Nobody is denying that paramedic is a higher level of care. But here in RI, the Cardiac level works just fine with the longest transport being no more than half an hour.
I didn't the knowledge level was the same. I said we know when and why to use an intervention. U made it sound like we just do the procedure because that's what we are supposed to do.
Of course we know when/why to use a skill. We don't run around sticking iv's and defibrilating, and pushing drugs for no reason. What a stupid statement.
I'm absolutely sure you can challenge the Intermediate in MA with the RI cardiac. I was in the process recently. The cardiac practices at a higher level than the I in Massachusett.
Just finished my open water dives for my PADI class, what a day. All certified now. Already can't wait to get in the water again, hopefully with better visibility.(was about 5ft. today :wacko:)