What should have happened?

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MidTech

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A unit in my company responds to an emergency at a NH. The dispatch info was 'sepsis'. The techs found the patient to be unconscious and in cardiac arrest. Upon notifying the NH staff of their need to begin CPR the Dr of the NH told them to stop CPR and stand aside and wait for 911 to get there.

In the end our techs listened and did not transport the dead patient (to the hospital literally 1 block away) while continuing CPR, rather they waited for 911 in which all they did was pronounce the pt.

Was this the right thing to do...on NH part?... On our tech's part?
 
Did the patient have a DNR? Was the physician explicitly giving a DNR order?
 
Legal and above-board if the patient had a DNR or if the physician felt that a resuscitation would be unsuccessful. No foul here, although he should have come and declared it instead of punting to 911.
 
No DNR. Dr I'm fact was assisting with ventilations but upon suggesting to txp pt to hospital he then asked us to step aside.
 
Shady story.

There's more to this. It doesn't really add up to me.
 
Last edited by a moderator:
Trashtruck said:
Shady story.

There's more to this. It doesn't really add up to me.
Click to expand...

+1

peter_sellers_inspector_clouseau_pi3.jpg
 
MidTech said:
A unit in my company responds to an emergency at a NH. The dispatch info was 'sepsis'. The techs found the patient to be unconscious and in cardiac arrest. Upon notifying the NH staff of their need to begin CPR the Dr of the NH told them to stop CPR and stand aside and wait for 911 to get there.

In the end our techs listened and did not transport the dead patient (to the hospital literally 1 block away) while continuing CPR, rather they waited for 911 in which all they did was pronounce the pt.

Was this the right thing to do...on NH part?... On our tech's part?
Click to expand...

Doctor or director?
I am a little confused. The "techs" where not nursing home employees or emts?

Seems off need more/ better info
 
Most cardiac arrests should be worked and pronounced where they lie or if you get ROSC then transport them. Unless there's a real good reason to transport with CPR in progress (read: potential viability of an unborn fetus, for example.)

You're giving them the best chance by staying and playing. This has been discussed quite a bit on here before. Being one minute away I might consider it if ALS was a LONG ways out but you've already got all the stuff on scene already that truly makes the difference in cardiac arrest patients. I'd still stay and play, in my opinion.

Weird that he asked you to stand aside though.

+1 to he should've just pronounced rather than making the 911 service do it.

FWIW I can't honor orders from
a physician on scene unless its an interfacility transfer from hospital to hospital. Nursing homes don't count. Only docs I can take orders from are our Emergency Room Physicians.
 
Doctor on scene who is the doctor for the snf? everyone else on scene is also an employee of the snf? Doctors call, all good in the hood.

Honestly as EMS, if i showed up and the doc had already stopped resuscitation efforts, we would have cleared as SNN. Patient is his patient, he makes the call. Have a nice day Doc
 
Medic Tim said:
Doctor or director?
I am a little confused. The "techs" where not nursing home employees or emts?

Seems off need more/ better info
Click to expand...

I think this needs to be clarified first...
 
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