On Sat, 12 Oct 1996, Bruce Nayowith MD wrote:
> Hi! I hope that some of you might be of assistance. I work in a rural
> hospital in NY, with a 2 tiered EMS system- the paramedics are often
> 15-20 minutes away. We are having a teaching day in a few weeks and I
> am to discuss pediatric trauma for BASIC EMT's.
First, I must say Pediatrics is an often lightly covered subject in EMS.
I'm glad someone has decided to bring the issue to light.
> If you have any pearls regarding care by basic EMT's in pediatric trauma
> care - one or two frequently forgotten points, pet peeves, common
> mistakes you've seen, etc... (especially from rural areas) , could you
> please email a couple of lines to me? I have plenty of text to work
> from, but text rarely includes "frequent errors of omission or
> comission." and often lacks the emphasis and perspective of those who
Let me say that I have been in EMS for three years, and have been a
paramedic since March. One of the stongest points people forget to about
trauma is time. (Platnum 10 Minutes, and the Golden Hour are the phrases
used to describe the `time criteria'.) In any trauma, pediatric or adult,
the ideal setting is for the patient to be in surgery within one hour (The
Golden Hour) of thier injuries. It is stressed in our training that scene
time be less than 10 minutes to remain under the curtain of that hour.
I think that you need to stress that. In many medical settings, the
ambulance can do almost as much as an ED, but in trauma, the patient needs
more than what we can provide - namely surgery. Time is the most critical
factor in patient survival.
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