wild-you're argueing specific treatments all of which are moot points if you are not capable of administering an IV.
In your years of experience as an EMT, did you ever have a patient under your care for five or more days? That's why my training was different than yours.
Your last statement I agree with entirely. It is a little short sighted though as the maritime industry has had to develop their own training programs due to lack of help from the medical community. The medical community has trouble seeing over the horizon and seems to fear law-suits more than a patient death. Many though, when confronted with the realities of life at sea, come to realize why it is important to know how to administer an IV or a catheter. EMT training focuses almost exclusively on stabilization and presumes hospitilization. Remove the latter and you must take a different approach in your training.