Re: Wait A Second... (Speaking of AirMedical)

[Guest guest]

In school we learned that it's still taken in to consideration but it's not

necessarily the first think you look at.

I think it still has a place in triage. But, I also look at my patient.

It's one think if your patient is up and walking about, but it's another if

they aren't.

Toni Crippen, LP

From: texasems-l [mailto:texasems-l ] On

Behalf Of Alyssa Woods

Sent: Wednesday, January 12, 2011 8:42 PM

To: texasems-l

Subject: Wait A Second... (Speaking of AirMedical)

http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?u

tm_source=Go+Forward+Media+eMail,+Powered+by+Bronto

http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?

utm_source=Go+Forward+Media+eMail,+Powered+by+Bronto&utm_medium=email&utm_te

rm=Advanced+Automatic+Collision+Notification+&utm_content=amwoods8644%40gmai

l.com&utm_campaign=JEMS+eNews+01-11-11>

&utm_medium=email&utm_term=Advanced+Automatic+Collision+Notification+&utm_co

ntent=amwoods8644%40gmail.com&utm_campaign=JEMS+eNews+01-11-11

(Wow, that's longer than I thought.)

But wait... isn't what this article is talking about dangerously close to

dispatching AirMed based off of MOI? ...In fact, isn't that exactly what it

is?

I thought that MOI wasn't supposed to be taken into consideration as much

anymore; whether the door is into their compartment one inch or ten, if

they're walking, they can't be that bad.

At least that's what I've been hearing of late.

Do you guys think MOI has a place in triage or not?

Alyssa Woods, NREMT-B

[Guest guest]

In school we learned that it's still taken in to consideration but it's not

necessarily the first think you look at.

I think it still has a place in triage. But, I also look at my patient.

It's one think if your patient is up and walking about, but it's another if

they aren't.

Toni Crippen, LP

From: texasems-l [mailto:texasems-l ] On

Behalf Of Alyssa Woods

Sent: Wednesday, January 12, 2011 8:42 PM

To: texasems-l

Subject: Wait A Second... (Speaking of AirMedical)

http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?u

tm_source=Go+Forward+Media+eMail,+Powered+by+Bronto

http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?

utm_source=Go+Forward+Media+eMail,+Powered+by+Bronto&utm_medium=email&utm_te

rm=Advanced+Automatic+Collision+Notification+&utm_content=amwoods8644%40gmai

l.com&utm_campaign=JEMS+eNews+01-11-11>

&utm_medium=email&utm_term=Advanced+Automatic+Collision+Notification+&utm_co

ntent=amwoods8644%40gmail.com&utm_campaign=JEMS+eNews+01-11-11

(Wow, that's longer than I thought.)

But wait... isn't what this article is talking about dangerously close to

dispatching AirMed based off of MOI? ...In fact, isn't that exactly what it

is?

I thought that MOI wasn't supposed to be taken into consideration as much

anymore; whether the door is into their compartment one inch or ten, if

they're walking, they can't be that bad.

At least that's what I've been hearing of late.

Do you guys think MOI has a place in triage or not?

Alyssa Woods, NREMT-B

[Guest guest]

I'd break down my opinion into to separate statements. (1) Helicopters shouldn't

be automatically dispatched unless they are the primary responder for that area

(which I've heard happens out west, and even though I shouldn't, still think is

pretty cool). (2) MOI is absolutely a part of assessment whether for triage or

not, but it isn't an absolute decision-maker like they forced on us for years.

The whole picture is what matters.

Austin

>

http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?utm_s\

ource=Go+Forward+Media+eMail,+Powered+by+Bronto&utm_medium=email&utm_term=Advanc\

ed+Automatic+Collision+Notification+&utm_content=amwoods8644%40gmail.com&utm_cam\

paign=JEMS+eNews+01-11-11

>

> (Wow, that's longer than I thought.)

>

> But wait... isn't what this article is talking about dangerously close to

dispatching AirMed based off of MOI? ...In fact, isn't that exactly what it is?

>

> I thought that MOI wasn't supposed to be taken into consideration as much

anymore; whether the door is into their compartment one inch or ten, if they're

walking, they can't be that bad.

>

> At least that's what I've been hearing of late.

>

> Do you guys think MOI has a place in triage or not?

>

> Alyssa Woods, NREMT-B

>

>

>

[Guest guest]

Agreed, MIO needs to be taken into consideration but there are other factors as

well, for example your response time. There are many patients I have seen where

we actually arrived faster than it took for them to show the signs of major

injuries. So, if I have a guy that rolled his vehicle 20 times with no

restraint and looks unharmed because our response time was about 2 minutes, the

MOI is highly suspect. With a much longer response, I would expect that the

major MOI-related issues would be showing up on scene and indicate a diesel

bolus is in order, along with several interventions.

I think MOI is one of those criteria that is subject to a number of different

factors and that no chart is going to adequately address, so it's hard to teach

as an algorithm. As a stop-gap measure, for a while, it was mandated that

everyone with serious MOI do X. Not necessarily bad, just not always required.

Now it is being revisited.

In the end, if you have somebody really messed up or potentially messed up and

you can get them to a Level I faster then a bird can, you load and go. Err on

the side of caution and realize that it takes a while to get a helicopter

transport.

Just my newbie 0.2 cents.

>

> In school we learned that it's still taken in to consideration but it's not

> necessarily the first think you look at.

>

>

>

> I think it still has a place in triage. But, I also look at my patient.

> It's one think if your patient is up and walking about, but it's another if

> they aren't.

>

>

>

> Toni Crippen, LP

>

>

>

>

>

> From: texasems-l [mailto:texasems-l ] On

> Behalf Of Alyssa Woods

> Sent: Wednesday, January 12, 2011 8:42 PM

> To: texasems-l

> Subject: Wait A Second... (Speaking of AirMedical)

>

>

>

>

>

> http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?u

> tm_source=Go+Forward+Media+eMail,+Powered+by+Bronto

> http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?

> utm_source=Go+Forward+Media+eMail,+Powered+by+Bronto&utm_medium=email&utm_te

> rm=Advanced+Automatic+Collision+Notification+&utm_content=amwoods8644%40gmai

> l.com&utm_campaign=JEMS+eNews+01-11-11>

> &utm_medium=email&utm_term=Advanced+Automatic+Collision+Notification+&utm_co

> ntent=amwoods8644%40gmail.com&utm_campaign=JEMS+eNews+01-11-11

>

> (Wow, that's longer than I thought.)

>

> But wait... isn't what this article is talking about dangerously close to

> dispatching AirMed based off of MOI? ...In fact, isn't that exactly what it

> is?

>

> I thought that MOI wasn't supposed to be taken into consideration as much

> anymore; whether the door is into their compartment one inch or ten, if

> they're walking, they can't be that bad.

>

> At least that's what I've been hearing of late.

>

> Do you guys think MOI has a place in triage or not?

>

> Alyssa Woods, NREMT-B

>

>

>

[Guest guest]

Agreed, MIO needs to be taken into consideration but there are other factors as

well, for example your response time. There are many patients I have seen where

we actually arrived faster than it took for them to show the signs of major

injuries. So, if I have a guy that rolled his vehicle 20 times with no

restraint and looks unharmed because our response time was about 2 minutes, the

MOI is highly suspect. With a much longer response, I would expect that the

major MOI-related issues would be showing up on scene and indicate a diesel

bolus is in order, along with several interventions.

I think MOI is one of those criteria that is subject to a number of different

factors and that no chart is going to adequately address, so it's hard to teach

as an algorithm. As a stop-gap measure, for a while, it was mandated that

everyone with serious MOI do X. Not necessarily bad, just not always required.

Now it is being revisited.

In the end, if you have somebody really messed up or potentially messed up and

you can get them to a Level I faster then a bird can, you load and go. Err on

the side of caution and realize that it takes a while to get a helicopter

transport.

Just my newbie 0.2 cents.

>

> In school we learned that it's still taken in to consideration but it's not

> necessarily the first think you look at.

>

>

>

> I think it still has a place in triage. But, I also look at my patient.

> It's one think if your patient is up and walking about, but it's another if

> they aren't.

>

>

>

> Toni Crippen, LP

>

>

>

>

>

> From: texasems-l [mailto:texasems-l ] On

> Behalf Of Alyssa Woods

> Sent: Wednesday, January 12, 2011 8:42 PM

> To: texasems-l

> Subject: Wait A Second... (Speaking of AirMedical)

>

>

>

>

>

> http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?u

> tm_source=Go+Forward+Media+eMail,+Powered+by+Bronto

> http://www.jems.com/article/trauma-patients/automatic-crash-notification-s?

> utm_source=Go+Forward+Media+eMail,+Powered+by+Bronto&utm_medium=email&utm_te

> rm=Advanced+Automatic+Collision+Notification+&utm_content=amwoods8644%40gmai

> l.com&utm_campaign=JEMS+eNews+01-11-11>

> &utm_medium=email&utm_term=Advanced+Automatic+Collision+Notification+&utm_co

> ntent=amwoods8644%40gmail.com&utm_campaign=JEMS+eNews+01-11-11

>

> (Wow, that's longer than I thought.)

>

> But wait... isn't what this article is talking about dangerously close to

> dispatching AirMed based off of MOI? ...In fact, isn't that exactly what it

> is?

>

> I thought that MOI wasn't supposed to be taken into consideration as much

> anymore; whether the door is into their compartment one inch or ten, if

> they're walking, they can't be that bad.

>

> At least that's what I've been hearing of late.

>

> Do you guys think MOI has a place in triage or not?

>

> Alyssa Woods, NREMT-B

>

>

>