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If I need to do a ventilator on someone, if we need to have a BiPAP, or non-invasive ventilation, or if we need different modalities, those will be done. The hospitals should be really for triaging, and and then hopefully successfully resuscitating and rehabilitating people. I conceive of a very different model.
I think one of the residents you asked how would they broach a subject, and he said wording like, “Unfortunately, he still needs a ventilator.” ” You talk about this too, even in your own training, where even around CPR, the training is like he might need a ventilator if he couldn’t protect his airway.
The majority are adult patients with all types of conditions, commonly cardiac, complex medical and surgical, or trauma – they are often intubated and ventilated and on inotropes. Most transfers from the RACQ LifeFlight Rescue Brisbane base are inter-facility transfers to secondary or tertiary hospitals for definitive patient care.
There are four main types of advanced directives: living wills, durable powers of attorney, do-not-resuscitate orders, and five wishes. Do-not-resuscitate orders instruct medical staff not to revive the individual if their heart stops or they stop breathing. Do you want to be resuscitated if your heart stops beating?
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