LA>my name is larry boughton.  I'm a paramedic in new york state and i
LA>have been in the e.m.s. since 1991.  i would like to ask this
LA>question.  why do every state in the u.s.a. have different protocals
LA>for treating pts for medical and trauma.  there is no difference in
LA>the way our bodies function from state to state.
Larry, it's not so much that the protocols differ, although they do to 
some extent. The fact is there are more differences in exactly what 
paramedics are allowed to do, and how much they are allowed to do under 
standing orders as opposed to having to contact medical control. Some 
systems have very liberal standing orders, others require medical 
control for the most basic procedures. Why? I think a lot of it depends 
on what the state regulators and/or the local medical directors feel the 
paramedics are capable of. So, it is not a matter of anatomy or 
physiology differing from state to state, as it is a matter of politics 
varying from state to state. 
BTW, who is Lillian Ackley, and why are you using her account?
Gary
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