Ok, this is in England it looks like. I dont know what thier laws are like, but here in the states there are differing levels of aid workers in ambulance services. At your local fire department level, you may be aided by what is known as a "first responder." This person has attended a 5 day, 40 hour course to recieve certification. This course is on basic lifesaving techniques, and not much more. Next is the "EMT" who has attended a course of at least 120 hours, some are more intense. This person has been trained in advanced lifesaving techniques, including use of defibrilators, bone stabilization, and other more complicated techniques. The paramedic has attended a 4 year pre-med college, and has been trained basically the same as a doctor. The Paramedic can administer prescription level drugs, perform on the spot surgical techniques if needed and other more in depth treatment, as well as make certain diagnoses of illnesses that EMTs and First responders cannot.
So, that being said, if the person in this article is a first responder.. the problem lies with the department, who is not ensuring that more advanced personnel are not following up on the initial diagnoses. If he is an EMT, the problem lies with both the EMT and the Department. The department is responsible for ensuring the proper personnel are dispatched on an emergency call, while the EMT should have been more knowledgeable about his job and should NEVER advise against going to the emergency room (of course in england they have socialized health care and emergency rooms waits do in fact last in some cases upwards of 8 hours before receiving care.) If this was a full paramedic, then he deserves to be punished. A paramedic is basically a mini doctor, and if a doctor had administered the shoddy level of care, he would be in jail, and sued until his eyes bled.
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