wtcreaux
Contributor
Is that a general rule?
No, depends upon each state's rules/laws.....I flew for 10 years in LA (the state, 1990s).....the only way we could call it was obvious death (decapitation, rigor mortis, etc)....during this same time, Michigan was able to call it if the patient had sustained blunt force trauma and was pulseless on air crew's arrival (IIRC, based off a 10-year study in MI that showed a ZERO survival rate)......Also depends upon the flight crew composition - we were flight nurse and flight medic, Houston (TX) LifeFlight flies flight nurse and flight doc (at least in the 90s) which allowed them (at least the doc) to call it on-scene......