pre-hospital C-section

[Ronald Gross]

Our flight AND ground medics (at all levels) are welcomed, and, in fact, urged to attend all trauma M&M and educational conferences.  As I see it, it is our job to educate the pre-hospital providers, and it is their job to educate us.  That is how we run our ground and flight programs, and that is how we integrate pre-hospital with hospital programs.  "We are them, and them are us!"

'Nuff said.

Ron

>>> David Sullivan <fpcems at yahoo.com> 8/28/2006 2:32 PM >>>
I think that time the rounds are, dont really fit well, and are poorly advertised to the medics that might be interested in it, I will bring it up to my medical director..do you or have you had medics that wanted to attend these rounds?
   
  I dont feel that these docs are uncaring, but sometimes, I feel as though they look down on the pre-hospital providers sometimes, when we ask questions. I would rather ask now, to a panel like this, and pre-plan, then have this situation thrown in my lap and be totally useless
   
  dave 

Robert Smith <rfsmithmd at comcast.net> wrote:
  Anthony and Dave,

Please refer to Pret's previous post. This really doesn't have anything to
do with scope of practice. You make it sound like the uncaring docs, who
really don't understand what your job is like are unfairly preventing you
from doing something that has some potential good. In fact it is just the
opposite. Even if you were an OB/Gyn attending there is no justification for
doing this procedure post traumatic arrest. In fact it is indefensible. 

On the other hand I really hope that your docs providing medical control in
Boston are not really stopping you from making ICU rounds. Why would they?
The more you can learn about what happens to your patients after you
transfer care, the better. Everyone needs to get out of their "silos" as Dr.
Mattox would say.

R. Smith, M.D.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of David Sullivan
Sent: Monday, August 28, 2006 2:13 PM
To: Trauma &, Critical Care mailing list
Subject: RE: pre-hospital C-section

Anthony, 

I totally agree, I think that this is one of those area's where protocols
and the human condition dont really see eye to eye. I agree we have to
operate within our scope of practice, and we shouldnt deiviate from that. I
regularly attend the EMS rounds, but we should be looking to do round maybe
with an ICU/CCU should be offered to us, but the bosses in Boston wouldnt go
for it....to "progressive" shhhhhh I think we all want the best care. I
think the scenerio is charged not for the medicine, but for the emotion that
can be felt by going through a call like that. a good movie qoute reminds me
of this situation "sometimes doing the right thing, aint doing the right
thing" Congrats on the new addition, I have a 3 yr old, going on 30!! 
stay safe out there!!

dave sullivan BA NREMT-P

Anthony Caruso wrote:
Ouch! Well Dave, I totally agree with you. Yes they have a less then one
percent of chance in living and yes were here to help them. The line has to
be drawn somewhere though. I like to think of myself as a medic that would
do that cardioversion that some medic's "feels uncomfortable". So when it
comes to staying within the scope of practice I'm all for it. I have gone
above and beyond what my job calls for to do the right thing for my
patients, at times. I could understand if we did attend rounds with the L&D
physicians and had further training and testing. (like an R.S.I project,
retavaise waiver) Then I'm all for it. To give that little life a chance of
survival. (by the way I'm expecting my 1st baby in November) So having said
this and wanting the best care possible for my patients I would rather walk
away from a situation saying to myself the injuries were just to severe for
her to survive. Than not having a job in the end! Oh, and by the way will
till "docrickfry" hears about this one. Lets just say he's been a staunch
opponent of some of my ideas with other subjects. Sincerely, Anthony M.
Caruso NREMT-P Town Of Natick Fire Department, Natick, Massachusetts. 

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] 
On Behalf Of Parrish, Richard
Sent: Monday, August 28, 2006 1:06 PM
To: 'Trauma & Critical Care mailing list'
Subject: RE: pre-hospital C-section


A Jersey City NJ Medic did this a few years ago. Medical control gave the go
ahead and talked the medic through the process. The MD was censured and the
Medic lost his certificate.

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