Wait...what? How does that constitute the need to fly the kids? If I recall correctly Tyler has a trauma center (ETMC).
Level I and Level II trauma centers...but no pediatric service from Shreveport to Dallas. Both kids had bruising, tenderness, and were tachycardic (one more so than the other)one had a palpable mass in the LLQ. The closest pediatric service was Shreveport, 90+minutes away by ground from where we were at. We were probably close to an hour or so from Tyler as it was. I don't fly much (this was the first aircraft I've requested in about 12 moinths) but kids are one of the couple of cases where air transport is usually needed around here.