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LA: Ambulance crews to not transport patients with little chance of survival

latimes.com

141–150 of 184 posts

Re: LA: Ambulance crews to not transport patients with little chance of survival

#141
post #118

Earlier quoted context omitted.

Isn't the instruction in fact to limit resuscitation efforts to in field? To take it to an extreme, if someone collapses and has a heart attack near a hospital, by this instruction they would have to revive the person (get a pulse/breathing) before transporting them to a hospital. It sounds very different to what normal procedure would be. I am assuming that usually they try to get the pulse back but that they can co…

Movies give a very unrealistic example of chance of survival after heart attacks or cardiac arrest. People are likely to survive one, but not the other. You wouldn't know that from film where almost everyone survives.

Could you specify which one they survive, possibly using "former" and "latter"?

Re: LA: Ambulance crews to not transport patients with little chance of survival

#142
post #47

Earlier quoted context omitted.

When have they ever run out of oxygen before?

My understanding is that some hospitals have a central oxygen system, no different from how we are all connected to the water system and water comes out of the tap. If too many taps were open, nobody would get enough water. Well, too many oxygen taps are open.

Too many taps open increases flow which causes freezing.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#143
post #57

Earlier quoted context omitted.

> But a headline designed to make incorrect impression just doesn’t help. Yet this is basically all we get. Because it makes people click. It’s so hard to tell what’s real and what’s exaggerated these days. And if you try to make the case that something is exaggerated, you come off as a right wing nut job.

For example, here are some excerpts from just one other LA Times article: > Many hospitals also say they’re too full to accept any more patients or ambulances > when paramedics are allowed to drop off patients at a hospital, the emergency room is often so crowded that there aren’t available staff members > Hospitals across the state are sending away ambulances, flying in nurses from out of state and not letting child…

So where are the hospital ships?

Re: LA: Ambulance crews to not transport patients with little chance of survival

#144
post #93
post #72

Earlier quoted context omitted.

Yea I think you got the sides mixed up there. The only time I’ve heard a liberal defend obesity was in response to body shaming - which is a problem and doesn’t help the person get in shape.

How strong is the data that body shaming doesn't help people get in shape?

If you're pushing a weird idea that on the face of it makes no sense, then the onus is probably on you to demonstrate that it works, not on other people to demonstrate that it doesn't.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#145

Regardless of politics, I think places like LA need to institute a full lockdown. No one leaves their house except to go to the grocery store and pharmacy. No one leaves more than 2 miles away from their residence. It should be enforced by the military. Essentially martial law. It’s not something I suggest lightly. But 6-8 weeks of complete lockdown and pay people to stay home. It’s the only way that California is go…

CFR is 0.5%-1%.

While that is true it doesn't take into account what happens once hospitals reach capacity. Once all doctors are busy and beds are full the fatality rate of strokes, heart attacks, car accidents, cancer goes way up which is something that has to be avoided.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#146
post #118

Earlier quoted context omitted.

Movies give a very unrealistic example of chance of survival after heart attacks or cardiac arrest. People are likely to survive one, but not the other. You wouldn't know that from film where almost everyone survives.

Could you specify which one they survive, possibly using "former" and "latter"?

A ‘heart attack’ is an episode of myocardial ischaemia (restricted blood supply to the heart) usually through a blockage of an artery. Angina is a pain associated with myocardial ischaemia of a usually temporary nature. A cardiac arrest is the stoppage of the heart.

Lots of people survive the first (apart for the 250,000 Americans for whom the first presentation of heart disease is sudden cardiac death), not so many survive the latter

Re: LA: Ambulance crews to not transport patients with little chance of survival

#147
post #77

Earlier quoted context omitted.

Liberal? Why throw politics into this? I am going to bet that conservatives are fatter on average than liberals.

Why?

Assuming they're talking about the US, where being older rather than younger, being rural/exurban rather than urban/suburban, and being male rather than female are all indicators for both political conservatism and obesity, this is very likely to be the case. Hard to prove without some very peculiar polling, but it is statistically very likely.

Re: LA: Ambulance crews to not transport patients with little chance of survival

#148
post #59
post #47

Earlier quoted context omitted.

When have they ever run out of oxygen before?

Hospitals are running out of oxygen in a way: so much is going through the pipes that the upper floors have low pressure, and the oxygen pipes occasionally freeze from adiabatic expansion. In LA.

Is it from adiabatic expansion, or is it just the LOX vaporizer/heater being overwhelmed?

Re: LA: Ambulance crews to not transport patients with little chance of survival

#149

Earlier quoted context omitted.

The commonly-used treatments for hypoxia are incredibly damaging. In the beginning "ventilation" was the go-to treatment to pump oxygen into patients' lungs. Doctors eventually realized invasive ventilation was a death sentence. Now they're trying to just use lots of oxygen, but that doesn't work either. A lot of people had COVID-19 before tests were available. What happened to make the disease so much more deadly? I…

> Doctors eventually realized invasive ventilation was a death sentence. Do you have a source that ventilation itself worsens outcomes, and isn't just correlated with already poor-performing patients?

This is correct and well established; prone positioning and non invasive ventilation was shown fairly early on to have a significant survival benefit. Not that I agree with the rest of the OP’s attempt at making some sort of statement

Re: LA: Ambulance crews to not transport patients with little chance of survival

#150
post #54

Earlier quoted context omitted.

Here’s a good summary of some findings. “ Among the 2,634 patients for whom outcomes were known, the overall death rate was 21%, but it rose to 88% for those who received mechanical ventilation, the Northwell Health COVID-19 Research Consortium reported.” “ Ventilators are typically used only when patients are extremely ill, so experts believe that between 40% and 50% of patients die after going on ventilation, regar…

1. This is from April. 2. The cited study only measures outcomes and does not claim that ventilators worsen patient outcomes. Covid patients who are hospitalized have a higher rate of death [citation needed]. Does that mean hospitals kill Covid patients? [1] https://jamanetwork.com/journals/jama/fullarticle/2765184

Don’t disagree. However there’s some evidence that ventilators might not have been the best treatment.

The data itself is incomplete in the linked study.

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