i learned this from a lady that has 20+ years in already and hasnt seemed to fall short yet. When you arrived at a 4 pt MVA, expect the worse scenario. i would say at minimum you should have requested other units en route, with ALS if not already there, and a care flight ready on call if available, and a fire engine for lift assist and in case a fire springs up. then triage and asses, consider what you actually need and either turn some back or wait for arrival. She always says to call what you might need in worse case and turn back what you dont need in the end.
Arrive on scene...
- Thread starter Alas
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abckidsmom
Dances with Patients
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In my practice it goes like this: step out of the ambulance, look around at all the patients, briefly, call for a second truck if needed. If they're going to be refusing treatment, and there's one that needs immediate transport, I will package the patient, start the refusals, and let the second truck finish them, depending on the ETA of the second ambulance.
Otherwise, I'll get the refusals and transport the patient(s) needing tranport.
And about HEMS: Call, or do not call. Do not put them on standby. Like you, they live on standby. The only thing that will happen if you put them on standby is that they will check the weather. You still have a decision to make. Just make the decision already. It kills me to hear people put the helicoptor on standby, like that's doing a single thing for the patient.
Otherwise, I'll get the refusals and transport the patient(s) needing tranport.
And about HEMS: Call, or do not call. Do not put them on standby. Like you, they live on standby. The only thing that will happen if you put them on standby is that they will check the weather. You still have a decision to make. Just make the decision already. It kills me to hear people put the helicoptor on standby, like that's doing a single thing for the patient.