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Sun Jun 10 19:27:09 BST 2007

Rob,
Thanks for taking the time to reply, especially with the research that you put
into it. I am familiar with the protocols, and if you are in Iowa, I probably
know your facility. As you know, all of Iowa hospitals are designated as trauma
care facilities. There are only two level ones: the University in Iowa City and
Iowa Methodist in Des Moines. Level two centers must have neurosurgeons as well
as other specialists. Level three facilities must have general surgeons. Level
fours must staff an ED, which can be with mid-level providers. For various
reasons, including an unwilling med staff, some places have specialists, but are
categorized at lower levels. Iowa City is 100 ground miles from Keokuk. With the
proper indications, air transport is the best way to go. The questions remain:
what were the injuries, what were the indications for
transfer, who has authority for transfer, and what were the benefits and risks
of the managment selected. EMS is represented on the local trauma committee,
which will meet next week. The case will be discussed.

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

----------------------  Original Message:  ---------------------
From:    "Rob Farnum" <latigo at firehousemail.com>
To:      <trauma-list at trauma.org>
Subject: re:EMS management/crush injury
Date:    Sun, 10 Jun 2007 15:59:34 +0000

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