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- Jul 10, 2017
New York state just issued a drastic new guideline urging emergency-services workers not to bother trying to revive anyone without a pulse when they get to a scene, amid an overload of coronavirus patients.
"Now you don’t get 20 minutes of CPR if you have no rhythm,” a veteran FDNY Emergency Medical Services worker told The Post, referring to cardiac-arrest patients who have no heart beat when paramedics arrive at the scene. “They simply let you die.” The paramedic acknowledged that only about three or four out of every 100 patients with no pulse — “a small percentage” — are actually brought back to life through CPR and other aggressive intervention such as drugs and hospitalization. But “for those 3 or 4 people, it’s a big deal,” the worker said.
I don't like this at all because while it seems reasonable under current conditions, it's going to lead to more of the same down the road. Not everyone being rushed to a hospital is a coronavirus patient.
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more like 3 or 4 out of a thousand. If that much. In 20 years and thousands of CPR calls I’ve seen exactly 3 saves. And to clarify, no EMS is not “letting you die”. When they show up and you don’t have a pulse you’re already what is technically known as DEAD. And honestly, if they haven’t shocked you back to a rhythm in under 10 minutes, it ain’t happening. And everybody knows this. Everybody has known this for years. But for 40 years the MD’s have largely fought tooth and nail against non MD’s being allowed to declare death in the field. And limited that ability as much as possible.
awhat most people don’t realize is when you have no pulse, there are two possible rhythm’s on the EKG. V-fib. Which shows as a very fine vibrating line, and indicates there is still electrical activity in the heart. And Asystole. True flatline. You can sometimes get lucky and save V-fib. That’s what the defibrillator is for. Asystole is pretty much dead and not gonna change.