mycrofft
Still crazy but elsewhere
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Of course, we can culturally shift and start saying "Dead is dead", "Karma, again" or some such and stop trying to save people that badly damaged.
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When I started to recognize the holistic or global approach, then I realized that order and timing of treatment is not like shuffling 3X5 cards, one has to try to find commonalities between cases then identify critical points to intervene; Pareto Principle at work, first 20% gets you 80%of results, but it keep resetting so yo keep finding more 20%'s.
More than once I've seen a patient with everything done well and right, laying there awaiting the coroner.
There is a saying:
"The surgery went perfectly but the patient died"
I simply do not subscribe to that theory. The endgame is a save. We simply cannot save everyone.
But I do think we all have an obligation to remain critical of ourselves and improve.
Perfecting a procedure or system is simply not acceptable. Acute medicine is a goal oriented game. Not everyone can be a champion, but I would rather responders at least be in the major leagues.
This is a good point, BBG.
Yup, atleast the family has the consolation that someone tried to help him... and not just left on the lawn to die. If that even means anything.
I think you could justify working this either way.
I'd do both, they expect EMS to "do something" besides use their senses and training to tell them their loved one is gone.
I am impatient around people who wail and throw themselves on the ground etc. And this family would have me afraid they would take out some of their rage at the police on me as some sort of responder.
That is one important takeaway from the video. The first cop, if he'd responded to emotional "he needs to DO SOMETHING!" cries, might have taken his gun off of the woman, and gotten himself killed. She was not under control, and she posed a huge risk for him. That was the only part that was really hard to watch, him drawing down on her in her grief, and wondering if she was going to reach for a weapon and get herself shot as well.
Ya that may be true but that cop was still a douche for doing that, and I would have helped the man despite what that cop said. What that cop did was excessive.
Ya that may be true but that cop was still a douche for doing that, and I would have helped the man despite what that cop said. What that cop did was excessive.