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Mon Aug 28 19:03:18 BST 2006

Anthony,

Your/our job is to treat the patient, NOT our egos by doing something
that is (1) of no merit, and (2) assured to fail.   In short, we are to
alleviate pain and suffering and DO NO FURTHER HARM!

What worries me is your statement:  "So when it comes to staying within
the scope of practice I'm all for it.  I have gone above and beyond what
my job calls for to do the right thing for my patients, at times." 
Exactly how do you want it?   Scope of practice is scope of practice,
and that predetermined scope of practice is not for you or me or anyone
else to change on a whim or because our ego or emotion tells us that we
want to do something else to make us feel better.

In-field C-section?  Give me a break.  Please refer back to Dr.
Mattox's comments for some reality testing.

Ron

>>> "Anthony Caruso" <Medic541 at hotmail.com> 8/28/2006 1:35 PM >>>
Ouch!  Well Dave, I totally agree with you.  Yes they have a less then
one
percent of chance in living and yes were here to help them. The line
has to
be drawn somewhere though.  I like to think of myself as a medic that
would
do that cardioversion that some medic's "feels uncomfortable".  So when
it
comes to staying within the scope of practice I'm all for it.  I have
gone
above and beyond what my job calls for to do the right thing for my
patients, at times.  I could understand if we did attend rounds with
the L&D
physicians and had further training and testing. (like an R.S.I
project,
retavaise waiver)  Then I'm all for it.  To give that little life a
chance
of survival. (by the way I'm expecting my 1st baby in November)  So
having
said this and wanting the best care possible for my patients I would
rather
walk away from a situation saying to myself the injuries were just to
severe
for her to survive.   Than not having a job in the end!  Oh, and by the
way
will till "docrickfry" hears about this one.  Lets just say he's been
a
staunch opponent of some of my ideas with other subjects.  Sincerely, 
Anthony M. Caruso NREMT-P 
Town Of Natick Fire Department, 
Natick, Massachusetts. 

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] 
On Behalf Of Parrish, Richard
Sent: Monday, August 28, 2006 1:06 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: pre-hospital C-section

A Jersey City NJ Medic did this a few years ago.  Medical control gave
the
go ahead and talked the medic through the process.  The MD was censured
and
the Medic lost his certificate.

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