Guest guest Posted January 10, 2008 Report Share Posted January 10, 2008 What ever happened to V/Sx and verify in all 3 leads. Will bite you in the butt if you dont. obviously! I smell a major lawsuit coming. Do they not teach this in the classes anymore? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2008 Report Share Posted January 10, 2008 My unjderstanding is alot of agencies are stepping back from verifying asystole in 3 leads due to asystole being a " workable " rhythm as per ACLS protocols. This may be due to losing cases in court. Sal Capuchino EMT-Paramedic San A incident What ever happened to V/Sx and verify in all 3 leads. Will bite you in the butt if you dont. obviously! I smell a major lawsuit coming. Do they not teach this in the classes anymore? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 2008 Report Share Posted January 10, 2008 this is very interesting; is this how most everyone practices now days; In all situations where there is any possibility that life exists, every effort should be made to resuscitate the patient and transport to the hospital. Resuscitation need not be attempted in the field in cases of: q DECAPITATION q RIGOR MORTIS q DECOMPOSITION q DEPENDANT LIVIDITY q VISUAL MASSIVE TRAUMA TO THE BRAIN OR HEART W/ NO VS q VALID DNR PRESENTED AT THE SCENE WITH FULL ARREST If any doubt exists, start resuscitation and contact Medical Control immediately for physician guidance. It is not necessary if you have one of the above to run an ECG strip for confirmation. zmed441 wrote: What ever happened to V/Sx and verify in all 3 leads. Will bite you in the butt if you dont. obviously! I smell a major lawsuit coming. Do they not teach this in the classes anymore? --------------------------------- Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2008 Report Share Posted January 11, 2008 In a message dated 11-Jan-08 09:08:52 Central Standard Time, slemming@... writes: Hey Chris. FYI there are some systems that are not working blunt and penetrating trauma arrests due to the extremely low percentage of patients that can be successfully resuscitated. This is not even touching the final outcome/quality of life after ROSC arguments. Visual massive trauma to the brain or head " incompatible with life " seemingly simple to understand can be open to subjective interpretation. and that's fine...for the first triage sweep in a multiple casualty situation. My problem, and the problem of a number of other folks on this list, is that NO MEDIC went back to recheck the 'black tag' before departing the scene. Short of a cleaved torso, missing head or gross putrefaction (think 'Maggot Head'), I can think of no reason not to 'clean up the scene' from a medical stand point prior to all of the medical personnel departing. Of course, this also implies that the Incident Commander (yeah, there should have been one...the lead paramedic possibly, more likely at least an FD Captain if not a Battalion Chief) screwed the pooch as well. And has ANY non medical FD type been hauled up for censure? ck S. Krin, DO FAAFP **************Start the year off right. Easy ways to stay in shape. http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 2008 Report Share Posted January 11, 2008 Hey Chris. FYI there are some systems that are not working blunt and penetrating trauma arrests due to the extremely low percentage of patients that can be successfully resuscitated. This is not even touching the final outcome/quality of life after ROSC arguments. Visual massive trauma to the brain or head " incompatible with life " seemingly simple to understand can be open to subjective interpretation. Lt. Steve Lemming, AAS, LP EMS Administration Officer C-Shift Azle, Texas Fire Department This e-mail is confidential and intended solely for the use of the individual (s) to whom it is addressed. Any views or opinions presented are solely those of the author and do not necessarily represent those of The City of Azle or its policies. If you have received this e-mail message in error, please phone Steve Lemming (817)444-7108. Please also destroy and delete the message from your computer. For more information on The City of Azle, visit our web site at: http://www.cityofazle.org <http://www.cityofazle.org/> Re: San A incident this is very interesting; is this how most everyone practices now days; In all situations where there is any possibility that life exists, every effort should be made to resuscitate the patient and transport to the hospital. Resuscitation need not be attempted in the field in cases of: q DECAPITATION q RIGOR MORTIS q DECOMPOSITION q DEPENDANT LIVIDITY q VISUAL MASSIVE TRAUMA TO THE BRAIN OR HEART W/ NO VS q VALID DNR PRESENTED AT THE SCENE WITH FULL ARREST If any doubt exists, start resuscitation and contact Medical Control immediately for physician guidance. It is not necessary if you have one of the above to run an ECG strip for confirmation. zmed441 <zmed441@... <mailto:zmed441%40yahoo.com> > wrote: What ever happened to V/Sx and verify in all 3 leads. Will bite you in the butt if you dont. obviously! I smell a major lawsuit coming. Do they not teach this in the classes anymore? --------------------------------- Be a better friend, newshound, and know-it-all with Yahoo! Mobile. Try it now. Quote Link to comment Share on other sites More sharing options...
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