scholarly journals Difficult Decisions on the Cessation of Emergency Medical Treatment – The Lazarus Syndrome in the Practice of Paramedics

2021 ◽  
Vol 8 (3) ◽  
pp. 190-193
Author(s):  
Piotr Białoń ◽  
Rafał Bobiński ◽  
Michał Szlagor ◽  
Robert Kijanka ◽  
Tomasz Ilczak ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Medical Literature ◽  
Medical Personnel ◽  
Health Issues ◽  
Medical Response ◽  
Mental Health Issues ◽  
Emergency Medical ◽  
Response Team ◽  
The Media ◽  
Life Function

Cessation of emergency medical treatment on the basis of symptoms of clinical death and unclear indicators of death can result in numerous adverse phenomena. The currently available medical literature contains descriptions of cases of people with cardiac arrest in whom life function returned several minutes after emergency medical treatment was ceased. In the course of their work, paramedics must be aware of the existence of the auto-resuscitation phenomenon known as the Lazarus syndrome. Although the instance of the phenomenon remains exceptionally low, the possible consequences of an unrecognised case can be devastating. This can result in complaints of professional malpractice, negative reports in the media, as well as mental health issues among medical personnel and patients’ relatives. Medical response team procedures in the case of cessation of emergency medical treatment must contain elements that minimise the possibility of auto-resuscitation, also known as the Lazarus syndrome, from occurring.

The Role of the Physician at a Medical Disaster: Hospital Emergency Response Teams

1986 ◽  
Vol 2 (1-4) ◽  
pp. 128-132
Author(s):  
Eric Alcouloumre ◽  
Davis Rasumoff
Keyword(s):  
Los Angeles ◽  
Emergency Response ◽  
Medical Personnel ◽  
Hospital Emergency ◽  
Medical Response ◽  
Emergency Medical ◽  
Response Team ◽  
Emergency Medical Personnel ◽  
Emergency Medical Response

The Hospital Emergency Response Team concept, as outlined here and in the Multi-Casualty Incident Operational Procedures of the California Fire Chiefs Association, is the result of a consensus effort by all EMS interest groups in Los Angeles. It is an effective way to utilize the skills of emergency medical personnel at the scene of a disaster. The role of the physician is an important one, and this concept was specifically designed to maximize the benefit to be derived from having a physician at the scene. It is important, however, that physicians recognize their limitations; a medical degree does not automatically confer “mystic abilities”in the area of disaster management. The role of the physician should include pre-disaster planning and at-scene patient management responsibilities as a member or leader of a pre-designated hospital-based emergency medical response team.

scholarly journals Climbing Mount Everest: tackling the media at a regional level

1998 ◽  
Vol 22 (2) ◽  
pp. 111-112 ◽  
Author(s):  
Tom Harrison
Keyword(s):  
Mental Health ◽  
Public Education ◽  
Royal College ◽  
Regional Level ◽  
Health Issues ◽  
Mount Everest ◽  
Mental Health Issues ◽  
West Midlands ◽  
The Media ◽  
Wide Group

Regional Public Education Officers of the Royal College of Psychiatrists are strategically placed to influence and improve the coverage of mental health issues in the media. Their role needs to be enhanced and clarified, and a proposal is being put forward in the College to achieve this. One possible way of working locally is illustrated through the work of West Midlands Insight, which demonstrates the value of working with a wide group of people, including those who have experienced mental ill health.

Critique of the Washington State POLST

2016 ◽  
Vol 41 (9) ◽  
pp. 2-4
Author(s):  
Steven Pace ◽  
Keyword(s):  
Medical Treatment ◽  
Care Setting ◽  
Medical Personnel ◽  
Washington State ◽  
Legal Authority ◽  
Emergency Medical ◽  
Treatment Plans ◽  
Life Sustaining Treatment ◽  
Emergency Medical Personnel ◽  
Two Bodies

The Washington State POLST (physician orders for life- sustaining treatment) program was developed during the early 1990s in an effort to honor patients’ end-of-life treatment plans, specifically, to prevent emergency medicine technicians and emergency room personnel from administering excessive, harmful emergency medical treatment. Consequently, unlike advance directives and living wills, a POLST provides legal authority for emergency medical personnel not to initiate CPR (cardiopulmonary resuscitation). POLST documents are designed to be universal and portable, regardless of the particular health care setting, and their directives must be followed as standing physician orders. Since then, the department, in conjunction with the state medical association, composed the POLST in use today. However, these two bodies extended the legislature’s intent beyond defining patient wishes for resuscitation during emergency medical treatment. Had the document remained limited to the legislature’s original, narrow focus, many of the problems we now encounter with POLST would not occur.

scholarly journals Psychiatry and the media

2003 ◽  
Vol 9 (2) ◽  
pp. 135-143 ◽  
Author(s):  
Peter Byrne
Keyword(s):  
Mental Health ◽  
New Media ◽  
Media Studies ◽  
Public Mental Health ◽  
Health Issues ◽  
Psychological Theories ◽  
Mental Health Issues ◽  
People With Mental Illness ◽  
The Media ◽  
Medical Specialities

Aspects of print, broadcast, film and ‘new media’ are related to their interactions with psychiatry. Frequent representations of mental health issues are paralleled by the adoption of psychological theories into media studies. Key areas are covered where psychiatric items diverge from other medical specialities, such as the depiction of suicide, the dominance of ‘human interest’ stories and negative representation of people with mental illness. Although the language of mental disorders is important, the power of the image needs to be examined. Media items also have implications for public mental health (children as vulnerable viewers) and the clinical practice of psychiatry that are not uniformly negative. Television has limitations and clinicians are encouraged to participate in radio and other media. Resources and practical advice for media contact are provided.

scholarly journals The effectiveness of using ECG teletransmission during emergency medical team interventions

2019 ◽  
Author(s):  
Tomasz P Ilczak ◽  
Marek Stanisław Kawecki ◽  
Monika Mikulska ◽  
Rafał Bobiński ◽  
Michał Tomasz Ćwiertnia ◽  
...  
Keyword(s):  
Interventional Cardiology ◽  
Time Of Arrival ◽  
Results Of Treatment ◽  
Medical Response ◽  
Significant Dependence ◽  
Emergency Medical ◽  
Response Team ◽  
Group A ◽  
Group B ◽  
Time Required

Abstract Background To determine the importance of ECG teletransmission on the time required for decisions on diagnosis and treatment and the transport of patients with myocardial infarction. Methods This study is retrospective in character and concerns the regional activities of the Bielsko Emergency Medical Services and the possibility of sending medical data electronically from a patient’s location to the clinic of interventional cardiology (CIC). Group A (n=237) included patients in whom the Medical Response Team confirmed an ST-ACS and carried out an ECG with data teletransmission to the CIC. Group B (n=101) included patients in whom the Medical Response Team confirmed an ST-ACS and carried out an ECG without teletransmission. For both groups, the Medical Response Team recorded the time of arrival at the patient’s location and the time when the patient was handed over to the CIC. Results A group of 638 patients were identified in whom the chest pain was of cardiac origin. Of these patients, 338 were identified as patients with diagnosed ST-ACS. A significant dependence was demonstrated of the time t [mins] of teletransmission (p=0.00308). A significant dependence was demonstrated of the effect of distance s [kms] (p=0.00000). A significant dependence was demonstrated of the time t from the place of residence, taking into account the distance s (p=0.00929). Conclusion Using ECG teletransmission in pre-hospital procedures shortens the time for diagnosis and transport of patients with ST-ACS, and thus improves the results of treatment.

scholarly journals Using the media during Mental Health Week

1997 ◽  
Vol 21 (7) ◽  
pp. 451-453 ◽  
Author(s):  
Rob Kay ◽  
Barbara Martin ◽  
Doreen Kelly ◽  
Cameron Stark
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Mass Media ◽  
Adult Population ◽  
Public Information ◽  
Sampling Technique ◽  
Health Issues ◽  
Mental Health Issues ◽  
The Media ◽  
Quota Sampling

The mass media is an important source of public information on mental health issues. A two-page insert in 11 local Ayrshire newspapers was purchased to coincide with the Mental Health Weeks in 1994 and 1995. Using a quota sampling technique, 379 adults were questioned on their views and recollection of the insert in 1994, and a further 365 in 1995. It had been seen by 27% of 1994 respondents, and by 22% in 1995. Of these, 80% in each sample had read at least part. Local details were best remembered, and information on the nature of mental illness was regarded as the most helpful part of the insert. The newspaper articles provided a way of contacting a substantial proportion of the adult population of the area.

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