evidence based medicine/rules

[Guest guest]

In a message dated 2/17/2007 1:35:44 AM Central Standard Time,

txladymedic@... writes:

I would like to pick the brains of some of the doctors or advanced care

practitioners (Paramedic/NP/practitioners (Parame

I am a paramedic stationed in the Middle East in a remote clinic.

While we have the capabilities to " prescribe " a host of medications, we

have no in-house lab facilities with the exception of a dipstick UA and

a glucometer, we also have no in-house radiology capabilities. We are

able to refer patients to facilities with lab and radiology among other

things.

Being a paramedic and the person running the clinic (no PA, MD, or NP

at this clinic) I am trying to find ways to reduce unnecessary

referrals for lab, radiology and other things. I recently discovered

the world of Ottawa rules and the Pittsburgh Knee Rule and it has made

me curious to see if there are other similar " rules " or evidence based

flow charts that I could utilize to improve my patient care.

Any suggestions?

Check with the military medics in your area and see if they are still using

the Acute Minor Illness Clinic Algorithms. If they are, and you can get a

copy, then you will have a system that will handle around 90 different common

problems with good results, AND you will be working along the same lines as the

military system that you are probably referring into.

On the other hand, if your system has contract docs, please let me know who

I need to contact!

ck

S. Krin, DO FAAFP

[Guest guest]

I would like to pick the brains of some of the doctors or advanced care

practitioners (Paramedic/NP/PA's, etc)out there.

I am a paramedic stationed in the Middle East in a remote clinic.

While we have the capabilities to " prescribe " a host of medications, we

have no in-house lab facilities with the exception of a dipstick UA and

a glucometer, we also have no in-house radiology capabilities. We are

able to refer patients to facilities with lab and radiology among other

things.

Being a paramedic and the person running the clinic (no PA, MD, or NP

at this clinic) I am trying to find ways to reduce unnecessary

referrals for lab, radiology and other things. I recently discovered

the world of Ottawa rules and the Pittsburgh Knee Rule and it has made

me curious to see if there are other similar " rules " or evidence based

flow charts that I could utilize to improve my patient care.

Any suggestions?

Leach EMT-P