Re: Medical Control and 2025

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Medical control is essentially divided into three phases: prospective, immediate and retrospective. Adequate medical supervision of any paramedic system is necessary to guarantee quality of medical care.
++ Online medical control, also known as direct medical control, refers to consultation between EMS providers and a physician, typically by radio or telephone, to guide care for an individual patient or EMS incident.
Indirect medical direction, or offline medical direction, involves every other aspect of oversight for prehospital medical care, including development and implementation of protocols and patient care guidelines, provider training, EMS system design and evaluation, and quality assurance and improvement.
The National EMS Education Standards address the minimum competencies and knowledge required for the four most common types of EMS cliniciansEMR, EMT, AEMT and paramedic. Of these, becoming a paramedic requires the most schooling in prehospital care, while EMR certification requires the least training.
Direct Medical Oversight means immediate and concurrent clinical directives to EMS field personnel, provided by a physician, or as delegated to properly trained advanced practice registered nurses or trained physician assistants, responsible for giving, consultation, instruction and authorization to appropriately
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Direct control may also be implemented in the form of an EMS physician on scene providing direct patient care alongside prehospital providers. Indirect control includes offline direction and administrative responsibilities. Offline medical direction is generally in the form of protocols and standing orders.

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