[Koapaka]

Just no words! This is scary stuff folks.

NY issues do-not-resuscitate guideline for cardiac patients

[Rapscallion St Croix]

A variation on an old theme. My father died in 1973. He had a stroke and was in a VA hospital ICU. I took emergency leave to go check on him and was able to talk to his doctor. He told me they were moving Dad out of ICU. I thought that was good news until the Dr told me they needed his bed and the ICU resources to try to save someone who had a chance. The ward they moved my father to was called "St Peter's Row."

[karostay]

Originally Posted by Koapaka

Just no words! This is scary stuff folks.

NY issues do-not-resuscitate guideline for cardiac patients

Ny The Indians got the best of that deal

[dewilson58]

Welcome to New York.

[bumpygreens]

Originally Posted by Koapaka

Just no words! This is scary stuff folks.

NY issues do-not-resuscitate guideline for cardiac patients

I posted a reply earlier. It was removed without explanation. Maybe Mark Zuckerberg will allow this: These guidelines are consistent with legislation signed by Governor Cuomo on January 29.

[Inexes@aol.com]

Originally Posted by Koapaka

Just no words! This is scary stuff folks.

NY issues do-not-resuscitate guideline for cardiac patients

Be sure to read the WHOLE article..... The FDNY swiftly issued a letter Friday, the day after the state’s recommendation, telling city emergency services workers that “the NYC 911 system will continue to maintain a higher level of care,” meaning attempted revivals at scenes would continue.

[Koapaka]

Originally Posted by Inexes@aol.com

Be sure to read the WHOLE article..... The FDNY swiftly issued a letter Friday, the day after the state’s recommendation, telling city emergency services workers that “the NYC 911 system will continue to maintain a higher level of care,” meaning attempted revivals at scenes would continue.

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.

[davem4616]

Originally Posted by Koapaka

Just no words! This is scary stuff folks.

NY issues do-not-resuscitate guideline for cardiac patients

beyond scary to think that some damn desk jockey could make this call

really makes ya wanna think seriously about how socialized medicine will treat those of us that have retired from the workforce doesn't it

[blueash]

Originally Posted by Koapaka

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.

I would kindly suggest that you read the article. This decision was NOT made by elected officials. From the NY Post article:

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.

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.

"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"

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.