After the recent threads regarding ER bypass as well as instructional shooting I have been giving this matter some thought.
It is well known that some regions have both flight and ground response teams which include surgical capability.
We know that life threatening trauma, particularly that amiable to surgical correction is both declining and one of the few time sensitive emergencies.
Recently in London, and in years past, Israel has been able to have a positive effect on life threatening traumatic injury by having surgical capability respond to the scene.
In the US, it seems more and more, there is a push for actual medical care into the field setting. Mostly by Emergency Physicians, but in this case I do not think it matters who is doing it.
Since there is an abundance as well as new focus of prehospital emergency physician fellowships, compounded with the success of forward surgical capability in just about every war since the Napoleonic wars, should implementation of this idea be advanced?
While cost is certainly a concern, is there a way it could be made to be cost effective?
Should various high acuity calls have an automatic surgical capable physician dispatch with such things as hypothermia equipment and blood?
Given the success of other nations and the military, coupled with the knowledge of advanced and time sensitive, should this warrent at least a trial?
It is well known that some regions have both flight and ground response teams which include surgical capability.
We know that life threatening trauma, particularly that amiable to surgical correction is both declining and one of the few time sensitive emergencies.
Recently in London, and in years past, Israel has been able to have a positive effect on life threatening traumatic injury by having surgical capability respond to the scene.
In the US, it seems more and more, there is a push for actual medical care into the field setting. Mostly by Emergency Physicians, but in this case I do not think it matters who is doing it.
Since there is an abundance as well as new focus of prehospital emergency physician fellowships, compounded with the success of forward surgical capability in just about every war since the Napoleonic wars, should implementation of this idea be advanced?
While cost is certainly a concern, is there a way it could be made to be cost effective?
Should various high acuity calls have an automatic surgical capable physician dispatch with such things as hypothermia equipment and blood?
Given the success of other nations and the military, coupled with the knowledge of advanced and time sensitive, should this warrent at least a trial?