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    Firefighter/ EMT
  1. We use that terminology for receiving termination of efforts from the receiving hospital.
  2. Thanks for all the input! It is much appreciated. Yeah I checked for a pulse upon our arrival... DPS said they felt a weak pulse but my question is, when they found that he went pulseless why didn't they start CCR? Infact no one was by the pt when I got there I had to ask someone to find out where he was. Anyways thanks again.
  3. Sorry about the minimal information I just didn't know how much pertinent information would be needed to get a response and I was trying to keep my opinions out. I know that trauma code ROSCs are slim to none. I have been on many and most are called on scene. This was a 20 y/o male who was unconscious with weak pulses prior our arrival. His facial bones were floating and had persistent blood draining into the airway (coming from the roof of his mouth ). There were no other signs of trauma to be noted. We do carry an AED. My partner and I were the first to that PT and I immediately started compressions as he cleared the airway. The Ambulance was pulling up as this process was initiated which is why I opted for their Lifepack instead of my AED. I continued continuous compressions and my partner continued constant suctioning (CCR protocol). The Medics applied the pads and saw PEA and I went back to compressions. The medic began to attempt IV access (Arrest protocol is IO). Meanwhile a flight crew arrives and asked to check the rhythm. The nurse took over the airway and dropped an OPA and attempted to bag. CPR was stopped for longer and longer periods until the PEA rhythm went to asystole. Epi was never given, advanced airways never considered, compressions were stopped for long periods and several strips were printed to get "timing" right. Now I know that this pretty much a lost cause but... I was expecting work this kid hard and get at least a round of drugs in him, pump them around a bit, maybe even secure an airway and see what happens and then make a call. I would consider a reversible cause of hypoxia due to the blood blocking his airway. But once again there still was little to no chance but if there is any chance shouldn't we be giving our best effort to at least see if something changes that indicates he is part of the .03%? - I by no means am saying that anyone was wrong or write but I fig I would just ask for other opinions to maybe see a different perspective.
  4. Hello forum, I am a BLS provider for a rural fire department. I had the following call recently and wanted to see some different opinions on what you may have done. We responded to a high speed MVC with an ejection and had a 20 min response time. A little more than 5 minutes out DPS arrived on scene and reported a 20 y/o ejected, unresponsive with weak pulses. The PT was pulseless upon our arrival and immediately started compressions and airway management. The PT had major facial trauma and a blood filled airway, suctioning was a constant task. Paramedics arrived 2 minutes later and applied pads. The monitor showed agonal PEA. Several attempts were made for an IV while compressions continued. About ten minutes in IV access was obtained but the DNR orders had already been received. - I realize a lot of info is left out but I didn't want to write a book... Is this a lost cause or called too soon?
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