We’re not entirely sure since CT, blood work, an LP and tox screens came back negative. He had a long seizure in the ER, so our best guess is that he was seizing and that lead to hypoxia
Okay, so our working model is now that this was a "Status Seizure."
1.) Okay, so from the start, was this a BLS or an ALS Ambulance?
Are you sure there was a Medic onboard, not a basic EMT, or do you not know?
2.) What is EMS' treatment of a patient in status?
Intubation, Manual Respirations, Advance Airways, and Cardiac Monitoring are not going to be possible until the patient is no longer alive or until the seizure ceases. We can safely assume neither of those had occurred during transport.
The idea that those things were missed during transport is essentially defeated.
So what is a Medic going to do for a Status Siezure?
Sedate, and give Oxygen via NRB if needed. There isn't going to be a better way to increase SP02 during an active siezure, and SP02 Monitoring isn't really going to be possible anyway.
What is a BLS truck going to do?
NRB, that's it.
I'm gonna assume you don't know if they attempted sedation so we're gonna skip over that.
3.) So now we're at the point where you have 2 remaining credible complaints.
A.) That the "Paramedic" might have missed this child obviously having a status siezure.
B.) That the "Paramedic" didn't transport a person in emergent during a status siezure.
As for A., it's possible. But this sounds more like a call that is lost in translation on the report taking end over incompetency. We have your nurse gossip telephone version of events but not really a real picture of what was said.
As for B., I mean you probably should transport Status Siezures emergent but that's really up to Protocols. They're not alerts, and emergent protocols can widely vary.
End Thoughts:
Your reaction sounds very.... confused.
Everything you described is fairly common with Status siezures. People either are corrected out of them or decompensate, and eventually code.
I don't see a single thing on the treatment side that seems wrong or off without a full availability of the facts.
Beyond that, it's very sensationalized to say a Paramedic murdered this patient. One, because it doesn't really sound like bad care, and Two, this really just sounds like a typically run of a status siezure, and to really assume the kid is brain dead is pretty presumptuous, and likely not correct.