come on now people. we are all here for the same thing, patient care. just because the pm is trained for the pre-hospital setting doesn't mean that they shouldn't be allowed to work in the er. when i went to pm school in ak, most of my training (outside of school) came from the er of local hospitals. i worked hand-in-hand with the rn's with no problems. when a pm turns over care to the er lots of times their care doesn't stop there. i have assisted with many codes, iv starts, and other procedures in the er before returning to my ambulance. and to address the issue of non-mandated training programs for pm's, you're wrong. the pm is mandated by the dot and this is a nation wide standard. pm's have both a national cert as well as a state cert. correct, state certs vary from state-to-state but most of us don't just get a state cert we get both. meaning that yes they differ, but we all have the same general knowledge and skills. i just think that it is issues like this that causes so much animosity between the pm's and rn's, can't we just be friends ? bottom line we are here for the patients, if help is needed in the er and no, or a limited number of, rn's are available, i would trust a pm anytime.