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Insider analysis: When safety collides with duty

A lawsuit claims Honolulu paramedics could have prevented a fatal ambulance fire. Was the crew’s response justified?

What happened: A tragic incident occurred in Honolulu in 2022 when a 91-year-old patient died after an ambulance fire broke out during transport. The fire was reportedly caused by an explosion of the oxygen tank regulator while the patient was being transferred from CPAP to a portable oxygen tank. The incident has led to a lawsuit alleging negligence on the part of the paramedics involved. The patient died from burns sustained in the fire, while one of the providers was also injured.

| More: Lawsuit alleges Honolulu paramedics abandoned patient in 2022 ambulance fire

Highlights

Watch as Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C; and Daniel Schwester, MICP, highlight the significance of this development, including:

  • The danger of outdated equipment. The explosion may have been caused by an older oxygen regulator, underscoring the importance of maintaining up-to-date and well-maintained equipment.
  • Scene safety vs. patient care. The discussion raises the difficult balance between ensuring scene safety for providers and the moral obligation to protect patients, especially in life-threatening scenarios.
  • Industry-wide implications. The incident draws attention to broader issues in EMS, such as the need for better vehicle maintenance and the potential risks of cost-cutting on critical safety equipment.

The path forward

This incident serves as a wake-up call for the EMS industry, highlighting the critical need for regular equipment checks, updated safety protocols, and the importance of balancing scene safety with patient care. Moving forward, EMS agencies must address the risks posed by aging equipment and ensure that paramedics are equipped with the tools and training necessary to handle extreme emergencies.

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Ed Bauter, MBA, MHL, NRP, FP-C, CCP-C

Ed is a managing partner and chief executive officer of Overrun Productions, LLC; and co-host of The Overrun Podcast. Ed is a recovering medical student and paramedic.

His academic interests are in healthcare policy, team leadership and development, resuscitation and EMS medicine. Before attending medical school, he was a field preceptor and EMS educator for 10 years.

A second-generation paramedic, Ed works to inform the public about the importance of EMS and strives to encourage other EMS providers to move the profession forward using the most up-to-date data and technology.

He is a fan of old movies, the New Jersey Devils and the Philadelphia Eagles.

Daniel Schwester, MICP

Daniel Schwester has been a paramedic since 2000. He has served in a variety of roles including education, field training, clinical supervision and active practice as a paramedic.

He is the managing partner of Overrun Productions, LLC; and a co-host of The Overrun Podcast.

He is married to Jennifer, and is father to Caroline and William. He resides in Toms River, New Jersey.