Guest guest Posted February 26, 2005 Report Share Posted February 26, 2005 Chapter 197 of the Board of Medical Examiners Rules of Medical Practice states the conditions under which an intervenor physician may direct the care of the patient. In short, the intervenor physician may assume care of the patient only with the permission of on-line medical control. Even then, he/she may not order EMS personnel to do anything outside their protocols. And medical control may require the intervenor physician to accompany the patient to the hospital if he/she wishes to assume control of the care of the patient. Randy >How exactly is that accomplished? From what I've read, a physician >licensed to practice medicine in the state where the incident occured >can assume responsibility for the patient and/or render patient care >under his/her license. Therefore, since paramedics are >physician-extenders and not independent practioners, they would have >to step back and let the physician do his/her thing. Another angle is >a physician on the scene is, in theory, a higher level of care than a >paramedic. > >Any thoughts? R. Loflin, M.D., FAAEM, FACEP Associate Professor Medical Director, City of El Paso EMSS Medical Director, ACLS Program james.loflin@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2005 Report Share Posted February 26, 2005 Chapter 197 of the Board of Medical Examiners Rules of Medical Practice states the conditions under which an intervenor physician may direct the care of the patient. In short, the intervenor physician may assume care of the patient only with the permission of on-line medical control. Even then, he/she may not order EMS personnel to do anything outside their protocols. And medical control may require the intervenor physician to accompany the patient to the hospital if he/she wishes to assume control of the care of the patient. Randy >How exactly is that accomplished? From what I've read, a physician >licensed to practice medicine in the state where the incident occured >can assume responsibility for the patient and/or render patient care >under his/her license. Therefore, since paramedics are >physician-extenders and not independent practioners, they would have >to step back and let the physician do his/her thing. Another angle is >a physician on the scene is, in theory, a higher level of care than a >paramedic. > >Any thoughts? R. Loflin, M.D., FAAEM, FACEP Associate Professor Medical Director, City of El Paso EMSS Medical Director, ACLS Program james.loflin@... Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2005 Report Share Posted February 26, 2005 I have seen business card type notes that were handed to a Physician who arrived on a scene, It said this patient is under the care of __________________ medical director of ABC EMS. if you wish to assume care of this patient please show your credentials, and accompany the patient to the hospital in the ambulance to hand off care th the Emergency Physician. If you are unwilling to meet these conditions our medics will treat this patient according to my protocols. These were not the exact words, but it was signed by the medical director, and solved many problems according to those who were using it. Donnie wrote: I understand what you are saying, but we have some rather unique protocols. We have been on scenes and while we were working the pts per our protocol, and we had to almost stop and explain or " justify " what we were doing. For example, trying to explain why we perform chest-abdominal counter compressions, obtain either IV or IO access, administer Aminophylline, , and intubate prior to defibrillation (at 360 joules) for someone who is in V-fib with a down time greater than 4 minutes is rather difficult. Once the call is over, we can offer loads of literature that backs our protocols, but most physicians want complete control of the scene and per our medical director...that won't happen. It causes conflict and the pt is the one who will suffer. D. Stone > > > > Ours states to not take advice from an on-scene physician. > > Therefore, I would interpret that as including PAs or NPs. > > > > D. Stone > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2005 Report Share Posted February 26, 2005 I have seen business card type notes that were handed to a Physician who arrived on a scene, It said this patient is under the care of __________________ medical director of ABC EMS. if you wish to assume care of this patient please show your credentials, and accompany the patient to the hospital in the ambulance to hand off care th the Emergency Physician. If you are unwilling to meet these conditions our medics will treat this patient according to my protocols. These were not the exact words, but it was signed by the medical director, and solved many problems according to those who were using it. Donnie wrote: I understand what you are saying, but we have some rather unique protocols. We have been on scenes and while we were working the pts per our protocol, and we had to almost stop and explain or " justify " what we were doing. For example, trying to explain why we perform chest-abdominal counter compressions, obtain either IV or IO access, administer Aminophylline, , and intubate prior to defibrillation (at 360 joules) for someone who is in V-fib with a down time greater than 4 minutes is rather difficult. Once the call is over, we can offer loads of literature that backs our protocols, but most physicians want complete control of the scene and per our medical director...that won't happen. It causes conflict and the pt is the one who will suffer. D. Stone > > > > Ours states to not take advice from an on-scene physician. > > Therefore, I would interpret that as including PAs or NPs. > > > > D. Stone > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 26, 2005 Report Share Posted February 26, 2005 I have seen business card type notes that were handed to a Physician who arrived on a scene, It said this patient is under the care of __________________ medical director of ABC EMS. if you wish to assume care of this patient please show your credentials, and accompany the patient to the hospital in the ambulance to hand off care th the Emergency Physician. If you are unwilling to meet these conditions our medics will treat this patient according to my protocols. These were not the exact words, but it was signed by the medical director, and solved many problems according to those who were using it. Donnie wrote: I understand what you are saying, but we have some rather unique protocols. We have been on scenes and while we were working the pts per our protocol, and we had to almost stop and explain or " justify " what we were doing. For example, trying to explain why we perform chest-abdominal counter compressions, obtain either IV or IO access, administer Aminophylline, , and intubate prior to defibrillation (at 360 joules) for someone who is in V-fib with a down time greater than 4 minutes is rather difficult. Once the call is over, we can offer loads of literature that backs our protocols, but most physicians want complete control of the scene and per our medical director...that won't happen. It causes conflict and the pt is the one who will suffer. D. Stone > > > > Ours states to not take advice from an on-scene physician. > > Therefore, I would interpret that as including PAs or NPs. > > > > D. Stone > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Dr. , I'd let you not only stop and render aid, BUT take over the patient too! (I'd just make sure you didn't have a chair to sit down with them and get their entire psych hx before transporting! :-) You know I love you.. I think any EMS medical director should probably be exception to that rule. I mean if you look at it, it's pretty damn redundant. So the situation is, I can call you and ask your advice on treating a pt that you've never laid eyes on, but if me, you and the pt were all right there, I shouldn't trust your judgement?? That makes NO sense to me... Someone ought to take a harder look at that theory, protocol, ruling, whatever. Just my HUMBLE $0.02 Cristi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 In a message dated 2/27/2005 11:02:21 AM Central Standard Time, miller@... writes: Let me ask you all this question. If you were at the scene of a critically ill or injured patient that you were having difficulty stabilizing and I showed up at the scene to help. My guess is you would offer to help, observe for a minute...and offer your assistance. And then, work with the crew (unless of course the crew was doing something not in the best interests of the patient). This would be helpful, as opposed to the urologist who demanded, since he was a physician, that we do it his way. Have also had the pts. own physician on scene (PCP, not ER doc) of a full arrest....he observed us, offered pt. history, didnt want to assume complete responsibility for the pt and we went on our way--w/o him. I think attitude of all on scene is taken into consideration, as is how much responsibility the physician is willing to accept. Not wanting to appear cocky, but some docs realize(20 years out of ER training) that they are in over their heads. (ie urologists, some fps etc). Again, a guess would be, since you are a medical director, that you are accustomed to working with EMS crews. If I was unsuccessful in stabilizing my pt...I would welcome your assistance, and knowing my SDOs might have to contact my online medical director if you were requesting treatment outside my scope of practice or sdos. My sdo's would allow for you to accept full responsibility for that pt. Would you agree to accept full responsibility for the pt, including transport? Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 In a message dated 2/27/2005 11:02:21 AM Central Standard Time, miller@... writes: Let me ask you all this question. If you were at the scene of a critically ill or injured patient that you were having difficulty stabilizing and I showed up at the scene to help. My guess is you would offer to help, observe for a minute...and offer your assistance. And then, work with the crew (unless of course the crew was doing something not in the best interests of the patient). This would be helpful, as opposed to the urologist who demanded, since he was a physician, that we do it his way. Have also had the pts. own physician on scene (PCP, not ER doc) of a full arrest....he observed us, offered pt. history, didnt want to assume complete responsibility for the pt and we went on our way--w/o him. I think attitude of all on scene is taken into consideration, as is how much responsibility the physician is willing to accept. Not wanting to appear cocky, but some docs realize(20 years out of ER training) that they are in over their heads. (ie urologists, some fps etc). Again, a guess would be, since you are a medical director, that you are accustomed to working with EMS crews. If I was unsuccessful in stabilizing my pt...I would welcome your assistance, and knowing my SDOs might have to contact my online medical director if you were requesting treatment outside my scope of practice or sdos. My sdo's would allow for you to accept full responsibility for that pt. Would you agree to accept full responsibility for the pt, including transport? Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 In a message dated 2/27/2005 11:02:21 AM Central Standard Time, miller@... writes: Let me ask you all this question. If you were at the scene of a critically ill or injured patient that you were having difficulty stabilizing and I showed up at the scene to help. My guess is you would offer to help, observe for a minute...and offer your assistance. And then, work with the crew (unless of course the crew was doing something not in the best interests of the patient). This would be helpful, as opposed to the urologist who demanded, since he was a physician, that we do it his way. Have also had the pts. own physician on scene (PCP, not ER doc) of a full arrest....he observed us, offered pt. history, didnt want to assume complete responsibility for the pt and we went on our way--w/o him. I think attitude of all on scene is taken into consideration, as is how much responsibility the physician is willing to accept. Not wanting to appear cocky, but some docs realize(20 years out of ER training) that they are in over their heads. (ie urologists, some fps etc). Again, a guess would be, since you are a medical director, that you are accustomed to working with EMS crews. If I was unsuccessful in stabilizing my pt...I would welcome your assistance, and knowing my SDOs might have to contact my online medical director if you were requesting treatment outside my scope of practice or sdos. My sdo's would allow for you to accept full responsibility for that pt. Would you agree to accept full responsibility for the pt, including transport? Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Let me ask you all this question. If you were at the scene of a critically ill or injured patient that you were having difficulty stabilizing and I showed up at the scene to help. (I am a board certified emergency physician. I have treated over 120,000 patients in my career and have been EMS medical director for more than 25 years. I currently have more than 200 EMT¹s working under my license. There are dozens of such doctors driving the streets of Texas and are able and willing to stop and help). So the question is: Even if I were not your medical director, would it be proper for me to stop and help? Would it be proper for you to accept my assistance? What about the Good Samaritan Law obligating me to stop and render aid? Think about that when you write your protocols. In the end, the right answer is always what is in the best interest of the patient. Best regards, Larry MD > > I understand what you are saying, but we have some rather unique > protocols. We have been on scenes and while we were working the pts > per our protocol, and we had to almost stop and explain or " justify " > what we were doing. For example, trying to explain why we perform > chest-abdominal counter compressions, obtain either IV or IO access, > administer Aminophylline, , and intubate prior to defibrillation (at > 360 joules) for someone who is in V-fib with a down time greater > than 4 minutes is rather difficult. Once the call is over, we can > offer loads of literature that backs our protocols, but most > physicians want complete control of the scene and per our medical > director...that won't happen. It causes conflict and the pt is the > one who will suffer. > > D. Stone > > >>> > > >>> > > Ours states to not take advice from an on-scene physician. >>> > > Therefore, I would interpret that as including PAs or NPs. >>> > > >>> > > D. Stone >>> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Let me ask you all this question. If you were at the scene of a critically ill or injured patient that you were having difficulty stabilizing and I showed up at the scene to help. (I am a board certified emergency physician. I have treated over 120,000 patients in my career and have been EMS medical director for more than 25 years. I currently have more than 200 EMT¹s working under my license. There are dozens of such doctors driving the streets of Texas and are able and willing to stop and help). So the question is: Even if I were not your medical director, would it be proper for me to stop and help? Would it be proper for you to accept my assistance? What about the Good Samaritan Law obligating me to stop and render aid? Think about that when you write your protocols. In the end, the right answer is always what is in the best interest of the patient. Best regards, Larry MD > > I understand what you are saying, but we have some rather unique > protocols. We have been on scenes and while we were working the pts > per our protocol, and we had to almost stop and explain or " justify " > what we were doing. For example, trying to explain why we perform > chest-abdominal counter compressions, obtain either IV or IO access, > administer Aminophylline, , and intubate prior to defibrillation (at > 360 joules) for someone who is in V-fib with a down time greater > than 4 minutes is rather difficult. Once the call is over, we can > offer loads of literature that backs our protocols, but most > physicians want complete control of the scene and per our medical > director...that won't happen. It causes conflict and the pt is the > one who will suffer. > > D. Stone > > >>> > > >>> > > Ours states to not take advice from an on-scene physician. >>> > > Therefore, I would interpret that as including PAs or NPs. >>> > > >>> > > D. Stone >>> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Let me ask you all this question. If you were at the scene of a critically ill or injured patient that you were having difficulty stabilizing and I showed up at the scene to help. (I am a board certified emergency physician. I have treated over 120,000 patients in my career and have been EMS medical director for more than 25 years. I currently have more than 200 EMT¹s working under my license. There are dozens of such doctors driving the streets of Texas and are able and willing to stop and help). So the question is: Even if I were not your medical director, would it be proper for me to stop and help? Would it be proper for you to accept my assistance? What about the Good Samaritan Law obligating me to stop and render aid? Think about that when you write your protocols. In the end, the right answer is always what is in the best interest of the patient. Best regards, Larry MD > > I understand what you are saying, but we have some rather unique > protocols. We have been on scenes and while we were working the pts > per our protocol, and we had to almost stop and explain or " justify " > what we were doing. For example, trying to explain why we perform > chest-abdominal counter compressions, obtain either IV or IO access, > administer Aminophylline, , and intubate prior to defibrillation (at > 360 joules) for someone who is in V-fib with a down time greater > than 4 minutes is rather difficult. Once the call is over, we can > offer loads of literature that backs our protocols, but most > physicians want complete control of the scene and per our medical > director...that won't happen. It causes conflict and the pt is the > one who will suffer. > > D. Stone > > >>> > > >>> > > Ours states to not take advice from an on-scene physician. >>> > > Therefore, I would interpret that as including PAs or NPs. >>> > > >>> > > D. Stone >>> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 So the question is: Even if I were not your medical director, would it be proper for me to stop and help? Would it be proper for you to accept my assistance? What about the Good Samaritan Law obligating me to stop and render aid? Think about that when you write your protocols. In the end, the right answer is always what is in the best interest of the patient. Best regards, Larry MD Dr. , If you stopped to help, and followed our protocols, I would let you. If you assumed care and wanted to deviate from our protocols, I would ask you to ride in to the hospital with me. I have many calls where an MD or DO has " orders " for us when we arrive. I listen intently, and learn from it. If it does not violate my protocol, and I agree with his assessment and orders, I would be happy to accomodate him or her. However, If I disagree, have any questions, or doubts, I would be on the phone with medical control. ===== Tom LeNeveu Be Safe Out There www.eaglemountainfire.org www.temsf.org www.emstock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 So the question is: Even if I were not your medical director, would it be proper for me to stop and help? Would it be proper for you to accept my assistance? What about the Good Samaritan Law obligating me to stop and render aid? Think about that when you write your protocols. In the end, the right answer is always what is in the best interest of the patient. Best regards, Larry MD Dr. , If you stopped to help, and followed our protocols, I would let you. If you assumed care and wanted to deviate from our protocols, I would ask you to ride in to the hospital with me. I have many calls where an MD or DO has " orders " for us when we arrive. I listen intently, and learn from it. If it does not violate my protocol, and I agree with his assessment and orders, I would be happy to accomodate him or her. However, If I disagree, have any questions, or doubts, I would be on the phone with medical control. ===== Tom LeNeveu Be Safe Out There www.eaglemountainfire.org www.temsf.org www.emstock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 So the question is: Even if I were not your medical director, would it be proper for me to stop and help? Would it be proper for you to accept my assistance? What about the Good Samaritan Law obligating me to stop and render aid? Think about that when you write your protocols. In the end, the right answer is always what is in the best interest of the patient. Best regards, Larry MD Dr. , If you stopped to help, and followed our protocols, I would let you. If you assumed care and wanted to deviate from our protocols, I would ask you to ride in to the hospital with me. I have many calls where an MD or DO has " orders " for us when we arrive. I listen intently, and learn from it. If it does not violate my protocol, and I agree with his assessment and orders, I would be happy to accomodate him or her. However, If I disagree, have any questions, or doubts, I would be on the phone with medical control. ===== Tom LeNeveu Be Safe Out There www.eaglemountainfire.org www.temsf.org www.emstock.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Doc, if you are EVER in the districts for the agencies I am now with, you are more than welcome to lend a hand OR snatch the patient right out of mine! (wink, wink...). And so would be Doc Bledsoe! Stay Safe, Barry E. McClung, EMT-P Re: Re: Health Care Providers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Doc, if you are EVER in the districts for the agencies I am now with, you are more than welcome to lend a hand OR snatch the patient right out of mine! (wink, wink...). And so would be Doc Bledsoe! Stay Safe, Barry E. McClung, EMT-P Re: Re: Health Care Providers Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 In a message dated 2/27/2005 9:19:46 PM Central Standard Time, miller@... writes: This is not necessarily something that ER doctors want to do, but often feel is a civic (humanitarian) duty. __________________ And, I'd love to have them there....especially if the pt. is continuing to go downhill. I " think " we're all on the same side.....going out on a limb here, most EMS SDO's/protocols are pretty similar, so most ER docs wont be doing something " out in left field " ...and, if they are, it's their patient for transport. It's mainly the urologists/podiatrists/etc that I'm concerned about. Our sdo's cover intervenor physicians, I'd like to think we'd work as a team...but if not, it's their patient. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 In a message dated 2/27/2005 9:19:46 PM Central Standard Time, miller@... writes: This is not necessarily something that ER doctors want to do, but often feel is a civic (humanitarian) duty. __________________ And, I'd love to have them there....especially if the pt. is continuing to go downhill. I " think " we're all on the same side.....going out on a limb here, most EMS SDO's/protocols are pretty similar, so most ER docs wont be doing something " out in left field " ...and, if they are, it's their patient for transport. It's mainly the urologists/podiatrists/etc that I'm concerned about. Our sdo's cover intervenor physicians, I'd like to think we'd work as a team...but if not, it's their patient. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 In a message dated 2/27/2005 9:19:46 PM Central Standard Time, miller@... writes: This is not necessarily something that ER doctors want to do, but often feel is a civic (humanitarian) duty. __________________ And, I'd love to have them there....especially if the pt. is continuing to go downhill. I " think " we're all on the same side.....going out on a limb here, most EMS SDO's/protocols are pretty similar, so most ER docs wont be doing something " out in left field " ...and, if they are, it's their patient for transport. It's mainly the urologists/podiatrists/etc that I'm concerned about. Our sdo's cover intervenor physicians, I'd like to think we'd work as a team...but if not, it's their patient. Kathi Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Are you wearing your yellow EMS Medical Director patch? <grin> Mike > > Let me ask you all this question. > > If you were at the scene of a critically ill or injured patient that you > were having difficulty stabilizing and I showed up at the scene to help. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Yes, I make runs with my paramedics so that I can understand the problems and help with the solutions. Yes, I wear my Yellow Patch when I make scheduled runs. When I come upon an accident beside the road, I make it easy by showing my medical director¹s badge. I fully understand and have protocols for private physicians showing up at the scene not knowing what they are doing or trying to make my medics do something that is not in our protocol or in their training. Nevertheless, there are hundreds of ER doctors and military Doctors with combat experience driving around the roads that could offer great help in certain situations. These are the same doctors you call for ³on-line medical control². Now they are ³on-scene medical control². I hate to place restrictions on them when they do offer a higher level of care. Again the question comes down to what if this were you or your mother lying in the ditch in dire straights. Would you want (or expect) me to stop and see if the medics treating you need any help, or would you prefer that I just drive on home and watch it on the 5 o¹clock news? We do have a choice. This is not necessarily something that ER doctors want to do, but often feel is a civic (humanitarian) duty. Thanks for your support. Best regards, Larry > Are you wearing your yellow EMS Medical Director patch? <grin> > > Mike > > > >> > >> > Let me ask you all this question. >> > >> > If you were at the scene of a critically ill or injured patient that you >> > were having difficulty stabilizing and I showed up at the scene to help. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Yes, I make runs with my paramedics so that I can understand the problems and help with the solutions. Yes, I wear my Yellow Patch when I make scheduled runs. When I come upon an accident beside the road, I make it easy by showing my medical director¹s badge. I fully understand and have protocols for private physicians showing up at the scene not knowing what they are doing or trying to make my medics do something that is not in our protocol or in their training. Nevertheless, there are hundreds of ER doctors and military Doctors with combat experience driving around the roads that could offer great help in certain situations. These are the same doctors you call for ³on-line medical control². Now they are ³on-scene medical control². I hate to place restrictions on them when they do offer a higher level of care. Again the question comes down to what if this were you or your mother lying in the ditch in dire straights. Would you want (or expect) me to stop and see if the medics treating you need any help, or would you prefer that I just drive on home and watch it on the 5 o¹clock news? We do have a choice. This is not necessarily something that ER doctors want to do, but often feel is a civic (humanitarian) duty. Thanks for your support. Best regards, Larry > Are you wearing your yellow EMS Medical Director patch? <grin> > > Mike > > > >> > >> > Let me ask you all this question. >> > >> > If you were at the scene of a critically ill or injured patient that you >> > were having difficulty stabilizing and I showed up at the scene to help. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 Yes, I make runs with my paramedics so that I can understand the problems and help with the solutions. Yes, I wear my Yellow Patch when I make scheduled runs. When I come upon an accident beside the road, I make it easy by showing my medical director¹s badge. I fully understand and have protocols for private physicians showing up at the scene not knowing what they are doing or trying to make my medics do something that is not in our protocol or in their training. Nevertheless, there are hundreds of ER doctors and military Doctors with combat experience driving around the roads that could offer great help in certain situations. These are the same doctors you call for ³on-line medical control². Now they are ³on-scene medical control². I hate to place restrictions on them when they do offer a higher level of care. Again the question comes down to what if this were you or your mother lying in the ditch in dire straights. Would you want (or expect) me to stop and see if the medics treating you need any help, or would you prefer that I just drive on home and watch it on the 5 o¹clock news? We do have a choice. This is not necessarily something that ER doctors want to do, but often feel is a civic (humanitarian) duty. Thanks for your support. Best regards, Larry > Are you wearing your yellow EMS Medical Director patch? <grin> > > Mike > > > >> > >> > Let me ask you all this question. >> > >> > If you were at the scene of a critically ill or injured patient that you >> > were having difficulty stabilizing and I showed up at the scene to help. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 27, 2005 Report Share Posted February 27, 2005 That's why Dr. has us request id and specialization from the doctor, call med control for the ok, have the doc accompany the patient AND fill out the run form with legible signatures. Eddie > > " How do I tell who is going to be helpful, and who is going to be a > hinderance? > > >> > magnetass sends " Quote Link to comment Share on other sites More sharing options...
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