Do any patients survive transportation whilst shockable or non-shockable
rhythms? Do they walk out of hospital with their suitcases in their hands?
regards
Dave F
----- Original Message -----
From: "Richard Taffler" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, January 20, 2005 12:11 AM
Subject: Re: Limiting Shocks
> Mike, my apologies, I wasn't suggesting any lack of care or consideration
> from either yourself or Anton. But, A&E departments trust our judgment and
> are well aware of our protocols and guidelines. It is, of course, an
> unfortunate reality that the majority of arrests that we transport do not
> make it. However, I strongly believe that this does not excuse remaining
> on
> scene past the 3 cycles when the patient remains in VF/VT/PEA arrest
> unless
> there is another very significant factor involved. How many cycles will
> you
> wait before transport? This delay should certainly not be routine. If we
> can't achieve ROSC with VF/VT/PEA then our patient needs a hospital,
> rapidly!
>
> And, as for informing your manager, I was not doubting your ability to
> deal
> with clinical staff, but suggesting that the issue should be passed on, to
> protect your colleagues who are possibly less confident in dealing with
> hospital staff in this way. You will not be the attending crew every time
> an
> arrest is brought into A&E and this needs to be identified as an isolated
> or
> institutional problem.
>
> Richard Taffler
>
>
>
> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Michael Bjarkoy
> Sent: 19 January 2005 23:38
> To: [log in to unmask]
> Subject: Re: Limiting Shocks
>
>> And, as for the reaction you describe Mike, I have yet to visit an A&E
>> department that acted so unprofessionally. I seriously suggest that you
>> pass
>> on your concerns to your superiors. (RT)
>
>
> Hi Richard
>
> I do not believe my reflection upon A&E decisions is necessarily
> unprofessional on their part. It is mostly an A&E perception that
> continued
> resuscitation is futile based on time down and dignity to the patient and
> relative. It is frustrating at times but there are occasions when we can
> do
> nothing further for the patient in the field and have to transport with
> the
> knowledge that when get the patient into A&E they will terminate within 10
> minutes. That's the way it goes.
>
> I have always spoken about such incidents with the docs at the time and
> also
> as generalised chat with consultants at a later date. I have seen this in
> all A&E depts I have worked into (except one). That is not to say that on
> all occasions this happens - just occasionally.
>
> There is no need to inform my managers as I deal with any issues directly
> with doctors on a clinical basis - I don't need manager to fight for me.
>
> Mike
>
>
>
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