It is unusual to transport a patient to a hospital if return of spontaneous circulation (ROSC) is not achieved in on-scene.
E.g, in San Francisco's protocols, if a patient doesn't regain a pulse after 30 minutes of CPR, the patient is declared dead and not transported to the hospital (unless the base hospital requests transport, which is rare). See policy 4050-II-2 (Medical Indications).
From that perspective, I'm surprised that the old policy existed. With respect to getting a pulse back, there's not much that can be done in a hospital that can't be done in the field. (Of course, after a pulse returns, then the hospital can do lots of things that can't be done on-scene).
"The team also explored why and how a Mediterranean diet might mitigate risk of heart disease and stroke by examining a panel of 40 biomarkers, representing new and established biological contributors to heart disease. ... The team saw changes in signals of
* inflammation (accounting for 29 percent of the cardiovascular disease risk reduction)
* glucose metabolism and insulin resistance (27.9 percent),
* and body max index (27.3 percent).
The team also found connections to blood pressure, various forms of cholesterol, branch-chain amino acids and other biomarkers, but found that these accounted for less of the association between Mediterranean diet and risk reduction."
The suggestion from the data being that inflammation and insulin resistance might be more important factors than the usual cholesterol panel that people tend to fixate on.
There are people who advocate that. The following video discusses some results in the area (link is to 41:05, where they show some rodent models).
https://youtu.be/gONeCxtyH18?t=41m5s
Of note is that that is in addition to (not instead of) standard care.
It's also interesting to see many people taking Metformin (which inhibits glucose production in the liver) preventatively.
My "extremely expensive" was unfair. Some quick searching suggests ~$650 for the transmitter ~$100/week for sensors. "Not cheap" would be more accurate.
Continuous glucose monitoring (CGM) could be extremely effective for weight loss.
Dexcom has a CGM system that hooks up to your phone/watch, but is only available with prescription (and is extremely expensive without coverage), so this is effectively only available if you already have severe health problems.
To me these sorts of subcutaneous CGM systems seem more convenient for users than other initiatives (e.g, the contact lens projects). The sensor stays embedded for a week at a time, you can sleep with it in, and you get measurements every 5 minutes or so.
E.g, in San Francisco's protocols, if a patient doesn't regain a pulse after 30 minutes of CPR, the patient is declared dead and not transported to the hospital (unless the base hospital requests transport, which is rare). See policy 4050-II-2 (Medical Indications).
https://www.sfdph.org/dph/files/EMS/Policy-Protocol-Manuals/...
From that perspective, I'm surprised that the old policy existed. With respect to getting a pulse back, there's not much that can be done in a hospital that can't be done in the field. (Of course, after a pulse returns, then the hospital can do lots of things that can't be done on-scene).