[Scan-DC] UP Park Police incident

Wed Dec 21 17:15:01 EST 2011

MIEMSS has a list of all Maryland Trauma Centers.  It includes an interesting matrix to describe the differences between trauma center levels on their website:

http://www.miemss.org/home/Hospitals/TraumaCenters/tabid/131/Default.aspx

-David

On Dec 21, 2011, at 5:09 PM, Cathy Drzyzgula wrote:

> You probably realize this, but there isn't a level I trauma center in
> Montgomery County.  In Baltimore city there is  the U of M Shock Trauma
> center, (primary adult resource center) and Level I John's Hopkins (also a
> Pediatric Trauma Center).Montgomery County has a Level II center (Suburban
> Hospital) as does Baltimore City (Hopkins Bayview and Sinai) and Prince
> Georges (P.G. Hospital Center).
> 
> 
> Cathy D
> 
> -----Original Message-----
> From: scan-dc-bounces at mailman.qth.net
> [mailto:scan-dc-bounces at mailman.qth.net] On Behalf Of Andrew Feinberg
> Sent: Wednesday, December 21, 2011 4:50 PM
> To: Clegg, Andrew W.
> Cc: Scan-DC at mailman.qth.net; Blair Thompson
> Subject: Re: [Scan-DC] UP Park Police incident
> 
> Often helicopters will be staffed by a medic and a flight nurse instead of a
> medic and an emt, making for a higher standard of care. As for the efficacy
> of air transport to save time, consider a level I trauma needs to go to a
> level I trauma center, of which there are two in Montgomery and DC (Wash.
> Hospital Center and MD Shock Trauma). It's not always feasible to transport
> by ground to one because of distance, traffic, availability of beds at one
> or the other, or all 3.
> 
> Just a thought,
> 
> Andrew
> On Dec 21, 2011 4:41 PM, "Clegg, Andrew W." <aclegg at nsf.gov> wrote:
> 
>> Yes, I believe you are referring to the one that started when I 
>> questioned the wisdom of calling for a helicopter (on a Sunday 
>> morning) for the injured person in Arlington. I recall that someone 
>> tried to justify it by claiming that somehow the helicopters were 
>> equipped with personnel who were so much more skilled than regular 
>> EMTs that it would justify the additional 1/2 hour - 45 minute delay 
>> in getting the person to the hospital. I don't buy that argument, but 
>> I really can't explain the rationale for the helicopter myself, other 
>> than perhaps there's a lot of political pressure to justify the 
>> existence of these hugely expensive resources. I totally understand 
>> the rationale for using helicopters for injured people in rural and 
>> some suburban areas, but not here in the city, where you're a 5-15 
>> minute ambulance ride from the hospital (except perhaps during rush hour).
>> 
>> By the way, apparently the accident rate associated with medical 
>> helicopters is really high. A random Google search turned up this 
>> passage from a Popular Mechanics article:
>> 
>> "As a result of flying ill-equipped into risky conditions, medical 
>> helicopters crash at twice the rate of other air taxis and are 
>> exponentially more dangerous than commercial airliners, according to a
>> 2009 study by Ira Blumen, medical and program director of the 
>> University of Chicago Aeromedical Network."
>> (http://www.popularmechanics.com/technology/aviation/safety/medical-he
>> li
>> copter-safety-crashes).
>> 
>> Between the time wasted in getting people to a hospital, and the very 
>> high accident rate, I really don't see the wisdom of using medical 
>> helicopters in a city.
>> 
>> Andy
>> 
>> 
>> -----Original Message-----
>> From: scan-dc-bounces at mailman.qth.net
>> [mailto:scan-dc-bounces at mailman.qth.net] On Behalf Of Blair Thompson
>> Sent: Wednesday, December 21, 2011 4:04 PM
>> To: Scan-DC at mailman.qth.net
>> Subject: Re: [Scan-DC] UP Park Police incident
>> 
>> There was a lengthy discussion about three or four years ago at 
>> Scan-DC about the wisdom of waiting for a helicopter vs. just taking 
>> the patient to a hospital in an ambulance. I can't find the thread right
> now.
>> 
>> ---------- Original Message ----------
>> From: "Clegg, Andrew W." <aclegg at nsf.gov>
>> To: "Brooks, Kurt" <knbrooks at wusa9.com>, <jeff at krauss.ws>, 
>> <scan-dc at mailman.qth.net>
>> Subject: Re: [Scan-DC] UP Park Police incident
>> Date: Fri, 16 Dec 2011 18:02:48 -0500
>> 
>> They're transporting to Georgetown, by ground.
>> 
>> Based on past incidents, I'm surprised they didn't call in a medical 
>> helicopter, taking 45 minutes to fly in, locate a landing zone, land, 
>> transport to helicopter, load, depart, and fly 1000 ft to Georgetown.
>> Makes about as much sense as when they took 45 minutes to pick up a 
>> patient in Arlington to fly to Georgetown. Could have taken them there 
>> on a bicycle in half that time.
>> 
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