Flightmed archive for January-2002
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Flightmed archive for January-2002

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Re: Pt. Scenario

Hello and Happy New Year:
I've seen the local ER sit on patients like this and they died for many
reasons that were preventful. If you take them to the local trauma center
they are triaged and treated by the trauma team.  Many local ER's are simply
overwhelmed and this patient may have to be in line for xray with everyone
else. That golden hour seems to slip by too fast and now the patient is
crashing. I agree if it was my loved one or family they need the trauma
Happy New Year.
David Seng
----- Original Message -----
From: "Wesley Copeland Sr., MICT, NREMT-P, CCEMT-P" <wcemt@terraworld.net>
To: <flightmed@flightweb.com>
Sent: Tuesday, January 01, 2002 1:27 PM
Subject: Re: Pt. Scenario

> The criteria is there for direct transport to a Trauma Center, so why play
> around with a smaller hospital?  I'm sure we have all seen patients
> to this one.  Many are discharged before you can finish your paper work.
> But we don't have x-ray, CT scans, or ultrasounds in the field to
> rule out internal injuries.  If it were you or your loved one, would you
> want them to go to the local ER for treatment or would you want them seen
> a trauma team?  Personally, I would fly them out to a trauma center even
> the air transport time was significantly longer than to the local ER.
> ----- Original Message -----
> From: "Adam Oplinger" <ajoplinger@FlightMedicMail.com>
> To: <flightmed@flightweb.com>
> Sent: Monday, December 31, 2001 8:14 AM
> Subject: Pt. Scenario
> > Hi all.
> >
> > I would appreciate any feedback that you all might have to offer on this
> scenario:
> >
> > Pt. is a mid-thirties female, involved in MVC, unknown if restrained.
> is apparently the driver. Pt. vehicle hits utility pole at greater than
> 55mph producing significant damage to vehicle. (You later find out that
> vehicle has also rolled over.) Approximately 20 minutes of extrication are
> required to disentangle the patient. Ambient air temperature is approx. 20
> to 25 degrees F.
> >
> > Pt. does not remember the crash. ETOH on board. Pt. oriented to person
> only. Pt. has a one inch laceration to the left temporal region and active
> bleeding from both nares. Pt. also c/o pain on palpation to the chest.
> wall is intact with bilateral breath sounds clear and equal. Pt. co
> genralized ABD pain with increase on palpation of all quadrants. Pt. also
> c/o lower back pain. Pt. is slightly tachycardic with evelvated B/P. Resps
> and Sats WNL.
> >
> > Transport times as follows:
> >
> > By ground to trauma center: 30-40 minutes
> > By air to trauma center: 10 minutes
> > By ground to local community hospital: 10 minutes
> >
> > Does anybody feel that this particular patient recieves any benefit from
> going to the community hospital by ground?
> >
> > Thanks a lot and have a happy and safe new year!
> >
> > Adam Oplinger NREMT-P
> >
> >
> >
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> >
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> >
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