List Archives

Mon Sep 28 16:10:25 BST 2009

Whoah, there -- not at all the interpretation I intended.  

The Parent Test merely places the clinician in a more intimate frame of
reference: "what would I consider optimal care for MY kid?"

Ideally, the answers are identical.  But sometimes we can be
over-objective in defense of our paradigms.

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Robert Smith
Sent: Monday, September 28, 2009 11:01 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Question

Steve,

Your last sentence is exactly the point. If you have regional centers  
the idea is to take sick patients directly to them.

Pret, I'm not sure letting the parents decide on the appropriate mode  
of transport is the best idea. It puts the patient and the crew at  
higher risk for no apparent gain.

Rob

> The key thing is to decide upon a plan quickly. All too often people  
> will spend 10 minutes arguing whether or not A will be 5 minutes  
> faster than B. The other thing is that once a patient has arrived at  
> the "wrong" hospital, it often takes too to transfer them out.
>
> Steve Walker
> Sydney
> Australia
>
> ----- Original Message ----- From: <cadeth66 at aol.com>
> To: "Trauma-List [TRAUMA.ORG]" <trauma-list at trauma.org>
> Sent: Monday, September 28, 2009 9:46 PM
> 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.
>>
>> _________________________________________________________________
>> Get the best of MSN on your mobile
>> http://clk.atdmt.com/UKM/go/147991039/direct/01/
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
>>
>>
>> Sent from my Verizon Wireless BlackBerry
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/
>
>
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/

--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

Question