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Home > List Archives

ideal ER lengths of stay?

Roy Danks roydanks at hotmail.com
Fri Oct 12 04:07:34 BST 2007


You're either exaggerating/embellishing a bit, or your OR is next door to the ambulance bay.
 
Our OR's, for better or worse, are directly above the ED/EC/Trauma bay.
 
You guys are fast.  I stand corrected.  You win.
 
Still, I don't think this is the experience of the "list" and I really have a hard time believing that even in the worst scenarios would this happen routinely, even at Taub.  But, I've not been there, so I have to believe you.
 
K, how far, exactly, in ft, inches or meters...pick your measuring stick, is your OR from the bumper of the nearest ambulance parked with a trauma patient?  I am honestly curious.  Is there a graphic online that I can refer to, to see this relationship?  Can you measure it for me?  Straight line?  Elevator?  I'm trying to imagine this blazing speed.
 
In Las Vegas (I did a rotation there as a resident), the ORs are just off the Trauma bays...I would estimate, from memory, about 30-40 ft from a trauma bed and maybe 20-30 ft from the ambulance bumper...still, didn't see many, if any, go direct to OR.  
 
There are a lot of variables.  ETAs, etc.  I would guess that you may never beat 38 seconds...and would like to know your average to either OR or SICU for all-comers.
 
RD



> From: KMATTOX at aol.com> Date: Thu, 11 Oct 2007 22:51:16 -0400> To: trauma-list at trauma.org> Subject: Re: ideal ER lengths of stay?> > > In a message dated 10/11/2007 9:40:01 P.M. Central Daylight Time, > roydanks at hotmail.com writes:> > Eh...we are all in different systems. 3-8 minutes. I don't believe this is > realistic. Why bother having a trauma bay if you aren't going to use it? > I've worked at 3 busy ACS verified Level I trauma centers and none of them > are pushing pts through in 3- 8 minutes. > > > Yes, for some cases we are from the ambulance dock to the OR in less than 45 > seconds for some penetrating traumas, or blunt trauma where the prehospital > data is such that OR is the best place for the patient. I think our record > from time of wheels stopping rolling to OR and spash prep being applied to > chest, abdomen and groins was 38 seconds. > > k> > > > ************************************** See what's new at http://www.aol.com> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
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