Guest guest Posted January 11, 2011 Report Share Posted January 11, 2011 I retired my RN license, but have retained my Texas LP and Instructor certification. Moot point, as I live in New Mexico (in Roosevelt County, a border county with Texas) and am not certified / licensed in this state. However, I do have American Red Cross CPR and First Aid cards, which covers the essentials. They can never take away my knowledge, and as long as I don't do anything beyond the basic level (which I couldn't do anyway; I don't carry the extra stuff) I am good to go. Besides, why do you need to do more than the essentials if you are in a Good Sam status? Do a good assessment, give good immediate care and report what you have done to the crew when they arrive. If you exhibit good presence and are competent in your skills, that will show and the patient, cops and medics will appreciate your being there when the time called for it. Larry MS LP NMCEMDirector, EMS Management ProgramEastern New Mexico University - Portales �The ignorance of one voter in a democracy impairs the security of all.� -- F. Kennedy, 1963 ----- PA or RN on Scene other legalities GG, Here is an off the wall question for you: Presently we have Protocols in place for Physician On Scene and the requirement that physician be willing to escort a Patient to the hospital if he/she so desires to provide aid but what if you run across a Physician Assistant or an RN with field experience/training as in a Flight Nurse? Are they also legally responsible for the Patient so long as they agree to escort to the hospital? Either one is the next echelon higher in care. Would you consider patient care to be more of a cooperative work in the later case based on scope of practice and equipment expected to be available? Is there some literature or state/federal statute that I can review that you can assist me with? I am on a role here.. Here is the other can: It has been advised EMS personnel remove First Aid Kits from their vehicles as it may also become a legal liability. Here is the what if; what if I am traveling away from home area and come upon a desolate scene where I am the only medically trained person available. How does one request medical control or is it possible? Regardless of whether or not it is a band aid or an ET tube. Where does layperson give way to Paramedicine in a court of Law? Especially where no foreseeable survivability exists without it. I am leaving common sense out of this because my Cert is near and dear to my heart and my pocket book. Long ago during class you had pointed out a legal reference for EMS. I don't suppose you recall the reference? J. Meere CEP, Arizona Ambulance U.S. Army, Retired Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2011 Report Share Posted January 11, 2011 I retired my RN license, but have retained my Texas LP and Instructor certification. Moot point, as I live in New Mexico (in Roosevelt County, a border county with Texas) and am not certified / licensed in this state. However, I do have American Red Cross CPR and First Aid cards, which covers the essentials. They can never take away my knowledge, and as long as I don't do anything beyond the basic level (which I couldn't do anyway; I don't carry the extra stuff) I am good to go. Besides, why do you need to do more than the essentials if you are in a Good Sam status? Do a good assessment, give good immediate care and report what you have done to the crew when they arrive. If you exhibit good presence and are competent in your skills, that will show and the patient, cops and medics will appreciate your being there when the time called for it. Larry MS LP NMCEMDirector, EMS Management ProgramEastern New Mexico University - Portales �The ignorance of one voter in a democracy impairs the security of all.� -- F. Kennedy, 1963 ----- PA or RN on Scene other legalities GG, Here is an off the wall question for you: Presently we have Protocols in place for Physician On Scene and the requirement that physician be willing to escort a Patient to the hospital if he/she so desires to provide aid but what if you run across a Physician Assistant or an RN with field experience/training as in a Flight Nurse? Are they also legally responsible for the Patient so long as they agree to escort to the hospital? Either one is the next echelon higher in care. Would you consider patient care to be more of a cooperative work in the later case based on scope of practice and equipment expected to be available? Is there some literature or state/federal statute that I can review that you can assist me with? I am on a role here.. Here is the other can: It has been advised EMS personnel remove First Aid Kits from their vehicles as it may also become a legal liability. Here is the what if; what if I am traveling away from home area and come upon a desolate scene where I am the only medically trained person available. How does one request medical control or is it possible? Regardless of whether or not it is a band aid or an ET tube. Where does layperson give way to Paramedicine in a court of Law? Especially where no foreseeable survivability exists without it. I am leaving common sense out of this because my Cert is near and dear to my heart and my pocket book. Long ago during class you had pointed out a legal reference for EMS. I don't suppose you recall the reference? J. Meere CEP, Arizona Ambulance U.S. Army, Retired Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2011 Report Share Posted January 13, 2011 i spoke at length with the BNE (board of nursing examiners) in austin about nurses showing or or being present @ a scene and asking if they can perform skills on a patient. what i was told is that they are not supposed to being doing that in an out-of-hospital environment. jim davis paramedic Subject: Re: PA or RN on Scene other legalities To: texasems-l Date: Tuesday, January 11, 2011, 11:30 PM Â Jodi, What a person can do on an ambulance varies from state to state. A physician has a license that allows him to practice medicine anywhere in the state at any time. However, he does not automatically have the right to take over care at a scene when paramedics are present. Generally, if he wishes to assume care, he must accompany the patient to the hospital and issue all orders. If he orders you to do something against protocol, the way to handle it is to get him in touch with med control physician and let them hash it out. I do not believe that a PA or an RN has any power to assume care from you. PAs and nurses practice under a physician's orders. Unless they are a part of the system you're in, I don't think they have the right to practice in your ambulance. The easiest way to get a definitive answer is to call Robin Gil and ask her. I'll bet she has the answer on the tip of her tongue. Next, there is no legal liability for having a first aid kit in your car or in not having one. When you are outside the state where you are certified, you are on the level of a Boy Scout, meaning you can do first aid only. If you choose to do it, you are bound to do it competently, but only to First Aid level. You don't need medical control to do first aid. You do need medical control to do anything invasive or give a drug. I carry no advanced equipment since I would have no authority to use it. My paramedic has no validity in a state where I am not certified. I COULD ask for and receive medical control if a physician were willing to do it, but the chances of that happening are nil. I would have no idea how to contact an online physician on my cellphone. The best legal reference is a book named Legal Medicine, published by Mosby. It is not specific for EMS but general. However, it does cover lots of basic legal stuff about medicine. Happy reading. GG PA or RN on Scene other legalities GG, Here is an off the wall question for you: Presently we have Protocols in place for Physician On Scene and the requirement that physician be willing to escort a Patient to the hospital if he/she so desires to provide aid but what if you run across a Physician Assistant or an RN with field experience/training as in a Flight Nurse? Are they also legally responsible for the Patient so long as they agree to escort to the hospital? Either one is the next echelon higher in care. Would you consider patient care to be more of a cooperative work in the later case based on scope of practice and equipment expected to be available? Is there some literature or state/federal statute that I can review that you can assist me with? I am on a role here.. Here is the other can: It has been advised EMS personnel remove First Aid Kits from their vehicles as it may also become a legal liability. Here is the what if; what if I am traveling away from home area and come upon a desolate scene where I am the only medically trained person available. How does one request medical control or is it possible? Regardless of whether or not it is a band aid or an ET tube. Where does layperson give way to Paramedicine in a court of Law? Especially where no foreseeable survivability exists without it. I am leaving common sense out of this because my Cert is near and dear to my heart and my pocket book. Long ago during class you had pointed out a legal reference for EMS. I don't suppose you recall the reference? J. Meere CEP, Arizona Ambulance U.S. Army, Retired Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2011 Report Share Posted January 13, 2011 thanks, gene. i found the book. it's $$$$ new but i found a used one for $26.00 here is the isbn (the best way to find a cheap used book IMHO) Legal Medicine (Legal Medicine (American College of Legal Medicine)) By: ACLM ISBN: 0323037534 ISBN-13: 9780323037532 List Price: $199.00 jim davis paramedic Subject: Re: PA or RN on Scene other legalities To: texasems-l Date: Tuesday, January 11, 2011, 11:30 PM Â Jodi, What a person can do on an ambulance varies from state to state. A physician has a license that allows him to practice medicine anywhere in the state at any time. However, he does not automatically have the right to take over care at a scene when paramedics are present. Generally, if he wishes to assume care, he must accompany the patient to the hospital and issue all orders. If he orders you to do something against protocol, the way to handle it is to get him in touch with med control physician and let them hash it out. I do not believe that a PA or an RN has any power to assume care from you. PAs and nurses practice under a physician's orders. Unless they are a part of the system you're in, I don't think they have the right to practice in your ambulance. The easiest way to get a definitive answer is to call Robin Gil and ask her. I'll bet she has the answer on the tip of her tongue. Next, there is no legal liability for having a first aid kit in your car or in not having one. When you are outside the state where you are certified, you are on the level of a Boy Scout, meaning you can do first aid only. If you choose to do it, you are bound to do it competently, but only to First Aid level. You don't need medical control to do first aid. You do need medical control to do anything invasive or give a drug. I carry no advanced equipment since I would have no authority to use it. My paramedic has no validity in a state where I am not certified. I COULD ask for and receive medical control if a physician were willing to do it, but the chances of that happening are nil. I would have no idea how to contact an online physician on my cellphone. The best legal reference is a book named Legal Medicine, published by Mosby. It is not specific for EMS but general. However, it does cover lots of basic legal stuff about medicine. Happy reading. GG PA or RN on Scene other legalities GG, Here is an off the wall question for you: Presently we have Protocols in place for Physician On Scene and the requirement that physician be willing to escort a Patient to the hospital if he/she so desires to provide aid but what if you run across a Physician Assistant or an RN with field experience/training as in a Flight Nurse? Are they also legally responsible for the Patient so long as they agree to escort to the hospital? Either one is the next echelon higher in care. Would you consider patient care to be more of a cooperative work in the later case based on scope of practice and equipment expected to be available? Is there some literature or state/federal statute that I can review that you can assist me with? I am on a role here.. Here is the other can: It has been advised EMS personnel remove First Aid Kits from their vehicles as it may also become a legal liability. Here is the what if; what if I am traveling away from home area and come upon a desolate scene where I am the only medically trained person available. How does one request medical control or is it possible? Regardless of whether or not it is a band aid or an ET tube. Where does layperson give way to Paramedicine in a court of Law? Especially where no foreseeable survivability exists without it. I am leaving common sense out of this because my Cert is near and dear to my heart and my pocket book. Long ago during class you had pointed out a legal reference for EMS. I don't suppose you recall the reference? J. Meere CEP, Arizona Ambulance U.S. Army, Retired Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2011 Report Share Posted January 13, 2011 thanks, gene. i found the book. it's $$$$ new but i found a used one for $26.00 here is the isbn (the best way to find a cheap used book IMHO) Legal Medicine (Legal Medicine (American College of Legal Medicine)) By: ACLM ISBN: 0323037534 ISBN-13: 9780323037532 List Price: $199.00 jim davis paramedic Subject: Re: PA or RN on Scene other legalities To: texasems-l Date: Tuesday, January 11, 2011, 11:30 PM Â Jodi, What a person can do on an ambulance varies from state to state. A physician has a license that allows him to practice medicine anywhere in the state at any time. However, he does not automatically have the right to take over care at a scene when paramedics are present. Generally, if he wishes to assume care, he must accompany the patient to the hospital and issue all orders. If he orders you to do something against protocol, the way to handle it is to get him in touch with med control physician and let them hash it out. I do not believe that a PA or an RN has any power to assume care from you. PAs and nurses practice under a physician's orders. Unless they are a part of the system you're in, I don't think they have the right to practice in your ambulance. The easiest way to get a definitive answer is to call Robin Gil and ask her. I'll bet she has the answer on the tip of her tongue. Next, there is no legal liability for having a first aid kit in your car or in not having one. When you are outside the state where you are certified, you are on the level of a Boy Scout, meaning you can do first aid only. If you choose to do it, you are bound to do it competently, but only to First Aid level. You don't need medical control to do first aid. You do need medical control to do anything invasive or give a drug. I carry no advanced equipment since I would have no authority to use it. My paramedic has no validity in a state where I am not certified. I COULD ask for and receive medical control if a physician were willing to do it, but the chances of that happening are nil. I would have no idea how to contact an online physician on my cellphone. The best legal reference is a book named Legal Medicine, published by Mosby. It is not specific for EMS but general. However, it does cover lots of basic legal stuff about medicine. Happy reading. GG PA or RN on Scene other legalities GG, Here is an off the wall question for you: Presently we have Protocols in place for Physician On Scene and the requirement that physician be willing to escort a Patient to the hospital if he/she so desires to provide aid but what if you run across a Physician Assistant or an RN with field experience/training as in a Flight Nurse? Are they also legally responsible for the Patient so long as they agree to escort to the hospital? Either one is the next echelon higher in care. Would you consider patient care to be more of a cooperative work in the later case based on scope of practice and equipment expected to be available? Is there some literature or state/federal statute that I can review that you can assist me with? I am on a role here.. Here is the other can: It has been advised EMS personnel remove First Aid Kits from their vehicles as it may also become a legal liability. Here is the what if; what if I am traveling away from home area and come upon a desolate scene where I am the only medically trained person available. How does one request medical control or is it possible? Regardless of whether or not it is a band aid or an ET tube. Where does layperson give way to Paramedicine in a court of Law? Especially where no foreseeable survivability exists without it. I am leaving common sense out of this because my Cert is near and dear to my heart and my pocket book. Long ago during class you had pointed out a legal reference for EMS. I don't suppose you recall the reference? J. Meere CEP, Arizona Ambulance U.S. Army, Retired Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2011 Report Share Posted January 13, 2011 A question - where do we draw the lines between First Aid and BLS and ALS? It seems to constantly change, from in-hospital to out-of-hospital, and provider to provider. In the hospital, First Aid is a band-aid, and BLS includes IV therapy, and ALS includes Central Lines. Out of the Hospital, in one service, First Aid is a band-aid, BLS includes blood pressures and pulse oximetry, and ALS includes IV therapy. In another service, blood pressures and pulse oximetry is First Aid, BLS includes d-sticks, and ALS includes cardiac interp. Legally, where are the lines? If someone goes down, and I have a BVM, and I pull it from my car, have I just crossed the line into BLS? What about an OPA? NPA? Suctioning? Blood glucose check? Blood pressure? Epi Pen or Albuterol admin assistance? What if I'm in another state? Or are first aid and BLS really the same? Do we even practice ALS in the field or is ALS only physician-level? Or is it all just legal shades of gray? Alyssa Woods, NREMT-B CPR Instructor > Jodi, > > What a person can do on an ambulance varies from state to state. A physician has a license that allows him to practice medicine anywhere in the state at any time. However, he does not automatically have the right to take over care at a scene when paramedics are present. Generally, if he wishes to assume care, he must accompany the patient to the hospital and issue all orders. If he orders you to do something against protocol, the way to handle it is to get him in touch with med control physician and let them hash it out. > > I do not believe that a PA or an RN has any power to assume care from you. PAs and nurses practice under a physician's orders. Unless they are a part of the system you're in, I don't think they have the right to practice in your ambulance. > > The easiest way to get a definitive answer is to call Robin Gil and ask her. I'll bet she has the answer on the tip of her tongue. > > Next, there is no legal liability for having a first aid kit in your car or in not having one. When you are outside the state where you are certified, you are on the level of a Boy Scout, meaning you can do first aid only. If you choose to do it, you are bound to do it competently, but only to First Aid level. You don't need medical control to do first aid. You do need medical control to do anything invasive or give a drug. > > I carry no advanced equipment since I would have no authority to use it. My paramedic has no validity in a state where I am not certified. I COULD ask for and receive medical control if a physician were willing to do it, but the chances of that happening are nil. I would have no idea how to contact an online physician on my cellphone. > > The best legal reference is a book named Legal Medicine, published by Mosby. It is not specific for EMS but general. However, it does cover lots of basic legal stuff about medicine. > > Happy reading. > > GG > > PA or RN on Scene other legalities > > GG, > > Here is an off the wall question for you: Presently we have Protocols in > place for Physician On Scene and the requirement that physician be willing > to escort a Patient to the hospital if he/she so desires to provide aid but > what if you run across a Physician Assistant or an RN with field > experience/training as in a Flight Nurse? Are they also legally responsible > for the Patient so long as they agree to escort to the hospital? Either one > is the next echelon higher in care. Would you consider patient care to be > more of a cooperative work in the later case based on scope of practice and > equipment expected to be available? Is there some literature or > state/federal statute that I can review that you can assist me with? > > I am on a role here.. Here is the other can: It has been advised EMS > personnel remove First Aid Kits from their vehicles as it may also become a > legal liability. Here is the what if; what if I am traveling away from home > area and come upon a desolate scene where I am the only medically trained > person available. How does one request medical control or is it possible? > Regardless of whether or not it is a band aid or an ET tube. Where does > layperson give way to Paramedicine in a court of Law? Especially where no > foreseeable survivability exists without it. I am leaving common sense out > of this because my Cert is near and dear to my heart and my pocket book. > > Long ago during class you had pointed out a legal reference for EMS. I don't > suppose you recall the reference? > > J. Meere > > CEP, Arizona Ambulance > > U.S. Army, Retired > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 13, 2011 Report Share Posted January 13, 2011 A question - where do we draw the lines between First Aid and BLS and ALS? It seems to constantly change, from in-hospital to out-of-hospital, and provider to provider. In the hospital, First Aid is a band-aid, and BLS includes IV therapy, and ALS includes Central Lines. Out of the Hospital, in one service, First Aid is a band-aid, BLS includes blood pressures and pulse oximetry, and ALS includes IV therapy. In another service, blood pressures and pulse oximetry is First Aid, BLS includes d-sticks, and ALS includes cardiac interp. Legally, where are the lines? If someone goes down, and I have a BVM, and I pull it from my car, have I just crossed the line into BLS? What about an OPA? NPA? Suctioning? Blood glucose check? Blood pressure? Epi Pen or Albuterol admin assistance? What if I'm in another state? Or are first aid and BLS really the same? Do we even practice ALS in the field or is ALS only physician-level? Or is it all just legal shades of gray? Alyssa Woods, NREMT-B CPR Instructor > Jodi, > > What a person can do on an ambulance varies from state to state. A physician has a license that allows him to practice medicine anywhere in the state at any time. However, he does not automatically have the right to take over care at a scene when paramedics are present. Generally, if he wishes to assume care, he must accompany the patient to the hospital and issue all orders. If he orders you to do something against protocol, the way to handle it is to get him in touch with med control physician and let them hash it out. > > I do not believe that a PA or an RN has any power to assume care from you. PAs and nurses practice under a physician's orders. Unless they are a part of the system you're in, I don't think they have the right to practice in your ambulance. > > The easiest way to get a definitive answer is to call Robin Gil and ask her. I'll bet she has the answer on the tip of her tongue. > > Next, there is no legal liability for having a first aid kit in your car or in not having one. When you are outside the state where you are certified, you are on the level of a Boy Scout, meaning you can do first aid only. If you choose to do it, you are bound to do it competently, but only to First Aid level. You don't need medical control to do first aid. You do need medical control to do anything invasive or give a drug. > > I carry no advanced equipment since I would have no authority to use it. My paramedic has no validity in a state where I am not certified. I COULD ask for and receive medical control if a physician were willing to do it, but the chances of that happening are nil. I would have no idea how to contact an online physician on my cellphone. > > The best legal reference is a book named Legal Medicine, published by Mosby. It is not specific for EMS but general. However, it does cover lots of basic legal stuff about medicine. > > Happy reading. > > GG > > PA or RN on Scene other legalities > > GG, > > Here is an off the wall question for you: Presently we have Protocols in > place for Physician On Scene and the requirement that physician be willing > to escort a Patient to the hospital if he/she so desires to provide aid but > what if you run across a Physician Assistant or an RN with field > experience/training as in a Flight Nurse? Are they also legally responsible > for the Patient so long as they agree to escort to the hospital? Either one > is the next echelon higher in care. Would you consider patient care to be > more of a cooperative work in the later case based on scope of practice and > equipment expected to be available? Is there some literature or > state/federal statute that I can review that you can assist me with? > > I am on a role here.. Here is the other can: It has been advised EMS > personnel remove First Aid Kits from their vehicles as it may also become a > legal liability. Here is the what if; what if I am traveling away from home > area and come upon a desolate scene where I am the only medically trained > person available. How does one request medical control or is it possible? > Regardless of whether or not it is a band aid or an ET tube. Where does > layperson give way to Paramedicine in a court of Law? Especially where no > foreseeable survivability exists without it. I am leaving common sense out > of this because my Cert is near and dear to my heart and my pocket book. > > Long ago during class you had pointed out a legal reference for EMS. I don't > suppose you recall the reference? > > J. Meere > > CEP, Arizona Ambulance > > U.S. Army, Retired > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2011 Report Share Posted January 14, 2011 90% of those skills are taught as Scout/Red Cross First Aid...no license needed.... Stop the Bleeding, Open the Airway, Stabilize the Fractures, Keep the victim protected from the weather... if your aid bag doesn't contain anything beyond dressings, splints, and maybe simple airways and eye wash, I don't see how anyone can be charged with practicing without a license... ck In a message dated 01/14/11 13:00:36 Central Standard Time, jmeere@... writes: I am talking about exercising skills to stabilize road side until well equipped ambulance arrives to assist or take over patient care. Anywhere, in any state Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2011 Report Share Posted January 14, 2011 First of all, how many medics actually carry a fully equipped ALS bag with them everywhere they go? I don't carry a bag at all. When it comes to giving aid in an emergent situation basic care is what is going to save a life. As a paramedic I learned a long time ago that all the toys on the truck are nice but in the case of a critical patient sometime the less we do and the quicker we transport the better it is for the pt. No matter what level you are there is no treatment that is a given right to do. You can be a paramedic but if your medical director wants you to work as a basic that is what you will be. Bls comes before ALS. Sent from my iPhone > 90% of those skills are taught as Scout/Red Cross First Aid...no license > needed.... > > Stop the Bleeding, Open the Airway, Stabilize the Fractures, Keep the > victim protected from the weather... > > if your aid bag doesn't contain anything beyond dressings, splints, and > maybe simple airways and eye wash, I don't see how anyone can be charged with > practicing without a license... > > ck > > > In a message dated 01/14/11 13:00:36 Central Standard Time, jmeere@... > writes: > > I am talking about exercising > skills to stabilize road side until well equipped ambulance arrives to > assist or take over patient care. Anywhere, in any state > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2011 Report Share Posted January 14, 2011 First of all, how many medics actually carry a fully equipped ALS bag with them everywhere they go? I don't carry a bag at all. When it comes to giving aid in an emergent situation basic care is what is going to save a life. As a paramedic I learned a long time ago that all the toys on the truck are nice but in the case of a critical patient sometime the less we do and the quicker we transport the better it is for the pt. No matter what level you are there is no treatment that is a given right to do. You can be a paramedic but if your medical director wants you to work as a basic that is what you will be. Bls comes before ALS. Sent from my iPhone > 90% of those skills are taught as Scout/Red Cross First Aid...no license > needed.... > > Stop the Bleeding, Open the Airway, Stabilize the Fractures, Keep the > victim protected from the weather... > > if your aid bag doesn't contain anything beyond dressings, splints, and > maybe simple airways and eye wash, I don't see how anyone can be charged with > practicing without a license... > > ck > > > In a message dated 01/14/11 13:00:36 Central Standard Time, jmeere@... > writes: > > I am talking about exercising > skills to stabilize road side until well equipped ambulance arrives to > assist or take over patient care. Anywhere, in any state > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 14, 2011 Report Share Posted January 14, 2011 First of all, how many medics actually carry a fully equipped ALS bag with them everywhere they go? I don't carry a bag at all. When it comes to giving aid in an emergent situation basic care is what is going to save a life. As a paramedic I learned a long time ago that all the toys on the truck are nice but in the case of a critical patient sometime the less we do and the quicker we transport the better it is for the pt. No matter what level you are there is no treatment that is a given right to do. You can be a paramedic but if your medical director wants you to work as a basic that is what you will be. Bls comes before ALS. Sent from my iPhone > 90% of those skills are taught as Scout/Red Cross First Aid...no license > needed.... > > Stop the Bleeding, Open the Airway, Stabilize the Fractures, Keep the > victim protected from the weather... > > if your aid bag doesn't contain anything beyond dressings, splints, and > maybe simple airways and eye wash, I don't see how anyone can be charged with > practicing without a license... > > ck > > > In a message dated 01/14/11 13:00:36 Central Standard Time, jmeere@... > writes: > > I am talking about exercising > skills to stabilize road side until well equipped ambulance arrives to > assist or take over patient care. Anywhere, in any state > > Quote Link to comment Share on other sites More sharing options...
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