Does it not challenge the creability of some RTO's who criticise The Expert
Help for doing something which is sensible and appropriate at the time,
taking into account the information available at the time and the knowledge
and experience of the EXPERT.
On an ALS course candidates are being assessed aaginst the manual and what
they have bben taught, so they have to demonstrate that in their assessments,
but for Pete's sake, the one thing that has been lacking in recent years, and
the Resus guidelines attempted to bring it in, was the thinking Doctor who
considers potentially reversible causes. ALS courses are about resuscitation
in the first few minutes, allowing the majority of first responders to buy
time for the expert, and hopefully give her/him a patient in any condidtion
other than arrest, i.e something to work on.
If the expert is there, I believed the guidelines were to keep things going
while the EXPERT thought out and planned the appropriate action for the cause
of the arrest and the complication arrising as a result of it and it's
management.
Sorry if this sounds a little basic, but as an RTO who values the efforts
put in by all members of the team, and fully appreciates the knowledge and
abilities of the EXPERT and my own limitations. I would never consider
challenging the expert for considering a totally acceptable treatment option,
which would have been made by a professional who has been through a long
period of study, training and experience far in excess of mine. Having said
that a long intubation time or not shocking VF early would!.
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