Comments on: Forum Remix: Trauma Care in the Prehospital Setting http://www.studentdoctor.net/2008/01/forum-remix-trauma-care-in-the-prehospital-setting/ An educational community for students and doctors spanning all the health professions. Sun, 22 Nov 2009 05:10:17 -0800 http://wordpress.org/?v=2.8.4 hourly 1 By: G http://www.studentdoctor.net/2008/01/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1149 G Sat, 02 Feb 2008 14:15:35 +0000 http://studentdoctor.net/blog/2008/01/23/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1149 As someone that just completed Paramedic ride time last year in N.Philly and now an active 911 paramedic I feel that I should put in my perspective on this as I'm sure not many paramedics visit this site or know the area surrounding Temple Hospital. N. Philly and W. Philly are a few of the worst areas of poverty and drug and gang related crime in the US. Over 300 killed in the city and most in these 2 areas. Medic 22 and 25 cover these areas and I was fortunate to run at station 22 a few blocks south of Temple. Temple has a great Trauma unit although I do feel that to much trauma has left them a little jaded to what EMS brings in. Scoop and run vs on scene intervention because that is what medics do. Philly police have gotten into the habit of scooping a GSW and running L&S to the Trauma Bay. 5+ minute transport time. No C-spine precaution, no vitals enroute, no secure airway; just a limp body in the back of a squad car. Hopefully notification the the ER to have a stretcher waiting. Now let's wait one more minute for EMS, trained in C-spine, quickly board the patient and verify a secured airway and hopefully a pulse, able in 1-2 minutes try to obtain some history before possibly never speak again if they are able, secure an IV enroute prior to arrival to the ER which can all be done in less then 5 minutes while driving through Philly on the worst roads I've ever driven on. In these areas if I was lucky enough to get access and have a patient in PEA what I was doing enroute was taken over and repeated by the awaiting trauma team. There are things that can be done by ALS providers that need to be done and can be done quickly and at the same speeds as police. I can drop a tube or put in a 16g IV in an EJ bouncing in a rig at 40 MPH while the cops just hopes he doesn't bleed to much in his back seat. Scoop and run does the patient to justice unless there is some pre-hosptial intervention. A code is a code, CPR on PEA is done in hosptial or out of hospital, and a fluid bolus to get a pressure to 90 is going to attempted in either area so to say EMS may be harming patients by not moving quicker with less invention will put patients at risk and I will do everything I can to make sure the ABC's are intact PTA. As someone that just completed Paramedic ride time last year in N.Philly and now an active 911 paramedic I feel that I should put in my perspective on this as I’m sure not many paramedics visit this site or know the area surrounding Temple Hospital. N. Philly and W. Philly are a few of the worst areas of poverty and drug and gang related crime in the US. Over 300 killed in the city and most in these 2 areas. Medic 22 and 25 cover these areas and I was fortunate to run at station 22 a few blocks south of Temple. Temple has a great Trauma unit although I do feel that to much trauma has left them a little jaded to what EMS brings in. Scoop and run vs on scene intervention because that is what medics do. Philly police have gotten into the habit of scooping a GSW and running L&S to the Trauma Bay. 5+ minute transport time. No C-spine precaution, no vitals enroute, no secure airway; just a limp body in the back of a squad car. Hopefully notification the the ER to have a stretcher waiting. Now let’s wait one more minute for EMS, trained in C-spine, quickly board the patient and verify a secured airway and hopefully a pulse, able in 1-2 minutes try to obtain some history before possibly never speak again if they are able, secure an IV enroute prior to arrival to the ER which can all be done in less then 5 minutes while driving through Philly on the worst roads I’ve ever driven on. In these areas if I was lucky enough to get access and have a patient in PEA what I was doing enroute was taken over and repeated by the awaiting trauma team. There are things that can be done by ALS providers that need to be done and can be done quickly and at the same speeds as police. I can drop a tube or put in a 16g IV in an EJ bouncing in a rig at 40 MPH while the cops just hopes he doesn’t bleed to much in his back seat. Scoop and run does the patient to justice unless there is some pre-hosptial intervention. A code is a code, CPR on PEA is done in hosptial or out of hospital, and a fluid bolus to get a pressure to 90 is going to attempted in either area so to say EMS may be harming patients by not moving quicker with less invention will put patients at risk and I will do everything I can to make sure the ABC’s are intact PTA.

]]> By: anonymous http://www.studentdoctor.net/2008/01/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1148 anonymous Fri, 25 Jan 2008 01:49:23 +0000 http://studentdoctor.net/blog/2008/01/23/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1148 This was an excellent interview. Thanks for the discussion on such a controversial topic. This was an excellent interview. Thanks for the discussion on such a controversial topic.

]]> By: chad stemm http://www.studentdoctor.net/2008/01/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1147 chad stemm Thu, 24 Jan 2008 21:57:40 +0000 http://studentdoctor.net/blog/2008/01/23/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1147 I agree! It is a profession and should be involved in these studies. We learn so much from working together and understanding each others point of views! EMT-I and senior in Pre-Med I agree! It is a profession and should be involved in these studies. We learn so much from working together and understanding each others point of views! EMT-I and senior in Pre-Med

]]> By: Jeff http://www.studentdoctor.net/2008/01/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1146 Jeff Wed, 23 Jan 2008 22:43:12 +0000 http://studentdoctor.net/blog/2008/01/23/forum-remix-trauma-care-in-the-prehospital-setting/#comment-1146 I think that involving EMS providers in research involving prehospital care will help to legitimize the results in the eyes of other EMS providers; the findings will have more "street cred." Involvement of EMS in research will also help to improve EMS's position as a profession. I think that involving EMS providers in research involving prehospital care will help to legitimize the results in the eyes of other EMS providers; the findings will have more “street cred.”
Involvement of EMS in research will also help to improve EMS’s position as a profession.

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