Hey so i live in NY im am still in my paramedic course and do all my rotations on EMS 911.

So this past week i did a ride along in NC in Orange County. it was alot of fun to see a different system in action. i just thought in interesting the difference in protocol for the medics. here in NY they write the protocol for dummies and dont give you much leeway to make decisions, i found it kool how they give the medics more leeway in other states...

wtvr just my 2 cents would liek to here what the rest of you have to say about it...

Protocols are usually more liberal for smaller systems because the medical director actually knows everyone that works under his license. In my system, we have a duel responce system with an ALS ambulance (my home) and two ALS fire departments. The ambulance has around 100 paramedics, and there are an additional 250 working for the two fire systems. We have a Medical Control Board (seven ER MD's, plus a rep from each service) that sets our protocols. We have had to fight tooth and nail to expand our practice. We have been successful but weeding out the wild cards, and keeping to the set protocols established. In 13 years, our protocols have greatly expanded, and our "mother may I" list is now relitively short. Eightball.

you see thats how i like it here in the NYC there is too many ppl so they just basically dont trust us. i dont entierly blame them from some of the medics that iv ran into here i wonder how they passed there courses. also our call volume in one day is about as much as some places have in one YEAR so with that i guess the less leeway the less screw ups...