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Mon Sep 28 18:07:51 BST 2009

Just for the record, and for those not familiar with DUSTOFF, ask any member of the armed forces and you will be told that DUSTOFF = angel = some of the best medical pre-hospital personnel you will ever meet!
Thank you, Chuck!

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, September 28, 2009 11:41 AM
To: trauma-list at trauma.org
Subject: Re: Question

in rural America, it is more based on the desire NOT to tie up  extremely 
limited, often critically needed, local assets for long  transports.

Some of these outfits cover 15,000-20,000 population counties with *two*  
staffed BLS crews, and have mutual aid (if available) response times 
approaching  one hour.

With some transfers, we often have 'lost' a ground unit for 3 to 5 hours,  
and on weekends, it has not been unusual to have two pending transfers 
awaiting  a: the return of a crew from a previous transfer, b: the arrival of 
mutual aid,  or c: weather clearing enough for a helo transfer.

And, as a former DUSTOFF medic, I have often been more  conservative of 
requesting helo transfers than other docs at a particular  facility.

ck

In a message dated 9/28/2009 09:33:09 Central Standard Time,  
KMATTOX at aol.com writes:

>From  what I have read and experienced, this policy to stop at the nearest 

facility should be changed.  It is based on some old desires to not  loose  
business, even though the closest facility often does not have  the 
appropriate  expertese.     

k

In a message dated 9/28/2009 10:14:05 A.M.  Central Daylight Time,  
Krin135 at aol.com writes:

Virtually all  of the Basic only 
squads  I've worked with  in the past 20 years  are required by their 
protocols to 
transport to the  nearest  facility.

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