Problems With Implementation
Initially the role of ECA was and to some extent continues to be unwelcome by a number of staff, who believe that working with an ECA would increase the responsibility that they are asked to undertake. Whilst this does indeed transfer the clinical responsibility entirely on the paramedic or technician, there is no reason why this would result on a reduced level of care for patients. The change merely ensures that the patient is treated 'by a paramedic' with the assistance of an ECA.
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“I rarely speak about God. To God, yes. I protest against Him. I shout at Him. But to open a discourse about the qualities of God, about the problems that God imposes, theodicy, no. And yet He is there, in silence, in filigree.”
—Elie Wiesel (b. 1928)