jamiga
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Hey guys! I got hired as a Paramedic with one of the local EMS services... orientation starts on the 31st. Of course I'm really excited, and doing everything I can to be prepared.
I got my hands on a copy of the protocols (2008), and I've been studying them like crazy (they give a protocol test before you get released into the wild).
It's kind of frustrating to come across so many contradictions in the protocols (as opposed to what I learned in school).
Examples:
The protocols recommends Atropine for ALL heart blocks (even 2nd II and 3rd).
It also recommends the 'cocktail' of Thiamine, D50W, and Narcan for several different scenerios (isn't that no longer common practice??).
Also, for snakebites it talks about applying a constricting band proximal to the wound, which I'm fairly certain that was NOT indicated in my Paramedic book.
I haven't finished reading the rest of the protocols yet, but I'm getting pretty annoyed. This company is supposed to have the 'better' protocols of the two EMS services around here.
Are all services like this? Or is this one just behind the times?
I can't bring myself to do something to a PT in the field (that I don't agree with, and may be detrimental) because of outdated protocols.
Advice?
I got my hands on a copy of the protocols (2008), and I've been studying them like crazy (they give a protocol test before you get released into the wild).
It's kind of frustrating to come across so many contradictions in the protocols (as opposed to what I learned in school).
Examples:
The protocols recommends Atropine for ALL heart blocks (even 2nd II and 3rd).
It also recommends the 'cocktail' of Thiamine, D50W, and Narcan for several different scenerios (isn't that no longer common practice??).
Also, for snakebites it talks about applying a constricting band proximal to the wound, which I'm fairly certain that was NOT indicated in my Paramedic book.
I haven't finished reading the rest of the protocols yet, but I'm getting pretty annoyed. This company is supposed to have the 'better' protocols of the two EMS services around here.
Are all services like this? Or is this one just behind the times?
I can't bring myself to do something to a PT in the field (that I don't agree with, and may be detrimental) because of outdated protocols.
Advice?