trauma activation and stratification

Seastrom, David W. David.Seastrom at heartland-health.com
Tue Oct 3 19:07:07 BST 2006


So, to pose another question of "who is in charge of the patient"...  I
see some centers have TS answering all the EMS calls for trauma
patients.  So, then does the medical direction for those EMS providers
lie with the attending trauma surgeon or back to the attending ER
physician?  And I don't think it is at all who is in charge of the
patient as long as everyone is working together "for the best of the
patient"  b/c I hope that is why we're all here anyway....  Right?  My
level II institution has a set of criteria that if the patient condition
meets any of those criteria (i.e. SBP<90, RR <10 or >29, etc.) then they
are activated as a trauma.  Just food for thought.

David Seastrom EMT-I, RN, BSN
Trauma/Neuro Coordinator





-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Moore677 at aol.com
Sent: Tuesday, October 03, 2006 12:25 PM
To: trauma-list at trauma.org
Subject: Re: trauma activation and stratification


Not a problem....................I think you have no clue what you are 
talking about.........

Dell..........................


In a message dated 10/3/2006 12:36:17 PM Eastern Standard Time, 
japrak at gmail.com writes:
dell
l am not trying to underestimate any trauma surgeon at all. l can
imagine just how extended their knowledge is, but presuming that
critical care surgeon can deal with acute MI as good as with surgical
conditions, then we should let the surgeons treat every disease there
is. and by no chance any non-surgical physician can know about
iniciative trauma managment as much as surgeon can know about
non-surgical conditions. and the fact that EM physicians are dealing
with trauma patients every day and the fact that they actualy went to
med school and residency where they had subject such as surgery,
critical care, anesthesiology....means nothing because after all they
are not the all mighty surgeons. ante PS.please don't interpret this as
a attack on surgeons, because l realy admire to them,because all the
significant and challenging job they are donig
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