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In the state of Massachusetts a paramedic may administer the anti-convulsant, midazolam, up to a maximum of 6 mg . [33] While in Maine paramedics are allowed to administer midazolam in upwards of 10 mg boluses. [34] These pre-approved procedures are known as standing orders. Standing orders cannot surpass a provider's scope of practice. Scopes ...
Treatments and procedures administered by paramedics fall under one of two categories, off-line medical orders (standing orders) and on-line medical orders. On-line medical orders refers to procedures that must be explicitly approved by a base hospital physician or registered nurse through voice communication (generally by phone or radio) and ...
These protocols are typically listed in an algorithm format and consist of either routine standing orders or orders that require direct, on-line communication with medical control via radio or telephone. As compared to a Paramedic, an EMT-CC has fewer routine standing orders and requires more contact with medical control.
This gives a paramedic the ability to practice within limited scope of practice in law, along with state DOH guidelines and medical control oversight. The authority to practice in this manner is granted in the form of standing orders (off-line medical control) and direct physician consultation via phone or radio (on-line medical control). Under ...
An emergency care practitioner or paramedic practitioner is a position that is designed to bridge the link between ambulance care and the care of a general practitioner. ECPs are university graduates in Emergency Medical Care or qualified paramedics who have undergone further training, [ 78 ] and are authorized to perform specialized techniques.
Under German law, unless an immediately life-threatening or potentially debilitating emergency is present, such individuals may be limited to basic life support skills only, or to restricted ALS skills, which are defined in the "standing orders" of the medical director of each respective county. In 2003, there was a reform movement to expand ...
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Direct medical direction, often called on-line medical direction, is when care is rendered under direct orders of the base station physician, usually over the radio or telephone. The other is indirect medical direction, or off-line medical direction, which includes the development of a set of written medical guidelines, or standing orders.