DFB Paramedic Course

mr.dunkey

bill buchanan wrote: »

It's defo not an irish paramedic course. It's specifically based on remote environments. I know very little about it, but it's not PHECC approved. The company are, however, based in Ireland and the in-house practical training is run in ireland. I think it was about 8 grand, plus overseas placement costs.

In terms of the standard of paramedic, I'm not talking about the experience you get in calls. I'm talking about quality of placement. In Ireland a paramedic can't put in an IV or an IO. As someone who's worked in several countries and has had lots of experience with paras there (inclusing south africa) who often have very advanced skills, that shocks me. Part of me thinks they should sort that side of things before they expand the numbers. I deal with a few paramedics through work and they all seem very competent, but you need a bigger skillset to be a really excellent paramedic. I was in the UK with a grop of paramedics and BASICS docs recently and they couldn't believe how restrictive PHECC are over here.

You can do a wilderness EMT course here It is taught by Paramedics and advanced paramedics.It is not a phecc accredited course.
They do teach doctors, and medics of all levels.

Your knowledge of Irish paramedic skills isn't exact.You can do the advanced paramedic course which would be the same or better than some paramedic skills in other countries. On our Irish ambulances advanced paramedics do another 2 years in Ucd.The Dfb and army also have these skills.They gives ivs, morphine,intubate, needle decompression and other ALS skills.

The Irish paramedic is similar the level of other countries EMTs. They are still training advanced paramedics about 50-60 year.

bill buchanan

mr.dunkey wrote: »

Your knowledge of Irish paramedic skills isn't exact.You can do the advanced paramedic course which would be the same or better than some paramedic skills in other countries. On our Irish ambulances advanced paramedics do another 2 years in Ucd.The Dfb and army also have these skills.They gives ivs, morphine,intubate, needle decompression and other ALS skills.

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What exactly is wrong with my knowledge of paramedic skills? I said they can't put in IVs or IOs. WHich part of that is incorrect?

mr.dunkey

bill buchanan wrote: »

What exactly is wrong with my knowledge of paramedic skills? I said they can't put in IVs or IOs. WHich part of that is incorrect?

Your comparing Irish paramedics with over seas paramedics.We do have paramedics that can do IO/IV ALS etc.
Phecc have given them the title of advanced paramedic.
Irish Paramedic=Oversea EMT
Irish advanced Paramedic= Overseas paramedic
Phecc the people that have given these titles to Pre hospital providers,may have given them slightly different names but they have the same skill set.

If you knew about irish paramedics in the ambulance service you would know that ambulances can do ALS,Iv pain relief, Intubate etc

If your in the Medical game you should know that a pre hospital skill matrix is only a new thing in ireland but we do have advanced skills since 2005. Maybe you just havent came across these guys yet.
Maybe we will have something similar to basics one day in ireland too.

bill buchanan

mr.dunkey wrote: »

Your comparing Irish paramedics with over seas paramedics.We do have paramedics that can do IO/IV ALS etc.
Phecc have given them the title of advanced paramedic.
Irish Paramedic=Oversea EMT
Irish advanced Paramedic= Overseas paramedic
Phecc the people that have given these titles to Pre hospital providers,may have given them slightly different names but they have the same skill set.

If you knew about irish paramedics in the ambulance service you would know that ambulances can do ALS,Iv pain relief, Intubate etc

If your in the Medical game you should know that a pre hospital skill matrix is only a new thing in ireland but we do have advanced skills since 2005. Maybe you just havent came across these guys yet.
Maybe we will have something similar to basics one day in ireland too.

I'm fully aware of what APs can and can't do. But that in no way means my knowledge of the paramedic skillset is flawed. I was talking about paramedics and not advanced paramedics. Just like when I talk about the generic skillset of nurses I'm not talking about advanced nurse practitioners.

Whatever way you want to spin it, it's insane that Irish paramedics can't put in IV and IO lines. They're the people who commonly respond to your emergency. You maybe lucky enough that an AP is on the crew or that one is within commuting time. But in a developed country, the person who responds to most emergencies should be able to carry out IV access. I'd undertsand if it was a complex procedure. But I learned IV insertion in one afternoon and became decent enough at it after a few patients. Didn't take an awful long time before I could get IV access on difficult patients. As for IO access, I saw one and then did one with my boss supervising me. Easy.

We've had a setup for training in advanced skills for a long time now and it's time that these skills were rolled out to the paramedics. Though the worry would be that even if the course providers taught IV access, PHECC still wouldn't let the paras perform them, which is a real shame.