Ridryder911
EMS Guru
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So you don't do cranial nerve checks? So you can't differentiate a cerebral hemorrhage stroke vs. occlusion? Never heard that unequal pupils are one of the late signs of ICP but you don't check nystagmus and shift of the uvula? Never heard of checking for the "box car" effect in the retinal artery as well? .... Obvious, many have never attended a Advanced Stroke Life Support course ( yes it's designed for EMS.)
Sorry, the old 90 second assessment B.S. is just that. Old dog philosophy of thinking if one is too smart they will waste time out in the field is just well.... stupid. If one is truly educated and well clinically trained, they will know how to also perform a rapid trauma assessment and as well perform detailed assessments and focused techniques that will aid in diagnosing a patient. For example certain tail tale signs of electrolyte imbalance such as in dialysis patients can be elicited by a good assessment and yes may alter or change the focus of treatment and care.
Let's quit living in the 80's and only teach minimum standards. Even though A & P I, II is nice it should be a required course for any health major as a biology class but truthfully a more in-depth course such as gross anatomy and human physiology should be required before exiting a Paramedic program. Doubtful that we will ever see that; since it is hard to require schools to ensure the student is even literate.
Until the new curriculum or focus is brought out, we will conitnue to have the bare minimum as we see it. Even with the new scope it will still be considered weak for the demands of the profession. Let's look at it this way... is what we are doing meeting the demands of patient care? Is diagnosing and performance of skills improving? Basically, is what we are doing working? ...
R/r 911
Sorry, the old 90 second assessment B.S. is just that. Old dog philosophy of thinking if one is too smart they will waste time out in the field is just well.... stupid. If one is truly educated and well clinically trained, they will know how to also perform a rapid trauma assessment and as well perform detailed assessments and focused techniques that will aid in diagnosing a patient. For example certain tail tale signs of electrolyte imbalance such as in dialysis patients can be elicited by a good assessment and yes may alter or change the focus of treatment and care.
Let's quit living in the 80's and only teach minimum standards. Even though A & P I, II is nice it should be a required course for any health major as a biology class but truthfully a more in-depth course such as gross anatomy and human physiology should be required before exiting a Paramedic program. Doubtful that we will ever see that; since it is hard to require schools to ensure the student is even literate.
Until the new curriculum or focus is brought out, we will conitnue to have the bare minimum as we see it. Even with the new scope it will still be considered weak for the demands of the profession. Let's look at it this way... is what we are doing meeting the demands of patient care? Is diagnosing and performance of skills improving? Basically, is what we are doing working? ...
R/r 911
