A few weeks ago Brian Behn (The Brian Behn) put out a blog
on FOAMfratraising the question "When is a patient too sick to
This question sparked a TON of good conversation on social
media with a very diverse population of opinions.
"As long as crew safety is addressed, then we should make
every effort to get this pt to definitive care. Declining a
transport due to "instability" when the pt is 100% going to die at
the sending, does a huge disservice to your pt. "
"Given the picture painted, after all my checks and additional
resuscitation efforts I'll make my decision. 3 hours by ground
through the mountains and the patient is still peri arrest
with zero likelihood of intact neurologic outcome? Nope. I
don't put my ass on the line for futility."
Knowing Flight Paramedic, Vahe Enders (@calldaburd), spoke on
this in the past (ECHO2017). I asked him to come on the show and
continue this conversation.
About the Podcast
Prehospital emergency and critical care podcast by Tyler Christifulli & Sam Ireland