trauma transfer

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In a message dated 24-Oct-05 18:08:33 Central Daylight Time, Nappio at aol.com  
writes:

It seems  once again on the Gulf Coast of Florida I have to pull teeth to  
get  
a patient to a trauma center.

Am I incorrect in wanting to transfer  an 84 y/o female with severe  
osteoporosis who after a non-syncopal  fall sufferred an unstable pelvic 
fracture  with 
at least two breaks  of the left iliac wing associated with the SI joint,  
with 
associated  large pelvic hematoma, labile sbp(80-100) and tachycardia?? Her  
hgb  stabilized at 9.5,, but I am at a small community hospital with no ICU   
housestaff and no angiography/embolization available and to top it off,,  the 
 
orthopod "feels uncomfortable" managing the patient.  

Fortunately she is stabilizing, am I wrong to want her at a facility  where  
they could more readily deal with her situation if she were  to  
deteriorate???


nope...I'm in much the same situation, and would want her to a major center  
ASAP as well.
 
ck
Charles S. Krin, DO FAAFP

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