-=> Quoting Lillian Ackley to Mhs:mike Bouser <=-
 
 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 question.
 LA> why do every state in the u.s.a. have different protocals for treating
 LA> pts for medical and trauma.  there is no difference in the way our
 
 LA> bodies function from state to state.
 
 Sure they do! People die differently in Kansas than they do here in 
Missouri! The Bureau of EMS says so!!!
 Mostly because protocols vary from provider to provider. My Fire Dept has a 
really cool Medical Director who lets
 us do pretty much what we want. Meaning our protocols are extremely liberal. 
To the point he had to fight with 
 the state to accept them. We do what needs done then call the hospital. This 
whole to do is predicated on Medical 
 politics, and what doc happens to think what about whatever. Docs don't like 
their parade rained on,
 they are extremely jealous of their perogatives and as such we as field 
people have little consistancy in how we 
 are allowed to care for our patients. However getting the Nat'l Registry or 
DOT involved would be the anathema of
 common sense and effectively kill competent pt care as the degree of anal 
retention associated with these groups is
 astronomical!!! Stick with what you've got and count yourself lucky,
 Mark
 
 
 
 
 LA> 
 LA> -!- MjrFIDO 3.25
 LA>  ! Origin: ***   Cyber-Quest Online Services   ***   (1:260/755)
 
 
 
... "Bother" said Pooh, as he defibrillated in a water puddle!
 
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