There's not a single instance in the article mentioning the EMS Medical Director being consulted in any of the 94 cases gone wrong (much less being held accountable). Multiple cases where the EMTs were pressured by the police, though.
It is impossible to consult with the medical director, or even medical control, on all cases so you rely on protocols and standing orders to perform your duty.
All jurisdictions have standards for sedation.
If any clinician feels pressured by the police to do something contrary to the standard they should call their ems supervisor— they’re paid to be mean to cops and charge nurses.
People have thought of all of this already.
I expect systems to be as perfect as I am, so “im-“.
