Chicken I raise tiny Dinosaurs shirt
First for the patients arriving by ambulance….in most EMS system when someone calls 911 or the ambulance companies number their complaint gets triaged and the appropriate level of care is dispatched. This system doesn’t get it right all the time and does over prioritize some complaints. Once we arrive on scene the patient gets an assessment and packaged for transport. If it’s something serious, like an MI or a CVA we will have already started treatment. In the case of an MI that means EKG, aspirin, nitro spray, IV, oxygen and morphine. In addition we will have already sent the EKG to the ER we are transporting to and will talk to a doctor 10 minutes or more before we arrive. If you are having an MI, chances are we are taking you right to a Cardiac Cath Lab and you won’t stop in the ER, except long enough to get registered.
If I have enough time I will have all that information ready for them so we only pause long enough to hand over a piece of paper. The same goes with CVA patients…thanks to telemedicine we are already having the patient examined by a Neurologist before we get to the hospital, so there is a plan for that patient before we hit the doors. The same holds true the other way, if you are complaining of non traumatic extremity pain that has only been going on for a short period there is a good chance you are going to end up sitting in the ER lobby after having taken the most expensive taxi ride of your life. Again we are talking to the hospital well before we get there so they have a pretty accurate guess of your priority. You may be taken To a fast track section of the ER, reserved for non serious cases but rarely is your non emergent illness going to get you head of the line privileges.
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