FPOS -v- MIRA

How refreshing to read a balanced, informed discussion. I wish all threads were like this...

Well done everyone involved and keep up the good work.
 
How refreshing to read a balanced, informed discussion. I wish all threads were like this...

Well done everyone involved and keep up the good work.

Thats because the people discussing it are grown ups not the internet keyboard warriors that sometimes frequent these pages.

Starlight....haha....Don't sit on the fence! 100% correct though!

Daz
 
But guys, since we're All agreeing on this, why don't we sit down and actually decide on a proper curriculum for a "masters degree" in remote and tactical medicine.
Imagine TPs that provides courses that adhere to an internationally curriculum. Courses that adhere to the same syllabus, and give the course participants a proper certificate, that companies can actually rely on.

Just a poor näive doctors dream for the medics and especially those we treat
 
I think a universal standard is just what is needed but it would only be of any worth if the employers accepted it. As far as I can see the NREMT / AREMT EMT program is the closest we have for that as they are based around the same syllabus and recognised apparently everywhere except the UK. For those who don't want to commit to the full EMT-B, they both offer the Emergency Medical Responder course which is a shorter, 6 day course more akin to FPOS-I.

There are lots of very good academic courses for medics which could be applicable:

Diploma in the Medical Care of Catastrophes - The Worshipful Society of Apothecaries of London
Diploma in Remote & Offshore Medicine - RCS Faculty of Pre-Hospital Care
Diploma in Immediate Medical Care - RCS Faculty of Pre-Hospital Care
Diploma in Mountain Medicine - Medex

or even

Fellow of the Wilderness Medicine Society

But....

1. To access most of these courses you need to be a registered healthcare professional.
2. None of them are a license to treat.

These courses are great CPD for genuine registered "Medics" but of no use to the man (or woman) on the ground. A Master Degree in Tactical Medicine would again, only serve currently practising Medics.

What is needed is a) better education on the multitude of possible courses b) alignment from employers and c) honesty from providers.


Maybe each of us getting a Masters would be easier after all... ;-)
 
But guys, since we're All agreeing on this, why don't we sit down and actually decide on a proper curriculum for a "masters degree" in remote and tactical medicine.
Imagine TPs that provides courses that adhere to an internationally curriculum. Courses that adhere to the same syllabus, and give the course participants a proper certificate, that companies can actually rely on.

Just a poor näive doctors dream for the medics and especially those we treat


DrMikeM.. music to my ears... however, as an indusrty we cant.. because we are lead by the nose! it wont be until we all sit down and tell the 'clients'.. "er actually, you need someone more than FPOSi or MIRA,, you need a proper medic, you know one with experience, one who has clinical skills....." " heres a what you need..... etc etc..."
too many TP's prepared to issue a certificate that in reallity means diddly squat. but ticks boxes in certain circles./area's. but again you would get TP's arguing the toss about what should and shouldn't be in a curriculum based on their own courses & ideas.

i still like the idea DrMikeM,..... i just know how it would be.
 
Nice idea Doc, but I have to say, it'll never happen.

That's because in the eyes of the paymasters we aren't even a neccessary evil, more like a pain in the arrse inconvenience.
All they want, is to be able to tick the 'we've got a medic' box, and the easier it is to do that, the better. Hence the FPOS underwater flame throwers course normally named after some sort of legless reptile. OOOOOO, business idea! I'm going to become a TP and launch a new and unique med course called 'SLOW WORM'. Hmmmm! not really that catchy is it. Back to the drawing board then.

Anyway, they don't really want real medics because if we say that something is wrong about their kit, SOPs, standards, governance etc, it puts them on the spot. However, if your average FPOS asks questions, they'll be told to shut the fook up. That's if they actually know that there's a legitimate concern anyway......

A test of this is evidenced by the fact that real medics are sat on their arrses at home, whereas the plastic ones tend to be deployed.

There's also a money issue. Real medics will spend thousands a year on CPD which can only be taken during rotational leave and of course, fork out for their own insurance. It's not then unreasonable to expect to be earning $500+ per day. I'm currently turning work down for half that.

Somewhat perversely, it seems that the more qualified you are, the less employable you become. So maybe the plastics and TPs are right......

Furthermore, it's absolutely no good what-so-ever having properly qualified paramedics, nurses and doctors in country, if there is no kit or stock or treatment facility, other than the kit you take in with you.

Some of the big O&G companies have it about right because they have built there own facilities and equipped them and staffed them appropriately. However, they are the exception. Shame that the PSD companies don't do the same really isn't it?
Oh! wait, there's no money in it, and the operators are replacable anyway, so there's obviously no need.....Silly me............
 
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Thanks guys for the balanced professional view. I was looking at a HEMS course purely out of recommendation and the potential job offers I have heard come with it, but having read the above I will do the FPOS-I, and spend the additional funds on some decent medical kit.
 
Thanks guys for the balanced professional view. I was looking at a HEMS course purely out of recommendation and the potential job offers I have heard come with it, but having read the above I will do the FPOS-I, and spend the additional funds on some decent medical kit.

Stumpy great idea........ however "decent med kit" ! a whole new discussion !!! lmao
 
For a decent med kit I would suggest:

Trauma bag, with all trimmings.
A large assortment of Endotracheal tubes
Video laryngo/coloscope
Oxylog 1500 military edition
The inflatabale neurosurgical theater by Med Gadgets Ltd. of Spend-all-your-money-ville, complete with inflatable scrub-nurse
The small DeWreckland MedScape Stealth helicopter
And some aspirin

(I apologize for any irony)
 
As a medic sitting on a DSV currently in Leith waiting to sail to the great blue yonder i know these companies (specifically the one mentioned earlier) confer a jobs for the boys regime....i have seen it as i worked for them in another life....

Lots of unsuspecting individuals who are being fleeced by individuals who 'think' they used to kick down doors for a living but in reality were a tactical bound away...by that i mean in a CH-47 (if they were lucky)...basically if the cap fits wear it!

Blokes are right,if you have a certain skill set then you wouldn't be in the desert...you would be here or somewhere else like here on a good paying job studying with RCS Ed on the ROM with your head pickled...

On that note,anyone here or knowing someone reputable and has good offshore experience,hyperbaric experience,worked on a DSV before and generally is not a tit then there maybe something in the way of work if you have the paperwork in date etc.Drop me a PM....i ain't putting it to the general world as it will get swamped with underwater knife fighters who have done the MIRA course....touche!!!

Good thread,lots of informative chat and switched on thinkers...

:)
 
guys ive seen this available and it seems to cover what ya need for exactly what your talking about...good yeah?

INTENSIVE TRAUMA MANAGEMENT
ocean protection services are proud to announce their new intensive trauma management training course.

The course is conducted by former British military personnel who are accredited Health and Safety Executive (HSE) trainers. Upon successful completion you will be awarded a nationally recognized certificate valid for three years.

The course is aimed at personnel actively involved in maritime security duties working in remote locations where emergency medical assistance can be far away. The syllabus is specifically orientated for ship borne operations.

The course content:

Scene management
The primary and secondary survey
The identification and treatment of wounds and bleeding
In depth diagnostic package
The unconscious casualty
Breaks and fractures
Head and spinal injuries
Burns and scalds
Hypoxia
Temperature extremes
Resuscitation
Care of the rescued casualty
Shock
Ballistic and blast injuries
Casualty evacuation
Travel health

This is a one day course.
Intensive Trauma Management | at Ocean Protection Services UK
 
All this in a one day course aimed at people who work on the security, rather than medical side? Hmmm. It doesn't mention what nation recognises the course...
 
The course is conducted by former British military personnel who are accredited Health and Safety Executive (HSE) trainers.

Not only are they able to cover the syllabi of both FPOS-I and ATT(B) in one day, but rest assured your course will be conducted by former soldiers who now hold a CITB training accreditation for Working at Height and Abrasive Wheels.
 
Not only are they able to cover the syllabi of both FPOS-I and ATT(B) in one day, but rest assured your course will be conducted by former soldiers who now hold a CITB training accreditation for Working at Height and Abrasive Wheels.

I saw that too, wish I had your way with words. ;)
 
" In depth diagnostic package ".............................? (part of the course mentioned above.) Now what do you suppose that is.. the telephone number of a paramedic.?
 
It's just a shame that some people will get sucked into spending their hard-earned money and valuable time on something like this.
 
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