Lack of INTEGRATED TRAUMA SYSTEM cost Richardson her life ?

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KMATTOX at aol.com wrote:
> ...With such a system, the paramedics
> in the  ambulance that finally did transport this patient would have been in  
> communication with the TRAUMA SURGEON at the area regional verified trauma  
> center for advice and orders.   This EMS vehicle then might have  administered 
> Hypertonic Saline on the way to Montreal Trauma Center...

Does anyone here actually work in a system where a trauma surgeon is 
online, communicating with EMS prior to their arrival in a hospital? 
While this sounds great, it also sounds the stuff of fantasy.

It is the rarest occasion that I have ever seen surgery interact with 
EMS providers except during a patient hand-off in the trauma room.  I'm 
not talking about surgeons being involved on a system-level, but on a 
provider-level working with the medics and the services themselves.

If surgeons want more involvement, then I say 'Bravo, get involved!'. 
As a long-time paramedic myself, the only thing I can find more 
difficult to imagine that an EMS system not wanting a surgeon involved 
at their level is a surgeon who wants to get involved at their level.

Larry, RN, EMT-P

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