ideal ER lengths of stay?

[Roy Danks]

Eh...we are all in different systems.  3-8 minutes.  I don't believe this is realistic.  Why bother having a trauma bay if you aren't going to use it?  I've worked at 3 busy ACS verified Level I trauma centers and none of them are pushing pts through in 3- 8 minutes.  And, I admit, I've watched the "Trauma" TV series (documentary) and I don't recall seeing any of those move the patients through in 8 minutes.  Granted, it's not real time TV, but....
 
I'm not saying that we should camp out in the EC or anything of the sort.  And, I know we can get tied up doing things that can be done elsewhere.  But, in our system, the SICU needs some time to get things ready.  We're far from ill-prepared, but realistically, it's a nursing issue.  Not placing blame.
 
Finally, I'll put our survival, LOS and complications up against anyone who's pushing them through in 3-8 min or waving them past and I'm confident ours will match those.
 
I have taken unstable penetrating cases direct to OR, but it's not common for us by any means.  And you'll not convince we that we're doing anything below the standard of care.
 
RD



> Date: Thu, 11 Oct 2007 18:57:47 -0700> From: mmcbridemd at yahoo.com> To: trauma-list at trauma.org> Subject: Re: ideal ER lengths of stay?> > > > KMATTOX at aol.com wrote: > > The purpose of an EC in the described patient is to wave to them as they go > from the ambulance dock to the OR or the ICU. > > k> > > > ************************************** See what's new at http://www.aol.com> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/> > Presuming there is a well trained, fully stocked crew assembled in the OR or the ICU ready to spring into action.> > I think that's what the advantage of the ED is for many receiving facilities. It's a system that is set up to deal with catastrophic injury at a given moment in time, whereas the OR or ICU personnel and equipment generally needs to be mobilized.> > > ---------------------------------> Pinpoint customers who are looking for what you sell. > --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
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