EMS management/crush injury

[pjcabdds at mchsi.com]

CK,
Unless there has been a change since last fall, at least in Iowa, there is a 
central dispatch for Air Evac in West Plains, MO. I was there and I witnessed 
its operation. This dispatch is only for Air Evac and for no one else.

--
Kind regards,
Phil
Phil Caropreso, MD, FACS
1813 Grand Avenue
Keokuk, Iowa, USA, 52632
pjcabdds at mchsi.com


----------------------  Original Message:  ---------------------
From:    Krin135 at aol.com
To:      trauma-list at trauma.org
Subject: Re: EMS management/crush injury
Date:    Wed, 13 Jun 2007 17:48:33 +0000

>  
> In a message dated 13-Jun-07 10:17:55 Central Daylight Time,  
> pjcabdds at mchsi.com writes:
> 
> Air Evac  has a central dispatch in Missouri. In 
> individual cases there is likely to  be variation about who is in charge, 
> with 
> the medical director only  getting into matters of dispute
> 
> 
> Oh? Since when?
>  
> in the areas of Missouri that I've worked in for the past 15 months, there  
> are no less than FOUR different HEMS outfits, with LifeFlight Eagle in KC;  
> Staff for Life, University of MO Med Center, Columbia; the ARCH in St  Louis, 
> and 
> AirEvac Lifeteam, a whole commercial, subscription supported system  all 
> across the state...each one has separate dispatch numbers, with the first  three 
> outfits coordinating primarily through the respective children's medical  
> centers (Children's Mercy in KC, University Children's in Columbia, and Cardinal  
> Glennon (SLU)/Children's (BJC/Wash U) in St Louis for neonatal/PICU  pickups.
>  
> There are many field pick ups for trauma cases, as most of the small town  
> hospitals don't have anything approaching a surgeon in house on a regular basis. 
>  Most of the cardiac centers also have a good relationship with the helo  
> outfits...for example, I had a patient with a recurrent STEMI from a blocked  
> stent a while back...because of field recognition by the medic, and quick  
> response by the helo unit, the patient was in the air within 50 minutes of first  
> contact, and in the cath lab in a shade under 90 minutes from first contact,  
> despite it being 70 miles from the home to the cath lab.
>  
> ck
> Charles S. Krin, DO FAAFP
> 
> 
> 
> ************************************** See what's free at http://www.aol.com.
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/