Recap on the Rindge NH car crash

1. They started looking for the helo before they reached the scene - good

2. DHART couldnt fly so the dispatcher had to call Worcester
LifeFlight - what if Worcester said no? - would they then have to make
a additional telephone call to Boston medFlight or hartford Helo or
Albany helo or Philadelphia helo? - maybe need a better system here -
not good

3. Distance to MGH hospital in Boston is 60 miles via roads. Distance
to UMass trauma center in Worcester is 40 or 48 miles by road - 1 hour
and 2 minutes - or 1 hour and 5 minutes - for regular drivers - maybe
50 minutes for an ambulance

4. Helo crew does not seem to have any special capabilitys above that
of a ground crew in this trauma situation

5. nearest regular hospitals are - Peterboro NH - gardner MA -
Leominster MA - all probably have LZs - 15 to 20 miles away I guess -
but what trauma capability do they have? Can they give whole blood?
Maybe yes.

6. Let me check the distance to the trauma center in Lebanon NH - OK
it is 80 or 90 miles to Lebanon NH - 67 to 77 miles to Bay State
Medical Center trauma center in Springfield MA

7. Pulling all of this info together - they lost 10 minutes probably
trying to find a helo that would fly - they had to wait 25 minutes for
helo to fly to scene - they probably lost 10 minutes loading the
patient into the helo - all together they lost 45 minutes versus
'scoop and run" - in 45 minutes they could have been at the Worcester
trauma center

Bottom line - helo didnt pay off in this situation apparently

If there was a 30 minute extrication of the victim - that would have
been a different story obviously

Maybe they should have run to Peterboro Hospital and waited for the
helo there while running some blood and doing some tests in the
hospital

OK - I am done

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