An emergency room doctor said Wednesday that a government panel’s change in when a life-saving procedure can be used could put patients at risk.
“I don’t think that change is of benefit to the people of El Paso County,” said Hal Watz, who works for Penrose-St. Francis Health Services.
“It sounds like we’re looking out after the community,” he said, but instead the change means delaying a lifesaving measure.
Watz’s comments came at a meeting of the Emergency Services Agency, which oversees the American Medical Response ambulance contract.
On Sept. 5, the board, chaired by El Paso County Commissioner Sallie Clark, held a closed session and afterward asked AMR to change how it uses rapid sequence intubation for 120 days, pending study. Commonly called RSI, the procedure paralyzes so a paramedic can insert a breathing tube.
The ESA board said it wanted AMR to perform the procedure only when they’re on the phone with a doctor. Before that, AMR paramedics used RSI under standing orders.
Board member Marilyn Gifford, Memorial Health System’s emergency chief, triggered discussion of RSI last month, pointing to a July incident in which AMR paramedics used RSI in a way she didn’t approve of.
A state investigation cleared the paramedics, finding no grounds for discipline.
Jack Sharon, a Penrose doctor and an ESA board member, agreed with Watz.
“When somebody needs an airway, it’s the first thing you address,” Sharon said. “If you’re calling in for an RSI, that patient needs an RSI. All we’ve done is delayed the RSI.”
Sharon said a panel of emergency medicine experts with the El Paso County Medical Society last week expressed concern the moratorium was imposed without consultation with the medical community.
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