Quote from Emergent
I guess I'm wondering what sort of EMS preparations they have for these games?
It seems for the X-games, the risk is for head, spine injuries, and crush injuries in the snow mobile competitions. It's a 2 hr 11 min drive to Grand Junction. But, this young man should have been brought by helicopter. The games should have plans for this.
"The Games" might have had plans for that. It seems that Caleb was transported from the venue to the CAH, at which point all the planning that The X-Games has done for injury prevention, treatment and transport goes out the window and the burden now falls on the shoulders of the CAH that he was transported to. Caleb had a timely extrication from the venue to the CAH thanks to The X-Games and local/contracted EMS arranged by the event planners, but if the ED MD does not identify the need for a higher level of care, or arrange the proper transport to the facility of choice then that can have a worse effect than a slow extrication from the scene of the original injury.
It seems like one of three things happened:
1) The doctor at the CAH noticed the need for a higher level of care but did not think that heli transport was necessary and that the given the severity of Caleb's injuries as they presented to him in the ED he would be okay with ground transport. Or...
2) The doctor at the CAH noticed the need for a higher level of care and called for heli transport, but they were unavailable for calls at the time so the MD opted to transfer by ground. Or...
3) The doctor at the CAH noticed the need for a higher level of care and called for heli transport, but due to severe weather conditions (in Aspen or on the way to Aspen) they were grounded necessitating the transfer to a higher level of care via ground transport.
Whatever the case may be on that particular day, it seems like the X-Games followed their EAP (Emergency Action Plan) and transported to the closest ED. It seems like the break in the chain of survival happened at the CAH when the ED MD was arranging transport to the trauma center.