trauma response within the hospital

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There are legal reasons and from a risk management perspective the lawyers
will tell you that even if happens in front of your ED on the street, you do
not wheel out a stretcher, immobilize on a leftover EMS backboard and wheel
into your ER. Having worked at a trauma center on a busy intersection where
it was not uncommon to have the occasional pedestrian stuck or accident
occur, all we will do is send someone to assist, call 911 and have our
security try to assist with traffic in an area where they "do not have
jurisdiction. I have found this to be counter intuitive, but the reality is
we live in a litigious society and unless the staff responding out there
can.
Stop traffic
Have license to operate outside of the hospital
Be fully qualified in pre-hospital immobilization
Can fully guarantee they will not overturn the hospital stretcher which is
not designed to go over curbs and median strips
Guarantee the safety of the staff responding
Then it’s a no-go
As an aside in our medical practice building which is less then one city
block from the hospital, it someone crashes over there, the practice is to
stabile to the best of their ability and call 911
I may not agree with all of the above, but from the risk management
perspective, I understand

Just ask your hospital attorney

RT
Rick Tappan
703 726-3734
rtappan at gwu.edu
"Who Dares, Wins"

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Gross, Ronald
Sent: Monday, August 03, 2009 7:29 AM
To: 'Trauma-List [TRAUMA.ORG]'
Subject: RE: trauma response within the hospital

If in the hospital we dispatch the code team.  IF outside the hospital but
on grounds, security responds and - get this one - calls 911.  Yup.  Calls
911.
Another heavy sigh.

Ron

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Gad Shaked
Sent: Sunday, August 02, 2009 11:51 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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