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Flight paramedic scope of practice: current level and breadth

T Hatley1, O J Ma, N Weaver

  • 1Carolina Air Care, North Carolina, USA.

The Journal of Emergency Medicine
|September 30, 1998
PubMed
Summary
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Flight paramedic scope of practice varies widely. Medical directors should collaborate with paramedics to expand their roles, as current national certification is not seen as a primary driver for change.

Area of Science:

  • Emergency Medicine
  • Paramedic Practice
  • Aeromedical Services

Background:

  • The scope of practice for flight paramedics is not standardized.
  • Variability in training and allowed procedures impacts patient care.
  • Understanding current practices is crucial for future development.

Purpose of the Study:

  • To assess the current scope of practice for flight paramedics.
  • To identify required certifications, procedures, and medications.
  • To explore views on national certification and scope expansion.

Main Methods:

  • A six-item survey was distributed to lead flight paramedics.
  • The survey targeted 158 air medical programs.
  • Data was collected on certifications, procedures, medications, and scope determination.

Related Experiment Videos

Main Results:

  • Most programs (95%) require Advanced Cardiac Life Support (ACLS) certification.
  • Commonly performed procedures include cricothyroidotomy (85%) and tube thoracostomy (29%).
  • Medications like succinylcholine (63%) and r-TPA (60%) are frequently administered.

Conclusions:

  • Flight paramedic scope of practice demonstrates significant variation across programs.
  • Air medical directors largely determine the scope of practice.
  • Collaboration between medical directors and flight paramedics is recommended for scope expansion.