More than half of the calves in the heifer pens are P level 7

Second, I assume you are a professional, and therefore you are out there practicing in your community. It is your responsibility to make sure you are advocating for your patients, and that includes being involved with discussions with the medical directors. If you are providing a substandard level of care, and you have literature to show that, why not start by having a chat with your agency medical director? Why not email the regional medical director? This mentality in EMS that we have no control over what we do is one of the reasons why we are where we are.

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