Medical Direction

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Definition management of EMS by a physician
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Seattle Fire Department (Washington)#2 Firefighter/EMTs operate on standing orders, but paramedics don't. Before performing invasive procedures including measuring blood glucose levels and administrating Dextrose 50% fire department paramedics get permission from a dedicated online medical control physician at Harborview Medical Center. Paramedics give a report to a physician when transferring care.
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