[Scan-DC] Caution -- Possibly OT: Serious PI Rockville

[BLGY2K at aol.com]

I am not an EMS expert but knowledgeable on  where to look.  
 

_http://www.miemss.org/home/LinkClick.aspx?fileticket=pw9w-1JsO24%3d&tabid=1
06&mid=534_ 
(http://www.miemss.org/home/LinkClick.aspx?fileticket=pw9w-1JsO24=&tabid=106&mid=534) 
 
The Trauma Decision Tree on Page 128 of the Maryland Medical Protocols July 
 1, 2005 update is to be used to determine if a patient is a candidate to 
be seen  by a trauma center, rather than the local hospital Emergency 
Department.  Protocol divides trauma patients into 4 categories: 
Category A: Physiologic abnormalities and/or significant anatomical 
injuries  that require emergent transport to a trauma center. 
Category B: Anatomical injuries that require urgent care by a trauma  
center. 
Category C: Injuries that are not urgent in nature, but require evaluation  
and/or treatment by a trauma center based upon mechanism. Unless the 
patient  fits into Category A or B, these patients should be transported to a 
trauma  center by ground on a non-emergent basis. 
Category D: Co-Morbid factors that may change the patient's response to  
trauma. Category D factors would change the patient's category upwards by at  
least one category, thus a 78 year old Category C patient would become a  
Category 2 based upon age.
 
(http://www.miemss.org/home/LinkClick.aspx?fileticket=pw9w-1JsO24=&tabid=106&mid=534)  
 
 
In a message dated 2/11/2010 9:00:16 P.M. Eastern Standard Time,  
oldsdoug at hotmail.com writes:


*** CAUTION! POSSIBLE OFF-TOPIC CONTENT FOLLOWS  ***

Hey Andy,

Depends on how you look at it - Priority 4 is  injured to death.  :(

You're correct... the actual definition I've  seen of Priority 4 is 
"Requires no care", which translates to DOA.  The  two terms seem to be used 
interchangeably.

Priority 1 is the most  severe, what comes to mind is "life-threatening".
Priority 2 is "serious  but not life-threatening".
Not sure of the exact definition of P3 but you  get the idea.

Seems to me that some sub-categories have been added to  some of these 
things as well, such as Priority 1 Category A... taking those  out of context it 
seems that A is the most serious, and those run from A  through C... I'll 
have to do a little digging on that.  I think the A-C  is used on P1 and P2.

Early on in the accident in Rockville, the  command officer reported three 
Priority 1 Category As... that changed as time  passed and they were better 
able to assess the patients.

Often the  assessment is based at least partially on the mechanism of 
injury, and in the  case of an auto accident, condition of the vehicle as well... 
you may hear  "trauma by mechanism" when the car is really beat, air bags 
deployed,  intrusion into the passenger compartment, etc. even when the 
patient seems to  be not severely injured.

I've gained all that just from listening... no  doubt one of the EMS guys 
here can elaborate, but hopefully I'm not too far  off!

D

----------------------------------------
> From:  w4jecom at w4je.com
> To: oldsdoug at hotmail.com;  scan-dc at mailman.qth.net
> Subject: Caution -- Possibly OT: Serious PI  Rockville
> Date: Thu, 11 Feb 2010 20:38:55 -0500
>
> ***  CAUTION! POSSIBLE OFF-TOPIC CONTENT FOLLOWS ***
>
>  Doug,
>
> Can you remind me of the priority levels? I'm pretty  sure Priority 4 is 
DOA.
> Otherwise, is Priority 1 the most seriously  injured? Or is it Priority 4?
>
> Thanks,
>  Andy

(snip)

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