I'm trained as a paramedic. I routinely make those sorts of assessments (much more frequently than most physicians, in fact). It's unlikely you carry anything i

I'm trained as a paramedic. I routinely make those sorts of assessments (much more frequently than most physicians, in fact). It's unlikely you carry anything in your medkit that I don't carry in my ambulance. My question is mostly if the 'physcian' requirement could be circumvented if someone with medical training (other than a physician) were in contact with a physician on the ground. If, for example, I were to explain to a remote physician that there's someone on board who is experiencing A, B, and C, and I would like to do X, Y, and Z. If the doc concurs with the decision, would that be enough, or is there some set in stone policy that couldn't possibly be overridden?