PHTLS, Ground EMS, Air EMS, Chest Tubes

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Ken,
At least in Iowa, EMS personnel are part of or represented on the hospital
trauma committees. Reports are given at each meeting with the trauma director
present. These reports would include complications of all types. I have been
involved with this process personally for 10 years. More recently, I have given
trauma lectures to paramedics, and I have reviewed run/flight sheets personally.
If there are variances, the individuals are contacted for explanations. Feedback
and corrective actions are taken. Loop closure is achieved. The PI process
continues to monitor the situation.  

--
Kind regards,
Phil
Phil Caropreso, MD, FACS
Chair, Iowa State COT
1813 Grand Avenue
Keokuk, Iowa, USA, 52632
pjcabdds at mchsi.com


>  
> In a message dated 4/15/2006 10:51:02 P.M. Central Standard Time,  
> Krin135 at aol.com writes:
> 
> roydanks at hotmail.com writes:
> 
> Just 3  days ago at our level  I trauma center, a patient transferred from 
> the 
> scene  had a chest  tube placed in the helicopter...into the liver.
> 
> Timely,   huh?
> 
> 
> 
> Was this iatrogenic trauma reviewed by the Trauma program M&M  .   Most 
> helicopter operatoins in the US are OUTSIDE the Trauma  Service review.  Their 
> complications are brieftly presented to the EMS  helicopter director and 
> reported 
> to the ED director, not the surgical trauma  director.    Or at least that is 
> what I have found in some  hospitals that I am aware of and have surveyed
>  
> k
> --
> trauma-list : TRAUMA.ORG
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> http://www.trauma.org/traumalist.html

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