that I or any sane medical director would send them

out into the community to practise family practice medicine with nothing more

than a ten-week paramedic patch and a protocol book.

Downside? I fail to see the upside.

Rob

[Guest guest]

Rob,

I have to respectfully disagree with you again.  The practice of medicine is

filled with protocols.  Every action, every diagnostic practice has a standard

set of rules to follow, otherwise known as protocols.  Ask any doctor you know

if it is common practice to order lab tests or x-ray at random on any patient. 

I am sure you already know the answer to that question.  Protocols must be

followed.  Sure some flexibility is given in extraordinary cases, but all in

all, standards must be followed.  Medicine is an art, and as such it needs to

fit within a framework.

 

As to your assertion that most paramedics are not even trained well enough to

properly perform their jobs, does this stem from personal experience?   I

suppose this relates back to when you stated that all non-degree holding

paramedics are either lazy or stupid.  You have a very low opinion of your

collegues and coworkers.  Not all of us have only had a " ten-week " course.

Live for today, tomorrow is not here yet and laugh at yourself often before

someone else does.

 

McGee, EMT-P

 

Subject: Re: Re: The Most Fundamental Problem

To: texasems-l

Date: Sunday, August 30, 2009, 7:01 PM

 

On Sunday, August 30, 2009 15:29, " Danny "

said:

> So my question is this: Why not implement in Texas what the National Formula

for

> EMS was stating?  Place a protocol whereby the Paramedic can evaluate, write

> prescriptions if necessary, and refer to a private dr. those pt.s that do not

meet

> the requsites for transport? A fee could still be charged for the call.  What

> would be the downside?

The practice of medicine is not about protocols. And protocols don't replace

education. The greater percentage of our paramedics are currently not well

enough educated to do even the emergency portion of their job competently. There

is not the slightest chance that I or any sane medical director would send them

out into the community to practise family practice medicine with nothing more

than a ten-week paramedic patch and a protocol book.

Downside? I fail to see the upside.

Rob

[Guest guest]

Thank you Dr. Bledsoe, I stand corrected. 

Live for today, tomorrow is not here yet and laugh at yourself often before

someone else does.

 

McGee, EMT-P

 

>

> From: rob.davis@armynurse corps.com

> >

> Subject: Re: Re: The Most Fundamental Problem

> To: texasems-l@yahoogro ups.com

> Date: Sunday, August 30, 2009, 7:01 PM

>

>  

>

> On Sunday, August 30, 2009 15:29, " Danny "

> said:

>

>> > So my question is this: Why not implement in Texas what the National

>> Formula for

>> > EMS was stating?  Place a protocol whereby the Paramedic can evaluate,

>> write

>> > prescriptions if necessary, and refer to a private dr. those pt.s that do

>> not meet

>> > the requsites for transport? A fee could still be charged for the call. 

>> What

>> > would be the downside?

>

> The practice of medicine is not about protocols. And protocols don't replace

> education. The greater percentage of our paramedics are currently not well

> enough educated to do even the emergency portion of their job competently.

> There is not the slightest chance that I or any sane medical director would

> send them out into the community to practise family practice medicine with

> nothing more than a ten-week paramedic patch and a protocol book.

>

> Downside? I fail to see the upside.

>

> Rob

>

>