IF… the news story is accurate and all the facts are clearly presented then these two will lose their jobs, the paramedic will be struck of the HPC and that is less than they deserve. However…
Has anyone seen a picture of the house http://www.guardian.co.uk/society/2009/jan/03/paramedic-arrests-brighton-barry-baker, Its a state. Before doing anything personal safety is the most important issue. Having worked in similar houses, I can assure you the stink of places like this is unbearable. Also, early reports suggested he was a big guy. Now, depending on your opinion of big, I wont try to life anyone over about 25stone (unconcious people feel a lot heavier). Its not clear if Mr Baker was obese but his medical conditions reported in the press would support the liklihood that this man was heavier than normal.
now for the science bit.
Once you initiate resuscitation you should not stop. CPR stimulates the heart into beating in a normal rhythm, if you stop, the heart stops and all you have done by starting ismoved oxygenated blood away from the brain and replaced it with deoxygenated blood, speeding up the onset of brain damage and ultimately death. There are situations where this is unavoidable but idealy, you don’t start CPR until you know you can get a patient to a centre of further care (I.E a hospital). If you can’t lift the patient, or there is no clear access and egress ten there is no way you can get the patient to a hospital, so it could be concidered that there is no point starting CPR (its not like on telly, people don’t just sit up and say “thanks for saving me”).
further more….
The recognition of life extinct protocols ( http://jrcalc.org.uk/publications/ROLE_Most_FINAL_March2003.pdf)suggest that if a patient has been aystole (no cardiac electrical activity) for greater than 20 mins then there is no need to commence CPR as the patient is dead.
Being as no one apart from teh crew know what hapened in that house, are the media sure that an ECG wasn’t carried out on this patient, which showed aystole with occasional artefacts (as dead people tend to do) and decided to wait it out until a 30 second strip could be obtained without artefact (as required by the police).
As for slating the guys house, and saying “he’s not worth saving”. Highly innapropreate and unprofessional, but how do you deal with dead people? As someone who deals with the recently dead, sometimes as much as several times a day I have a fairly warped sense of humour. some might say I’m disrespectful of the dead (have you ever had to sit in a room with a dead body, stinking of faecal matteer, with the heating on full, for and hour waiting for the police? would you not pick up a book and start reading?)
The people who work in comms (them on the phone) are very different to those that work on the road, and unless the entire phone transcript is made avaliable, its just words.
As I said at the begining, if these guys are guilty then they will bepunished. to be fair, if they are innocent they will be punished by “trial by media”. Just thought I’d share the reality of life on the road in an ambulance.
Jim
(the thoughts and opinions stated above are NOT the thoughts and opinions of Yorkshire Ambulance Service and should not be quoted as such!)