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Mon Nov 24 22:50:20 GMT 2008

If you use ACS  mechanism of injury (MOI) alone as a transport criteria,
about 40-50% will go home from the hospital in 6 hours. It is my
understanding that this was the standard before the last crash in
Maryland. I do not know if this has changed or not. This is word of
mouth not written that I have seen. 

The data comes from our own trauma registry pre-Katrina. We only used
MOI as transport to the trauma center in our own parish. 

Now all MOI goes to closest hospital. We take only physiologic and
anatomic ACS criteria in the trauma center from Orleans and the
surrounding parishes. We take hospital to hospital transfer from the ED
that have severe injuries after physician assessment. This is ground
and aeromedical transport 

It works well for us.

Norman

Norman McSwain MD
Professor, Tulane School of Medicine
Trauma Director, Charity Hospital Trauma Center
norman.mcswain at tulane.edu
504 988 5111

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com
Sent: Monday, November 24, 2008 4:07 PM
To: trauma-list at trauma.org
Subject: Re: Maryland Air Ambulance Review Panel

This kind of scenerio happens far too often, including some of the
patients  
that are now dead in air ambulance air crashes.      

In a message dated 11/24/2008 4:02:34 P.M. Central Standard Time,  
andrewj.bowman at gmail.com writes:

Yes they  are.

A man wrecked his 4 wheeler. Walked A MILE to get back to his camp
without
difficulty.

Local EMS arrived and called for a helicopter.  Patient awake and alert
with
a scalp laceration with controlled  bleeding.

Flown to a non trauma center, stitched up and  dc'd.

There was another non trauma center hospital just about 5 miles  away he
could have gone to with same  outcome.

Andrew

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