mrmeaner Posted September 9, 2007 Share Posted September 9, 2007 I am probably putting my famous "New York 'Spin'" on this, but, State protocol, far as I know, if in a car crash, there is even one dead, all others from the incident get immobilized, and everyone, except for the DOA, goes to a trauma center.From the incident or the same vehicle? Same vehicle would make more sense, but with state protocols... Link to comment Share on other sites More sharing options...
Richard B the EMT Posted September 9, 2007 Share Posted September 9, 2007 The incident. NY State DoH likes covering it's butt! Link to comment Share on other sites More sharing options...
FireMedic65 Posted September 9, 2007 Share Posted September 9, 2007 oops... pt in car was dead... my bad Link to comment Share on other sites More sharing options...
Richard B the EMT Posted September 9, 2007 Share Posted September 9, 2007 Therefore, except for the DOA, everyone from any and all vehicles in the incident go. If there was enough force to kill someone, all need to be checked, and presumed injured. Immobilize all. Link to comment Share on other sites More sharing options...
FireMedic65 Posted September 9, 2007 Share Posted September 9, 2007 exactly richard Link to comment Share on other sites More sharing options...
mrmeaner Posted September 9, 2007 Share Posted September 9, 2007 Therefore, except for the DOA, everyone from any and all vehicles in the incident go. If there was enough force to kill someone, all need to be checked, and presumed injured. Immobilize all.Do you guys have a selective spinal immobilization protocol? Link to comment Share on other sites More sharing options...
Richard B the EMT Posted September 10, 2007 Share Posted September 10, 2007 Manual stabilization, C-collar, KEDS (Kendricks Extrication Device), KODE (Kendricks Other Device for Extrication), or IDEA (Iron Duck Extrication Appliance), Long Spinal Board, Head-Bed. Oxygen (NRB @ 15 LPM, Canula @ 5 LPM if patient not tolerating NRB). Obtain V/S, and Hx, transport to Trauma Center. I may have left something out. Link to comment Share on other sites More sharing options...
FormerEMSLT297 Posted September 10, 2007 Share Posted September 10, 2007 110% correct. What were the medics going to do, watch the patients B/P drop even further.... ALL Trauma is BLS load and go,, worry about ALS en route to the hospital unless there is an airway issue... Link to comment Share on other sites More sharing options...
mediccjh Posted September 10, 2007 Share Posted September 10, 2007 ALS coming from the opposite direction of the hospital? Load and go. Link to comment Share on other sites More sharing options...
mrmeaner Posted September 10, 2007 Share Posted September 10, 2007 Manual stabilization, C-collar, KEDS (Kendricks Extrication Device), KODE (Kendricks Other Device for Extrication), or IDEA (Iron Duck Extrication Appliance), Long Spinal Board, Head-Bed. Oxygen (NRB @ 15 LPM, Canula @ 5 LPM if patient not tolerating NRB). Obtain V/S, and Hx, transport to Trauma Center. I may have left something out. If this was in response to my question, it's not quite what I was looking for. We have a EMT-I & EMT-P selective spinal immobilization protocol for trauma patients. We assess for neuro deficit/complaint, point tenderness, anatomic deformity, MOI, distracting injury, and communication issues. Based on our findings, we may or may not immobilize the pt. If the response was not to my question, I'll shut up and stand over here. :oops: Is the IDEA any better than the KEDS or KODE? Link to comment Share on other sites More sharing options...
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