ROLE vs certifying... The classic battle.
I had a trainer saying about how they went to a job with a CFR doing CPR on someone who had been sat on a chair when rigor set in and how daft that was, but it was in the scope of practice that they must make an effort... Then to tell us that we did not have the ability to ROLE, and dodged the question I had about someone with distinct hypostatic staining, and whether on our protocol an attempt should be made or not.
Had an incident at a sporting event, competitor was in arrest, so one crew nearby got sent and we went as backup. Got on scene over half an hour later, and the air ambulance car had arrived. We loaded the patient to clear the scene and allow people to move around again, and the doctor decided that we had been going for 40+ minutes, ALS for 20+, no output, nothing more that could be done, but she was unable to certify due to trust protocols as she wasn't working for the ambulance trust or a hospital trust. Race medical director was notified 5 minutes after CPR ceased, and was of the opinion that nobody should die at the event, so would we awfully mind restarting CPR. Air ambulance doctor, who was talking to them, was thoroughly unimpressed with that suggestion! We ended up conveying to the mortuary, with control trying to assign us a job while waiting to unload... 10/10 for compassion there!
(Recognition Of Life Extinct, Community First Responder, Cardiopulmonary Resuscitation, Advanced Life Support)