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Hell, I'll jump in.....even if only for historical context. This debate is not new, merely the particular protocol/pharmacology.
During the Med phase of my SAR course, the school SAR Techs were augmented by 3 x MDs; 2 trauma guys from University of Alberta Med Centre, and the Base "Surgeon." The civies made a point of hanging around the classroom for each of the MO's lectures; they then spent the first 5-15 minutes of their assigned period basically saying "yes, that's how it was done 15 years ago, let me update you."
Take the straight-forward IV protocol, as but one example... The MO, and even many city EMT(P) folks during ride-alongs, said "always - - that way you have a line in." (hypovol contras, noted). Well, in arctic conditions, as well as thick scrub when you don't have a cushy amb/clinic nearby, that IV becomes a hindrance real quick.
Clinical treatment, (yes even Emerg), versus operational outside the city limits (yes even without incoming rounds) can be two different worlds. As such, definitive/doctrinal answers may add little to the thread.
During the Med phase of my SAR course, the school SAR Techs were augmented by 3 x MDs; 2 trauma guys from University of Alberta Med Centre, and the Base "Surgeon." The civies made a point of hanging around the classroom for each of the MO's lectures; they then spent the first 5-15 minutes of their assigned period basically saying "yes, that's how it was done 15 years ago, let me update you."
Take the straight-forward IV protocol, as but one example... The MO, and even many city EMT(P) folks during ride-alongs, said "always - - that way you have a line in." (hypovol contras, noted). Well, in arctic conditions, as well as thick scrub when you don't have a cushy amb/clinic nearby, that IV becomes a hindrance real quick.
Clinical treatment, (yes even Emerg), versus operational outside the city limits (yes even without incoming rounds) can be two different worlds. As such, definitive/doctrinal answers may add little to the thread.