Thanks first off to Sleep for starting this thread, he and I have bumped heads quite often, and I will admit, I tend to get riled easy, but I would have to say it is because of the ParaGODS I've had to deal with. And the fact that I take pride in my job.
As an EMT-I, I'm expected to take care of the BLS part so that he or she can deal with the Advanced stuff. While my paramedic is getting the patient on the monitor, deciding on what interventions, what meds, etc. are needed, I take care of establishing the IV, getting them on O2 if needed, splinting or bleeding control, etc. Vital signs, securing the meds from family members, what ever he needs done. At the same time, I am observing the patient, learning from him if he is a good medic, and further learning what I need to know for the day I am the medic.
Is this not important? I think its. Would the patient be better served with two paramedics? Yes, they would, larger knowledge base to provide for differental diagnosis. Is this feasible where I work, no, not really. There is a shortage of paramedics here.
But again, somebody has to start the IV, put the patient on O2, collect the meds and vitals, and all the little things, can somebody say Good ALS begins with Good BLS???
Am I content with my current level? No, that is the reason I am in the final quarter of Paramedic school, thats why I spend hours of my personal time researching questions that arise in the course of my job.
Do I feel like I am a glorified gofer, or a useless level whacker as has been suggested? No, I am competent in my level of knowledge and skill, and do provide quality care to my patients. My interventions have saved limb and life before. And I'm sure will again.
Do I think that I "save" paramedics? I have before, with a fresh out of school zero to hero who freaked out on his first code. Not with my superior knowledge, but by virtue of having worked several codes with older seasoned medics who taught me, knowing the sequence of events, and being a calming effect on him which allowed him time to regroup. And, to give him credit, the little sucker recovered, ran the code, and thanked me later for helping him regain his composure.
Does this make me feel superior, No, just glad I could be there and help him. I have worked a MVC fatality with a green paramedic who freaked out because the fatality was a child. I didn't feel smug or superior to her, just glad that I was able to help the other patients while she recovered.
Have paramedics saved my ass, HELL YES, more than once. And I'm damn glad I had them there. Thankfully it was a paramedic and not a ParaGOD, who after pulling my nuts out of the fire, was good enough to explain what I'd missed, and teach me something I needed to know.
I guess the point of all this is to say that we have a definite place in EMS, and will continue to be needed.
All the knowledge in the world doesn't mean dick if it can't be brought into action. Experience and maturity count a long way. Taking a person straight from the street, putting him through a paramedic course, and throwing him on the truck as the lead man/woman doesn't really work. Without seasoning or if you prefer, experience, you don't have a good medic.
I am a stout advocate of taking a EMT and letting them get experience working with a good medic, then putting them through school, and at the end of this pipeline, you have a new medic, who has the knowledge and has the experience to draw on.
Anyway, enough said, as I stated in a much earlier post, just one man's opinion.
Oh, and since I'm sure it is coming, yes Dust, I understand the medical reasoning for the interventions I am allowed to do, I'm not just a monkey stabbing a needle in someone's arm or shoving a tube down their throat.