trauma response within the hospital

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Chuck,
You are so right.  The last point is a lesson that is always taught - and then frequently either forgotten or simply ignored with the "no guts, no glory" mentality.
Ron


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Krin135 at aol.com
Sent: Monday, August 03, 2009 9:24 AM
To: trauma-list at trauma.org
Subject: Re: trauma response within the hospital

Dr. McSwain:
 
Many of the hospitals I have worked at here in Missouri use Paramedics and  
EMT-B's in tech positions, giving a nice 'away team' for such situations. 
Others  have the ambulance crews co located with the hospital.
 
As a former field medic and military doc myself, I have the training  and 
the comfort to attend patients in 'other than optimal' circumstances, as I  
suspect does Dr. Gross and some of the others on the list.
 
One point, however: unless you are at a facility where you have 'hot and  
cold running docs,' the doc is probably the last one who needs to go to a 
single  casualty field site, unless there is need for specific skills: i.e., 
true field  surgery.
 
One of the tricks taught at the Combat Casualty Care Course (one  of the 
flagship field medicine courses for physicians, PAs, dentists,  veterinarians 
and nurses) is the field triage officer is NEVER a commissioned  officer, 
and only rarely a warrant officer PA. Leave that to the senior  medics.
 
ck
Charles S. Krin
 
 
In a message dated 8/3/2009 07:04:03 Central Standard Time,  
nmcswai at tulane.edu writes:

We have  been doing that for years. Works well

Ron, Do you train you ED personal  to the EMT-B level? If you want them to 
respond to those falls from the  building, 'Man Down' etc. You must train 
and equip them to do the fulfill the  responsibilities that you have assigned 
to them. Also equipment, Backboards,  Small defibrillators, small ET and 
drug kit

You cannot ask a person to  do a job for which they are not prepared...not 
fair to the patient either and  that is the most important thing

Norman

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

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