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Maybe what we need next is just a narcan pump, like for diabetics? Narc levels rise, resps drop, BANG, 0.5 Narcan! It would likely give a better assessment than many first responders that already know what the problem is because 'dispatch told them.'
It will actually be much more important to understand OSHA requirements on this job than first aid, for example, when and why you might apply a splint and what the consequences for the company might be should you choose to when it's not necessary.
No medical director means no medical care above first aid. I would be curious if an AED would fall into this category, as they're placed in public areas now for layman use?
What EMT skills above first aid would you feel might be used before an ambulance could arrive?
So let's say that you can forgive or somehow excuse the mishandling of the trach, how do you, in any world, explain away them not noticing a dying patient happening right before their eyes? To the point where they attempt the handover of an actually dead patient?
If you're getting paid to go out with these guys, my guess is that alone is enough to lose your lisence as you don't have a medical director.
If you're volunteering to go out, then I can't see any issues at all. I'm not even sure that your scope of practice matters if you're acting in good faith as a Good Samaritan.
I can't imagine the senario where a Marine training mission would leave their Corpsmen home and take a civilain EMT. I also can't imagine the mission where they would choose to go into unsafe avalanche areas for training, especially while being responsible for a civilian EMT.
I'm from Colorado, but that doesn't help, because as others have stated, your story stinks Brother. Tell the truth, or flesh out the details and more will be willing to help. But stick with the, "A civilian EMT going out on a dangerous training mission in support of the Marines? You all have never heard of that? Happens all the time..if you're as good as me..."
And I don't care if you're friggin' Chuck Norris...just the suggestion that the Marines turned to their Corpsmen and said, "You guys sit this one out...we've got super EMT here to take care of us.." pisses me off...That just didn't happen.
I guess that it could be argued, "He refused to consent 10 minutes ago, with the information available then. He's now unresponsive, if he had the ability to make a new decisions with this new information he might choose differently." It's not my argument, but one that I can imagine.
Is there a nation wide legal answer to this question?
Secouriste, I'm not sure what the science says, so I'm only speaking for myself. But if vacuum mattresses were commonly used by most my guess would be that this would be a completely different conversation. Know what I mean? We can't, or at least I can't, really compare a vacuum mattress to a straight backboard, the mattress being by far the superior choice. (My unscientific opinion only.)
I am curious though if immobilization via vacuum mattress has been studied when compared to no board and the cot mattress only?
I do know quite a few really smart medics that have told me that the flight exam is really, really tough. But not everyone needs it to be hired. In fact most of the medics that I know were hired without it on the condition that they pass it within a certain number of months...
I'm in no way dissing flight medicine. The flight medics that I'm friends with are all much stronger, smarter and more experienced medics than I'm every likely to be. I'm only disagreeing with the "There's only one way to get in" argument, that I know to be untrue in many places.
I see many here talking about how much experience is needed to become a flight provider, but I don't believe that the advice given is accurate.
I know of several medics that work for flight services that had little experience, no degrees, and aren't very strong medics to boot. They were a warm body, and available, when a position needed filling.
I can't imagine any of these types of providers working for a service like Flight for Life, as the providers that I know there are all really, really strong. But FfL doesn't own the entire market. There are plenty of really weak flight providers just as there are weak street providers...