IN MY DAY JOB I AM IMMERSED IN EMERGENCY MEDICAL SERVICE ISSUES. In EHS 170, the undergraduate students spend six weeks learning about evidence-based medicine and apply it to the question of out-of-hospital intubations at a fictional county where a fire department, ambulance service and medivac agency demonstrate a range of intubation performance.
This sums up the dilemma and challenge of the paramedic profession as it staggers to Scope of Practice. Grayson writes:
First of all, until paramedics define themselves by a unique body of knowledge rather than by a patch and a skill set, we’re not going to be taken seriously by other health care providers. That body of knowledge is going to require education far broader and deeper than most current EMS educational programs offer.
And the first growing pain in acquiring that body of knowledge is questioning much of the bullshit myth urban legend war stories dogma that currently passes for education in EMS.
Some of us are already there. Others, dinosaurs with one year of experience repeated twenty times, or rookies too ignorant to know that **** does not correspond to their willingness to perform an ALS procedure, resist any effort to apply the precepts of evidence-based medicine to EMS.
It is hard going from the vocational, auto mechanic training model to a health profession model that is more in-line with the medical profession. Especially when so little work has been done to develop EMS educators and the structure needed to deliver this essential education.
Mike “FossilMedic” Ward
Also on FireGeezer…
- Reforms proposed for New South Wales Ambulance Service – December 22, 2012
- Investing in your profession and yourself: 10,000 hours to greatness – January 31, 2013
- Online course in cardiac arrest resuscitation science – February 11, 2013
- Helping out an EMS pioneer – August 13, 2012