trauma response within the hospital

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To some, Dr. McSwain's post may seem odd if you're imagining a victim  
only 40 or 50 yards from your door. But after studying this in some  
detail, I totally agree. There was a famous case that I'm sure you can  
read about on line at Ravenswood Hospital in Chicago. Because of the  
public outrage over how this incident was handled they actually  
changed the CFD EMS protocols in Chicago so if some hospital DID rush  
out and bring in some victim out of (?misplaced?) compassion, they  
could get EMS to respond to the rescuing hospital like it was an  
emergency. Without something like that in place, you're doing the  
victim more harm than good if you'r not a trauma center. Even if you  
are a trauma center, as Dr. McSwain points out, you risk doing harm.  
And if you intend on rescuing people, you'd better be pretty clear  
about who, when and where and practice it fairly often.

Rob Smith
On Aug 2, 2009, at 11:52 AM, McSwain, Norman E Jr. wrote:

> By protocol EMS handles everything outside the walls of the  
> hospital. We might try to respond but it is not the standard nor the  
> protocol. Our ED personnel are not trained nor equipped for proper  
> field response.
>
> 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 Gad Shaked
> Sent: Sun 8/2/2009 10:51 AM
> To: trauma-list at trauma.org
> Subject: trauma response within the hospital
>
>
>
> Dear friends,
> I would like to know your protocols for trauma response for  
> incidents occurring within the hospital,  i.e in the parking lot,  
> suicide attempt (like jumping off the roof of the hospital) etc. Not  
> for ER or ward patients. Who is responding, from where they get the  
> equipment, do they also do the rescue if needed?
> Thanks,
> Gadi
>
>
> Gadi Shaked, MD
> Department of Surgery
> Trauma Unit
> Soroka University Medical Center
> Beer Sheva
> Israel?
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