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Fri Aug 17 16:11:50 BST 2007

"I'm not sure why any trauma center no matter what level would consider
transferring this patient.  Fix the abdominal problem then worry about
transfer.  If the aorta is the problem then the patient's survival
depends
on the skill of the trauma surgeon."

Dr. Thompson,

Lest I have been unclear: we should expect that a level III trauma
center in proximity to a level I might predictably become a bit flabby
in the damage control department.  Such would not (to my understanding)
represent a criteria deficiency for level III -- especially with an
ivory tower fifteen minutes away sucking in all the good cases.

Like you, I know next to nothing of the case or the system in question;
but if only for that reason, I'm less eager to blame the hospital as I
am the local trauma system.

Pret 

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Transfer - NO