Hey folks
Over the past year I have been working at stations that are extremely rural, as in buried at the end of a road that has no exit. Some of these are in communities that nominally have hospitals with ERs, but they are not designated trauma centres by any stretch, and one of the stations is in a community with no hospital, no Doc, no clinic, and is 150 kms away from the nearest hospital. Very few of the roads are paved, and northern gumbo is nasty stuff.
As a result, transport times are often in the 2 hour range, and every call is a minimum of three hours unless there is a refusal or DOA.If the pt requires higher level care, we are often on the road for ten hours or more per call.
I am curious if there are other places besides Northern Alberta with similar conditions. and how you deal with this, including the boredom in the back for the attendant and the patient, or the stress of treating/transporting a red or a yellow in a BLS unit for that length of time.