Sasha
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If safety was a priority, escorts wouldn't be used.
Maybe they shouldn't follow eachother so closely or use dual sirens where you can't tell if that's one vehicle or two vehicles coming around the corner???
texting woman almost kills EMT's
- Thread starter paramedichopeful
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If safety was a priority, escorts wouldn't be used.
Maybe they shouldn't follow eachother so closely or use dual sirens where you can't tell if that's one vehicle or two vehicles coming around the corner???
ResTech
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kittaypie....
It is very hard to defend and provide a case of justification for using a police escort. All the national studies on lights and siren use have all said they provide a time savings that is very minimal and the majority of times not of clinical significance. As in, what would EMS have done in the two minutes saved by lights and sirens that would have contributed to any real difference in clinical oucome? The risk however of utilizing lights and sirens puts everyone on the road at risk for numerous reasons.
How much time is saved by using a police escort? I would like to see a study to evaluate this (not that one is actually needed). Bright flashing lights and sirens are the same no matter what type of vehicle they are coming from.
And the AHA and numerous other sources advise that the pediatric airway can be maintained with as much efficiency as intubation when done properly. With an oral adjunct, BVM at a proper rate and tidal volume, and an NG tube in place, the pedi airway can be managed just as well as with at ET tube. In fact given the low number of pedi intubations performed, the pedi arrest patient would prob be better off if providers weren't so proud and went to the BVM and NG tube after one failed attempt.
That sucks a simple procedure like IO insertion isnt permitted but still not reason for police escort.
It is very hard to defend and provide a case of justification for using a police escort. All the national studies on lights and siren use have all said they provide a time savings that is very minimal and the majority of times not of clinical significance. As in, what would EMS have done in the two minutes saved by lights and sirens that would have contributed to any real difference in clinical oucome? The risk however of utilizing lights and sirens puts everyone on the road at risk for numerous reasons.
How much time is saved by using a police escort? I would like to see a study to evaluate this (not that one is actually needed). Bright flashing lights and sirens are the same no matter what type of vehicle they are coming from.
And the AHA and numerous other sources advise that the pediatric airway can be maintained with as much efficiency as intubation when done properly. With an oral adjunct, BVM at a proper rate and tidal volume, and an NG tube in place, the pedi airway can be managed just as well as with at ET tube. In fact given the low number of pedi intubations performed, the pedi arrest patient would prob be better off if providers weren't so proud and went to the BVM and NG tube after one failed attempt.
That sucks a simple procedure like IO insertion isnt permitted but still not reason for police escort.
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http://www.health.state.ny.us/nysdoh/ems/policy/00-13.htm
This gives a break down on rules and regulations on responding to an emergency.
This gives a break down on rules and regulations on responding to an emergency.
Shishkabob
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For New Tork maybe, but not every state. Texas is pretty much anything goes with "due regard to safety".
Res-- all the studies I've seen have been about going L&S BACK to the hospital, not the initial dispatch in the first place.
Res-- all the studies I've seen have been about going L&S BACK to the hospital, not the initial dispatch in the first place.
ResTech
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Some of those studies also evaluated scene response... I am a big fan of priority medical dispatch. No need to have an EMS unit respond emergency on every single call.
Here are just a few articles that discuss L&S use:
http://publicsafety.com/article/article.jsp?id=2027&siteSection=2
http://www.emergencydispatch.org/articles/ambulancetransporttime1.htm
http://www.ncbi.nlm.nih.gov/pubmed/10634288
Here are just a few articles that discuss L&S use:
http://publicsafety.com/article/article.jsp?id=2027&siteSection=2
http://www.emergencydispatch.org/articles/ambulancetransporttime1.htm
http://www.ncbi.nlm.nih.gov/pubmed/10634288
Summit
Critical Crazy
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Escorts are hardly any safer than surfing code 3 wake... which is to say, DEATH WISH!
This is why you are taught in CEVO/EVOC classes to space out your emergency vehicles when multiples are responding on the same road. Dumbasses just assume that they can pull left without looking as soon as they see a blinky woo woo pass them.
This is why you are taught in CEVO/EVOC classes to space out your emergency vehicles when multiples are responding on the same road. Dumbasses just assume that they can pull left without looking as soon as they see a blinky woo woo pass them.