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Re: Reflections

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Yeah, verily, sonny!

Dave (a.k.a A.J)

[texasems-L] Reflections

>

>

> > Pardon the maunderings of an " old " medic.

> >

> > This time of year, and especially this year, with the dawn of a new

> > century, tend to make me want to stop a minute and reflect. Being the

> > shy, retiring person I am (VBG), I felt like sharing my thoughts...

> >

> > In the past 25 years, when I joined a volunteer fire department and took

> > my first CPR class, there has been a heck of a change in the way

> > Emergency Services have been performed. Who remembers:

> >

> > Demand Valves? The black rubber anesthesia bags? Precordial thumps after

> > " shake and shout " ? Mouth to mouth? If you wore gloves, you were a wuss?

> > " if you didn't have blood on you, it wasn't much of a call " ? Cadillac

> > ambulances? High-top Suburbans? Bicarb as a first line drug? The light

> > blue Texas EMT patch? For that matter, the BIG Natl. Registry EMT patch

> > (and the only one)?

> >

> > Times have changed; at that time in the nation, there were only a

handful

> > of civilian helicopters in medevac programs. Today there are at least

> > twice that number of programs in Texas alone. The " Golden Hour " was a

> > concept espounsed by a lone surgeon in land. Today, it is the focus

> > of trauma care nation wide. Communications have improved; it was a big

> > deal to HAVE a Lifepak 5; today, we transmit 12 leads and are

> > experimenting with using " clot-busters " in the field.

> >

> > Where are we going? As I put on my dusty Karnac hat (you gotta be old to

> > remember THAT) I think the next quarter century will bring-

> >

> > 1) An effective medication for field use to halt or reverse strokes and

> > CHIs, as well as Spinal injuries.

> > 2) Reduced MVC injuries because of improved roads and vehicles

> > 3) Paramedics as physician extenders, providing community and preventive

> > care by protocol.

> > 4) The emergence of Paramedics as a recognized Allied Health profession,

> > with entry at the Associates level, and management in the BS/BA or

> > Masters level.Certification will be truly nation-wide.

> >

> > But for now, let's all put aside our snits, gripes, flames, and

> > arguments. Just enjoy each other and this holiday season.

> >

> > Happy Holidays, and enjoy the ride!

> >

> >

> > Larry

> >

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> >

>

>

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>

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