RE: Pt. Scenario

["Twait, Thomas N." <Twait.Thomas@mayo.edu>]

    I hope you are not trying to say a Level 1 trauma center can do a more
complete evaluation then a Level 2.  Does a Level 1 have a better CT
scanner, a better bedside ultrasound?  You don't really go to a trauma
center for the diagnostic capabilities.  You go to one for there
capabilities to do immediate and multiple interventions.
 
Tom Twait
    

-----Original Message-----
From: Lisa Heinz [mailto:flytrn117@yahoo.com]
Sent: Tuesday, January 01, 2002 10:13 PM
To: flightmed@flightweb.com
Subject: Re: Pt. Scenario



I agree with the replies to the pt scenario. 


Regardless if the Community hospital was a Level II, this patient needed 


a Level I Trauma Center for complete evaluation.  A Level II may not be able



to adequately treat all the injuries the patient may have had and valuable
time would be 


lost (for the patient to receive appropriate care!) making that diagnosis. 


If EMS calls for a helicopter for something that looks bad, is bad, or is
potentially bad, how about 


erring on the side of the patient and sending them to the Level I for
complete evaluation.  If they are discharged 


from the Level I's ER in a few hours or in less than 24 hrs.  GOOD!  Then
they weren't hurt that bad.... 


  <http://us.i1.yimg.com/us.yimg.com/i/mesg/tsmileys/7.gif> 


Lisa 


  Flgtmdic85@aol.com wrote: 


>From the information provided.... I think this patient earned a direct 
flight to the trauma center. No way the local community hospital could 
properly manage this patient. 

Adam, let us know how the rest of the scenario played out...

Michael Wilkerson
Flight Paramedic/Firefighter

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