Post by ctnygfan1156 on Jan 8, 2023 15:00:32 GMT -5
First of all there are several different levels of certifications ambulance personnel can have, from a very basic EMR to and EMT to paramedics with a few in between. Different states may have different requirements for the care pre-hospital staff can provide and there is a National Certification many states require for both the EMT and paramedic level.
I'm not sure what the NFL or NFLPA require for staffing certification for ambulance personnel at a game. I would hope they require a paramedic to be on scene.
In this event the trainers and EMTs could have administered CPR and used an AED. Note that an AED is only useful for a very specific cardiac arrhythmia and attempts to shock the heart into a rhythm that can re-establish a heart beat and circulate blood. You can be in cardiac arrest and in a rhythm where an AED is useless. Paramedics have a monitor which actually shows what the heart is doing and they treat appropriately with CPR and medications. They can also insert an endotracheal tube to breathe for the person and oxygenate the blood. All these tools work in conjunction to try and re-establish a heart rhythm that can sustain life. Once stabilized on scene they would transport to an ED where the doctors and nurses have more tools available to stabilize the patient.
Here in Conn, HS and college football just requires an ambulance with 2 EMTs be on scene, no paramedic is required. Youth football just requires an EMT be on scene having an ambulance on scene is not required.
I would think that any commercial ambulance service bidding to be contracted to cover an NFL game would offer at least one paramedic staffed ambulance be on scene and be solely responsible for any on field emergency.
Unfortunately, some of the posts here opining that "nothing special" was done and the safeguards in place are routine don't get it. On paper sure these are probably basic requirements that check off a box on the list of services to be available for a game. So yeah nothing special. But whether intended or not they are taking away from what the on-field staff did to create such a successful outcome. Saying the NFL didn't do anything special is almost like saying the responders didn't do anything special either as they were just doing their jobs.
As far as the comment made someone went into cardiac arrest, someone gave him CPR and it's pretty common, I would challenge the poster to not only complete all the training needed but you get down on the field with a player in cardiac arrest, both teams watching you along with 60,000 people and you start the IV needed, you intubate the player making sure you aren't compromising his cervical spine in case he has a neck injury. It's far from a nice controlled environment in an ED where there are other docs and nurses to assist you, you have great lighting, equipment not available on the scene.
The bottom line is Hamlin appears to be recovering very well. Who cares if the NFL just did it's job or exceeded what was needed. Of all things to debate ...
I'm not sure what the NFL or NFLPA require for staffing certification for ambulance personnel at a game. I would hope they require a paramedic to be on scene.
In this event the trainers and EMTs could have administered CPR and used an AED. Note that an AED is only useful for a very specific cardiac arrhythmia and attempts to shock the heart into a rhythm that can re-establish a heart beat and circulate blood. You can be in cardiac arrest and in a rhythm where an AED is useless. Paramedics have a monitor which actually shows what the heart is doing and they treat appropriately with CPR and medications. They can also insert an endotracheal tube to breathe for the person and oxygenate the blood. All these tools work in conjunction to try and re-establish a heart rhythm that can sustain life. Once stabilized on scene they would transport to an ED where the doctors and nurses have more tools available to stabilize the patient.
Here in Conn, HS and college football just requires an ambulance with 2 EMTs be on scene, no paramedic is required. Youth football just requires an EMT be on scene having an ambulance on scene is not required.
I would think that any commercial ambulance service bidding to be contracted to cover an NFL game would offer at least one paramedic staffed ambulance be on scene and be solely responsible for any on field emergency.
Unfortunately, some of the posts here opining that "nothing special" was done and the safeguards in place are routine don't get it. On paper sure these are probably basic requirements that check off a box on the list of services to be available for a game. So yeah nothing special. But whether intended or not they are taking away from what the on-field staff did to create such a successful outcome. Saying the NFL didn't do anything special is almost like saying the responders didn't do anything special either as they were just doing their jobs.
As far as the comment made someone went into cardiac arrest, someone gave him CPR and it's pretty common, I would challenge the poster to not only complete all the training needed but you get down on the field with a player in cardiac arrest, both teams watching you along with 60,000 people and you start the IV needed, you intubate the player making sure you aren't compromising his cervical spine in case he has a neck injury. It's far from a nice controlled environment in an ED where there are other docs and nurses to assist you, you have great lighting, equipment not available on the scene.
The bottom line is Hamlin appears to be recovering very well. Who cares if the NFL just did it's job or exceeded what was needed. Of all things to debate ...