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RE: response to Connie

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We had loaded the patient were pulling out of the pasture that he was in

when the doctor said " I am the ER doctor and you will airlift that patient "

I responded that he is not critical and he responded that I could not see

whether he has internal injuries airlift him. And the ER nurse in the

background shouted they (meaning us) want let her call for a helicopter. If

we don't call they get their panties in a wad but I was thinking the same

thing, just don't call next time. So much for working as a team

Debbie

> I have a

> scenario for you guys> > Respond to a call were

> someone has been hit in the

> head by a tire. Will he> is airing it up it explodes.

> You arrive and find a

> 20-25 year old male> sitting with blood clotting in nose

> laceration to

> bridge of nose and> swelling to the forehead and nose

> and severe knee pain

> with laceration.> Patient is sitting in chair as we

> approach the foreman

> tells the patient to> put his head back, we stop that

> action and take manual

> c-spine the patient> states " what happened to

> me? " Due to the local hospital

> being level IV and> the nearest level III is 45 miles

> away we decide to

> airlift. The foreman> immediately states no helicopter!

> We tell him that

> whatever this young man> has cannot be fixed in our

> local hospital and that

> it would be best to have> him at a higher level of care

> as quickly as

> possible he again says no> helicopter and that we are

> wasting time we have

> the young man c-collared,> spiders, head blocks,

> backboard moved to unit

> monitors attached IVs> attempted pt begging to be

> airlifted and foreman

> still refusing helicopter> screaming we been on scene 45

> minutes (in reality

> 15 minutes). He even> states that every time you come

> out here you have to

> airlift(we have been to> this plant 5 times airlifted

> one with all ribs

> separated from sternum due to> crushing injury from

> forklift).> > What would

> you do?> > Would you complain?> > And if yes to

> who?> > This is the highest

> man on the totem pole at this plant so where do you go>

> from here? Just

> forget it or is this something that can be taken up

> with> DSHS?> > Debbie> >

>

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Debbie,

Sometimes you just have to do what you think is right and fight the battle

afterwards. This same thing happens all over Texas. If they refuse transport to

the Level III in . You will not get static from them. Sometimes being in

charge means you will have to back up your decisions later. Remember, you are

not calling the ER to ask their permission, you are calling to give them an

update of what you are bringing them. However, if you do call and ask what they

think then you should be prepared to follow the advice you are given.

Keep at it

Henry

> I have a

> scenario for you guys> > Respond to a call were

> someone has been hit in the

> head by a tire. Will he> is airing it up it explodes.

> You arrive and find a

> 20-25 year old male> sitting with blood clotting in nose

> laceration to

> bridge of nose and> swelling to the forehead and nose

> and severe knee pain

> with laceration.> Patient is sitting in chair as we

> approach the foreman

> tells the patient to> put his head back, we stop that

> action and take manual

> c-spine the patient> states " what happened to

> me? " Due to the local hospital

> being level IV and> the nearest level III is 45 miles

> away we decide to

> airlift. The foreman> immediately states no helicopter!

> We tell him that

> whatever this young man> has cannot be fixed in our

> local hospital and that

> it would be best to have> him at a higher level of care

> as quickly as

> possible he again says no> helicopter and that we are

> wasting time we have

> the young man c-collared,> spiders, head blocks,

> backboard moved to unit

> monitors attached IVs> attempted pt begging to be

> airlifted and foreman

> still refusing helicopter> screaming we been on scene 45

> minutes (in reality

> 15 minutes). He even> states that every time you come

> out here you have to

> airlift(we have been to> this plant 5 times airlifted

> one with all ribs

> separated from sternum due to> crushing injury from

> forklift).> > What would

> you do?> > Would you complain?> > And if yes to

> who?> > This is the highest

> man on the totem pole at this plant so where do you go>

> from here? Just

> forget it or is this something that can be taken up

> with> DSHS?> > Debbie> >

>

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