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echo: ems
to: MELISSA YING
from: JOHN MCALPIN
date: 1998-02-28 05:43:00
subject: FD DEFIBS?

 MY> I remember a lot of disgruntled chatter when people around here heard
 MY> about the airlines putting Fully automated defibs on board. But
 MY> people seem to have accepted the idea.
In the above case you could easily train the flight staff in this.  Maybe 
even have one trained staff member on each flight.  Maybe make it part of 
their promotion process be to have an EMT cert and be defib trained.  Works 
for me.
 MY> And St. John Ambulance up here  is planning "defib" courses for
 MY> laypeople as well. Seems to be still not entirely accepted.
I'm not sure why that is.  If the machines can NOT be discharged unless VFib 
or VTach is present what's the harm?
Unless, (1) Inadvertant jiggling of the cables allows the machine to diagnose 
incorrectly and discharge on an inappropriate patient.  (2) Improperly 
trained folks shock themselves as well as the patient.  (3) People are too 
busy playing with the "toys" rather than doing the basics. (4) The machines 
"walk off" creating huge expenditures.
Granted, with proper training all but one of the above "shouldn't" be a 
problem.  But, just putting them in every building like Fire Estinquishers 
may tempt untrained folks to inadvertantly use them incorrectly and harm a 
patient or themselves.  Boy, are we talkin' liability!
All that I can say is..... .
Cheers,
       John 
--- GEcho/32 1.20/Pro
---------------
* Origin: Central TX. Emergency Services BBS - (512)251-3746 (1:382/1202)

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