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Jason,
The
Richmond, VA area has a fairly open system for cease resuscitation in the field.
Depending on the situation, the best choice when considering medical cease
resuscition is contacting on line Medical Control after appropriate ACLS
interventions have occurred. In Trauma circumstances, cease resuscitation
depends on the first arriving units. Often bystanders and first responders
initiate resuscitation and the responding air or ground ALS units will terminate
it in light of criteria like : apneic, pulseless, from blunt trauma or with
obvious mortal wounds. Age of patient or multiple patients can factor
in. We have had situations where first responders will not stop CPR on
obviously dead patients without Medical Control.
Good
clinical judgement and proper documentation is vital, however, as a general
rule, both the air and ground units try to avoid transporting non-viable
patients.
Mike
Watkins
Lt.
Hanover Fire EMS
VCU LifeEvac
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