Talk:Medical director

message: This article is full of jargon and is only of relevance to the United States. It should be cleaned up to reflect this, or deleted. --Daveb 06:07, 26 Jun 2005 (UTC)
thread_title: This

message: *this article needs expansion badly!!! it is paramount to EMS in general Medicellis (talk) 00:07, 1 July 2008 (UTC)
thread_title: Expansion

message: * "Notable medical directors" wants at least half a sentence each on why these people are notable.
* A paragraph about other uses (that "medical director" is a generic term) would be appropriate.  We don't want the reader to leave this article thinking that medical directors are unique to EMS.
* Please kill the many extra blank lines at the end of the various paragraphs.
--WhatamIdoing (talk) 06:17, 29 November 2008 (UTC)
thread_title: Clean up

message: MD is a software - http://www.hcn.net.au/md3/
--222.64.214.234 (talk) 07:25, 9 April 2010 (UTC)
replies: text: Is Medical Director (program) worthy of note? If so, write a page on it and we could link it at the top. However, the term "medical director" is most often associated with a physician who is in charge of the medical care provided in some sort of group, for example hospital units, EMS systems, dialysis clinics, etc. JPINFV (talk) 19:34, 9 April 2010 (UTC)
thread_title:  Please do not auto direct the topic of [[Medical Director]] to this one, as..... 

message: There is partly false information in the description of german EMS, starting with the sentence "In the German version of the model, paramedics (called Rettungsassistents) do exist":
* "Medical control is on-line, immediate, and direct.": there is no medical control in that sense that anyone on the scene has to contact someone from a backoffice. This basically is totally unknown. In the german system the provider on scene has all to do by himself and with his own decisions. Calling dispatch to request another unit or getting a target clinic is something else.
* "The training of the Rettungsassistent is comparable to that of many North American paramedics, but they are normally severely limited in their scope of practice. Paramedics may practice their advanced life support skills at all times when the physician with whom they work is physically present, but are sharply restricted in what they may do in his absence. [3] In most cases, under German law, unless an immediately life-threatening or potentially debilitating emergency is present, many such individuals are limited to BLS skills only, or to severely restricted ALS skills.[4]": This is widely believed, sometimes even by providers, but not true. German "Rettungsassistenten-Gesetz" (Paramedic law) clearly defines the role in §3 as someone who gives "life saving support to emergency patients, establish transportation conditions of such patients, survey vital body functions and generally transport patients with appropriate care" (rough translation). The only restriction given in this article is that german paramedics have the duty to hand the patient over to a physician (call one to scene or bring the patient to a physician), thus the paramedics may not give definitive care by themselves (this would be a violation of "Heilpraktikergesetz", practioner law). The mentioned life saving support is almost all, what is needed, does the least harm or beeing the least invasive as possible, the paramedic is trained in and is able to do (certifications help to approve this) - and the patient doesn't deny it (includes the duty to inform the patient). Much the same with any other medical profession in germany, including physicians. There are other restrictions by law, such as the handling of certain narcotic drugs falling in the scope of "Betäubungsmittelgesetz" (law about narcotic drugs), which is allowed for physicians only. 
The old "non-physicians aren't allowed to do invasive treatment" results from the times before the profession Rettungsassistent came into effect 1989 and clearly is outdated, at least legally (however, not in the mind of some old whiners and especially a lot of EMS managers). I admit, it's a good reason for some managers to deny proper pay and on the other hand for some lesser motivated co-workers to deny professional/legal responsibility. Too bad, they don't read the law or follow the recent legal discussions.
--84.152.20.233 (talk) 21:03, 9 May 2011 (UTC)
thread_title:  German EMS 

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