L.A. County tells paramedics to delay transporting cardiac patients amid coronavirus

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L.A. County tells paramedics to delay transporting cardiac patients amid coronavirus
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The aim is to keep people who are likely to die out of hospitals, which are expected to be overwhelmed soon with coronavirus patients as the pandemic worsens.

The Times spent 24 hours at LAFD’s Station No. 9 on skid row, joining firefighters on calls, for training and during meals. It’s the busiest station in L.A.

Chudnofsky said that about 60% of patients who have been resuscitated after cardiac arrest lose heart function again within minutes. He credited the county with “trying to do the right thing” in issuing this new guidance. However, the county’s previous policy did not say paramedics should wait any period of time after a patient regains circulation to take them to the hospital, and the revised protocol is labeled “guidelines for transport versus termination during the COVID-19 pandemic.”

The organization that coordinates the city’s emergency medical services issued new protocols this week amid a crush of COVID-19 patients flooding hospitals and straining the 911 system.“Emergency Departments are severely overcrowded, and transporting patients pronounced on the scene only increases ED workload and potentially exposes ED staff and patients to COVID19,” the Regional Emergency Medical Services Council of New York City said in a press release.

He said that for paramedics working in the field, the choice for treating patients in cardiac arrest is to get them immediately to a hospital or to “stay and play” to work on resuscitation on-site. He said people have been moving toward “stay and play,” and an upcoming study will compare the two approaches.

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