No universal standards of care for Canadian emergency rooms

From the Winnipeg Free Press:

Dr. Alan Drummond, chairman of the Canadian Association of Emergency Physicians, said it may come as a surprise to people there are no universal standards across the country for emergency room care, including who works there, how much training they get and how to relate one department to another. It is only recently, through hospital accreditation processes, that some guidelines are being put together.

“It will always be a judgment call,” he said.

“Because there’s no accredited standards, people just make it up as they go along. Our view is emergency care is a basic human right and Canadians should expect a uniform level of care across the country. It has never made sense to us there should be such a variation of care.

“Variability of care keeps on raising its ugly head.”

Philadelphia Police Use Newly-Issued Tourniquets to Save Lives

From JEMS:

“[Tourniquets] are certainly nothing new – the military’s been using them for decades,” he said. “Unfortunately, we saw what Boston was, and it looked like a war zone.

“This was a wake-up call for first responders across the country to be prepared to do whatever it takes to save lives.”

For police, Sullivan said, that sometimes includes providing basic medical care, especially at fresh or potentially unsafe crime scenes, when medics have to wait for the all-clear to render aid.

Case Study: Prolonged Bystander CPR Makes the Difference in Philadelphia Airport Cardiac Arrest

From JEMS:

… this case demonstrates the effectiveness of early, hands-only CPR, and the potential for saving lives despite a relatively long duration of CPR and delayed defibrillation