RE: Pt. Scenario

[James.J.Misuraca@Hitchcock.ORG (James J. Misuraca)]

OK lets take this one out of the realm of the flight crew. Lets pretend we are
Dr.Joe Elemdee at the Center Barnboard Health Center. The local ambulance has
had several of these calls this year. To his estimation, none of them have been
as severe as they sound when they are dispatched or when they patch in with
scene info. 
"Do I take a chance and bring them here first or do I send them 30 miles away
to Trauma Center without ever seeing them?"
As one responent recalled her observation of the Kansas region we struggle with
these issues in the Vermont/ New Hampshire region. Politics, goverment,
weather, etc....
have conspired to limit our scene response and cause us to struggle with this
senario on nearly a daily basis.
How can we make this sort of descion making less painful/ costly for the small
providers? At what level of education or goverment protocol do we draw the line
on excessive evaluation by centers that are not equiped to provide care? How do
we do this and appear to be the "adjuncts to improved patient care" that we
know we are versus "the money hungry trauma scavangers in thier expensive toy"
Excuse me, devils advocate

_______________________________________________
Flightmed mailing list