https://journalofethics.ama-assn.org...cident/2022-02
Not in my lane but got it in a professional feed and thought it might interest some of you.
https://journalofethics.ama-assn.org...cident/2022-02
Not in my lane but got it in a professional feed and thought it might interest some of you.
Great read. I (not a physician) would tend to adhere to the "priority of life scale" from the NTOA until the whole job was finished.
1. Hostages/Victims
2. Innocent by-standers
3. 1st responders
4. Suspects
So...
Innocent gets first treatment
Cop gets second treatment
Suspect goes last
"Knowledge is good." Emil Faber, date unknown.
I would also tend to agree. (Also not a physician).
I'd say if there were a 5-10% chance of saving the victim who was still (agonal) breathing by prioritizing him over the gravely wounded shooter, the time would be well spent.
If they all wound up dying, but I'd spent my time and efforts trying to save an innocent who had a non-zero chance of surviving, I'd sleep plenty well at night with the knowledge that I'd done the morally right thing.
Originally Posted by Jason M
not to be too critical but a emergency care in a crisis situation written by a DPT [doctor of physical therapy] & a DO [doctor of osteopathic] with a 'hypothetical' incident & treatment scenario amongst wounded LE & suspect & victim should make you wonder which author needed to be published!
Nevermind...
* the DO is a resident working towards completing their emergency room physician residency whose background is collegiate EMT as well as a career in law enforcement as a sworn officer and needs published as it looks good in final evaluation...
* the DPT is his principal in college who frequently treats Burn Injuries, Detoxification Evaluation, and Cocaine Withdrawal.
guess, after reading the entire document, I missed the article premise's specificity in the abstract which no conclusion substantiating or denying the article's premise.
further, the article only regurgitated well known previously subject matter which is in common practice now.
where is Joe's disinformation board when we need it...sigh
reality sidebar: as mention by others in the article's scenario the shooter's wounds will be ignored and the LE who is not viable will be given every known treatment in an attempt for their survival!
One thought ... and without reading the article ... sometimes things that are obvious to US aren't to everyone else. In those cases, it's really nice to have a researcher of whatever flavor putting research in a format that others are accustomed to (research paper not FB or forum post). Then it can be referred to and referenced by those who need it.
Post grad school, I wrote a research paper on approaching vehicles on unknown risk stops. Because it was written in APA, is formatted correctly, includes literature & statistical reviews, along with documented references it has been accepted as correct & "expert opinion." And yet, nothing it advocates wasn't taught in the academy in '89. It had just been forgotten by a lot of people.
Looking forward to reading the article that spurred the OP.
I think this is the case in a lot of various trades. I had quite the collection of operations manuals as they were replaced over the years in the C-130, trying to hold onto the old corporate knowledge that was deemed no longer relevant until it was rediscovered. Old suits come back into style the same way.
The DPT also appears to be an MD...
"Knowledge is good." Emil Faber, date unknown.
Who as pointed out is the resident's principal in college and who frequently treats Burn Injuries, Detoxification Evaluation, and Cocaine Withdrawal...
The resident is normally not credentialed to instigate and release papers under their name, therefore the principle does with a "me too" signatory attached...
Bottom line...consider the article, poor written without proper hypothesis/premise/conclusion, as well as, IMHO, not reality based whatsoever and nothing more than a bloody homework assignment, pure & simple!
Bason on the author's bios both are more than qualified to have the discussion
Brandon Morshedi, MD, DPT is an associate professor of emergency medicine and associate division chief in the Division of Emergency Medical Services at the University of Texas Southwestern Medical Center in Dallas. He serves as the deputy medical director for the City of Dallas Fire-Rescue Department and as the assistant medical director, a reserve specialist, and a tactical physician for the Dallas Police Department SWAT team.
Faroukh Mehkri, DO is an assistant professor of emergency medicine in the Department of Emergency Medicine at the University of Texas Southwestern Medical Center in Dallas. He serves as a sworn officer for the City of Dallas and as a tactical physician and tactical medical officer for the Dallas Police Department SWAT team. He also serves as the chair of the Tactical EMS Track for the Special Operations Medical Association.
I read that as they are peers in the academic and clinical arena vs "resident and principal".
Last edited by Jason M; 04-30-2022 at 12:15 AM.
"Knowledge is good." Emil Faber, date unknown.
I'm "whatever" about the paper. The initial premise is overly simplistic and unrealistic. We used the NTOA criteria, knowing that in reality was never going to be that easy.
"Gunfighting is a thinking man's game. So we might want to bring thinking back into it."-MDFA
Beware of my temper, and the dog that I've found...
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