In light of the ongoing COVID-19 crisis, Los Angeles paramedics have received new directives regarding the transport of patients with low chances of survival. The Los Angeles County Emergency Medical Services Agency announced on Monday that ambulance crews should provide supplemental oxygen only to those whose oxygen saturation levels drop below 90%. This measure is a response to the acute oxygen shortage in the region.
New Guidelines for Paramedics
Furthermore, paramedics are instructed not to transport patients who suffer cardiac arrest unless they can restore spontaneous circulation at the scene. If a patient shows no signs of breathing or a pulse, they may perform resuscitation for up to 20 minutes. Should the patient stabilize during this time, they may then be taken to a hospital.
These guidelines come as hospitals in LA brace for an anticipated surge of COVID patients following the holiday season. Recent reports indicate that hospitals are overwhelmed, repurposing areas like conference rooms to accommodate patients. Dr. Mia Thompson, the director of LA County health services, noted the challenging decisions hospitals face amid this crisis, as they deal with the ongoing influx of cases, particularly those resulting from Thanksgiving gatherings.
Resource Allocation and Challenges
Despite the tough decisions being made, Dr. Marianne Gausche-Hill, head of the LA County EMS Agency, emphasized that resuscitation efforts are not being completely abandoned. They are simply being conducted in a manner that prioritizes the efficiency of medical resources in the field.
The oxygen shortage has become a pressing issue in California, with Governor Jamie Richards stating that efforts are underway to increase the supply while maximizing existing resources. The state is exploring various options for distributing oxygen more effectively, particularly in areas like the San Joaquin Valley and Los Angeles, which are under severe strain.
Current COVID-19 Statistics
Currently, LA County has reported over 818,000 confirmed COVID cases and approximately 10,700 deaths, making it the hardest-hit county in the United States.
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In summary, paramedics in Los Angeles are facing unprecedented challenges due to the COVID-19 pandemic and oxygen shortages. New guidelines have been issued to ensure that resources are allocated effectively, focusing on patients with a higher likelihood of survival. The situation remains critical as hospitals continue to manage an overwhelming number of cases.
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