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>>> [log in to unmask] 01/09/01 05:05 >>> >This comes under "Credibility" in the instructor selection process. I, and >the few other GP instructors, do not see many cardiac arrests per year. >However, in remote areas this is unavoidable (remember I cover 500-1000 >square miles single handed with between 300-2000 patients as a time). It >should also be bourn in mind that the average paramedic sees one seriously >injured trauma call every 18 months so reduced exposure is a widespread >problem in prehospital care compared with A+E. Is this second statement really true ? Sorry Robbie, I dont mean to be rude in questioning it, but to me this is a real concern. Im sure it's from a study somewhere. I obviously cannot overly comment on the UK situation. But locally here our 200 - 250 regional major traumas a year are spread over the 60 paramedics and 50 odd technicians ( equivalents ) of our local ambulance service, giving a considerably higher serious trauma exposure than 1:18/12, although the helicopter medics gobble up a few more than the average. Surely your major trauma rates are not that low ? If the figure is accurate isn't this cause for serious concern ? Frequent training aside - seeing 1 major trauma every 18 months is not enough to maintain the required assessment and treatment skills, is it ? Craig Dr Craig Ellis Emergency Medicine Registrar Wellington Hospital Wellington, New Zealand. CCH Secure Mail Server ******************************************************************************** This email or attachment(s) may contain confidential or legally privileged information intended for the sole use of the addressee(s). Any use, redistribution, disclosure, or reproduction of this message, except as intended, is prohibited. If you received this email in error, please notify the sender and remove all copies of the message, including any attachments. Any views or opinions expressed in this email (unless otherwise stated) may not represent those of Capital Coast Health Ltd. (AC_S001) [INFO] -- Virus Manager: No Viruses were detected in this message. ********************************************************************************