The employment of defibrillation and medication hinges on the form of cardiac arrhythmia. Paramedics, medics, and emergency medical technicians typically avail this level of care. Paramedics may be certified in either ALS or BLS. In most cases, ALS are provided by advanced paramedics, who possess the highest clinical level in pre-hospital care as stipulated by the regulations. The present paramedic’s scope of practice extends to incorporate procedures that early paramedics would have dreamt of performing, such as ALS skills. The advancements within the medical science have extended the advanced life support skills once found only in an emergency room to the back of ambulances. This has largely been necessitated by the ever present need for an enhanced level of care that many critical patients require (National Association of EMS Physicians, 2002). ALS skills are an essential component in aiding paramedics to provide and complement advanced levels of care for medical emergencies and trauma. While there may not be a national standard for the types of skills paramedics undertake, paramedics usually receive the award of Advanced Life Support, which is a national recognized skill level. Training paramedics in Advanced Life Support (ALS) is progressive and a critical step forward in elevating the skills of ambulance paramedics. ALS will aid paramedics to provide lifesaving medical interventions, while ensuring that the patient’s condition remains stabilized during transport to hospital (National Association of EMS Physicians, 2002). The training of paramedics in ALS gives them the ability to perform advanced airway management, administration of a variety of drugs such as pain relief medication, and perform invasive interventions inclusive of intravenous fluid replacement. Further postgraduate education and training can facilitate the attainment of enhanced skills levels, inclusive of Intensive Care Paramedic mandated to administer complex medications and undertake highly invasive medical procedures. The provision of an expanded scope of practice for paramedics is a decisive step directed at the provision of holistic care to critical patients. Having ALS skills within the paramedic scope of practice is an essential progression and is likely to enhance the profile of ambulance services in providing emergency pre-hospital healthcare, besides supporting persons with chronic medical condition, and promoting preventative health schemes. The implementation of ALS skills within the paramedic scope of practice will significantly enhance patient care and fuel progress within the profession paramedicine. The incorporation of ALS skills within paramedics’ scope of practice can lead to enhanced health outcomes and an enhanced level of patient satisfaction. Paramedics should spare no effort in order to remain proficient at delivering ALS care. # 2 Research three theorist experts in Reflective Practice (or Action Learning); using some of the concepts, why do you think Reflective Practice is important in Paramedicine? Reflective practice infers the form of learning that avails the learner with a process, framework, or support tools essential for learning enhancement
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12 Critical Questions Author Institution 12 Critical Questions # 1 Critical Thinking Argue a case for having ALS skills (intubation, cannulation, cardiac drugs, etc.) within Paramedic scope of practice. Advanced Life Support services refer to an advanced level of emergency care and non encompassing aspects such as basic life support care (BLS), cardiac monitoring, electrocardiography, cardiac defibrillation, intravenous therapy, trauma care, use of adjunctive medical devices, and administration of medications, drugs, and solutions…
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