http://www.ems1.com/medical-clinical/articles/492833-Too-Much-of-a-Good-Thing
But I'm curious, if EMS is the spinal tap what is SAR? The bastard, kinda dumb, jockish guys? I think so...
But the question remains, is there a place for Advanced Life Support capabilities on a mountain search and rescue team? Many argue yes because of the long transports of critically injured patients.
However, I argue no for a few reasons:
- Most patients, by the time we get to them are either dead or stable. I have to leave work, change clothes, get to my car, drive to the callout (without being able to go Code 3...), hike/fly/ride into the patient and then transport them out. We're talking hours here.
- It is damn near impossible to get an IV to stay in and active while moving a patient through the terrain we deal with. (If anyone has any ideas let them rip). Cold skin just aggravates the problem.
- ALS would mean more shit I'd have to carry in, and I already have a lot. Plus, meds would have to be kept controlled and current. That would be impossible in the back of a civilian car and hard in a non medical (Sheriff's) truck.
- In my opinion, and this has always been my opinion with EMS, the fastest way to the hospital is the best way. Get in, get the patient, get them the fuck out....
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