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Mon Sep 28 15:11:37 BST 2009

Just a little Monday Morning quarterbacking...My primary concern is why did 
the BLS crew cancel the ALS response? Perhaps if ALS were on board, the 
patient could have been managed in the original ambulance and gone directly 
to the facility with neurosurgical capabilities. Looks like a teaching 
opportunity to me...

----- Original Message ----- 
From: <cadeth66 at aol.com>
To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
Sent: Monday, September 28, 2009 7:46 AM
Subject: Question

> In light of the recent EMS Helicopter crash I extend my condolences to 
> their families.
>
>
> But I want to pose a question to the list if you would have or would have 
> not airlifted this patient?
>
> 17 y/o caucasian female calls 9-1-1 with "severe headache and left sided 
> numbness" local BLS arrives begins assesment, ALS arrives but is cxl'd by 
> BLS "services not needed" pt is brought into ED unresponsive and 
> decorticate posturing. Pt intubated w/in 5 min of arrival in ED. Pt sent 
> to CT head which shows intracranial bleed 8mm, midline shift w/ mass 
> effect ( forgive me if this is wrong) pt begins to become unstable bp 
> tanks etc etc..... Neuro consult wants immed transfer.  Ground or Air? 
> Ground will take 30 min to get to hosp and another 30 to transferr to 
> neuro institute. Helo takes 15 eta to hosp, hot load, 15 min to neuro 
> institute....
>
>
> Weather clear and its roughly 2 AM
>
> What would y'all do?
> ------Original Message------
> From: Doc Holiday
> Sender: trauma-list-bounces at trauma.org
> To: .Trauma List
> ReplyTo: Trauma-List [TRAUMA.ORG]
> Subject: RE: Condolences and Concerns
> Sent: Sep 28, 2009 07:36
>
>
> From: Ronald.Gross at baystatehealth.org
>>...this industry is now all about the money, and it is getting people 
>>killed.
>
>
> --> Saddened as we all are by the loss of friends/colleagues, I believe we 
> should always look ahead immediately for the opportunity to prevent 
> further such loss of life. Although we have helicopters buzzing about our 
> ED on a daily basis (we recieve 500 flights annually), I am not at all an 
> expert on the subject. Especially not how it goes in the USA. So I have a 
> question...
>
>
>
> And I am only asking out of ignorance and a search for clarification - I 
> am not expressing an opinoin...
>
>
>
> Is it a case of profit being the number one objective that is standing in 
> the way of safety here? Or is it lack of data? Or is it the public's 
> expectation that we use helicopters? Or what? I guess this List is the 
> place to find answers.
>
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