penetrating posterior torax injury continued

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Never the less, going straight to the trauma center was the patient's only
and best chance at survival. This is one of the most difficult things to
convince people of when implementing a trauma system. The shortest route to
definitive acute care is best. There is no point in driving the patient
someplace where the injury cannot be meaningfully addressed. There is also
no point in trying to provide any "treatment" to seriously injured patients
in the pre-hospital setting.
 
Rob

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From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Richard van der Kleyn
Sent: Wednesday, November 01, 2006 12:11 PM
To: trauma-list at trauma.org
Subject: RE: penetrating posterior torax injury continued




prehospital protocols are in place, unfortunatly just for the medicalised
ambulance (of which we hace one covering a poulacion of about 100,000 (in
the summer anywhere up to 400,000) and an area including mountains. In this
casa this ambulance was occupied and the medical ambulance was sent out from
the trauma center (35-40 minutes), the normal paramedics arn't used to
taking theses decisions and the only treatment the can give is O2. If they
had gone straight to the trauma center in this casa the pacient would have
arested in the ambulance in the time to get to the trauma center.

 

i agree that a lot of work has to be done (and money) in the prehospital
setting to reach the standards of most european countries


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