Home Forums Hunting & Shooting Hunter's Campfire Unreal. Heart Attacks in NY not to be brought to ERs

Or you can do it and post your findings here...as opposed to you posting “word of mouth.”

Time element involved here for the non responders?

There are protocols that vary from location to location that dictate who can “call it” when working a cardiac arrest. If someone is in asystole (flatline) we couldn’t shock based upon our medical director’s orders but paramedics could “call it” in the field when we had a patient that was “flatlined”. An MI is different than cardiac arrest and many (most ?) can recover from it assuming proper medical intervention is administered in a timely fashion.

We pronounced many people deceased while on-scene and did NOT transport them to the ER but rather we called the medical examiner and they dealt with it from there. We pronounced asystolic patients from infants that were casualties of SIDS to elderly people that went down at home to suicides to decapitations from MVA’s and everything in between. Cold water drownings were always transported because you’re not dead until you’re warm and dead.

There’s no reason to transport a flatline or someone that is obviously dead.
There’s every reason to transport an MI....

Triage can be a tough position for first responders and is almost counterintuitive to the personality of those that are EMT’s and paramedics but it’s absolutely necessary in mass casualty incidents. Working on those with a chance of survival versus wasting time on those likely to die was always a necessary but tough call. This pandemic is really just triage on a massive scale but the principles of triage don’t change just because we’re dealing with a virus instead of trauma.

Couldn't pronounce over the phone or radio telemetry?

It's not an analogy, I kept a paramedic license for 30 years. Doctors and nurses take the same ACLS class I did. I have seen them do the exact same thing in the ER that I did in the field. The results were the same. The rules changed and the docs were on board with it. It doesn't take 10 years to be trained in ACLS. If the hospitals were doing some medical study then we might bring someone in. Doctors do not have magic hands if the meds/CPR/shocks don't work after 15 minutes, they don't work. like I said. It's the doctors that write these rules and policies.

For cold water drownings? None really. Medical control would make the decision but the rule was they aren't dead until they are warm and dead. I will amend my statment to include any drowning. You never know until you clear the lungs and get oxygen circulating again.

Rapid AED intervention gives a cardiac arrest a greater chance of survival than anything else. We had one of our guys go down while jogging at a local high school. He went down 50 yards from the engine. He got put on the AED and survived. He came back to work and was the "Dead Man Walking" until he retired 3 years later. What surprised everyone was that he was a runner and was pretty lean and fit. I guess when your numbers up, it's up.

Yes, it is. It’s a comparison analogy. And it’s false. You said “Modern properly equipped paramedic units are equipped the same way as a hospital.” That’s simply not true. As I said, ER’s and hospitals have treatment adjuncts and drugs that paramedics in the back of an ambulance don’t have. And if you think that just because you take the same ACLS classes that ERMD’s take, that your knowledge and skills and experience are on par with theirs...then that’s just as big of a crock as is your assertion that the back of an ambulance “is equipped the same way as a hospital” is. Again, not knockin’ EMS...I’ve been very involved with it for well over 30 years...but paramedics ain’t ER doctors, and the back of an ambulance ain’t an ER.

Beaver10…..your brain “IS” dead.

local_dirt…..your brain “IS” dirt.

You sure do make it easy to make you look ignorant.

Good to see you’re still a dumbass.

Good grief, you are a loud-mouth creep.

Good-bye.

Hey you mentally deranged cyber-stalker troll, I never stated in my post the patient would receive bystander cpr or witnessed arrest in presence of ems.

The 6% was clearly for a person IN PUBLIC dropping, and then who knows when a 911 call would be made, and that does not guarantee the closest station rolls, if the closet station is already running a call.

You posted a "perfect" scenario in your attempt to feed your mentally sick narcissism.

Screw off idiot. You're stupid.

No pumping is 6% survival.

B-fib is around 12% survival if they get there soon enough.

Your 22% is A FLUKE when compared to the national save percentages.

And you can't refute any of my facts, and that is why you are mentally sick, and a mentally deranged cyber-stalking troll.

FACTS.....they burn YOU.

Thanks for showing everyone how mentally sick you are, cyber-stalking troll.

Go away forever you tool. Seriously not one person enjoys your company. Bye.

The only fact I see is you’re a dumbass and it’s irrefutable.

You’re a legend in your own mind BOT 🤖 boy.

During the time that I ran, we were EMT-B only. No P2 onboard. We had to call mobile medics if needed. "Calls" were by ER Doc, Flight Doc if we called Air Care to the scene, or coroner for those cases that were "obviously" DRT. May have had one or two instances where a flight nurse radio'ed their Doc / Medical Director to call one remotely if no Doc on the helicopter.

Nuff said...

Reason I ask is over the years I’ve given cpr to 3 people, two of which survived and lived on for a few years. None of the three were breathing or had discernible pulse at the time cpr was initiated.

The one that died regained a faint pulse but never regained consciousness.