Re: Tragic Crash Kills 3 of our Best.

[Guest guest]

Again, there is more to EMS than mortality rates. But, if we don't start

demonstrating that there is more, then Medicare and others will quit paying

based on mortality rates alone. The system is out of control and nobody

seems to be reigning it in. So, guess what? The government will and that

will be bad for all.

E. Bledsoe, DO, FACEP

Midlothian, TX

Don't miss EMStock 2005 (http://www.EMStock.com)

Re: Tragic Crash Kills 3 of our Best.

OK, I'm just reading the studies YOU posted that basically prove that

everything we do in EMS with the exception of asthma and anaphylazis is of

little or no clinical value and makes no identifiable difference in patient

mortality. Don't become exasperated because I believe you.

magnetass sends

Re: Tragic Crash Kills 3 of our Best.

>>>>>

>>>>>

>>>>>>

>>>>>> I appreciate your thoughts...but one of the things our Medical

>>>>>> Director is looking as is the need to transport while doing CPR.

>>>>>> We are analyzing and evaluating every patient we transport to the

>>>>>> hospital with CPR in progress to see if we had other options.

>>>>>> For instance, if we sit on scene for 25 or 30 minutes doing ACLS

>>>>>> with no reversable causes and the patient is as dead after our

>>>>>> treatment as they were before we arrived...what magic pill is the

>>>>>> ED going to deliver after another 15 to 20 minutes of getting them

there???

>>>>>>

>>>>>> Now, if we are having results and we just cannot keep the patient

>>>>>> in ROSC consistantly...those are the ones we are evaluating to

>>>>>> see what we can supplement our care with so that the need to

>>>>>> " rush like mad-men " to the ED can be even further

>>>>>> minimalized...we are making great strides...when I got here 4

>>>>>> years ago we ran over 50% of our patients emergency to the

>>>>>> hospital...now we are doing less than 10%....

>>>>>>

>>>>>> Now, if we can just get our dispatch issues corrected and we can

>>>>>> start minimilizing the number of times we respond emergency as

>>>>>> well....

>>>>>>

>>>>>> Keep safe,

>>>>>>

>>>>>> Dudley

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

Again, there is more to EMS than mortality rates. But, if we don't start

demonstrating that there is more, then Medicare and others will quit paying

based on mortality rates alone. The system is out of control and nobody

seems to be reigning it in. So, guess what? The government will and that

will be bad for all.

E. Bledsoe, DO, FACEP

Midlothian, TX

Don't miss EMStock 2005 (http://www.EMStock.com)

Re: Tragic Crash Kills 3 of our Best.

OK, I'm just reading the studies YOU posted that basically prove that

everything we do in EMS with the exception of asthma and anaphylazis is of

little or no clinical value and makes no identifiable difference in patient

mortality. Don't become exasperated because I believe you.

magnetass sends

Re: Tragic Crash Kills 3 of our Best.

>>>>>

>>>>>

>>>>>>

>>>>>> I appreciate your thoughts...but one of the things our Medical

>>>>>> Director is looking as is the need to transport while doing CPR.

>>>>>> We are analyzing and evaluating every patient we transport to the

>>>>>> hospital with CPR in progress to see if we had other options.

>>>>>> For instance, if we sit on scene for 25 or 30 minutes doing ACLS

>>>>>> with no reversable causes and the patient is as dead after our

>>>>>> treatment as they were before we arrived...what magic pill is the

>>>>>> ED going to deliver after another 15 to 20 minutes of getting them

there???

>>>>>>

>>>>>> Now, if we are having results and we just cannot keep the patient

>>>>>> in ROSC consistantly...those are the ones we are evaluating to

>>>>>> see what we can supplement our care with so that the need to

>>>>>> " rush like mad-men " to the ED can be even further

>>>>>> minimalized...we are making great strides...when I got here 4

>>>>>> years ago we ran over 50% of our patients emergency to the

>>>>>> hospital...now we are doing less than 10%....

>>>>>>

>>>>>> Now, if we can just get our dispatch issues corrected and we can

>>>>>> start minimilizing the number of times we respond emergency as

>>>>>> well....

>>>>>>

>>>>>> Keep safe,

>>>>>>

>>>>>> Dudley

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

Again, there is more to EMS than mortality rates. But, if we don't start

demonstrating that there is more, then Medicare and others will quit paying

based on mortality rates alone. The system is out of control and nobody

seems to be reigning it in. So, guess what? The government will and that

will be bad for all.

E. Bledsoe, DO, FACEP

Midlothian, TX

Don't miss EMStock 2005 (http://www.EMStock.com)

Re: Tragic Crash Kills 3 of our Best.

OK, I'm just reading the studies YOU posted that basically prove that

everything we do in EMS with the exception of asthma and anaphylazis is of

little or no clinical value and makes no identifiable difference in patient

mortality. Don't become exasperated because I believe you.

magnetass sends

Re: Tragic Crash Kills 3 of our Best.

>>>>>

>>>>>

>>>>>>

>>>>>> I appreciate your thoughts...but one of the things our Medical

>>>>>> Director is looking as is the need to transport while doing CPR.

>>>>>> We are analyzing and evaluating every patient we transport to the

>>>>>> hospital with CPR in progress to see if we had other options.

>>>>>> For instance, if we sit on scene for 25 or 30 minutes doing ACLS

>>>>>> with no reversable causes and the patient is as dead after our

>>>>>> treatment as they were before we arrived...what magic pill is the

>>>>>> ED going to deliver after another 15 to 20 minutes of getting them

there???

>>>>>>

>>>>>> Now, if we are having results and we just cannot keep the patient

>>>>>> in ROSC consistantly...those are the ones we are evaluating to

>>>>>> see what we can supplement our care with so that the need to

>>>>>> " rush like mad-men " to the ED can be even further

>>>>>> minimalized...we are making great strides...when I got here 4

>>>>>> years ago we ran over 50% of our patients emergency to the

>>>>>> hospital...now we are doing less than 10%....

>>>>>>

>>>>>> Now, if we can just get our dispatch issues corrected and we can

>>>>>> start minimilizing the number of times we respond emergency as

>>>>>> well....

>>>>>>

>>>>>> Keep safe,

>>>>>>

>>>>>> Dudley

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

What ever happened to the " Golden Hour " rule. Doesn't it stand to reason that

we should always strive to quickly and safely get our patients to definitive

care? I am not sure about the princess case, but from the sounds of it,

they forgot that little rule.

McGee, EMT-I

wegandy1938@... wrote:

Let's look at Princess 's case, shall we? She was " stabilized " in the

ambulance and then driven slowly, ever so slowly, to the hospital. All the time

she was bleeding out into her chest cavity from a lac that probably could have

been fixed. OK. Now, so much for " stabilization " of trauma patients in the

field. We know it doesn't happen.

However, can't there be a happy medium? For her, dawdling around possibly

allowed her to die, and it can be argued reasonably that rapid but safe

transport to a trauma facility (there are none of them in Paris, I understand)

could have saved her.

On the other hand, rapid but safe grounding vs. helo txp across Paris would have

made great sense, and helo use no sense whatsoever. Hell, the thing probably

would have run into the Eiffel Tower just across the way anyway.

We all need a hard look at reality. We function upon so many myths and folk

notions that have grown up with our profession. We need to shuck the myths and

look at just what it is that we do that is genuinely important and helpful.

We know about defibrillation. But we also need to look at airway management.

Airway management, and related respiratory problem management is one place where

we can shine and we DO make a difference. Since I specialize in airway

management issues, this stands out to me as being a place where we can tout our

importance to the community.

I am grouping all conditions that involve airway, such as acute onset pulmonary

edema secondary to left heart failure, COPD crises, asthma crises, anaphalyxis,

drug overdoses, all cases of diminished LOC where a patent airway is not

assured, and those rare cases involving true airway obstruction where only a

surgical airway will work.

As we plan deployment of resources, it seems to me that we need to focus on

those areas that we know we make a difference in.

That said, change of topic:

Today I heard a new one. 911 gets a call to a rural area on a highway where the

caller simply says " I need help. " On arrival, he points out his flat tire and

asks EMS to fix it.

One of the people present said, " Y'all should have told him you'd fix it, but it

would cost him $2,000. "

Somebody else said they should have defibrillated his tire, called medical

control, and pronounced it.

Best,

GG

In a message dated 2/21/2005 1:09:14 PM Eastern Standard Time, " Brown "

writes:

>

>Bunches.....personally I have a few ROSCs that didn't have 2 minutes to

>give, and just because you've decided that trauma patients have more time

>than we once thought doesn't ever mean that taking our time to the ED is a

>good idea. While the actual, literal number of optimal minutes that a trauma

>patient has to recieve definitive surgery is speculative, I doubt that it

>can be proven that granting a GSW to the chest or a fractured liver patient

>an additional 15 minutes tooling along through town is the proper treatment.

>If I had your kid in my rig with serious internal injuries from an accident,

>and it took me 30 minutes pooting around stuck in traffic to deliver them to

>a trauma surgeon, I sincerely doubt that you'd be out in the ambulance dock

>congratulating me on a great job because I spent an additional 20 minutes

>getting to the ER because " We now know that trauma patients have more time

>than we once thought. "

>

>magnetass sends

> Re: Tragic Crash Kills 3 of our Best.

>>

>>

>>>

>>> I appreciate your thoughts...but one of the things our Medical

>>> Director is looking as is the need to transport while doing CPR. We

>>> are analyzing and evaluating every patient we transport to the

>>> hospital with CPR in progress to see if we had other options. For

>>> instance, if we sit on scene for 25 or 30 minutes doing ACLS with no

>>> reversable causes and the patient is as dead after our treatment as

>>> they were before we arrived...what magic pill is the ED going to

>>> deliver after another 15 to 20 minutes of getting them there???

>>>

>>> Now, if we are having results and we just cannot keep the patient in

>>> ROSC consistantly...those are the ones we are evaluating to see what

>>> we can supplement our care with so that the need to " rush like

>>> mad-men " to the ED can be even further minimalized...we are making

>>> great strides...when I got here 4 years ago we ran over 50% of our

>>> patients emergency to the hospital...now we are doing less than 10%....

>>>

>>> Now, if we can just get our dispatch issues corrected and we can start

>>> minimilizing the number of times we respond emergency as well....

>>>

>>> Keep safe,

>>>

>>> Dudley

>>>

>>>

>>>

>>>

>>>

[Guest guest]

The entire world does not use the same set of of medical (and EMS)

prinicples taught in the US. The French use a different model for EMS and

the folks that took care of probably never heard of the golden hour,

therefore did not forget anything.

Gene was merely using the case to illustrate a point.

jnb

Re: Tragic Crash Kills 3 of our Best.

>

> What ever happened to the " Golden Hour " rule. Doesn't it stand to reason

that we should always strive to quickly and safely get our patients to

definitive care? I am not sure about the princess case, but from the

sounds of it, they forgot that little rule.

>

> McGee, EMT-I

[Guest guest]

McGee <summedic@y...> wrote:

> What ever happened to the " Golden Hour " rule.

=======================================================================

From: http://www.skyaid.org/Skyaid%20Org/Medical/Golden_Hour.htm

The golden hour: Scientific fact or medical " urban legend " ?

Lerner EB, Moscati RM added 12/31/01

ACADEMIC EMERGENCY MEDICINE

8 (7): 758-760 JUL 2001

Abstract:

The term " golden hour " is commonly used to characterize the urgent

need for the care of trauma patients. This term implies that morbidity

and mortality are affected if care is not instituted within the first

hour after injury. This concept justifies much of our current trauma

system. However, definitive references are generally not provided when

this concept is discussed. It remains unclear whether objective data

exist. This article discusses a detailed literature and historical

record search for support of the " golden hour " concept. None is

identified.

=======================================================================

If Doctor Bledsoe has his way, the " golden hour " will be listed on

Snopes any day now!

Rob

[Guest guest]

Actually, with many of our patients, it would be

just as effective. In many cases, If I were the

patient with the same complaints or signs/symptoms,

I would drive myself or have someone take me. In

fact, I wouldn't even be going to the ER--I would be

going to my family doctor.

Maxine Pate

---- Original message ----

Date: Mon, 21 Feb 2005 17:51:58 -0600

>

>

>Again, if speed isn't a factor, would it not be

just as effective to have

>patients drive to the ER themselves, take a bus

or have a friend come get

>them? It seems to me that we are wasting a whole

lot of time, money and

>effort for little gain looking at these studies

you provided, as well as

>risking lives needlessly for little gain.

>magnetass sends

[Guest guest]

You are correct Doc. The bad thing is that you can make statistics tell any lie

you want to if you set the perameters correctly.

Bledsoe wrote:

Again, there is more to EMS than mortality rates. But, if we don't start

demonstrating that there is more, then Medicare and others will quit paying

based on mortality rates alone. The system is out of control and nobody

seems to be reigning it in. So, guess what? The government will and that

will be bad for all.

E. Bledsoe, DO, FACEP

Midlothian, TX

Don't miss EMStock 2005 (http://www.EMStock.com)

Re: Tragic Crash Kills 3 of our Best.

OK, I'm just reading the studies YOU posted that basically prove that

everything we do in EMS with the exception of asthma and anaphylazis is of

little or no clinical value and makes no identifiable difference in patient

mortality. Don't become exasperated because I believe you.

magnetass sends

Re: Tragic Crash Kills 3 of our Best.

>>>>>

>>>>>

>>>>>>

>>>>>> I appreciate your thoughts...but one of the things our Medical

>>>>>> Director is looking as is the need to transport while doing CPR.

>>>>>> We are analyzing and evaluating every patient we transport to the

>>>>>> hospital with CPR in progress to see if we had other options.

>>>>>> For instance, if we sit on scene for 25 or 30 minutes doing ACLS

>>>>>> with no reversable causes and the patient is as dead after our

>>>>>> treatment as they were before we arrived...what magic pill is the

>>>>>> ED going to deliver after another 15 to 20 minutes of getting them

there???

>>>>>>

>>>>>> Now, if we are having results and we just cannot keep the patient

>>>>>> in ROSC consistantly...those are the ones we are evaluating to

>>>>>> see what we can supplement our care with so that the need to

>>>>>> " rush like mad-men " to the ED can be even further

>>>>>> minimalized...we are making great strides...when I got here 4

>>>>>> years ago we ran over 50% of our patients emergency to the

>>>>>> hospital...now we are doing less than 10%....

>>>>>>

>>>>>> Now, if we can just get our dispatch issues corrected and we can

>>>>>> start minimilizing the number of times we respond emergency as

>>>>>> well....

>>>>>>

>>>>>> Keep safe,

>>>>>>

>>>>>> Dudley

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

You are correct Doc. The bad thing is that you can make statistics tell any lie

you want to if you set the perameters correctly.

Bledsoe wrote:

Again, there is more to EMS than mortality rates. But, if we don't start

demonstrating that there is more, then Medicare and others will quit paying

based on mortality rates alone. The system is out of control and nobody

seems to be reigning it in. So, guess what? The government will and that

will be bad for all.

E. Bledsoe, DO, FACEP

Midlothian, TX

Don't miss EMStock 2005 (http://www.EMStock.com)

Re: Tragic Crash Kills 3 of our Best.

OK, I'm just reading the studies YOU posted that basically prove that

everything we do in EMS with the exception of asthma and anaphylazis is of

little or no clinical value and makes no identifiable difference in patient

mortality. Don't become exasperated because I believe you.

magnetass sends

Re: Tragic Crash Kills 3 of our Best.

>>>>>

>>>>>

>>>>>>

>>>>>> I appreciate your thoughts...but one of the things our Medical

>>>>>> Director is looking as is the need to transport while doing CPR.

>>>>>> We are analyzing and evaluating every patient we transport to the

>>>>>> hospital with CPR in progress to see if we had other options.

>>>>>> For instance, if we sit on scene for 25 or 30 minutes doing ACLS

>>>>>> with no reversable causes and the patient is as dead after our

>>>>>> treatment as they were before we arrived...what magic pill is the

>>>>>> ED going to deliver after another 15 to 20 minutes of getting them

there???

>>>>>>

>>>>>> Now, if we are having results and we just cannot keep the patient

>>>>>> in ROSC consistantly...those are the ones we are evaluating to

>>>>>> see what we can supplement our care with so that the need to

>>>>>> " rush like mad-men " to the ED can be even further

>>>>>> minimalized...we are making great strides...when I got here 4

>>>>>> years ago we ran over 50% of our patients emergency to the

>>>>>> hospital...now we are doing less than 10%....

>>>>>>

>>>>>> Now, if we can just get our dispatch issues corrected and we can

>>>>>> start minimilizing the number of times we respond emergency as

>>>>>> well....

>>>>>>

>>>>>> Keep safe,

>>>>>>

>>>>>> Dudley

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

You are correct Doc. The bad thing is that you can make statistics tell any lie

you want to if you set the perameters correctly.

Bledsoe wrote:

Again, there is more to EMS than mortality rates. But, if we don't start

demonstrating that there is more, then Medicare and others will quit paying

based on mortality rates alone. The system is out of control and nobody

seems to be reigning it in. So, guess what? The government will and that

will be bad for all.

E. Bledsoe, DO, FACEP

Midlothian, TX

Don't miss EMStock 2005 (http://www.EMStock.com)

Re: Tragic Crash Kills 3 of our Best.

OK, I'm just reading the studies YOU posted that basically prove that

everything we do in EMS with the exception of asthma and anaphylazis is of

little or no clinical value and makes no identifiable difference in patient

mortality. Don't become exasperated because I believe you.

magnetass sends

Re: Tragic Crash Kills 3 of our Best.

>>>>>

>>>>>

>>>>>>

>>>>>> I appreciate your thoughts...but one of the things our Medical

>>>>>> Director is looking as is the need to transport while doing CPR.

>>>>>> We are analyzing and evaluating every patient we transport to the

>>>>>> hospital with CPR in progress to see if we had other options.

>>>>>> For instance, if we sit on scene for 25 or 30 minutes doing ACLS

>>>>>> with no reversable causes and the patient is as dead after our

>>>>>> treatment as they were before we arrived...what magic pill is the

>>>>>> ED going to deliver after another 15 to 20 minutes of getting them

there???

>>>>>>

>>>>>> Now, if we are having results and we just cannot keep the patient

>>>>>> in ROSC consistantly...those are the ones we are evaluating to

>>>>>> see what we can supplement our care with so that the need to

>>>>>> " rush like mad-men " to the ED can be even further

>>>>>> minimalized...we are making great strides...when I got here 4

>>>>>> years ago we ran over 50% of our patients emergency to the

>>>>>> hospital...now we are doing less than 10%....

>>>>>>

>>>>>> Now, if we can just get our dispatch issues corrected and we can

>>>>>> start minimilizing the number of times we respond emergency as

>>>>>> well....

>>>>>>

>>>>>> Keep safe,

>>>>>>

>>>>>> Dudley

>>>>>>

>>>>>>

>>>>>>

>>>>>>

>>>>>>

[Guest guest]

The article said the ambulance was stopped that says never stop at a rail road

crossing.

Tragic Crash Kills 3 of our Best.

I was with paramedics from Texarkana yesterday at the Eagles conference in

Dallas when

the news came in about the death of their paramedics in the tragic

train-ambulance

collision. We were all shocked and shaken.

I have declared for years that there are 3 great sins in EMS. Horrible

secrets that folks do

not want to deal with.

1. Esophageal intubation

2. Not transporting patients that need our help

3. Careless driving.

Death rates in EMS are as bad or worse than for fire fighters and police (18

deaths per

100,000 per year). The reason is the intersection. Speeding, inattention,

preoccupation,

code III (lights and sirens). In this case two paramedics (the driver and one

other EMT)

should have cleared the railroad crossing before proceeding. There is never,

never, never,

never a reason not to stop and look before crossing a railroad track. Rigs

should NEVER

go through red lights, and no one should ever go one mile per hour over the

speed limit.

At AMR we have installed detectors that track speed and red lights. If a

driver speeds once

he is warned. The second time he is fired. Period --- no recourse. This

horrible crash

did not have to happen. It was not an accident.

I am heartbroken over these senseless deaths. We all need to take note and

change our

reckless driving habits. We need to make sure that everyone in our

organization knows

that we cannot help our patients if we die in the process.

Larry MD

Medical Director AMR San & Austin, Bulverde, Spring Branch, Blanco,

and Devine.

[Guest guest]

The article said the ambulance was stopped that says never stop at a rail road

crossing.

Tragic Crash Kills 3 of our Best.

I was with paramedics from Texarkana yesterday at the Eagles conference in

Dallas when

the news came in about the death of their paramedics in the tragic

train-ambulance

collision. We were all shocked and shaken.

I have declared for years that there are 3 great sins in EMS. Horrible

secrets that folks do

not want to deal with.

1. Esophageal intubation

2. Not transporting patients that need our help

3. Careless driving.

Death rates in EMS are as bad or worse than for fire fighters and police (18

deaths per

100,000 per year). The reason is the intersection. Speeding, inattention,

preoccupation,

code III (lights and sirens). In this case two paramedics (the driver and one

other EMT)

should have cleared the railroad crossing before proceeding. There is never,

never, never,

never a reason not to stop and look before crossing a railroad track. Rigs

should NEVER

go through red lights, and no one should ever go one mile per hour over the

speed limit.

At AMR we have installed detectors that track speed and red lights. If a

driver speeds once

he is warned. The second time he is fired. Period --- no recourse. This

horrible crash

did not have to happen. It was not an accident.

I am heartbroken over these senseless deaths. We all need to take note and

change our

reckless driving habits. We need to make sure that everyone in our

organization knows

that we cannot help our patients if we die in the process.

Larry MD

Medical Director AMR San & Austin, Bulverde, Spring Branch, Blanco,

and Devine.

[Guest guest]

The article said the ambulance was stopped that says never stop at a rail road

crossing.

Tragic Crash Kills 3 of our Best.

I was with paramedics from Texarkana yesterday at the Eagles conference in

Dallas when

the news came in about the death of their paramedics in the tragic

train-ambulance

collision. We were all shocked and shaken.

I have declared for years that there are 3 great sins in EMS. Horrible

secrets that folks do

not want to deal with.

1. Esophageal intubation

2. Not transporting patients that need our help

3. Careless driving.

Death rates in EMS are as bad or worse than for fire fighters and police (18

deaths per

100,000 per year). The reason is the intersection. Speeding, inattention,

preoccupation,

code III (lights and sirens). In this case two paramedics (the driver and one

other EMT)

should have cleared the railroad crossing before proceeding. There is never,

never, never,

never a reason not to stop and look before crossing a railroad track. Rigs

should NEVER

go through red lights, and no one should ever go one mile per hour over the

speed limit.

At AMR we have installed detectors that track speed and red lights. If a

driver speeds once

he is warned. The second time he is fired. Period --- no recourse. This

horrible crash

did not have to happen. It was not an accident.

I am heartbroken over these senseless deaths. We all need to take note and

change our

reckless driving habits. We need to make sure that everyone in our

organization knows

that we cannot help our patients if we die in the process.

Larry MD

Medical Director AMR San & Austin, Bulverde, Spring Branch, Blanco,

and Devine.

[Guest guest]

Speed is not as important when the patient receives quality field intervention

and is stabilized during transport.

--------------------------------------------------------------------------------

Re: Tragic Crash Kills 3 of our Best.

>>>

>>>

>>>>

>>>> I appreciate your thoughts...but one of the things our Medical

>>>> Director is looking as is the need to transport while doing CPR.

>>>> We are analyzing and evaluating every patient we transport to the

>>>> hospital with CPR in progress to see if we had other options. For

>>>> instance, if we sit on scene for 25 or 30 minutes doing ACLS with

>>>> no reversable causes and the patient is as dead after our treatment

>>>> as they were before we arrived...what magic pill is the ED going to

>>>> deliver after another 15 to 20 minutes of getting them there???

>>>>

>>>> Now, if we are having results and we just cannot keep the patient

>>>> in ROSC consistantly...those are the ones we are evaluating to see

>>>> what we can supplement our care with so that the need to " rush like

>>>> mad-men " to the ED can be even further minimalized...we are making

>>>> great strides...when I got here 4 years ago we ran over 50% of our

>>>> patients emergency to the hospital...now we are doing less than 10%....

>>>>

>>>> Now, if we can just get our dispatch issues corrected and we can

>>>> start minimilizing the number of times we respond emergency as well....

>>>>

>>>> Keep safe,

>>>>

>>>> Dudley

>>>>

>>>>

>>>>

>>>>

>>>>

[Guest guest]

Speed is not as important when the patient receives quality field intervention

and is stabilized during transport.

--------------------------------------------------------------------------------

Re: Tragic Crash Kills 3 of our Best.

>>>

>>>

>>>>

>>>> I appreciate your thoughts...but one of the things our Medical

>>>> Director is looking as is the need to transport while doing CPR.

>>>> We are analyzing and evaluating every patient we transport to the

>>>> hospital with CPR in progress to see if we had other options. For

>>>> instance, if we sit on scene for 25 or 30 minutes doing ACLS with

>>>> no reversable causes and the patient is as dead after our treatment

>>>> as they were before we arrived...what magic pill is the ED going to

>>>> deliver after another 15 to 20 minutes of getting them there???

>>>>

>>>> Now, if we are having results and we just cannot keep the patient

>>>> in ROSC consistantly...those are the ones we are evaluating to see

>>>> what we can supplement our care with so that the need to " rush like

>>>> mad-men " to the ED can be even further minimalized...we are making

>>>> great strides...when I got here 4 years ago we ran over 50% of our

>>>> patients emergency to the hospital...now we are doing less than 10%....

>>>>

>>>> Now, if we can just get our dispatch issues corrected and we can

>>>> start minimilizing the number of times we respond emergency as well....

>>>>

>>>> Keep safe,

>>>>

>>>> Dudley

>>>>

>>>>

>>>>

>>>>

>>>>

[Guest guest]

Speed is not as important when the patient receives quality field intervention

and is stabilized during transport.

--------------------------------------------------------------------------------

Re: Tragic Crash Kills 3 of our Best.

>>>

>>>

>>>>

>>>> I appreciate your thoughts...but one of the things our Medical

>>>> Director is looking as is the need to transport while doing CPR.

>>>> We are analyzing and evaluating every patient we transport to the

>>>> hospital with CPR in progress to see if we had other options. For

>>>> instance, if we sit on scene for 25 or 30 minutes doing ACLS with

>>>> no reversable causes and the patient is as dead after our treatment

>>>> as they were before we arrived...what magic pill is the ED going to

>>>> deliver after another 15 to 20 minutes of getting them there???

>>>>

>>>> Now, if we are having results and we just cannot keep the patient

>>>> in ROSC consistantly...those are the ones we are evaluating to see

>>>> what we can supplement our care with so that the need to " rush like

>>>> mad-men " to the ED can be even further minimalized...we are making

>>>> great strides...when I got here 4 years ago we ran over 50% of our

>>>> patients emergency to the hospital...now we are doing less than 10%....

>>>>

>>>> Now, if we can just get our dispatch issues corrected and we can

>>>> start minimilizing the number of times we respond emergency as well....

>>>>

>>>> Keep safe,

>>>>

>>>> Dudley

>>>>

>>>>

>>>>

>>>>

>>>>