Re: transport time (school assignment)

["Mike Shuken" <mikeshuken@value.net>]

With the times close to seemingly equal, I would think that some trauma
patients that have extremely painful fractures would also benefit from air
transport.  Morphine can only dull a shattered leg to certain point.  If I
were a patient with serious fractures, I would think that a smooth seven
minute flight in a helicopter would be preferable to a forty-minute ride in
the back of a bouncing ambulance with the driver intent on making the best
time to the trauma center...

Best,

Mike Shuken
Paramedic
AMR
Oakland, Calif.

Bay Area Paramedic Journal Club
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> What is best for your patient? In NJ we arent that much different as far
as
> ground equipment than the helicopter program. Besides the RSI for certain
> circumstances you really can't justify delaying your patients care by 10
> mins.  just so they can get a ride to the Trauma center in a different
type
> of ambulance. Most patients would benefit from an expedited transport in
my
> opinion even though I believe in job security for flight programs, being a
> prospective candidate myself. As far as protocols go, you should follow
whats
> been implemented for your program obviously since it was structured that
way
> for one reason or another.
>
> James
>
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