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stephanie staford trauma-list@trauma.org
Mon, 11 Nov 2002 06:22:51 -0800 (PST) 

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I agree, because those level one patients who go to level two and three facilities need to be packaged quickly, appropriately, and without unnecessary studies that negate the first listed.  that would be the job of the ED physician and not the surgeon at the level two and three center.  at level one centers the trauma surgeons (residents) are and should be responsible for the evaluation for surgical intervention at that facility.  
can't tell you have frustrating ( and wrong) it is to receive a patient with a ton of studies (all copies that are unreadable ) and realize that they received a huge workup from a facility that was not going to care and was not qualified to care for the patient.  it was a waste of precious time and invariably meant that the level one trauma patient was now under recessitated and closer to death than if they had been sent hours before.
stephanie stafford
 DocRickFry@aol.com wrote:In a message dated 11/8/2002 12:58:33 PM Eastern Standard Time, pbjorn@emh.org writes:

I think the further you get from the urban Level I's and II's, the more important it is to be inclusive of the folks manning the front door.  

I really am not sure why you except urban level I's and II's from this --it is always important to work closely with our ER medicine colleagues in caring for the injured no matter what or where the trauma center.  Every trauma accrediting body of which I am aware agrees with this, as they all require documentation of ER involvement in this care.
ERF 


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<P>I agree, because those level one patients who go to level two and three facilities need to be packaged quickly, appropriately, and without unnecessary studies that negate the first listed.&nbsp; that would be the job of the ED physician and not the surgeon at the level two and three center.&nbsp; at level one centers the trauma surgeons (residents) are and should be responsible for the evaluation for surgical intervention at that facility.&nbsp; 
<P>can't tell you have frustrating ( and wrong) it is to receive a patient with a ton of studies (all copies that are unreadable ) and realize that they received a huge workup from a facility that was not going to care and was not qualified to care for the patient.&nbsp; it was a waste of precious time and invariably meant that the level one trauma patient was now under recessitated and closer to death than if they had been sent hours before.
<P>stephanie stafford
<P>&nbsp;<B><I>DocRickFry@aol.com</I></B> wrote:
<BLOCKQUOTE style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid"><FONT face=arial,helvetica><FONT lang=0 face=Arial size=2 FAMILY="SANSSERIF">In a message dated 11/8/2002 12:58:33 PM Eastern Standard Time, pbjorn@emh.org writes:<BR><BR>
<BLOCKQUOTE style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #0000ff 2px solid; MARGIN-RIGHT: 0px" TYPE="CITE"></FONT>I think the further you get from the urban Level I's and II's, the more important it is to be inclusive of the folks manning the front door.&nbsp; 
<BLOCKQUOTE></BLOCKQUOTE></BLOCKQUOTE><BR><BR>I really am not sure why you except urban level I's and II's from this --it is always important to work closely with our ER medicine colleagues in caring for the injured no matter what or where the trauma center.&nbsp; Every trauma accrediting body of which I am aware agrees with this, as they all require documentation of ER involvement in this care.<BR>ERF </BLOCKQUOTE></FONT><p><br><hr size=1>Do you Yahoo!?<br>
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