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posted by martyb on Tuesday January 05 2021, @07:53PM   Printer-friendly
from the so-it-has-come-to-this dept.

LA Paramedics Told Not To Transport Some Patients With Low Chance Of Survival:

The Los Angeles County Emergency Medical Services Agency issued a directive Monday that ambulance crews should only administer bottled oxygen to patients whose oxygen saturation levels fall below 90%.

In a separate memo from the county's EMS Agency, paramedic crews have been told not to transfer patients who experience cardiac arrest unless spontaneous circulation can be restored on the scene.

Both measures announced Monday, which were issued by the agency's medical director, Dr. Marianne Gausche-Hill, were taken in an attempt to get ahead of an expected surge to come following the winter holidays.

Many hospitals in the region "have reached a point of crisis and are having to make very tough decisions about patient care," Dr. Christina Ghaly, the LA County director of health services said at a briefing Monday.

[...] "We do not believe that we are yet seeing the cases that stemmed from the Christmas holiday," Ghaly added. "This, sadly, and the cases from the recent New Year's holiday, is still before us, and hospitals across the region are doing everything they can to prepare."

'We Are Not Abandoning Resuscitation': LA County Healthcare Leader Speaks Out After Memo Raises Concerns:

Los Angeles County hospitals are so inundated, officials said they're just trying to provide the best care they can for the people who need it.

The memo sent out on December 28 by the medical director of L.A. County's Emergency Medical Services agency, Dr. Marianne Gausche-Hill, addressed how first responders should treat stroke and heart attack patients, saying a patient should be treated at the scene first and have a pulse during resuscitation before transporting them to the hospital.

[...] The medical director of L.A. County's Emergency Services Agency, Dr. Marianne Gausche-Hill, assured CBS2 that officials continue to do all they can to save patients' lives at the scene and the hospital, as they always have.

"We are not abandoning resuscitation," Gausche-Hill said. "We are absolutely doing best practice resuscitation and that is do it in the field, do it right away... What we're asking is that β€” which is slightly different than before β€” is that we are emphasizing the fact that transporting these patients arrested leads to very poor outcomes.


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  • (Score: 2, Informative) by Anonymous Coward on Tuesday January 05 2021, @11:06PM (2 children)

    by Anonymous Coward on Tuesday January 05 2021, @11:06PM (#1095318)

    β€œThe majority of patients and non-medical personnel have very unrealistic expectations about the success of CPR as well as the quality of life after patients are revived,”
    https://fr.reuters.com/article/us-health-cpr-expectations/cpr-survival-rates-are-lower-than-most-people-think-idUSKCN1G72SW [reuters.com]

    CPR survival rates are less than 10% for out of hospital events, less than 20% for in-hospital events. And survival doesn't even begin to touch on the long term neurological damage. In some cases "survival" is barely better than death.
    https://www.medscape.com/answers/1344081-122892/what-are-the-survival-rates-for-patients-with-cardiac-arrest-treated-with-cardiopulmonary-resuscitation-cpr [medscape.com]

    Covid-19 patients on ventilators usually survive? Survive what? Getting off ventiatlors? Or recovering and leaving hospital? That's some good cherry picking going on there. Everything is true if you conveniently ignore ugly truths.

    Survival rates of ventilation were studied at 66.6% which sounds pretty good. Until you read deeper. That's just the survival to "getting off the ventilator". Then it drops to 61.1% leaving ICU alive (after being taken off a ventilator), down to 49.1% leaving the hospital alive and finally only %30 1 year after leaving the hospital. So sure, odds are pretty good you'll survive the ventilator. Pretty much 2/3 good. Pop your champagne and have a toast. Unless you flip the coin wrong and die before leaving the hospital, or take the Vegas odds on surviving the first year after. The bottom line is mechanical ventilation f*cks you up and most likely will kill you. If not immediately, not too much longer later due to complications.
    https://pubmed.ncbi.nlm.nih.gov/8404197 [nih.gov]

    I would dig up some equally disturbing covid-19 ventilator stats, but to be honest there's a million media stories and research papers about covid-19 ventilator "facts" out there that all claim to be telling the truth and vary wildly different proportions. Pick your bias.

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  • (Score: 0) by Anonymous Coward on Tuesday January 05 2021, @11:12PM (1 child)

    by Anonymous Coward on Tuesday January 05 2021, @11:12PM (#1095320)

    Nice links and data.

    Care to show it to the author of:

    Finally! They've publicly recolonized just how pointless some medical interventions can be. Any EMT will tell you that mouth to mouth and heart pumping almost never works out out. Despite how it's portrayed on TV shows, It's nothing more than an show for friends and family so they can feel better about doing something. Any doctor will also tell you that if you end up on ventilator, you're going to die. There's saving lives and then there's just theater to pretend we're saving lives. As a society we need to try harder to recognize the difference and make better use of the time we have.

    ??? Pretty please?

    • (Score: 0) by Anonymous Coward on Wednesday January 06 2021, @05:17AM

      by Anonymous Coward on Wednesday January 06 2021, @05:17AM (#1095492)

      omg, haha. I am the author