Mike
If a
paramedic wants to be a nurse or a
doctor then why not simply go and do the appropriate training?
You seem
to want paramedics to be all
things to all people all of the time…
Robin
-----Original
Message-----
From: Accident and Emergency
Academic List [mailto:[log in to unmask]]On Behalf Of Mike Bjarkoy
Sent: 18 March 2002 20:57
To: [log in to unmask]
Subject: Re: Treat and Release
schemes
I think
that before we go any further it is necessary to define these schemes.
there are expanded scope paramedic programmes such as the one in Red River
County where paramedics go to calls such as incisions, inspect, debride, suture
and call back at a later date to take the stitches out. They also do fractures
via telemedicine facility.
Then there are those paramedics who may administer such drugs as adenosine for
SVT and once satisfied they leave the patient at home.
Then there are others who may give glucagon and leave at home
and the basic form of treat and release is one of advise and referral to other
agencies.
Where it begins and ends I really cannot say. I think it is probably more
important that it does exist and the content is incidental. As long as A&E
(ER) visits are reduced AND the patient receives appropriate care seems to me
to be the important factor here and not laid down protocols or extent of
invasive care.
Mike Bjarkoy