3 ms·
There are a lot of comments that are kind of close to right but missing context here. This is extremely common, and like all of prehospital care is heavily prot
by ajknvf 6y ago
There are a lot of comments that are kind of close to right but missing context here. This is extremely common, and like all of prehospital care is heavily protocol driven. Dead people encountered by EMS / public safety are a much larger superset than those typically "saved" in a hospital setting, and those that meet the criteria to either stop, or not begin resuscitation really have no reason to be transported.
The link below is an example of EMS protocols that would cover this. Here's a snippet.
"Discontinuation of Prehospital Resuscitation"
1. Discontinuation of CPR and ALS intervention may be implemented prior to contact with
Medical Control if ALL of the following criteria have been met:
Patient must be 18 years of age or older, or family of a minor is agreeable after
consultation with the APP or District Chief.
Adequate CPR has been administered.
Airway has been successfully managed with verification of device placement.
Acceptable management techniques include orotracheal intubation, nasotracheal
intubation, Blind Insertion Airway Device (BIAD) placement, or cricothyrotomy.
IV or IO access has been achieved.
Rhythm appropriate medications and defibrillation have been administered according
to protocol.
Persistent asystole or agonal rhythm is present and no reversible causes are identified
after a minimum of 25 minutes of resuscitation.
Failure to establish sustained palpable pulses or to establish persistent/recurring
ventricular fibrillation/tachycardia or lack of any continued neurological activity such as eye
opening or motor responses
All EMS paramedic personnel involved in the patient’s care agree that discontinuation
of the resuscitation is appropriate
2. If all of the above criteria are not met and discontinuation of pre-hospital resuscitation is
possibly indicated or desired, contact Medical Control.
3. The Deceased Subjects Policy should be followed.
http://www.wakegov.com/ems/medical/Documents/WCEMSS%20Standards%20Practice%202020%2012.11.20.pdf http://www.wakegov.com/ems/medical/Documents/WCEMSS%20Standa...