Not sure if you got a chance to look at the California Paramedic proposed protocol changes but the public comment has ended already. Lots of exciting things were included. Sure hope we get moved out of the stone age. Would be even better if the rest of the state can separate itself from SoCal in the way of protocols.
Here's the link:That over on your page? I must have skipped past it. I'll scan it again and give it a read.
Yeah agreed, but then again it seem CA writes it's protocols to the lowest common denominator....... SoCAl who has so many documented screw ups it effects the rest of us in Northern California. I think what needs to happen is a standard set of protocols and then let the LEMSA directors water them down based on history of performance of the practitioners.
Not a perfect solution I admit, but at least it is a bridge to get the protocols established and give the lower functioning a chance to increase their knowledge. If that doesn't happen it's time to remove their paramedic cert and drop them to AEMT.
Digital intubation certainly is a needed skill especially for the Tactical Medics among us. ( Yay! Palm Springs in 3 weeks! ). If you look at the protocols already in use in some of the CA LEMSA's they are already practicing at the APP level and up here in far Northern CA CCP is more accurate
Stay away from anything with a rainbow flag in palm springs... Haha. We joke around and say we are Rainbow Warriors haha
Rub it in...
I just used versed and morphine for conscious sedation, might as well use a leech and hot poker too.
Why not Versed and Fetanyl?? We have heaps of it and I like it better.
Yeah agreed, but then again it seem CA writes it's protocols to the lowest common denominator.......
that is the way of it with all protocols, everywhere. They are essentially written to establish a minimum acceptable standard. They aren't written for those of us who get text books for christmas and read them for fun, or who get excited when a new journal gets published, or who listen to podcasts in the car on the way to work, or who lie awake at night running through cric scenarios in their head, terrified because they haven't done one in anger yet. They are written for joe shmoe who got a pass mark, and turns up every (most) day(s) because the alternative is harder work swinging a hammer or something and no flashy lights.
The trouble really arises when something written as a minimum standard, becomes the maximum standard.
It took me a long time and a lot of frustration to realise this. I still have the frustration, but at least i understand why the world is as it is.
Pending finishing writing the d@mn things and OMD approval..
Propofol, ketamine, droperidol, phenylephrine, dobutamine, NTG infusions, nicardipine, fosphenytoin fentanyl and midaz infusions, arterial lines, IJ and fem lines, tube thoracostomy, retrograde intubation and escharotomy.
The only reason we're going this wide open is <10 paramedics will be credentialed at this level.