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Sun Dec 21 08:29:54 GMT 2003

--- medic245 at mindspring.com wrote:
> I can't imagine why the patient should be worked.  My concerns:
> 
> 1.  How do you know she's near-term, and not just obese?  I know of
> a medic crew that took a patient who was "obviously pregnant, and
> pretty far along, from the looks of her," to a hospital for a
> emergency C-Section (the female was pulseless/apnic s/p MVC.)  They
> got to the ER, the doc cut open the belly, and GUESS WHAT THEY
> FOUND?

That's a one story argument ! ?
Interesting
But not a valid... argument

> 
> 2.  CPR is futile in trauma.  We all agree.  We have such poor
> rates of resuscitation to a viable life doing CPR.  Even in medical
> cases, CPR gives us... 20%?... of normal cardiac output?  How on
> earth do we think that 20% -- which can't even save Mom -- will
> save the baby?

Maybe there's some place for the Theracardia (ex/internal massage)
But then again
The statistical incidence & clinical training/readiness
Has passed that line of the economical and merely possible

I contend
That the (timely & prehosp)peri-mortem C-section
>From the get go
clearly passed that line 

Nothing new
... in our knowledge, skill set, medication or technology
Indicates that any components in the equation has changed
Enough, anyway, to shift paradigms or approach
Approach that clearly lacks in sophistication
Sophistication that would make US look more alive
... but not the baby

> 
> 3.  There is far greater risk to the medical staff in such
> situations of needle sticks, exposure to blood/bodily fluids, etc.,
> and I'm sick and tired of hearing of medics, nurses, doctors,
> techs, and others who contract a disease from working a patient
> that SHOULD have been pronounced dead long before.

Cynicisime creeping in ???

Charles Brault EMT-P

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Critical decision-going on CPR/taking the baby out?