-> Hey, Gary Saffer!  Remember the message about RE: RE: UNIONS?
-> You said to Tom Patierno on 03 Nov 96  10:25:00...
->
-> GS> TP>CN> I heard that a physician was giving talks at EMS
-> conventions that
-> GS> TP>CN> paramedics are having no good effect at saving lives, and
->
-> GS> TP>motivating  this man to talk this way.  I can show you where
-> GS> TP>Electrocardioversion and a  round of drugs have saved quite a
-> GS> TP>individuals, and all prehospital.  Who  hires this chooch to t
-> GS> TP>the EMS conventions in the first place?  >:-(
-> GS>
-> GS> This was this DR's opinion, and his only. What he says is that th
-> GS> a lack of hard data to support pre hospital ALS. However, there i
-> GS> a lack of data to say that it doesn't work. It doesn't seem that
-> GS> many people share his opinion.
->
-> If advanced prehospital care doesn't have to have such advanced
-> training to do
-> any bit of good, why in the world have haospitals spent so much $$$
-> getting helicoptors with nurses, Dr.s, etc, to respond to calls ?
-> An entire system of individuals are available to render care ASAP
-> and to the extent of the level of their training.
-> Jumpin' Jehosaphat!  The VeitNam war demonstrated that more training
-> in the field resulted in fewer casualties, less morbidity, from
-> potentially life-
-> threatening wounds.
-> Call me a cynic, but my feeling is that, as more and more HMO's start
-> putting accountability for $$$ spent on Dr.'s, nurses, and
-> hospitals, they will typically point to ways to cut the costs of
-> medical care. Noticing that the prehospital care givers are the
-> first to have the fingers pointed at them isn't surprising, but is
-> aggrevating.  Gary, ever notice in an
-> institutional setting that, as cuts start being talked about,
-> everyone starts
-> showing how they are indispensible, and how others are not as
-> essential?   I think that the good Dr. is reflecting on ways for his
-> (and his colleagues) economic survival, and not necessarily on
-> better patient care.
->
-> Regards,
-> Tom Patierno
->
-> --- Renegade v4-05 Exp
 I am very short one time but I wanted to say this.
 I feel due to HMO, we will see the patient being treated at home and
then staying at home. Home Health is BIG and getting bigger. It may not
be the Paramedics doing this, maybe the doctor will be in the box soon
and will return to making house calls. Paramedics will then become a
"first responder" type of worker. They will report the S&S and the
doctor will then determian if they need to respond or not.
 The doctors are riding out in Mexico....
  James Nold EMT-P
 and proud father of a new baby boy, 8lbs, 21 inches, born 11-9-96 !!
--- WILDMAIL!/WC v4.12 
---------------