Re: Military and Civilian medical equivalents
I will speak to the Medic,
It really depends on the individual Medic and their Supervisor; MD, PA, etc.
All Medics are NREMT-B in order to graduate from Sam Houston. That is only the first 6 weeks of their training. There is an additional 9 weeks, I may be off a little bit on that one since I have been out for too many years, of training.
As a Medic I built a trust with my Docs and ran the Sick Call with full capabilities except dispesning Narcotics for long term use, usually no more than an in clinic treatment. I would chart and leave all documentation for the MD to review. He would then decide if he agreed with me or needed to see the pt again. This worked as long as I proved to be competent and did not make any mistakes. This helped out because I could suture lacerations that did not involve the face, order Xrays for injuries for the doc to read later if there was nothing obviously wrong and of course all emergencies would be stabilized and transferred to the ER.
I was able to prescribe most antibiotics and the Doc and I worked out a list of about 40 drugs we stocked that I could give out. If a drug was given the chart was reviewed and the Pt seen back in 3-5 days by the Doc. If the Doc was unavailable and the pt needed any blood work, they were drawn in the BAS and rescheduled the same day to see the Doc with those results in hand for diagnosis and treatment. Since we were an avaition unit anyone on flight status that was given anymore than a few certian OTC drugs were grounded and an appointment set up with the MD, the rules were very strict on this.
This was set up so I could do morning sick call and the Doc could have later hours to accomodate the mission schedule and see pilots for flight physicals. Basically I was the Primary provider for all non flight personel.
I had one medic that really had a desire to learn and he was very quickly becoming competant in the BAS. On the other end I had one that had to be directed to apply a bandaid correctly. There are a few medics out there that would call me an asshole because I demanded they learned while under me and evolve into competant medics. I was not the ranking medic in the BAS but was the one the Doc tuned to for everything.
An Army Medic can be anywhere from a EMT-B to a Provider based on their level of desire to learn and their supervisor. Typically a Reserve Medic has more experience since they work in a civilian capacity with Pt contact far more than an Active Medic assigned to a "line" position would stateside.
Edited to add:
If the state they leave the military to go to is one that recognizes National Registry EMT certifications they can work as an EMT-B. Indiana will accept it but you have to take the State skills and written tests. The thing that makes them valuable is the experience. Even if they have to start training over the experience cannot be replaced. There are little things that I notice now with pts that get my attention because of experiences down range, both medical and trauma. Everyone that I know that was a Military Medic usually out performs anyone that does not have that experience.
Last edited by DOC; 08-05-2009 at 12:48 AM.
I felt a little guilty...My sacrifice was small...I only lost a little time...But these men lost their all...Unknown