Another Policy Question

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I know there was a question posted on here earlier about policies.  I also have a question as to whether anyone has policies/guidelines/protocols as to the transfers of their patients and how they are getting from Point A - Point B.  I guess I'm wondering if anyone has it spelled out that these patients (i.e. aortic tears, etc.) will get air transport preferentially or ground, etc.  Does anyone also have a "back-up" plan in writing in case a patient who is very sick has to go by ground EMS for a bit of a distance and maybe 1 Paramedic is insufficient to care for him/her (nurses/residents/attendings to accompany the patient, etc.).

I know there has also been some discussion around what's appropriate for air (with the recent crash in Missouri) floating around and was curious if anyone has seen any evidence based info out there on this?  I've been digging and ready a lot of the papers and it seems there really isn't too much of a concensus (unless I'm missing something).  The only thing I have found some consistency in is that it is only beneficial to the "most critically injured" patients.  I've also seen the guideline recommendations from AAMS

Any input on either topic would be great and appreciated!

Thanks a bunch and stay WARM!  :)


David Seastrom RN, BSN, EMT-I
Trauma Injury Prevention / Outreach
Education Coordinator
The Children's Mercy Hospitals & Clinics
Kansas City, MO.  64108
Office:  816-983-6917
Fax: 816-234-3821
Pager:  816-458-4995
E-mail:  dwseastrom at cmh.edu<mailto:dwseastrom at cmh.edu>

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