Originally Posted by paraletic
Really? Because I think prehospital care standards are excellent in Ireland. Irish paramedics have a good skill set , Irish ap standard is considered very high.
The training from here is considered good, but the skillsets don't match up to a lot of grades abroad. For instance in the US, Canada, South Africa etc. a lot advanced grade paramedics (varies by state/jurisdiction) can perform external transcutaneous pacing, mechanical & chemical cardioversion, external jugular cannulation, rapid sequence intubation, nasal intubation, sedation etc. These are not just additional skills, but involve considerable extra education and skills training. The skillsets of an NREMT-P and an AREMT-P, or Canadian ACP (Paramedic II) are relatively similar. SA CCAs & ECPs can also perform retrograde intubation, apply PASGs etc.
So in that sense, Irish P & AP don't meet international standards, but in time I have no doubt that the skillset and knowledge base of both P & AP will increase in scope. Also skillsets generally reflect the systems which they apply to, therefore SA ECPs etc would need better trauma management skills and interventions based on workload from RTAs and stabbings/shootings etc.