Posted on 06/09/2017 5:04:32 PM PDT by originalbuckeye
With what?
He would have no emergency equipment with him. If the guy is even half a block from the E.R., the doctor shows up with nothing needed to help.
Then he’s sending someone to run back to the unit.
The EMT shows up with everything needed to help.
That’s who needs to be called.
I used to work in hospitals.....there are lots of doctors in the ER. And the least he could do would be to start CPR.....sorry, the hospital was at fault for not responding.
You’re wrong, but thanks for the reply.
People in upper New York State know what socialized medicine is like. They see thousands coming over the Canadian border to get medical care. They don't want to wait 10 months to get a CT scan.
I would like to invite you all to view the other thread I posted a few places below this one. The post about ‘posters at a school polling place’. It doesn’t sound glamorous and the main point isn’t in the Body of the Thread. The children’s posters at the polling place had hammers and sickles on them. Another interesting turn of events in Britain, as the children in some schools are apparently being indoctrinated into, not just Socialism, but actual Communism. I used to live in Britain and both stories just break my heart.
Why did I say that?
The motorcycle guy is crumpled up on the side of the road. He is a prime candidate for spinal injuries.
The well meaning doctor shows up without equipment.
The guy does need CPR. The doctor moves him into position to administer it, and causes irreversible spinal injury to the patient.
He has no immobilizing equipment with him, no airway device, no backboard, no defibtprilator, no medications of the type needed to revive the patient.
I once saw a woman collapse in a hospital. While I was trying to assess whether she needed CPR, a crash cart and crew came running in and scooped her up. I think they had her into the emergency room inside of three minutes.
The idea that a hospital wouldn’t have an emergency team on standby is ludicrous.
Socialized medicine, of course, is not about saving lives. It’s about providing the most cost-effective interventions (e.g. vaccines) while rationing anything more effective.
I have no idea, but then his patient didn’t crash his motorcycle at speed into an immobile object either.
A “healer” shows up with at least the knowledge of what NOT to do. As the man is lying on the street, with hapless Good Samaritans likely dragging him, moving him, poking and prodding while the EMTs make their circuitous route to the scene of the crime, having one person there who might have a clue is useful. There is no good excuse to brush off the incident with: Call 999.
What is the best practice for medical care for a patient outside the hospital.
Your answer may be that sending a team of people who HAVE NEVER in their lives given emergency treatment on the roadside would be the best service possible. It simply isn’t.
Code teams are in house teams. Their patients are in beds or on a gurney in an emergency room. They have crash carts specifically for this type of patient. They DO NOT have carts set up for roadside service.
By the time you get this team assembled and out to the roadside, the first responder team could be on site.
The people working on the first responder team would have experienced providing emergency care in that exact setting for hundreds or thousands of times.
They are fully experienced in this environment. The service they provide is the best practice answer to this situation.
The type of care given on the side of the road, is very different than the care given in an E.R. The problems that can present, and things needed to be avoided, or things to look out for are very different.
To the lay person, it seems like providing medical care is providing medical care. “It’s all the same.” It really isn’t.
http://www.freerepublic.com/focus/news/3559547/posts?page=32#32
If you are any distance from a hospital calling 911 is a good idea. It does become a dilemma sometimes, but take into consideration that ambulance personnel can administer oxygen, aspirin and nitroglycerine to a potential heart attack victim, oftentimes delaying their heart damage vs. having their heart starved for oxygenated blood enroute. They also have the spare hands and knowledge to give CPR and defibrillate if necessary. They can give nebulizer treatments and epinephrine, etc. They may be closer than you think too.
Mrs AV
Transport Chicago to Britain and see what happens to those statistics.
I have seen first responders move an accident victim without first determining if a backboard or neck stabilization device was needed. So-called first responders aren’t as experienced as you may want everyone to believe.
Making excuses for their ineptitude is disgusting.
While this story make for a great conversation and give and take discussion, I think it is rather misleading.
I doubt the person was just outside the E.R. door. More than likely the person was half a block away.
Realizing that, here’s a problem.
The doctor runs out the door of the E.R. leaving all the supplies and equipment behind. He has never in his life treated a person on the street before. He has no idea what will be needed, or what concerns are likely to present in this situation.
“For example, if an artery had been severed, the doctor could staunch the bleeding to keep the guy alive until the 911 guys arrive.”
How would he do that? He just left all his equipment in the E.R. He doesn’t have a kit ready for helping people like this. He never helps people like this. He wouldn’t even have a Kelly clamp with him. He wouldn’t have anything else to do it with.
The foreign doctor consideration is interesting. That may figure in. I don’t know. I’d hate to think a decision would be made on that basis. That would be wrong, even if the overall decision might be the right one.
I had Kaiser out here in California for a while. It was amazing to me the foreign doctors on staff there. What can you say. You need help and that’s who they have.
I’m not sure how the licensing is grandfathered in across national boundaries. Do they have to take the full gamete of testing our physicians would? I honestly don’t know, but it does cause me to at least ponder the issue.
If you’re in particularly bad shape, it would be disconcerting to me.
Exactly.
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