Flightmed archive for October-2002
Flightmed archive for October-2002
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Re: FW DNR
Dear Nick,
Thanks for the great feedback. In a system where
basic EMT's can't provide analgesics nor sedatives, and
the local hospital is usually unable to palliate and
observe, we are frequently called upon to make these
decisions. Frequently, this decision is made to preserve
this "universal right" for our citizens.
We absolutely "pick & choose" (triage), although
"worthiness" doesn't enter into the decision-making
process as often as "best interest" does. You make
"sound policy" sound like all scenarios fit into a
nice black and white world. Around here we frequently
operate in the many shades of grey. And who can honestly say they don't
flap a little faster with a kid
on board? The point I thought you would raise is should
we base our current emergent decision on the potential
one that has yet to occur?
Thanks for the HTML tip.....so many keys yet so
few thumbs!
Sincerely,
dusty
>From: "Nick Nudell" <nick@glacierems.com>
>Reply-To: flightmed@flightweb.com
>To: <flightmed@flightweb.com>
>Subject: Re: FW DNR
>Date: Wed, 2 Oct 2002 19:51:10 -0600
>
>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> Being in a system without a "DNR" policy, it
>is up to the discretion of the</P>
> > <P>medic on duty. While I'm sure this exposes us to possible
>litigation, it does</P>
> > <P>free us to our beliefs. Some feel "DNR" does not mean to let
>die
>without</P>
> > <P>honor, dignity, nor comfort. 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. You</P>
> > <P>just can't please 'em all...........................</P>
> >
>
>
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