Jump to content

scott33

Members
  • Posts

    585
  • Joined

  • Last visited

  • Days Won

    2

Posts posted by scott33

  1. Since this healthcare reform has been pitched, there have been many in the US media making comparisons to "Socialist healthcare systems" Many of the analogies in the press have gone from the inaccurate to the offensive. My reply was in reference to the misconception of those systems from a US standpoint. Just as the US has its rights, so certain other countries have theirs.

    Believe it or not, many of the comments from Canada, the UK, Australia, and NZ are in support of the US having a better system for their people.

    • Like 1
  2. Health insurance is not a right! What the heck makes you think (not you specifically, but anyone) that you have the right to health insurance or welfare or any entitlement. Nobody has a right to that stuff.

    I can see a common misconception here. There is a big difference between those who say health care is a right, and those who perceive that as health insurance being a right. In most countries outside the US, there is a choice of either government run healthcare or private insurance companies, or a combination of both.

    Here are a couple of example of private health insurers in the UK, if one so wishes to use them.

    http://www.bupa.co.uk/individuals/health-life-cover/health-insurance

    http://www.bmihealthcare.co.uk/about-bmi

    http://www.privatehealth.co.uk/healthinsurance/private-medical-insurance/guide/

  3. There are places where this has been done. I would be very interested in hearing from providers working in those places.

    There are more parts of the world which operate without a MC system - in fact, the US appears to be the exception not the rule. This is possibly why you won't get some foreign system allowing someone with a 120-hour first aid certificate, to act in the role of ambulance clinician / crew chief / etc.

    Just Google rest of the world ;)

  4. Hi all

    I though I might introduce myself.

    I am Called Marantha (Maz for Short)

    I am currently working as with the government but I do voluntary St John Ambulance.

    I am an advanced first aider, I am soon to be a community first aid trainer and also a Emergency Transport Attendant (similar to an EMT)...

    I would just like to say hi to everyone and see u around this web site

    Maz x

    Hi.

    There are one or two other SJA members here - usually to be found in the UK, Aus, and NZ sections.

  5. Scott, it's a real blast from the past, isn't it? The old bedford vans and Sierra Rapid Response (and the Met's Vauxhall Astra's). And that cell phone the mighty Dr. Davies is using, the size of a housebrick. Ah, those were the days...

    Yeah, I had a good old chuckle at all those decrepit vehicles.

    Cheers for the vids Kiwi.

  6. Ah now not quite true. The desire is there, so is the pilot program, the money however, does not exist

    The pilot program started in 2002 and lasted < 2 years - ECPs have been practicing since then, and are very much an integral part of the ambulance service in England - not so much in the rest of the UK just yet.

    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2564336/

    http://www2.warwick.ac.uk/fac/med/research/hsri/emergencycare/research/ec_practitionerstudy/ecp_exec-sum-2.pdf

  7. I think ambo generally fails to recognise that HELP does not always require an ambulance or transport.

    There are some interesting concepts being developed that could prove to be quite uselful

    Indeed.

    I like the idea of utilizing alternate referral pathways, but it will never work in the US. Below is one example of how they are used in the UK at ECP (MSc) level.

    http://www.paramedicpractitioner.com/downloads/WAS-ECP_Guidelines.pdf

    • Like 1
  8. Haven't seen the first ones in years, and some things have changed since they were filmed (Including Gareth Davies).

    HEMS operators are dotted around the UK and have been operating since the early 80s. The typical crew configuration is Doctor / Paramedic and unlike the US, RNs are not seen too often in the role. Much of the funding for the operations for HEMS comes from charitable donations.

    Note the bilateral needle thoracentesis at 3:30 in the first clip. Standard of care, even for the ground crews for chest trauma.

  9. I think you should concentrate your efforts where you are...things have changed recently.

    From the HPC website:

    "Action: CU (by 6 July 2009)

    Item 14.09/61 Ronin Protective and Paramedical Services South Africa (report ref: ETC 41/09)

    14.1 The Committee received a paper for discussion/approval from the Executive.

    14.2 The Committee noted that the IHCD paramedic award delivered jointly by Ronin Protective and Paramedical Services, South Africa (‘Ronin’) and South West Ambulance Service NHS Trust (SWAST) had previously been accredited by the IHCD. The Committee noted that HPC had previously agreed that IHCD should be approved as an education provider. However, in March 2008, the Committee had agreed to regard individual sites of delivery as the education provider for IHCD award and the IHCD as the validating body. The Committee had also agreed in March 2008 that it was not possible to approve programmes or franchised and collaborative programmes which were delivered outside of the UK by a non-UK education provider. However, it was possible for a UK education provider to deliver a programme in whole or in part overseas.

    14.3 The Committee noted that, in February 2009, the Executive had sent a form to Ronin Protective and Paramedical Services to gather information about the programme. Following information provided by Ronin and SWAST and legal advice from HPC’s solicitor, the Executive had decided that the paramedic award delivered jointly by Ronin and SWAST should be considered to be a programme or franchised and collaborative programme delivered outside of the UK by a non-UK education provider. Ronin and SWAST had been informed of the decision and had appealed against the decision.

    14.4 The Committee noted that, separately to these developments, the Health Professions Council of South Africa (HPCSA) had written to HPC expressing concern about the programme. In particular, HPCSA was concerned that the programme required extensive clinical experiential training which was conducted on South African citizens. In addition, people on the HPCSA Intermediate Life Support register were enrolling for the programme and were practising outside their scope of practice. This constituted a transgression of the South African Health Professions Act 1974 and the Ethical Code.

    14.5 The Committee agreed that:

    • the programme was a franchised and collaborative programme delivered outside of the UK by a non-UK education provider. The Committee felt that there was no guarantee that placements took place in the UK. In addition, the Committee agreed that the appeal by SWAST and Ronin had not fully answered the HPC’s requests for information;

    the IHCD paramedic award delivered by Ronin and SWAST should not be regarded as an approved programme, to the extent that it had ever been approved by HPC. The Committee agreed that the evidence did not seem to meet the requirements of a UK education provider delivering the programme in whole or in part outside of the UK and therefore could not be considered as an approved programme, in accordance with the Committee’s decision in March 2008 mentioned at paragraph 14.2 above."

    http://www.hpc-uk.org/assets/documents/10002A1Beducation_and_training_committee_20090611_minutes.pdf

  10. Regardless....This is poor, and criminal. The fact that they couldn't even be bothered to call for an ambulance is bad. Whether they were dispatchers, EMT's or Dr's of the year. Once they were asked to elp, they had a duty to act.

    Is it a fact though?

    I was under the impression that the only fact is that there are many different versions of what actually occurred.

  11. There is a metric arseload of British and French "citizens" who are actually foreign born and Muslim.

    And there are probably many more who were born there. Go to somewhere like Leeds, Manchester, Glasgow, London, Birmingham etc, and you will see Mosques among those city skylines. It has been that way for decades. Muslims have been in the UK as long as I can remember - just about every corner convenience store is known as "The paki's" nationwide.

    It's time all this visa shit stopped.

    It has recently changed between the US and UK. They are now exchanging demographic information between nationals before travel commences, so the old white I-94 is no longer being used. The Electronic System for Travel Authorization (ESTA) request must now be approved prior to departure or you don't get on the plane. This "sharing of information" is the same initiative which banned Martha Stuart from entering the UK, and Boy George from entering the US :punk:

    http://travel.state.gov/visa/temp/without/without_1990.html

  12. What I noticed it yet again, we have a NON citizen entering the country on a 1 way ticket.

    In my many travels, I have been in several different countries which required me to show a round trip ticket or at least a valid ticket that showed I had plans or the ability to leave their country if and when they tell me to get out.

    So why do WE allow people to enter our country on 1 way tickets?

    People immigrate every day. You don't need a return ticket, but you do need to show proof of status.

×
×
  • Create New...