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Tue Oct 7 22:09:05 BST 2008

We (EMS) are not even aloud to think we might know what might be wrong with
the patient.  We are however allowed to say holy shit that SUV rolled over
six times so the guy inside needs a trauma center soon.
We are also allowed to compute that the traffic will take us 1 hour to the
trauma center and the chopper 30 minutes.

On Tue, Oct 7, 2008 at 8:32 AM, Robert F. Smith <rfsmithmd at comcast.net>wrote:

> I don't even understand, conceptually, how a mechanism of injury could be
> used to determine whether a patient should be transported by air or by
> ground. Wouldn't time from scene call to resus room be the relevant factor?
> Maybe the unvented PTX pt should avoid air travel.
>
> Rob Smith
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org]
> On Behalf Of McSwain, Norman E Jr.
> Sent: Monday, October 06, 2008 11:17 PM
> To: Trauma &amp; 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 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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-- 
V/R

Forrest Robleto
R House Health & Safety
www.RHouseTraining.com
FRobleto at RhouseTraining.com
609-792-9047

"In a completely rational society, the best of us would be teachers and the
rest of us would have to settle for something less."
--Lee Iacocca

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Need help locating specific citations on Mechanism of Injury, Over/Under Triage, and medical aircraft usage