• Landless2029@lemmy.world
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      2 months ago

      Fun fact. I slashed my wrist with a broken bottle at a party once. Had someone call an ambulance. They said nothing major hit. Wrapped me up. Asked if I wanted a ride.

      I said no cause it’s dumb money. Then I asked how to pay them. They said they only charge for rides. It blew my mind. My potentially life saving call didn’t cost me anything. (Its over $1,000 for an ambulance ride).

      I told them I’m good now and got a ride to the ER. Expensive stitches after waiting for hours. I should’ve taken off the bandage and walked in dripping blood.

      • superkret@feddit.org
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        2 months ago

        It blows my mind that calling an ambulance could ever cost money.
        When you need an ambulance, seconds could mean the difference between life and death.
        Putting a decision in front of it that could financially ruin you or the person you’re helping is absolutely bonkers.

        • Landless2029@lemmy.world
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          2 months ago

          Yep. I was 20 years old nearly living check to check. A medical bill of $1,000+ on top of the hundreds for the ER would’ve stung bad.

  • Fosheze@lemmy.world
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    2 months ago

    First responder here. The DNR doesn’t mean a damn thing until it is literally in your hands. Until that time you respond as though there is no DNR. If you’re wrong and they did have one but just didn’t have it on hand then you accidentally save someones life, you’re still legally in the clear, and I guess they can just die sometime later. But if the DNR turns out not to be real/legitimate and you didn’t act just because you were told there was one then you just killed someone and you’re completly fucked.

    If you have a family member that has a DNR then be damn sure everyone knows where that thing is because unless you have it physically there when they are dieing then it doesn’t mean anything.

    Of course in places like nursing homes there is a different procedure. They know who has one on file and they will usually tell dispatch about it before the ambulance is even sent. But if it happens just in your home or someplace then the ambulance crew can’t just take your word for it; they need the document in hand.

    • AeonFelis@lemmy.world
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      2 months ago

      The DNR doesn’t mean a damn thing until it is literally in your hands.

      How does the DNR get into the first responder’s hand in practice? Do you get an emergency call and drive there as fast as you can through red lights with your siren on only to be greeted by a relative that made the call handing you the DNR document?

      But if the DNR turns out not to be real/legitimate

      Are you responsible for validating its legitimacy while in the field, when every second counts?

      • yeather@lemmy.ca
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        2 months ago
        1. Sometimes, yes, many times a family member may call EMS to hand them the DNR, this ensures proper procedures are followed when dealing with the body, less mess, and a quicker certification of death. It may also be important in situations where the person is influencial or rich and ensures you cannot be accused of foul play.

        2. No, DNRs have certain things that make them official, signatures and notarized markings. Usually one person will begin life saving measures while the ither verifies the DNR. EMS never work alone.

      • Fosheze@lemmy.world
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        2 months ago

        For the first question. The responders will act exactly as if there is no DNR until you give it to them. Yes, that sometimes means wasted effort but it’s better than the alternative.

        For your second question, by legitimate I basically just mean that it’s not written in crayon on a piece of notebook paper or something. Generally speaking the forms are pretty standard and issued by the healthcare provider. Generally you’re just looking for a physicians signature and a date. Some states also allow DNR medical jewelry. The exact specifics on the DNR do vary a lot based on state and county so the local responders will know what they need for their area. As far as every second counting goes, that’s why you have a whole ambulance crew.

  • quoll@lemmy.sdf.org
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    2 months ago

    i asked my first aid instructor about DNR and he responded with a very firm “you didn’t see it”.

      • bluewing@lemm.ee
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        2 months ago

        And we are only bound by a DNR IF we have the actual document in hand. Or as EMS, if CPR has already been started when we arrive, we are automatically obligated to continue. If it ain’t written down, it never happened. Nursing homes are supposed to provide the documents any time we transport such a patient as part of their medical history papers. And yes, we treat and transport a lot of such patients with a DNR that needs to go to a hospital for some reason.

        Worst case scenario, entering a home with family gathered and grandma has a heart attack. And half the family wants me to start CPR and the other half tries to tell me grandma to let grandma go. I will ask them if they have the documents and they don’t answer me because they are too busy fighting each other to respond to me. And my poor driver is trying to literally breakup a fight while I’m doing CPR.

        Source: A very old and happily retired medic

  • Eiri@lemmy.ca
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    2 months ago

    I don’t really understand DNR. Why not get medically assisted suicide? Or heck, just end your own life?

    Seems better than dying a painful, gradual death as your organs shut down from cancer or something.

  • OsrsNeedsF2P@lemmy.ml
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    2 months ago

    I was gonna call this cap because CPR that long after collapse has infinitesimally small odds, but I looked it up and turns out I’m wrong. CPR anyone you see down!

      • ngwoo@lemmy.world
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        2 months ago

        Survival rates of a heart attack are upwards of 90% from what I can find online. There are certain types where the survival rate for that type alone is much lower though.