Brandon O
Puzzled by facies
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Totally did not realize that was your blog JP.
No love for midlevel providers round here
No love for midlevel providers round here
Totally did not realize that was your blog JP.
No love for midlevel providers round here
Totally did not realize that was your blog JP.
No love for midlevel providers round here
PA and NP run EDs are the EMS volunteers of emergency medicine. Is it appropriate? Generally no. Are there places where they're the best we can do? Unfortunately yes. Can they handle the vast majority of cases? Yes, but generally not the ones that really count.
Oh, c'mon now, JP, did you have to go there?
The fact that someone is responding from home is not an indication of the quality of care you are going to receive, so I don't really see how these are similar. There are plenty of places where the staffed EMS department provides only BLS care.You go to the emergency room with a life threatening emergency. Do you want a board certified emergency physician treating you or a PA or NP treating you?
You call 911 with a life threatening emergency. Do you want someone who does EMS on the side and who has to respond from home to the ambulance before responding to your emergency, or do you want someone who has made EMS their profession who can respond immediately?
So, yes, I think that single coverage EDs covered by mid-levels is an apt comparison to EMS volunteers when looking clearly at the level of care provided. Would you like to provide a counter? I'm more than happy to hear how, in the sense of care provided, I'm missing the mark with this analogy.
The fact that someone is responding from home is not an indication of the quality of care you are going to receive, so I don't really see how these are similar. There are plenty of places where the staffed EMS department provides only BLS care.
If you called 911 in my town, you could get any of the following "volunteers": 3 paramedics, a trauma PA, 4 NPs, an orthopedist, an ER MD, all of which started as EMTs and still actively volunteer, so dont judge a persons skills based on where they come from
Ability to titrate via NC
You guys are going to hurt my feelings. (But it's okay, because PhDs and DOs aren't real doctors either neener neener)
You call 911 with a life threatening emergency. Do you want someone who does EMS on the side and who has to respond from home to the ambulance before responding to your emergency, or do you want someone who has made EMS their profession who can respond immediately?
So, yes, I think that single coverage EDs covered by mid-levels is an apt comparison to EMS volunteers when looking clearly at the level of care provided. Would you like to provide a counter? I'm more than happy to hear how, in the sense of care provided, I'm missing the mark with this analogy.
I don't know what JP has in mind obviously, but the way I understood it is a matter of dedication and time spent.
But that's the same reason that I think the comparison between paid and volunteer providers in this case is a false analogy. Do you really think that outside people like some of the ones who post here on this forum, the average EMT spends all his waking hours thinking about EMS? We've often decried the educational standards and the lack of motivation in higher learning from the average EMT on the street.
The argument JP is raising is a straw man. "Would you prefer to have a professional, trained, dedicated EMS practitioner, or a (slovenly, untrained, undedicated) volunteer." It ignores the possibility of the volunteer being just as dedicated, or the 'professional' being a sub-par anything but. In my experience, there are very professional, highly motivated, well-trained persons in both areas, just as there are people who are nothing more than mouth-breathers with a patch and a pulse.
I don't particularly like the PA position, mostly from my overwhelmingly negative personal interactions with those providers. My opinion on NPs is much better, as I understand not only why they are needed but that they are not playing doctor.