>> Oddly enough, my understanding was that it was the POLICE in
>> control once we
>> are talking cordons and hence major incidents. I'm sure they are.
That was not really the question. Obviously the police have overall
control, and they surrender bronze control to the fire service in dangerous
conditions.
However, we were discussion who had MEDICAL primacy over the treatment and
disposition of the patient.
The answer is that the doctor has control, and that while doctors should use
a team approach and listen to the advice of their colleagues, in the final
analysis paramedics should follow the medical direction of the doctor at the
scene.
If a doctor does not have pre-hospital training or experience, then they
would be very, very unwise to disagree with a paramedic's decision.
However, we are talking here about doctor's called to the scene who should
be accredited or experienced pre-hospital/A&E doctors.
If they are unhappy with the doctor's actions, they should take this up with
their medical director after the call.
Robbie Coull
email: [log in to unmask] website: http://www.coull.net
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