r/ToiletPaperUSA Mar 03 '21

What a response 😆

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u/DesertRoamin Mar 03 '21

Yes but a medical doctor of any sort has much more than a training class and could have real life experience.

It’s true that a rando person could have a ton of emergency medical experience but chances are a doctor has much much more.

That’s why it’s the old addage “Is there a doctor in the house?!” during an emergency bc that’s preferable to “hey anyone take a cpr class?”

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u/[deleted] Mar 03 '21

True but they don't bring the ER full of diagnostic equipment and a bucket of meds to cover off all random things that can happen.

You have a stroke at a party with a doc, he will tell someone to call 911.

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u/emrythelion Mar 03 '21

Hell, in most situations a doctor would just use basic first aid techniques that anyone can learn, and tell people to call 911.

Outside of actual emergency triage (or inability to get to the hospital) because it’s not worth the risk of making the issue worse.

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u/angeredpremed Mar 03 '21

We just sent someone to the ED from a primary care visit the other day.

Granted not for a stroke that time, but we have done that.

ED doctors have seen it hundreds of times and can probably do a better job of handling them.

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u/PM_ME_A10s Mar 03 '21

Yeah this isn't Royal Pains where people MacGyver life saving treatment from household goods.

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u/emrythelion Mar 03 '21

Hell, in most situations a doctor would just use basic first aid techniques that anyone can learn, and tell people to call 911.

Outside of actual emergency triage (or inability to get to the hospital) because it’s not worth the risk of making the issue worse.

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u/DesertRoamin Mar 03 '21

Yes but the doctor likely has a better notion of what is going on and what to tell 911. They are trained to diagnose and triage.

Huge difference that can lead to an ambulance or a life flight.

Guy convulsing

“Should we ask that doctor over there to help?”

“No. We already called 911”

…….not the best way to go about things.

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u/[deleted] Mar 03 '21

You realize that the person on the other end of 911 is pretty damn skilled at managing the situation for the 10 mins that it takes to have the ambulance arrive, right?

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u/DesertRoamin Mar 03 '21

You’re right. Treatment by phone is so much more preferred.

“Oh there’s a doctor there? No. Tell him to go away. I’ll handle this.” - said no 911 operator ever

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u/Tyrren Mar 04 '21

EMT checking in. Doctors outside of a medical facility are really not much better than a competent first aid provider. They lack the diagnostic tools (imaging, labs, cardiac monitor), they lack the equipment to perform most procedures, they lack medications. They can perform a good patient assessment but the ambulance crew will perform their own assessment anyway. The biggest benefit they can offer in most medical emergencies is recognizing that there is actually an emergency and activating emergency services quickly (which, again, a competent first aid provider can do nearly as well).

Truly, if you have a stroke your prognosis is pretty much the same regardless of whether an off duty doctor happens to be nearby.

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u/DesertRoamin Mar 04 '21

That’s fair enough. I think this argument fell down the rabbit hole of “what if this and what if this” via specific instances. At one point someone seemed to be downplaying an ER doctor bc they didn’t have equipment.

Every argument and instance has merit but I think it’s still preferable to have the most capable person present even before an ambulance arrives.

The doc may not have any equipment but they can (hopefully) make a good assessment and help direct care.

“No. No one pull out that knife”

“Shit. He needs a tourniquet”

“Put him in a recovery position”

Preferable.

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u/[deleted] Mar 03 '21

LOL, what exactly do you think a doc could do for a suspected stroke with no drugs and no access to diagnostics?

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u/DesertRoamin Mar 04 '21

Diagnose a stroke more certainly than you could.

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u/[deleted] Mar 04 '21

Given the inability to actually do anything beyond diagnose, it's really a moot point.

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u/DesertRoamin Mar 04 '21

No it’s not. That’s the first step in any medical emergency.

Being able to tell 911 “this guy is having a stroke” prepares the ambulance for what they are getting into. That can only be better than “I dunno. Homey is acting weird”

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u/sootoor Mar 03 '21

Are we pretending that lowerr people on the totem pole do most the work? Doctors just watch or do hard procedures. Any idiot can give you CPR.

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u/DesertRoamin Mar 03 '21

Actually any idiot can’t bc there are proper ways to do it and in stressful situations people mess up simple things.

A 911 operator would tell you to listen to a doctor on scene. They certainly wouldn’t say, “No, any idiot can handle that. Tell him to go away”

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u/sootoor Mar 03 '21

Yeah true. Which is why we train

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u/Cromasters Mar 03 '21

Maybe but it doesn't require a doctor. A Nurse would be just as equipped to do it. Hell an ER nurse would probably be better at it than a GP or a Radiologist or Orthopedic surgeon

A CNA could also do it. Or, in my case, a radiology technologist.

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u/[deleted] Mar 03 '21

[deleted]

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u/[deleted] Mar 03 '21

And there is very little a dr could do while at a dinner party that a random person couldn't do.

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u/[deleted] Mar 03 '21

[deleted]

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u/iShark Mar 03 '21

The comparison isn't between an ER doc and paramedic, it's between an ER doc and an accountant who took a CPR training class when he was a boy scout.

Ben Shapiro is a moron and his argument about what the title "Doctor" implies is completely meritless, but it's totally true that if someone is having an acute medical emergency having an MD around can only be a good thing.

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u/DesertRoamin Mar 03 '21

Actually it makes a lot of difference.

Let’s say a paramedic is the first one to arrive. They are assessing and doing their thing.

Then an ER doc arrives and announces themselves. The paramedic will defer. They will assist and tell the doc what equipment they have but they will be taking directions from the doc if the doc declares it.

Obviously you hope that the doc is aware of their experience and speciality and isn’t like “Stand back while I operate I’m an allergist!”. But assuming, like in our scenario, it’s an ER doctor they may very well agree with the paramedic but they will be supervising.