�change sur les pr�-notification pour IDMs confirm�s

I am in Evansville, Indiana.  I have only been here for a couple of
years, but right before I moved here, we had 3 hospitals and one of
the bigger hospitals bought and closed the downtown hospital leaving
us with only 2 hospitals and ERs, which are completely overwhelmed. 
I have heard comments from guys who have been here for a long time
like, no we don't need 3 ERs, hehehe.  
I have brought in patients who are intubated, called report and
when I walked in, they saw me bagging the patient and they are all
just standing there looking at me wondering what I was doing!  I have
put chest pains in the hallway without monitors, asthma patients in
the hallway on portable tanks, etc.  I do document everything that is
done on my part in order to get the patient the best care possible,
including a better room assignment that a hallway.  Thanks for your
advise.

Jason
----- Original Message -----
From: "Gary Saffer" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Monday, March 11, 2002 7:22 AM
Subject: Re: Prehospital 12 Lead - Impact


> At 06:56 AM 3/11/02 -0600, you wrote:
> >Just curious, if you perform a 12 lead and it shows a MI, how do
you notify your receiving facility of a pt coming in with an acute
MI.
>
> We notify by radio. Since we only do notifications on acute
patients, we generally get the hospitals' attention. If we notify, we
get a room assignment right away, sometimes over the air.
>
> >We don't call report to our hospitals unless the patient is
critical and then only sometimes.  Even when we call report our
hospitals are too busy for the most part to do anything about it. 
Most of the time when we take a patient in, the response from the
triage nurse is , "hallway please, what is the last name."  I have
told them many times that my patient does not need to be in the
hallway, but that is where we almost always end up going!  Any
suggestions.
>
> Make sure that you document the crap out of the call. When the big
law suit comes, and it will, you want to be as bullet proof as
possible. I don't know where you are, but this is a disaster waiting
to happen. You just don't want to be at the bottom of the crap flow
when it happens.
>
> Gary

A not� que le 12 d�riv�es pr�hosp a d'autant plus de valeur dans les
r�gions qui on peine a instaurer le "door to needle" de 20 min.
Chez nous ?

Charles Brault EMT-P

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