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Tue Oct 7 04:17:10 BST 2008

No citations to my knowledge. 

although antidotal we looked at our over triage rate based on mechanism alone and it was >70%

Norman

Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
norman.mcswain at tulane.edu <mailto:norman.mcswain at tulane.edu> 

________________________________

From: trauma-list-bounces at trauma.org on behalf of kmattox at aol.com
Sent: Mon 10/6/2008 1:33 PM
To: Trauma &amp; Critical Care mailing list
Subject: Re: Need help locating specific citations on Mechanism of Injury,Over/Under Triage, and medical aircraft usage

No Such stAndards exist.  
Sent via BlackBerry by AT&T

-----Original Message-----
From: Robert Waddell II <bobwaddell at bresnan.net>

Date: Mon, 6 Oct 2008 12:28:29
To: Trauma &amp; Critical Care mailing list<trauma-list at trauma.org>
Subject: Re: Need help locating specific citations on Mechanism of Injury,
        Over/Under Triage, and medical aircraft usage

Thanks Tim!

Take care,

Bob
bobwaddell at bresnan.net
307 920 2020

On Oct 6, 2008, at 12:19 PM, Dr Timothy Hardcastle wrote:

> Bob
>
> My comments at end!
>> Good morning everyone.  I need some help.  I'm researching a few of
>> the issues surrounding mechanism of injury and the guidelines/
>> standards for over or under triage as they relate to the use of
>> medical helicopters.  Can anyone help direct me in the correct
>> direction.
>>
>> Several of the recent news articles and statements being made make
>> reference the "Standards / Guidelines" of when to use medical 
>> aircraft
>> and which mechanism's of injury (quote/unquote) "require their use" 
>> or
>> "require the patient be taken to a higher level trauma center."  In
>> searching the ACS web site and others I'm unable to find the specific
>> citation or reference document.  Additionally the issue of over and
>> under triage has also been cited, but here too I'm unable to find the
>> resource document that these statements are based on.  Can anyone
>> provide the citations or where to obtain this information?
>>
>> Thanks!!
>>
>> Take care,
>>
>> Bob
>> bobwaddell at bresnan.net
>> 307 920 2020
>>
>> --
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>>
> Bob
>
> Try looking at the Air Medical Journal - most are from statements of 
> the
> Air Medical Association or similar. Largely thumbsuck stuff though -
> limited evidence for anything in air-med! Some others quote inferences
> from the ACS list of who must go to a "Level 1 Trauma Center" - see 
> the
> ATLS manual.
>
> Regards
> Tim
> Dr T C Hardcastle
> M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
> Principal Specialist Trauma Surgeon /
> Honorary Lecturer UKZN Dept Surgery
> Deputy Director - IALCH Trauma Service
>
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Need help locating specific citations on Mechanism of Injury, Over/Under Triage, and medical aircraft usage