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Happy New Years everyone :) Just wanted to drop in my 2 cents re:the
scenario.
This pt.obviously has significant potential for major trauma...including
significant mechanism of injury,signs and symptoms of multiple organ system
trauma, and a poor historian due to not only the ETOH but also the
potential head injury...
from the info in the email...going by ground and going by air are equal in
transport times...to two different facilities, and two different levels of
care...i guess i would answer this question as a "No" due to two different
reasons. 1. the community hospital having limited care (from the
assumption i'm making) to where as you could get a full-blown trauma center
w/not only acute care but also definative care after the fact to where the
community center may have to ship out later increasing the cost to the pt. and
possibly the pt.s family. 2. I being a medic myself have nothing
against road medics or their abilities but if I were the pt.or the pt.'s family
memeber i would want the extended care i may recieve from a flight crew trained
in higher critical care procedures (most of the time) compared to a road medic
that is limited to certain procedures...not only by training but also possibly
by local protocol.
now these are just my opinions...thanks for the invite...
Sally CCEMT-P
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. Pt. = is apparently the driver. Pt. vehicle hits utility pole at greater than = 55mph producing significant damage to vehicle. (You later find out that = the 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. = 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 |