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



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Re: Pt. Scenario



Lisa,
 
While I agree this pt. needed to be flown, I question your comments regarding a Level 2 Trauma Center not being able to treat the injuries.   Every where I have worked, the only significant difference between a Level 1 & 2 Trauma Center was the facilities involvement in teaching medical students / interns.  However the level of care available is virtually the same.   I don't mean to be argumentative.  Things may very well be different in your area but if I don't make a comment I'll never know.
 
Wesley Copeland Sr., MICT, NREMT-P, CCEMT-P
Flight Paramedic
-----Original Message-----
From: Lisa Heinz <flytrn117@yahoo.com>
To: flightmed@flightweb.com <flightmed@flightweb.com>
Date: Tuesday, January 01, 2002 10:15 PM
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....

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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