Transporting Multiple Patients

[medic417]

That's one thing I do like about how we run MCIs. The closest base hospital is notified and they get bed availablity from all the hospitals in the county as to not overwhelm one hospital.

Example hospital A is our base hospital. They can take 2 immediate (critical), 0 minor and 3 delayed (they will usually go into the waiting room.

Hospital A then goes to the MCI computer system and sees that hospital B can take 0 immediate 3 minor and 2 delayed. Hospital C has no beds. And so on for the whole county.

By the time we leave the MCI scene we already know where our patient/s are going.

Nice luxury. There is not even a hospital in my county which is one of the largest in the USA. The nearest hospital is over an hour away and is a level 4 and if you bypass to drive to the nest one you would have to go at least another 60 miles and then only be at another level 4.

 

[Bullets]

That's one thing I do like about how we run MCIs. The closest base hospital is notified and they get bed availablity from all the hospitals in the county as to not overwhelm one hospital.

Example hospital A is our base hospital. They can take 2 immediate (critical), 0 minor and 3 delayed (they will usually go into the waiting room.

Hospital A then goes to the MCI computer system and sees that hospital B can take 0 immediate 3 minor and 2 delayed. Hospital C has no beds. And so on for the whole county.

By the time we leave the MCI scene we already know where our patient/s are going.

One of the nice things the JEMS system in NJ has created is the ability to obtain bed status for every hospital in the state via cell phone and radio. During Hurricane Irene our EMS Task Force leaders were able to monitor this and provide the info to the transporting units via Hippocrates
https://hippocrates.nj.gov/common/heprLogin.jsp

currently there are no diverts, but if there were it shows on this site.

MICU also has this info 24/7

 

[abckidsmom]

Nice luxury. There is not even a hospital in my county which is one of the largest in the USA. The nearest hospital is over an hour away and is a level 4 and if you bypass to drive to the nest one you would have to go at least another 60 miles and then only be at another level 4.

I understand that. We have a level 1 an hour west, a level 1 an hour east, and a level 2 an hour north. We have to make a decision before we leave the scene.

 

[medic417]

I understand that. We have a level 1 an hour west, a level 1 an hour east, and a level 2 an hour north. We have to make a decision before we leave the scene.

Our nearest level 1 is 4 hours away. Nearest Level 2 about the same. No reliable air service. Gets pretty lonely when you have the bad calls.

 

[DesertMedic66]

I understand that. We have a level 1 an hour west, a level 1 an hour east, and a level 2 an hour north. We have to make a decision before we leave the scene.

What do you mean by we have to make a decision before we leave the scene? As in you have to decide what hospital you are going to before you leave the scene?

 

[abckidsmom]

What do you mean by we have to make a decision before we leave the scene? As in you have to decide what hospital you are going to before you leave the scene?

They are all relatively equidistant, give or take 15-20 mins. If one can't take the patients for MCI reasons, we can redirect, but I won't turn around an go to one of the other ones. There's no bypassing and going to one of the others.

 

[shfd739]

For the ones that asked.

Patient goes on a metal folding stretcher and is secured with straps similar to a spine board. The metal folding drops into the wall hooks and the hanging hooks. Both have locking retainers to keep the metal folding from coming. The hanging hooks secure against the cieling when not in use.

 

[EMSrush]

6

2 adults and 4 peds from the same family.

I'd hate to have six PCR's...