Transfer headaches
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Today was a bang-my-head-on-the-wall day. I got a 73-yr-old man by helicopter, victim of heatstroke.....105-115 degrees throughout the county today. He was also in a-fib with RVR, which we figured was due to the heat. I tanked him up with 4 liters and he improved, except the rhthym didn't change. He is a Kaiser pt, we are a rural, non-Kaiser facility. Contacted the nearest Kaiser, they wanted us to transfer him. No problem, right?
He came in at 1315. At 1900 I was still trying to find a way to get him to Kaiser. All the ground units in three counties were tied up in MCI's and heat-related problems. I called the Kaiser transport team back to get authorization for air transport, but they refused!!!
I hate HMO's.........