---

Is it not possible to send a doctor to the scene of an accident as part of a pre-hospital team?

What would constitute an ideal EMS team?

(By this I donot mean patient transport platforms but teams that could really start life-saving interventions when indicated very early in the cascade of emergency care process).

I could think of a few combinations. There can be many more!!!
a. Paramedic-Paramedic
b. Paramedic-nurse
c. Paramedic-doctor
d. Nurse-doctor
e. nurse-nurse
f. doctor-doctor

I personally donot think that the last two options would be viable or beneficial. They would not bring any skill mix to the team. Like-wise, in a nurse-doctor team, neither of them would have been exposed to as much pre-hospital experience!!!

I would probably put my money on option C (paramedic-doctor), provided the doctor is trained in pre-hospital care. It is not sufficient if the doctor is trained in EM/ICU/Anaesthetics/Trauma, as Pre-hospital care is a totally different ball-game!!! If there is no provision for such expertise, then possibly we are better off with a double-para team...