Coronavirus News: New guidelines for EMS in NYC show grim reality of COVID-19 pandemic

camille70

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City officials have released stark new guidance to equally overworked ambulance crews, effective immediately, if they can't resuscitate a patient in the field, they must withhold CPR and declare the person dead.

They can no longer continue to the hospital.

"These orders are binding and the FDNY will devise a plan for implementation," said Deputy Fire Commissioner Frank Dwyer.

The new approach shows how stretched thin EMS and hospitals are.

"When you're doing the CPR, you're pushing really hard on the patient's chest and they're expelling some air in the process as well, so if they are COVID patients, they'll be spreading it all around," said Dr. Vinayak Kumar with the Mayo Clinic. "This is the risk-benefit math you have to take into account."


Coronavirus News: New guidelines for EMS in NYC show grim reality of COVID-19 pandemic
 

Hank77

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"When you're doing the CPR, you're pushing really hard on the patient's chest and they're expelling some air in the process as well, so if they are COVID patients, they'll be spreading it all around," said Dr. Vinayak Kumar with the Mayo Clinic. "This is the risk-benefit math you have to take into account."
The consequences are that many people who needed CPR but did not have the virus will be allowed to die.
 
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Aryeh Jay

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Has a test been developed that gives an instant result that can be administered to unconscious and non-breathing individuals so it can be determined that they are indeed Coronavirus free so they can be taken to the Hospital Ship to be revived in less than five minutes before brain damage sets in due to a lack of oxygen?
 
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Hank77

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They would have a place to take the cardiac failed patients is my thought. I'm sure it's more complicated than that.
If First Responders can't do CPR those people die. They wouldn't be going to the ship.
 
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Dave G.

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Has a test been developed that gives an instant result that can be administered to unconscious and non-breathing individuals so it can be determined that they are indeed Coronavirus free so they can be taken to the Hospital Ship to be revived in less than five minutes before brain damage sets in due to a lack of oxygen?
Yes but it hasn't hit the streets yet. But you're thinking along the same lines as I am.
 
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Aryeh Jay

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If First Responders can't do CPR those people die. They wouldn't be going to the ship.

And they won’t be going to a hospital. I guess they will send someone to take them to one of the freezer trucks all over the city.
 
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jacks

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THIS article might be more clear. It is stating that if the patient can't be revived at the scene, don't bring them to a hospital. It is not saying the EMS won't try to revive a patient.

"Paramedics will still render aid at the scene under the directive. Artificial ventilation and/or compressions must not be delayed,” the memo states, adding that chest “compressions must begin as soon as it is determined the patient does not have a pulse.”
 
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Hank77

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Has a test been developed that gives an instant result that can be administered to unconscious and non-breathing individuals so it can be determined that they are indeed Coronavirus free so they can be taken to the Hospital Ship to be revived in less than five minutes before brain damage sets in due to a lack of oxygen?
No, and even if there was they aren't going to get them there and onto the ship soon enough in almost all cases. Maybe if they had a heart attack on a street within a block or two of the ship but we're talking about a very large city.
 
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wing2000

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What happened to the hospital ship idea ? I thought that was going to take non covid 19 cases.

It seems the demand is not there for non-covid patients. NYC Mayor asked to use the ship for covid patients - -as of last night, the President authorized the converted convention center to be used for covid.

Only 20 patients had been transferred to the ship, officials said, even as New York hospitals struggled to find space for the thousands infected with the coronavirus. Another Navy hospital ship, the U.S.N.S. Mercy, docked in Los Angeles, has had a total of 15 patients, officials said.
 
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Hank77

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THIS article might be more clear. It is stating that if the patient can't be revived at the scene, don't bring them to a hospital. It is not saying the EMS won't try to revive a patient.

"Paramedics will still render aid at the scene under the directive. Artificial ventilation and/or compressions must not be delayed,” the memo states, adding that chest “compressions must begin as soon as it is determined the patient does not have a pulse.”
Thank you, this article makes much more sense to me.
 
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