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Penetrating Chest Trauma

trauma-list@trauma.org trauma-list@trauma.org
Tue, 29 Apr 2003 18:47:34 -0400

In a message dated 4/29/2003 4:00:00 PM Eastern Standard Time, paramednick@comcast.net writes:

> As another note, it is quite common for the ground ambulances to transport trauma patients past other closer hospitals to get to our trauma center. From subjective evidence, it appears that this may sometimes add 20 minutes to the transport. Recently there was a left axillary 5th ICS stabbing that rode nearly 30 minutes to get to us. The patient was fortunately stable and the trauma team only was needed for about 15 minutes till we stapled him and cleaned up the dried blood. If he was unstable then things would have probably been a little 
> different. 
> Regards
> Nick

This is what they are supposed to do--it is not the nearest hospital that the most seriously injured must be taken to, but the nearest appropriate hospital--one of the most basic tenets of trauma care.