Your pissing up the wrong tree, withholding Narcan in apneic opiate OD's is a FAIL, pick another tx to demonize.
I don't view looking critically at pathology/treatment which is seen like a nusance in the hospital more than an emergency as demonizing anything.
US EMS with perhaps with the exception of a handful of places doesn't treat and refer. If I am not mistaken there is also a study out of VCU that shows US EMS providers are not capable currently to determine who should be admitted.
Heparin is well studied, self administered by patients, relatively safe, why isn't that at many US EMS agencies?
Tell me, what makes any treatment modality anywhere, especially given the history of EMS treatments and effectiveness a free pass from scrutiny?
Incidentally how long in the toronto protocol are the patients being observed? Hours? 4? 6? 12?
I also don't veiw determining how to reduce an EMS system that won't advance to as cost efficent as possible as demonizing either.
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