DanielMark, something similar happened to me (not the termination) when I was a volunteer FF/First Responder. We got a call that a man had DIED. We went flying out there, approx 10 min. drive with wings on the rescue truck. Ran up to the house, patient sitting in WC at lunch table, head bowed as though saying grace. Downtime at least 15 min., known hx cardiac and resp. probs. Family everywhere, all saying, "don't start CPR, don't start CPR." I checked for a pulse-there was none-what a shock! Anyway, the other 2 First Responders began getting the family out, as I was trying to obtain a correct sequence of what had happened. About that time, our Chief arrived, gave me a dirtly look, grabbed the man out of the WC, pulled him to the floor, and whipped out on EGOTA. He inserted it, and he and one of his best friends began CPR on this expired gentleman. In short order, the man's belly began to swell, and I suggested that the EGOTA might not have been placed correctly. No, that isn't possible! When the belly was so large and tight that they could not do effective ventilations and compressions, they began to consider that maybe something WASN'T right. They gave me access to the patient, and I immediately removed the EGOTA. I reinserted it, listening for breath sounds in both lungs-BINGO, it was placed and checked as it should have been. About then the ambulance arrived. Monitor shows agonal rhythm. Fire Chief and I ride in ambulance 30 mins through mountain roads to hospital, hanging like monkeys from the overhead grab bar, doing compressions while alternating doing CPR while the PM was bagging (after placing an ET tube) and pushing IV meds. We barely got the patient into the ER when the code was called. The Fire Chief sternly told me that I was to begin CPR on ALL down patients, no matter the down time, and no matter if all the family is requesting that it not be done. It was County policy! |As it turned out, the Chief wound up getting a good butt chewing because his First Responders didn't respond "appropriately." That was about 8 years ago, and there are still hard feelings by those family members against certain members of the department for beginning CPR on their husband and Daddy. Go figure. I absolutely draw the line at a stone cold, or stiff person. In FL, RN's used to be able to pronounce people. Here in GA, it is a coroner or ERP.