Reply #97: Who Called EMS #! That Came After The Paramedics On The Ski Slope?

[DaLittle Kitty]

So The People who called the EMS were your party of reference... Again, mechanism of injury witnessed by ski patrol who first evaluated her... Did or were EMS #1 given a report from the ski patrol? You either give a rats ass about getting the details BEFORE you book... Or you don't! If these EMS 'ers had some cahunas they might well be heroes?

Even if someone tells you I'm OK you still get to ask THEM the questions RIGHT? But NOT in this case... Where the verbal assessment would have likely shown results... Is she going to lie to the EMS guys? Listen I have gotten plenty of TOTALLY wrong reports from EMS in ER! I have learned NEVER to take w/o a grain of salt the report from EMS... It can lead you down the wrong diagnostic path!

Can you say my stomach hurts and then point to your chest? I understand, believe me! EMS is a very tough arena... I sympathize but you cannot get so routine that you bail out at the first opportunity...

So getting the story in a detailed fashion first of all from ski patrol who called EMS for WHAT reason????? Then actually questioning the patient herself... would allow assessment for subtle cues...

If she needed the trip down the hill on a sled likely as not she HAD a concussion... Again which goes back to the critical pathway of Differential Diagnosis... Signs of concussion... momentary LOC? Woozy, confused... You are back to CT again!

This BTW was NOT a suspected head injury... It WAS a head injury the degree of which needed to be ascertained...In a TIMELY fashion! She clearly had symptoms otherwise WHY call EMS?

WHY transport back on a sled? and...

WHY have the college girl stay w/ her?

WHY? Because she HAD a head injury w/ symptoms that no one got to ASK HER about who had any diagnostic ability... Until it was too late!