traumatic cardiac arrest in a child

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In a message dated 12/15/2002 4:50:40 PM Eastern Standard Time, Krin135 writes:

> former street medic here) has to run "hot' "Signal-10" "lights and sirens" when bringing a cardiac arrest victim IN to the ED.  It has always been of my opinion that you can do better work traveling with flow of traffic (if not a little slower) so that........
> 
>     CPR is more effective
>     Procedures can be done more safely
>     You are not putting the patient, EMS crew and citizens at further risk
> 
> Trauma may require a little extra speed but if they are 
> arrested, pretty much dead.

First--CPR is not effective at all in this setting, unless you know something the rest of us do not.
Otherwise I agree with you-lights and sirens and speeding are most often done unnecessarily--still another in ther long list of prehospital dogmas so entrenched in every fiber of our being that people get incensed for just asking "WHY?"
Same goes for GSW's to the head--how ludicrous to watch the Keystone Cops comedy bursting into our trauma center for every one of these--there is virtually NEVER a reason for usrgency in a GSW to the head
ERF

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