blueash |
04-22-2020 02:25 PM |
Quote:
Originally Posted by Koapaka
(Post 1751299)
Read the entire article, and also realize only a few make it, the point is that these are ELECTED OFFICIALS making decisions, having the nerve to put this out there and expecting medical people to comply with such BS. This is a STATE directive, and there are plenty of areas in NY STATE where they are not overwhelmed.
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I would kindly suggest that you read the article. This decision was NOT made by elected officials. From the NY Post article:
Quote:
The change is “necessary during the COVID-19 response to protect the health and safety of EMS providers by limiting their exposure, conserve resources, and ensure optimal use of equipment to save the greatest number of lives,’’ according to a state Health Department memo issued last week.
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And today the State Health Commissioner rescinded the DNR suggestion.
I actually think the order made sense medically, but not politically. In the best circumstances, when EMT's are not pausing to spend an extra 1-2 minutes to get into full PPE, and when 3 EMT's are around the patient, the survival from CPR is 3-4 % per an EMT quoted by the NY Post.
Quote:
"The paramedic acknowledged that only about three or four out of every 100 patients with no pulse — “a small percentage” — are actually brought back to life through CPR"
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That is not full recovery, that is survival. NYC is overwhelmed with medical runs. They have already decreased the number of staff required to be on the ambulance team. The ambulances are taking longer to get to the scene because of high volume.
So longer to get there, extra time to put on PPE, fewer EMT's at the site all mean lower survival rate. Add to the failure of over 97% of attempted saves, now you are risking the health of your EMT's and their loved ones. The most dangerous medical procedure to be done on a patient with respiratory disease is CPR, bagging, intubating etc. So very high risk to the EMT and very low benefit to the person who has arrested. And you tie up your ambulance team for an extra 30 minutes meaning they cannot get to the next sick person who might be saved by being transported to the ER before they arrest.
Want to see how overwhelmed NYC's EMT services are: This clip is from Apr 1, before it got really bad. It includes a report of an EMT who took COVID home and it killed a grandparent.
Ambulances from all over the country arrive in NYC to help COVID-19 shortage | On Air Videos | Fox News
This policy sounds like reasonable triage in a situation with overwhelming conditions.
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