RocketMedic
Californian, Lost in Texas
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Here is a question that is simple with a lot of nuances and massive grey areas.
Do we, as paramedics, tend to avoid pain management, complex ventilators, new-type alternate airways and the like for reasons of educational or knowledge deficiency, a desire for simplicity above fractional improvements in effectiveness, familiarity with existing options or simply tradition? How amicable is your agency to change? How about you in your own practice?
On a larger level, do you see yourself as a transporter or as a clinician? What about your peers? Your agency?
Here, I have noted that our management tends to embrace patient care and comfort performed, not simply tradition, with a reasonable acceptance of new options and expansions of trust in field personnel. There are some people everywhere who embrace changes and advances, others who follow a well-marked trail, and some who refuse to modernize. Outcomes and core medicine rarely change, but the "extras" do- for instance, a progressive medic may provide pain management for a severe laceration or use true BiPap on the complicated ventilator with true customization of settings, whereas a regressive medic may simply bandage and go or use CPAP or a BVM or something.
Why the difference?
Do we, as paramedics, tend to avoid pain management, complex ventilators, new-type alternate airways and the like for reasons of educational or knowledge deficiency, a desire for simplicity above fractional improvements in effectiveness, familiarity with existing options or simply tradition? How amicable is your agency to change? How about you in your own practice?
On a larger level, do you see yourself as a transporter or as a clinician? What about your peers? Your agency?
Here, I have noted that our management tends to embrace patient care and comfort performed, not simply tradition, with a reasonable acceptance of new options and expansions of trust in field personnel. There are some people everywhere who embrace changes and advances, others who follow a well-marked trail, and some who refuse to modernize. Outcomes and core medicine rarely change, but the "extras" do- for instance, a progressive medic may provide pain management for a severe laceration or use true BiPap on the complicated ventilator with true customization of settings, whereas a regressive medic may simply bandage and go or use CPAP or a BVM or something.
Why the difference?