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The patient was dying while intubated in the ICU but was awake enough to engage in discussions with providers through writing about her wishes. Palliative paramedicine: Comparing clinical practice through guideline quality appraisal and qualitative content analysis. Palliat Med. 2022 Sep;36(8):1228-1241. doi: 10.1177/02692163221110419.
Nor does it improve ED throughput, ICU stay, acuity, or a half-dozen other measurements. If you trust paramedics to intubate, then for God’s sake give them the proper tools that are evidence based to work! But if we truly want paramedicine to flourish, then we need to identify those who do not meet the standard and move them along.
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