Very honestly on chest tubes and escharotomy? Not often to never.
The issue I'm having is this. Things such as escharotomy are going to be extremely rare. That said, if marketed how we're aiming at we're looking at hour plus ground transports on "weather" days for HEMS in this area. So it puts our providers in a difficult spot. Take a patient you know is going to crash 25 minutes in or refuse the transport? Those two procedures in particular are intended for that environment. The concern of course is keeping a level of competency, with a small group I think that can be accomplished.
The most common procedure on that list I expect to see used? Art lines. We've run into a rash of patients on heavy duty pressors coming out of small EDs and rehab facilities with no pressure monitoring.
The issue I'm having is this. Things such as escharotomy are going to be extremely rare. That said, if marketed how we're aiming at we're looking at hour plus ground transports on "weather" days for HEMS in this area. So it puts our providers in a difficult spot. Take a patient you know is going to crash 25 minutes in or refuse the transport? Those two procedures in particular are intended for that environment. The concern of course is keeping a level of competency, with a small group I think that can be accomplished.
The most common procedure on that list I expect to see used? Art lines. We've run into a rash of patients on heavy duty pressors coming out of small EDs and rehab facilities with no pressure monitoring.
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