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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 — which is slightly different than before — is that we are emphasizing the fact that transporting these patients arrested leads to very poor outcomes.


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  • (Score: 0) by Anonymous Coward on Wednesday January 06 2021, @04:34AM

    by Anonymous Coward on Wednesday January 06 2021, @04:34AM (#1095472)

    Just engaging in mouth to mouth and chest compressions doesn't typically work, but it's not intended to. It's intended to be a stop gap measure before other methods can be used. And here in King County, WA, where the Medic One program started, we have some of the highest survival rates for heart attacks anywhere because you can't swing a dead cat without hitting somebody that knows CPR. On top of that, we can get actual medical doctors on scene with medications and equipment in a matter of minutes. But, the CPR is really just about keeping the blood oxygenated and somewhat flowing while the medics drive to the scene.

    This is one of the reasons why you're allowed to give up after a half hour when you're in the back country. If it hasn't resulted in the patient breathing and having a beating heart at that point, nothing will. In the city, you'd just keep at it until help either arrives or you physically can't do it any longer.