"For this patient population, less is more," Temple University Hospital surgeon told VICE News. WATCH MORE on HEALTH here: bit.ly/2zwSD9o

I've got to say, I had absolutely no idea what this video was going to be about based on the title.

Does every Vice reporter have to look like a hipster model?

I'm a paramedic in Colorado, we do our best and we as EMTs make half of what a nurse makes, I also work 24 HR shifts so those two doctors should come and work a day in my shoes. If we bring a patient with a GSW to the er and we establish a line in route, and most doctors receiving the patient want a IV in, if blood is lost then fluids are a must, I know there is a fine line that if too much fluid is given then the blood won't clot as well but I can't give much of fluid anyway due to the fact that we arrive in ten minutes at the trauma center. And the truth is that even in the Denver area there are more GSW victims among the minority community especially the black community, I don't know why this is but I hope it can change for the better.

I can't see how this study can be consider accurate. whole lot of variables, were is the patient shot, how many times, what caliber was used, what distance was the shooter, other injury or pre-shooting medical conditions, and was the patient on any form of drugs. I also wonder if the study will use the data collect from say 15 years of the GWOT.

Disagree with this study 100%. A patient who has been shot and is loosing liters of blood, that patient needs to be receiving fluid as soon as possible before arriving to a trauma center. If an IV with fluids running wide open is not establish before arriving to the hospital, that patient will become hypotensive at a point where the heart will stop beating and required EFFECTIVE CPR. Penetrating traumas like a GSW can go downhill quickly. I am shocked that these trauma doctors don't think about that. A patient has been shot multiple times, pelvic, chest, abdominal shootings can make the patient go into shock due to excessive blood loss. As I said before, all the blood loss will prevent the heart from beating unless fluids are provided to stabilized the patient. Hope to see where research is at now and how successful they have been after few years researching.

Interesting. I’m premed and have always thought more is more. Changes my expectations about my training down the road. Very cool!

As a researcher, this study seems totally unethical to me. You can't deny a life saving medical procedure to someone right now for the sake of obtaining data on the best procedure for the future. This isn't a George Orwell novel.

Unfortunately, many victims of Police shootings tend to not survive long enough to get to the ER. Since the cops involved are usually shown in most videos admiring their handiwork, and forgetting about any first aid for the victim(s).

im a paramedic, the point is bls takes less time to take trauma to the hospital.

Interesting hypothesis. I'd like to know the results of this study.

This study has been postponed and now will start in July 2019, it's still predicted to last 5 years, and anyone can opt out of the study by filling out a form to acquire a wristband that you'll have to wear for the duration of the study.

Harry, at times it is difficult to rationalize how we can give one group treatment and withhold treatment from another group. Your concern is shared by many others. I would just like to share why scientific studies are designed in such a manner and why I think this is ethical. In a nut shell, a scientific study needs to observe two different groups. By comparing the results from the two different groups it should be clear which method works best. As was discussed, the doctors have been gathering information for years on the success of their patients and which treatment they were given. They already have great reason to believe that when it comes to gunshot wounds “less is more.” The physicians are now doing what the scientific community refers to as a controlled study; which is what I referred to above where scientists look at two groups. Generally, controlled studies are the most precise way to come to the most accurate conclusion. And with the approval from the FDA these physicians will figure out which method is best. Secondly, in an emergency, like being shot, the medical team does everything in their power to do the most good for their patient. Because the patient is in a non-responsive state and is unable to make their own medical decisions the medical team’s role is to keep the patient alive. The trauma surgeons are implicating non-maleficence; which means that medical teams are not to do harm to their patients. (This is where I’d like to direct some thoughts to Daniel Atwood). The doctor’s findings have shown that the more that is done to a patient before reaching the hospital the worse off the patient is in the long run. I think that this is ethical because the team is acting in the best interests of the patient. As a community we have accepted that pre-operative treatment is necessary for survival as Daniel indicated. However, maybe it really isn’t the best way to treat gunshot victims and we won’t know for sure until the study is finished. I don’t see it as a lifesaving treatment is being withheld from the patients. Instead I see it as a medical team that is preventing unnecessary harm from happening to the patient before surgery. Again, it does seem a little strange to think that less can be more but through this study we will find out how to better help gunshot victims and through it help the lives of many others.

Another way to opt out of the study is to not resort to gun violence.

Easy way to stop more shooting crimes is to simply reduce the black market trades that the gangs are fighting over, no more money equals no reason to commit those crimes to protect their territory. It always goes back to black markets needing to police themselves with violence. At the very least removing weed prohibition would drastically reduce the money in these markets.

A little more research on BLS and ALS services would have benefited this report, or at least making it a little more clear to the viewer.

Isn't this low-key unethical bc some people will get the new method used on them while some don't? What if one method works better than the other and the lives that could have been saved were lost bc they used the wrong method?

Lol lets flip a coin on this guy -- heads he gets basic, tails he gets advanced...

6 killings? Boii you're a whole state

"....for this patient population" really ?

One of the rare times I hear about my city/university on this channel and its negative haha

wtf happened to my hometown??????

This is dumb. Ofc the people we tube and set up lines and run fluids are gonna do worse because they are the sicker patients. smh

This could only happen in the ghetto. If I found out that that care was being withheld from me to be their guneypig I would sue!

Lawsuits for this medical racism in less than two years....Mengele would be proud of those two awkward white women doctors.

Hey vice I know you are trying to make good content again but at least use footage of Philadelphia PD and FD I saw a lot of Chicago footage used.

This Vice interviewer is really hot

Ministry of Propaganda

This is the most racist thing since the Tuskegee experiments. Bravo.

Listen she's beautiful ❤️❤️❤️

winter agenda teach dkrqik territory four.

Americuhhhhh - we need our guns no matter the cost

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