To help in understanding the Disney rules, I want to take a minute to explain how Florida works when it comes to EMS and dead people. Florida’s EMS system requires that all prehospital services (like EMS) have to be supervised by a doctor. That doctor is called a medical director, and that medical director sets the rules under which all of the EMT’s and Paramedics that he supervises must operate. The rules are referred to as protocols.
Some medical directors don’t trust their underlings very much, and keep them on a very short leash by making protocols restrictive. Other medical directors allow their medics latitude to make more clinical decisions than others. There are all kinds of protocols.
My first medical director here in Florida was one of the strict kinds. We were not allowed to declare someone dead. Ever. Every single person got transported, and the doctor in the ED had to make the call. We once transported a person whose head was severed from his body. The ED doctors were pissed.
If you decide that the patient is dead on scene, the radio call used to be “Signal 7.” Then the 911 commission came along, and we were no longer allowed to use codes. From that point on, the radio call became: “No code, no vitals.”
Reedy Creek is, for all practical purposes, a government that is owned by a private company. Their medical director is VERY strict, and the protocols that they operate under are anachronistic. They wrote their protocols IMO with a lawyer and PR department in mind, but not a doctor, and certainly not the patient, in mind. One of the rules that Disney operates under is that all medical patients need to be transported to the hospital, even if they are dead. The majority of them go to Advent Hospital in Celebration, where the doctor then declares them dead. Since Celebration Hospital is not on Disney property, the person didn’t die at Disney. They died in the Hospital.