Medical Control (and common courtesy)

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Is there not representation from current local field providers?


Regards,
Bill Mastrianni, Maj.
Ass't Dir. - Chief of EMS Ops
Charleston County (SC) Emergency Services
2002 SC Large EMS System of the Year
Team Leader, SC-1 DMAT
843-202-6702 - Office
843-202-6712 - Fax
843-745-4000 - Comm Ctr 24/7
>>> bgranvall at comcast.net 08/23/04 02:20 AM >>>
Here in Oregon we have not only Trauma Surgeon representation on the
State Area Trauma Advisory Boards, but in  ATAB 1 (the Portland metro
area) we also have Trauma Physician Assistant representation (because
the appointed Trauma PA's were prior paramedics and thus serve to bridge
the experiential gap between ED MD's, Trauma surgeons, etc who have
never seen the inside of an ambulance at 2am anywhere....)

Brian Granvall, PA-C
Portland, OR 

  ----- Original Message ----- 
  From: Lorick Fox, PA-C 
  To: Trauma & Critical Care mailing list 
  Sent: Sunday, August 22, 2004 10:18 AM
  Subject: Re: Medical Control (and common courtesy)


  At 12:43 PM 8/22/2004 -0400, you wrote:

    The variability in the "personal preferences" of the "medical
control"
    protocols continues to amaze me.   This cop out covers a world of 
sins.  

  "cop out" for whom?
  Not for the providers - their OMD is selected by the organization they
work for.  They have no option in basic principles.  Sure they have some
discretion in deciding what protocols apply.  "Creative protocol
implementation" (doctor shopping, etc) is NOT an acceptable alternative
to effective medical control.

  The cop out is arguably those physicians who are not happy and don't
make a concentrated effort to work WITH the OMD's (or replace them) to
modify protocols.  (Dr. Mattox, I have a sense form your previous posts
that YOU have tried and been rebuffed, which I find incredible but have
to think is a local phenomena.)  I can think of NO reason an OMD would
refuse to work with the Level 1 Trauma center their organization
transports to.  Self defeating, to say nothing of liability producing.

  Why don't these trauma physicians that don't have input simply CALL
the OMD of the agencies and chat with them or maybe invite them to a
monthly meeting at the trauma center?

  If there are real problems, the OMD often must be sanctioned by a
local medical society or the Sate EMS people, or both.  A complaint of
unwillingness to work with the Level 1 trauma center should not fall on
deaf ears.


  Lorick



  Lorick Fox, PA-C
  SEAVIN/GSC
  Gianaclis Egyptian Air Force Base
  Gianaclis, Egypt
  (20)3-448-2315x2207
  www.lorick.org



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