Protocols regarding extrication of potential spinal injury patients from POV’s showing up at your ED.
I need some assist. I need to present a protocol to be established for our ED for extrication of injured patient’s from their POV’s (Privately Owned Vehicles) which show up at our ED Door.
Obviously, the ideal situation would be for the driver to have simply phoned EMS and allow those with expertise in Pre-Hospital Management to work their magic. (We have an excellent and well trained EMS system in the county in which our hospital is located! There are generally at least a couple of trucks at the ED, but not when always…)
We serve a 5-6 county region, and some patients, their family and friends, just simply load & go…it’s a mountainous area, and MVC’s & ATV injuries occur frequently.
We are fortunate in that most of our ED Techs are EMT Basics, we have a couple of RNs that are also working Paramedics, and have a couple of Flight Paramedics that work in our ED.
I am current in PHTLS
, as are a few of my co-workers. btw I personally feel that it would benefit all
of us to be proficient in extrication skills.
I am saying all of this, because I realize that having professional EMS to handle these situations would be ideal, but sometimes care simply cannot, nor should not, be delayed.
We obviously have C-collars on hand, a backboard with appropriate straps, and Multigrip Head Immobilizer or CID’s
I plan to add a KED, or Kendrick Extrication Device
to our gear.
Also in the planning is instruction related to the above. One of the Paramedics that work in the Ed was also my PHTLS Instructor.
The bottom line is that we are trying to Proactive
, not just Reactive
So please lend me a hand. If you have any insight, or any Protocols regarding extrication, or just your qualified opinions, I’d appreciate hearing them.
Feel free to PM or e-mail me, if you’d like.
Thanks in advance.