I think its best we agree to disagree here.it depends on your definition of "emergency". Also Paramedics, although excellant in maintenance of vital signs, i dont believe are well trained in actual maintenance and management of vital signs as doctors do-whether physician or surgical or GP reg level as minimum. Obviously paramedics will be better trained in trauma etc and other immediate life support, just like a specialist diabetes nurse is good in her particular field. However in general terms a decent GP with special interest in A&E or reg level or st3 in A&E would be much better than paramedics in these type of events in my opinion. Obviously goes without saying a a&e consultant or similar specialist registrar in a&e would be gold standard imho.






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