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trauma response within the hospital

Charles Brault c_brault at yahoo.com
Sun Aug 2 19:58:37 BST 2009


This sort of thinking
Indeed leads to more harm than good
Judging by the few cases that I have heard 
(maybe also that common sense case where Pt was hauled in the E.R.a nd treated... we never hear of)

- Cardiac arrest in parking lot
- Smurff O.D.s dropped outsie the hospital doors
- Gun shot victims droped in the same manner
- Janitor AMIs in ped hospital
- O.B. case in extended care facility

 Care has been more likely none existant than poor
As people tripped over the legal flower patterns on the rug

You better perform some sort of decent
Read advanced BLS whilst waiting for EMS
And
You better hope you have a fast EMS
Fast enough not to embarras the hospitals passivity


Pie on your face
If you don't

Charles


 



________________________________
From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
To: Trauma-List [TRAUMA.ORG] <trauma-list at trauma.org>
Sent: Sunday, August 2, 2009 4:58:33 PM
Subject: RE: trauma response within the hospital

One more thought. Unless all of your ED personnel are trained for field response they should NOT attempt it. In any response, in hospital, in the field, Code blue, etc, the personnel who respond should be adequately trained. If not most likely they will violate the dictum of "Do no further harm"
Most ED personnel are not trained for out of hospital response and care.

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 McSwain, Norman E Jr.
Sent: Sun 8/2/2009 10:52 AM
To: Trauma-List [TRAUMA.ORG]
Subject: RE: trauma response within the hospital


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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