The argument is not whether a physician can safely make this decision. It is whether a paramedic on an ambulance can make the decision on his own without a protocol or written orders directly saying to withhold defibrillation. Your argument is that if they were hypovolemic that you would withhold shocking and do rapid transport with fluid resuscitation. You said you would do this because shocking would be futile as a normal heart rhythm would not be perfusing anyway due to the hypovolemia.That is a loaded question, who is in vfib for 27 minutes in a traumatic arrest?
Furthermore, would the opinion be different if it was a doctor?
I will make an honest attempt to get impartial opinions from ED physicians as well as my school medical director and several medical directors on the state board. I will update this thread when I get their opinions.
Don't go running from you argument now.....