3 ms·
Possibly. I'd rather see more data before predicting the future. Death isn't a single nor simple event; it's a progression. Hypothermia, for instance, has se
by Hoff 15y ago
Possibly. I'd rather see more data before predicting the future.
Death isn't a single nor simple event; it's a progression.
Hypothermia, for instance, has seen changes in training and protocols.
Changes in geriatric procedures and medicines, too.
Laws, too, change. Sometimes positively. Sometimes not.
Medical practice? That too changes.
These practices and these legal areas all tend to move slowly and sometimes seemingly too slowly, and with considerations beyond a single survival. With caution. Sometimes with consideration of the equipment costs, of patient outcomes, of training costs and a number of trade-offs all apply. Sometimes not.
One of the problems for emergency services can involve competing requirements for time and training. Various of the the "great ideas" that are around, and that become standards or sometimes legal requirements. Cases which involve training requirements for events or situations or patient conditions that field providers will likely never encounter, but for which training is required. Or cases where the same training has been repackaged by some other entity, mandated, and whole organizations has to go through what is effectively the same training all over again.
And then there are the inevitable politics.
If this stuff is running "correctly", it's based on evidence and on the needs of the local community. But it's all a compromise. It's sometimes messy. And everybody eventually dies.