Transfer

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Better question is how did your system select this guy for a level III
center with a level I so close by.  

A level III hospital with an "OR team in house" by no means ensures prompt
or proper damage control.  The simple fact that a patient with presumably
submissive hypotension has already had a chest and abdomen CT suggests that
this initial destination was a dreadful mistake.

Your level I's ability or enthusiasm to help this poor fellow was made
irrelevant by the lack of sophistication in the larger system.

Just me, just now.

Pret Bjorn, RN
Bangor, ME USA


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of ABMoss at aol.com
Sent: Thursday, August 16, 2007 8:11 PM
To: trauma-list at trauma.org
Subject: Transfer

 
A question to the group.  Does a Level 1 Trauma Center have a
responsibility 
to accept an "unstable" patient from a Level 3 Trauma  Center?  30yr male 
MVC, GCS 15, systolic BP 40-60. Resuscitation with  crystalloids and PRBC.
CT 
revealed liver & spleen laceration and  suspected aortic injury. OR team in 
house but no cardiothoracic  capabilities.  Level 1 Trauma Center is about
15 
miles  away.




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