Hot Seat #153: Medical Control Request

Posted on: May 28, 2020, by :

Situation: EMS on scene at a private home in DC (pre-COVID) calling to speak to a physician for medical control:

“6 y/o F found in asystolic cardiac arrest. No true rigor but upper extremities and jaw slightly stiff. Last seen alive 12 hours prior”.

The EMS team is requesting permission from the MCO physician to declare the patient deceased.

You request a temperature to be taken and ask EMS if there are any signs of life. EMS reports thermometer is reading low/unable to give a value. EMS confirms no signs of life.

The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.

Nichole McCollum

After spending the majority of my life in Georgia, I moved to DC.I spent my first two years at CNMC as an associate in the ED before starting fellowship this year. My husband and I have a feisty and dramatic rescue furchild name Cain who rules our house. I enjoy good food- cooking, eating/searching for the best DC restaurants, traveling, being active and watching college football in the fall (go dawgs!).My research interests include QI, asthma and febrile infants.

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