Hacker Newsnew | past | comments | ask | show | jobs | submitlogin

Context: I spent my civil service (+2 more years as a volunteer) serving as a paramedic for the italian national healthcare in Milan.

Paramedics/EMTs can't declare anyone deceased (they are not doctors) and on ambulances there are no doctors. This means that, as paramedics are first to arrive on the scene, they HAVE to perform CPR and defibrillation over anyone until a doctor declares death (only exception is with conditions that are "incompatible to life", example: decapitation). Two more details: no doctor would declare a boy dead on the place - they would AT LEAST require the ambulance to bring the person to the closest hospital, which implies that CPR and Defibrillation is performed for several minutes anyway (usually, ~10-30mins to reach the closest hospital). Last detail, doctors are anyway required by law to ensure that at least 45 mins of CPR has been performed before being able to declare anyone formally dead.

All this procedure may seem overkill but I can assure you that I personally experienced at least two cases where I thought the person didn't stand a chance but then actually fully recovered.

So, the whole story makes perfectly sense :)



Perhaps things are different in Italy, but here in the US I can absolutely pronounce someone dead. 'EMT' is a lower level of training, and do require the 'injuries incompatible with life' criteria, but as a paramedic, I have far more leeway. patient has an unknown downtime, is cool centrally, has visible lividity, or early stages of rigor, then I'm just going to hook up an EKG to confirm asystole, call my dispatcher for an official timestamp, and hand the scene over to the police.




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: