> >-there will be a three year programme to train and equip ambulance
> >paramedics to provide thrombolysis safely for appropriate patients. On
> >average, patients will get thrombolysis an hour sooner than if they
> >were taken to hospital first, saving up to 3,000 lives a year once
> >fully implemented.
>
> Mmmm. I'm sure there will be an interesting debate.....
>
Here goes....
After five years a medical school and a year as a PRHO most but not all
doctors can provide thrombolysis safely for appropriate patients.
Yet paramedics will be able to do it in three years.
But no! Of course they dont mean a three year course. They mean in three
years time this scheme will be up and running! Probably a two week course?
IMHO more lives would be saved by teaching paramedics what not to do than
adding more and more complex treatments for them to administer to the wrong
patients instead of taking them to hospital quickly.
Stop salbutamol for LVF.
Stop frusemide for pneumonia.
Stop nalbuphene for indigestion.
Start a strict maximum 10 minute on scene time for all non-entrapped
patients.
--
Andrew
_______________________________________________________
Andrew Hobart FRCS FFAEM
Birmingham
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