Flightmed archive for October-2002
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Flightmed archive for October-2002



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Re: FW DNR



Dusty
I do believe the two examples you mentioned to be unrelated.

Your example of a DNR patient... what you indicate regarding dignity of
death is not something unique to DNR patients, it is a 'universal right' of
all patients. In addition, a patient who will die regardless of the
flight/transport and who has an active lawful DNR, do they really justify
the resource? Palliative care can easily be provided by BLS level providers,
and commonly this is done right in the home with no transport provided.

On the second case... you cannot pick and choose your work based on
'worthiness' of the patient. You have to have a sound policy on determining
when to or not to fly. Otherwise you are 'playing God' with your patients.
Each patient has the right to your care no matter how old, how sick, or the
circumstances of it..... if you allow your emotions to impact this decision,
it could be very dangerous. Determining which patient(s) to take from a
scene is a similar example of this.... in the case of multiple casualties...
but it is a very different situation when you have multiple requests for
service and multiple scenes....

Have a good night.
Nick

Also, this list does not do HTML email very well. Could you please turn it
off for this list?


----- Original Message -----
From: "dusty rhodes" <dustyrt@hotmail.com>
To: <flightmed@flightweb.com>
Sent: Wednesday, October 02, 2002 7:05 PM
Subject: RE: FW DNR


> <html><div style='background-color:'><DIV>
> <P>&nbsp;&nbsp;&nbsp;&nbsp; Being in a system without a "DNR" policy, it
is up to the discretion of the</P>
> <P>medic on duty.&nbsp; While I'm sure this exposes us to possible
litigation, it does</P>
> <P>free us to our beliefs.&nbsp; Some feel "DNR" does not mean to let die
without</P>
> <P>honor, dignity, nor comfort.&nbsp; Sometimes medevac best suits these
needs.</P>
> <P>Others feel that to tie up the county's only helo with a "DNR" when
you</P>
> <P>could have a kid, with a fighting chance suffer trauma, is a
crime.&nbsp; You</P>
> <P>just can't please 'em all...........................</P>
>


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