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Mon Aug 28 19:13:29 BST 2006

Anthony, 

  I totally agree, I think that this is one of those area's where protocols and the human condition dont really see eye to eye. I agree we have to operate within our scope of practice, and we shouldnt deiviate from that. I regularly attend the EMS rounds, but we should be looking to do round maybe with an ICU/CCU should be offered to us, but the bosses in Boston wouldnt go for it....to "progressive" shhhhhh I think we all want the best care. I think the scenerio is charged not for the medicine, but for the emotion that can be felt by going through a call like that. a good movie qoute reminds me of this situation "sometimes doing the right thing, aint doing the right thing"  Congrats on the new addition, I have a 3 yr old, going on 30!! 
  stay safe out there!!

  dave sullivan BA NREMT-P

Anthony Caruso <Medic541 at hotmail.com> wrote:
  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 & 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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pre-hospital C-section