If you were a paramedic, you would have been trained to understand a few facts. I am going to give these as background knowledge. This way, we are playing on the same field. First, you are trained to do everything possible within your training. Your priority is to save your patient’s life when they face a life-threatening situation. Secondly, if the patient is unresponsive, the next of kin can give you medical information on the patient. Third, when you have a question about medical care not addressed in your protocol, you must contact medical control. This means reaching out to the hospital Emergency Room Physician. Fourth, you are taught there are some religions that refuse certain treatments. Fifth, Clergy is staffed at hospital.
You and your Emergency Medical Technician are dispatched to a high speed automobile rollover on Interstate 95. It involves a single vehicle and the fire department is also dispatched. Upon arrival, you see a regular sized station wagon. It has rolled multiple times. It is on its top in the median. There is an adult male and three children sitting on the side of the road. Several other automobiles had stopped to help and other people walking around.
The adult male is pointing at the car and saying my wife is in the car. There is a lady at the rear of the car screaming “Back here, she is bad shape!” You and your partner rush back there. The back window is broken out and the roof is smashed down. Yet, you can get in to her. When you assess her, you realize she is breathing about 8 times a minute. Her pulse is not palpable in her wrist. You can only feel it in her carotid artery (neck). The pulse is 40. The fact its only detectable in the neck you know from training her blood pressure is 60/pal.(not good) You see her abdomen swollen and blue. You decide to get her on a backboard, secure her neck and load and go. She appears to be approximately mid 30’s. As you load the patient, you ask husband if she is pregnant. His response is “No”. The man (husband) and children had minor scratches and bruises and the second ambulance was taking care of them.
You are getting ready to leave. The man jerks the ambulance back door open. He yells, “We are Jehovah Witness She can’t have I.V. products!” Now you know for a fact they can not take blood products, but, you are not sure about I.V. Products. You know if she does not get the I.V. Products she will bleed out into her stomach.
- Do you just let her bleed out and die?
- Do you contact med control and ask the ER Physician to ask the Clergy about taking I.V. Products?
- Do you ignore the husband and do it anyway?
- Other
Please give me your thoughts and Why.
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