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Mon Apr 10 00:47:21 BST 2006

Howdy:

At least in /my/ neck of the woods, we're being trained and taught to
view the nearest trauma center as definitive care for trauma: any
intervention (IV, etc) beyond gaining control of the airway waits
until we're rolling (or flying), with the obvious caveats for delayed
extrications and the like.

>From my Revised Fifth Edition of PHTLS (ISBN-13 978-0-323-02744-1), page 75:

"If life-threatening conditions are identified during the primary
survey, the patient should be rapidly packaged after initiating
limited field intervention. Transport of critically injury [sic]
patients to the closest appropriate facility should be initiated as
soon as possible (Box 3-2). Unless extenuating circumstances exist,
the provider should limit the scene time to 10 minutes or less for
these patients. The provider must realize that limiting scene time and
initiation of rapid transport to the closest appropriate facility,
preferably a trauma center, are fundamental aspects of prehospital
trauma resuscitation."

My $.02 from Northern California.

Ashton

On 4/9/06, J.A. Terranson <measl at mfn.org> wrote:
>
> On Sat, 8 Apr 2006 docrickfry at aol.com wrote:
>
> > Please refresh--when did we ever leave it?
>
> While i can't speak to your neck of the woods, in New York we left this
> behind in the late '80s.  In fact, until the NYFD borged our EMS, our
> EMT-Ps (and often our "EMTPYs" [awful emts] were pretty close to actually
> practicing independent medicine.  Where are *you* that scoop and run is
> still the norm?
>
>
> > ERF
> >
> > -----Original Message-----
> > From: J.A. Terranson <measl at mfn.org>
> > To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
> > Sent: Sat, 8 Apr 2006 12:56:50 -0500 (CDT)
> > Subject: Re: Clamp the the chest tube?
> >
> >
> >
> > So, are you proposing we go back to "Scoop and Run"?
> >
> >

[trimmed]

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Clamp the the chest tube?