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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. References: 1. Palliat Med. 2022 Sep;36(8):1228-1241.
Nor does it improve ED throughput, ICU stay, acuity, or a half-dozen other measurements. But if we truly want paramedicine to flourish, then we need to identify those who do not meet the standard and move them along. I can bring a dozen random people in a dump truck to a call; I can’t guarantee they know what the hell they’re doing.
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