Critical Care

[Kiwiology]

Our Intensive Care Paramedics here in NZ are doing RSI and prehospital thrombolysis as well as limited use within IFT for super crook people

[firemedic37]

I work for a company that does Critical Care Transfers. We are staffed with one Critical Care Paramedic in the back and one EMT-B to drive. On occasion we have had to have another person in the back, usually a Paramedic. We don't take a nurse, respiratory therapist or physician. We have our own protocols for ventilator settings, medications, RSI, surgical airways and everything else related to critical care transfers. And of course when all else fails we have on-line medical control. We do everything a flight crew can but in the back of a ambulance.

In our state a RN working in the pre-hospital setting operates at the EMS level the Medical Director approves usually a REMT-I or REMT-P level.