Can a resident expert of compassionate/emergency c

Can a resident expert of compassionate/emergency care IND and FDA protocols please explain some details here. Does the hospital have to apply for each and every patient treated? God, this seems like an archaic and time consuming waist of time developed by a bloated governmental agency in bed with big pharma money.

Success would certainly clear the way for the IND in most peoples mind, maybe the FDA will see this too...