So said, so the story goes, General George S. Patton about the M1 Garand rifle. This post is about neither General Patton nor the M1 Garand.
It’s about Continuous Positive Airway Pressure for treatment of Congestive Heart Failure.
Massachusetts is a bit, well more than a bit, behind the curve on this because only a select few EMS systems are allowed to use it.
Seems like the motto over that at OEMS should be “We didn’t invent the wheel, but we’ve perfected the art of reinventing it”. Only I don’t think they could fit that on their stationary or business cards.
No other treatment for CHF, including IV Nitroglycerin has such a fast or salutary effect on acutely dyspneic patients. Ready to be tubed one minute and five minutes later sitting up, comfortable, dyspnea relieved, happy as the proverbial clam.
It’s not only a great ALS procedure, but I hear tell some other states are starting to allow BLS personnel to use it.
You’d think that here in the medical center of the universe, our EMS systems would be allowed to use this. You’d be wrong, unless you work for one of a very small number of systems that are allowed to use it under the auspices of a “Demonstration Project” waiver.
Maybe someday OEMS will be convinced that the sun won’t come up in the west if they make this part of the statewide protocols.