Posted on 04/02/2020 12:04:05 PM PDT by LibWhacker
As the coronavirus stretches New York City emergency rooms and paramedics to their limits, a regional EMT group has issued new guidelines almost unthinkable even days ago -- if someone's in cardiac arrest and you can't revive them in the field, don't bring them to the emergency room.
The newly implemented order that takes effect Thursday was implemented in an effort to control the surge of patients in hospitals due to the ongoing COVID-19 pandemic.
The guidance from the Regional Emergency Medical Services Council of New York City applies to the city as well as Nassau and Suffolk counties. The group, known as REMSCO, is the state-designated coordinating authority for the region.
(Excerpt) Read more at nbcnewyork.com ...
Just the people they vote for.
“ If this policy is true for ALL cardiac cases, then it greatly disturbs me.”
Try reading the article. The policy is in the last paragraph
STOP
Posting to me if you have not read the article. How utterly brainless.
Read the article. This has nothing to do with politics
STOP posting to me all who refuse to read the article. Stop.
I have a unique perspective as a cardiac nurse and a wife.
My husband suffered a sudden cardiac arrest in September. The only thing I could do was CPR and call 911. The nurse in me knew what was needed, none of which I had. I needed iv access, epinephrine, a defibrillator. I knew as a nurse there was not going to be a good outcome. Ems arrived began ACLS protocol, and transported him to the Ed. He was declared at the hospital.
As a nurse, I knew that there would be no good outcome. As a cardiac nurse, I’ve never seen anyone who arrested in the field, who ems could not reestablish a perfusing rhythm with a pulse, survive intact and be the functional person they were. Never.
As a wife, I felt it was my duty to try, to do what I was able to do at the moment. I felt I owed it to my husband and to my children. But if they had called it in the field, and not transported him, I would have been OK with that. I knew that even if he had been resuscitated, he would not have been OK with the quality of life that would have been inevitable. He never wanted to be dependent on others for basic needs.
People watch too much TV, they have unrealistic expectations of what medicine can achieve. I’ve seen, as a nurse, so many instances where families insist on every possible thing done, without regard to realistically, what is the outcome.
That was my interpretation....
My guess is, yes.
Typically, if someone is in cardiac arrest, even if there’s no blood flow, EMS units will perform CPR and other lifesaving measures while en route to the hospital. “Now, with very limited exceptions, that’s not to happen.”
That’s from the article. Very limited exceptions. And yes, I read where those with obvious signs of death won’t go to hospital. But that’s not what is stated above.
“ Typically, if someone is in cardiac arrest, even if there’s no blood flow, EMS units will perform CPR and other lifesaving measures while en route to the hospital. “Now, with very limited exceptions, that’s not to happen.” ”
Will people please just stop assisting NBC to propagandize here
Here is what the last paragraph, the only quote and the only important part of the article states:
“If, after 20 minutes of CPR, the defibrillator or the heart monitor shows a “no shock indicated” or a non-shockable rhythm and there is no blood circulation, CPR is to be terminated. At that point, the NYPD or medical examiner can be called to remove the body; the patient is not to be brought to the hospital.
The FDNY says the department will document each instance this occurs.
Emergency officials tell NBC News the measure will alleviate an influx of patients from going to the hospitals that have no hope of being saved.”
I might add that in New York there are few if any such situations where a physician is unavailable via Skype. NBC reluctantly quoted the source, the FDNY.
Try listening to why they are saying and interpret why
There are a great many people in NY. The FDNY is at the front
Most people found dead in the field are dead from noncardiac causes.
Exactly. It's sad to see so many Freepers held hostage by the discredited mainstream media. They seem to love running around like chickens with their heads cut off.
Soon as this Chinese virus crisis passes, these alarmists will go back to the routine of posting mainstream media polls and screaming hysterically that Trump is losing to Biden by 10+ points and that we are DOOMED.
Take that prediction to the bank.
USS Comfort in NY.
That is my understanding too. I thought paramedics were
not allowed to pronounce death. That a physician was required to do so. Keep in mind the survival rate of those who are not revived in the field but are then brought to the ER is rather low. Essentially this is a triage order.
From “Strategies to Improve Cardiac Arrest Survival: A Time to Act.”: 4.”Emergency Medical Services Response to Cardiac Arrest”
“Even prolonged and expertly performed resuscitation at the scene will not always revive an OHCA patient. In these circumstances, EMS systems and personnel must decide whether to transport the patient to the hospital while continuing resuscitation efforts, or to terminate resuscitation. Multiple studies have found that survival is rare among OHCA patients who are transported to the hospital after failing to respond to BLS and ACLS treatment in the field; patients that do survive often suffer moderate to severe neurological deficits (Kellermann et al., 1993; Morrison et al., 2007). The documented decrease in CPR quality that occurs during patient transport almost certainly contributes to this low survival rate (Chung et al., 2010; Olasveengen et al., 2008). In fact, some experts question whether EMS systems should transport any cardiac arrest patients without ROSC, arguing that the most effective treatments for cardiac arrest—CPR and defibrillation—can be performed equally well or better in the field as compared to the hospital, and that interruptions in these treatments that occur as a result of transportation do more harm than relocating to the hospital does good (Adams and Benger, 2014).”
https://www.ncbi.nlm.nih.gov/books/NBK321505/
I am sorry for your loss.
How many of those people survive? Any? Is it just routine to send them to the hospital to be determined to be DOA?
If so, then no big deal.
They’re dead, Jim.
That boat might be there for the illegal aliens and homosexuals.....this is New York.
Every State is different. When I was an Firefighter / EMT in Michigan if the pt presented with Postmortem rigidity; or Postmortem lividity; or Decomposition of the whole, not a part; or Decapitation; or Burned beyond recognition as a person, they were dead enough we could call it without permission from a doctor.
I was first one the scene once, with an unresponsive elderly female. A quick check found no pulse, but she was still warm to the touch. When I pulled back the blanket to start working her, I saw lividity in her down side. Moving her arm found rigidity had set in.
At that point, I called dispatch to cancel the ambulance and other incoming responders. I ask for a deputy to secure the scene, and to notify the ME. Another Fire Lt. arrived. I had him confirm my findings, just for cya.
Further investigating found the blanket to be an electric blanket which kept her body warm, giving a false indicator that she was workable. When the deputy arrived I cleared the Fire Dept response, then went to the station to write the report.
Getting AED's down to the lowest response level resulted in many more saves.
Now I see AED's even in stores and restaurants.
I had to settle for just the filthy part, (according to ex #1.)
In NY red tape is the worst in the nation. This is a logical relaxation of that. NBC is propagandizing of that
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