Trauma and bls

Focallength said:
We transported. Level 1 trauma 5 miles away. Who knows when als will arrive. Trauma doc said we did good, trauma nurse pissed because we didnt wait for als, complained to company, filed charges with state. I have yet to find a protocol we broke. Sac county only mentions max 10 minutes on scene, txp to trauma center. She could have delivered a viable baby, not to mention internal injuries. co. put us on unpaid leave for violating protocol, but the co. has no protocol for this issue.

Agreed we had pt interest in mind, everyone but one nurse says we did the right thing, from nicu nurses,bc's trauma md.

Our protocol is stop and render aid to anyone who may need it.

Hospital was told we were txp code3 bls. Gave no orders. Disp told we were txp code 3 bls gave no orders.
Click to expand...
Possible violation of Policy 2055.07 Section IV B:
If no EMS responders are on scene and the on-viewing unit is not enroute to
another emergency, or not transporting a patient, the crew of that unit must stop
and render aid including transport, if appropriate, or wait until other EMS
resources arrive.
Click to expand...
There is no provision for BLS to accept orders from any Base Hospital except perhaps for destination decision when in Round Robin. IMHO, the right thing was done... another issue is that ED RNs aren't used to BLS crews transporting to an ED. By and large, all they see is Paramedics doing all the transporting. If the SRFECC wasn't contacted by YOUR UNIT at the outset of the incident... you might have a problem. In the end, you'll most likely be OK with the County, considering the circumstances. Your company will most likely let you go or try to just to keep the nurses happy so they'll use your company's services... Chances are they won't back you at all.
 
Yeah take her to the hospital. 8/10 abdominal pain s/p traumatic injury in the second trimester. Is she bleeding, contractions?

I'm no OBGYN but uterine rupture, placenta abrupto, pre-term labor, maternal hemorrhage just a few reasons I'm not sitting around. Do they expect you too hang around until you have limb presentation and a imminent pre-term delivery? Maybe it's an extreme example but I'm not screwing around to find out.

I would have politely asked the trauma nurse what exactly an IV is going to do to rectify any of the above conditions.

Take her to the hospital and deal with the political, turf war BS later.
 
As was said, weigh transport decision vs ALS ETA.

If you REALLY want to make it easy on yourself and take much of the burden off you and your partner, i'd have make base hospital contact as soon as I assessed Pt with C/C

Tell them who you are, what you have and ask them if they'd like you to transport or wait on scene for ALS. Once THEY make the call, it's on them what happens from there.

Whenever there are questions on scene, and it's one of these kind of situations, I tell crews to contact base hospital, and since they are the ultimate say in SoCals "mother may I" system, let them decide. :)
 
Am I missing something here?

Why would you wait for fire, if you have the pt all packaged and loaded into the ambulance?
 
Lady_EMT said:
Am I missing something here?

Why would you wait for fire, if you have the pt all packaged and loaded into the ambulance?
Click to expand...

same, usually we run away from the BRTs

And if i cant see Medics, or hear them, im leaving, high flow diesel fuel to a Trauma unit
 
Go to your county office and contact the medical director of your county and your company, as well as a lawyer. Also, do not speak on this matter any more as this is an almost guaranteed to turn into a legal case.
 
Dude, I feel for ya.

As has been said, a max diesel bolus was what this pt. needed.

You've run into the same thing I've run into...trying to do the right thing for the patient gets you in trouble.

If nothing else, you can look yourself in the mirror and know that you did the right thing, and the best that you could do, for the patient.

No matter what anyone else says, as long as you did the best you could, that can't be taken away from you.
 
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