• 0 Posts
  • 11 Comments
Joined 1 year ago
cake
Cake day: August 14th, 2023

help-circle


  • Late reply but to specify, the crumple zones dissipating energy to protect the occupants, but in part the situation you’re describing airbags do a great job at preventing people from hitting the steering wheel / walls.

    A very very advanced harness system might compensate a little for a lack of crumple zones during a very rapid deceleration collision. The issue isn’t so much as stopping someone from but being thrown around in the car, seat belts do that, but nothing can stop one’s internal organs from doing the same thing inside their body. So when a body stops during a rapid deceleration, internal organs still try to move. This movement tears everything, most notably one’s aorta and a torn aorta means death with no possible chance of survival.

    A small tear in one’s aorta and one may survive long enough for emergency services to show up, a bad one and they will have bleed out before a 911 call taker has time to answer a call for help.


  • Sorry forgot about this post, but it us an important topic to me. I’m only speaking for the United States All 50 states and the District of Columbia have a good Samaritan law, in addition to Federal laws for specific circumstances.

    And I agree some of this is just getting into semantics but yes get an AED if one is available, early defibrillation is without a doubt the best way to increase survival rates also activate emergency services as soon as possible there are things we carry that can help if the patient is receiving adequate CPR prior to our arrival, those steps are crucial. But ensure that you minimize any time spent not provided high quality CPR. Without blood flowing to the patients brain, it starts to die. Once the brain is dead there is nothing in modern medicine that can revive it.

    I don’t have an argument if someone is concerned about consequences for helping another person. I do what I do so I can sleep at night knowing I did what I believed was best and I did it to the best of my abilities. If I have to go to court then so be it, the bonus for me going to court is at least I’ll get to meet someone I’ve helped successfully resuscitate, that alone would make going to court worth it, independent of any verdict that is rendered. But that’s just me, I’ve had to pronounce a lot of people. I’ve had one or two go into cardiac arrest in front of my and then after treating them they talked to me during the ride to the hospital and I know I’ve had a handful of people that made a full and complete neurological recovery, but I’ve never gotten to meet any of them, which is also fine, but it would be neat to get to talk to one of them and hear their side of the experience.




  • Yes, pain is pain. People can still feel it and suffer even if they do not remember it. Anesthesia in context of surgery is too complex of a topic for me to comment on but I do frequently manage patients that are sedated, on ventilators either going to or coming from surgery. There are different scales and tools we use to assess if someone is under sedated or in pain. Keeping explanations simple pain can reflect as changes in vital signs, rigid or tense muscles, facial expressions. Sedation in the context I’m referring to is more a scale of either how awake someone is or what type of stimulation they respond to, for example do they open their eyes if someone says their name? Or do they open their eyes if I gently tap on their shoulder or do I need to put pressure on their nail bed for them to respond, if they respond at all. If they’re sedated enough they won’t remember the pain but they would still feel pain. Again this is NOT referring to general anesthesia during surgery, that is too complex and anesthesiologist have a very difficult job ensuring people are adequately medicated for surgery while also ensuring that they treat the side effects of the anesthesia medications so they don’t just kill people.

    The two do have some overlap and my previous statement assumes no chemical paralysis. There are also times where it is acceptable to just sedate someone, or do something emergent without sedation and then giving something like Versed which causes retrograde amnesia. The person may have been fully conscious and felt everything that just happened but still won’t remember it.

    This is a bit of an oversimplification but I’d say firing of the nerves is pain. I don’t have literature available to support but I know giving babies anesthesia is very dangerous so I would like to believe that the reasons you listed where just an over simplified “it’s really okay to do X or Y because they won’t remember it” rather than explaining to a parent in a way that they would truly understand the risk of anesthesia for a baby AND still allow whatever procedure to be done or force a parent to knowingly elect to put their baby through pain and suffering for a procedure. But again, not a doctor and I don’t work with people/babies during surgery



  • Late but USA, wanted to share a personal experience. While at work I collapsed and had to take an ambulance to the hospital. I got sent the bills for everything. Including the ambulance ride. I stayed in the hospital overnight for observation. They couldn’t figure out what happened and I didn’t have symptoms anymore so I was discharged. Whole event cost maybe $500.

    Here’s the kicker, I work(ed) as a paramedic for the ambulance company that transported me. I had insurance that was not from the company so prices were reasonable relative to what one would expect in the country. Had I been insured through work, well, the insurance provided by the company doesn’t cover transport by that company’s ambulance.


  • I am a paramedic, these comments have lost me. At least in the United States there is a 0% chance anything will happen if someone does CPR on another while acting in good faith.

    This does exclude some some uncomfortable situations where family is screaming at me that I’m not doing enough or that I need to help them and people have appeared to be close to getting violent but I’ve never been attacked, and if someone is threatening another individual that is trying to help, leave. We can’t help other people if we become another person who needs help.

    But I’ve done CPR on a lot of people, it’s violent. No one around will ever have to wonder what is being done, it is very clear and I don’t believe it is possible to confuse with touching an unconscious person inappropriately. Again, these comments have lost me. Maybe if some of these people would see a resuscitation attempt, they’d probably realize once the patient is spitting up blood from how violently their chest is being pushed on, there is no way to misinterpret CPR for groping.


  • Please do not say CPR does not save lives, it 100% does. And in the United States our Good Samaritan laws protect anyone from liability if they are acting in good faith trying to help someone.

    I’m a paramedic in the United States, hold a certification as a flight medic, nothing I can bring, in a helicopter or an ambulance will do anything for anyone if high quality CPR isn’t performed.

    To break things down, yes in adults early defibrillation does make a huge difference but in kids it is literally high quality CPR that saves them. If you’d like I’d be happy to break down the details of resuscitation, but without CPR until I can get there and attempt resuscitation, then no matter how much I throw at someone to try to get their heart beating again, they’ll still be brain dead.