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EMT personnel may immediately transport hypotensive trauma patients with life threatening, penetrating injuries to the torso to the closest
trauma center, not the MAR,
• The legal obligations to report sexual assault in California, including how, when and to whom to report.
. EMS personnel shall notify the local law enforcement agency of sexual assault patients regardless of whether the patient complains of physical injuries. EMS personnel
shall document on the EMS Report Form to whom the incident was reported.
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• The importance of the Sexual Assault Response Team (SART) evaluation for victims of sexual assault and which patients may be released to law enforcement for direct transport to a SART center.
Increased rate of conviction
The definition of BRUE
Brief Resolved Unexplained Event (BRUE): A brief episode characterized by any one of the following (for children 12 months of age or younger):
absent, decreased, or irregular breathing;
color change (usually cyanosis or pallor);
marked change in muscle tone (usually limpness or hypotonia, may also include hypertonia);
altered level of responsiveness.
EMT personnel shall transport 9-1-1 patients deemed stable and requiring only basic life
support (BLS) to the
MAR regardless of its diversion status (
When would EMT personnel not transport patients to the MAR?
exception: internal disaster).
Transport personnel shall take into consideration what kind of factors for transport?
traffic, weather conditions, or other factors that may influence transport time in identifying the most accessible facility. final authority for patient destination rests with the
base hospital handling the call
EMT personnel may honor patient requests to be transported to other than the MAR provided that the patient is deemed
stable, requires basic life support measures only, and the ambulance is not unreasonably removed from its primary area of response. In order to facilitate this, EMT personnel may transfer care of a patient to another EMT team if necessary.
In life-threatening situations (e.g., unmanageable airway or uncontrollable hemorrhage) in which the estimated time of arrival (ETA) of the paramedics exceeds the ETA to the MAR, EMTs should
exercise their clinical judgment as to whether it is in the patient's best interest to be transported prior to the arrival of paramedics.
Destination of Restrained Patients
. Restrained patients shall be transported to the MAR within the guidelines of this policy.
. Restrained patients shall be transported to the MAR within the guidelines of this policy.
Allowable exceptions
1. Patients without a medical complaint, with a 5150 order written by a designated Department of Mental Health Team, when transport to a psychiatric facility has been arranged
. 2. A law enforcement request for transport other than the closest may be honored with base concurrence
Patient requests for transport to hospitals that are not 9-1-1 Receiving Facilities may be honored by EMT or paramedic personnel provided:
1. made aware that the requested hospital is not a 9-1-1 receiving facility;
2. The Base hospital or EMS provider contacts the requested facility and ensures that the hospital has agreed to accept the patient;
3. If transport requires additional transport time, the patient's condition is considered sufficiently stable to tolerate
Ref 500
TRANSPORTATION / PATIENT DESTINATION
Ref 502
Patient destination
Ref 503
Guidelines for Hospitals Requesting Diversion of ALS Patients
Ref 506
Trauma triage
Do not delay transport of hypotensive patients with
penetrating torso trauma in order to apply spinal motion restriction.
When pediatric and adult trauma patients are transported together in one aircraft, the receiving trauma center shall be both a
trauma center and a pediatric trauma center
Trauma Criteria -
Requires immediate transportation to a designated trauma center
EMT personnel may immediately transport hypotensive trauma patients with life threatening, penetrating injuries to the torso to the closest
trauma center, not the MAR,
• The legal obligations to report sexual assault in California, including how, when and to whom to report.
. EMS personnel shall notify the local law enforcement agency of sexual assault patients regardless of whether the patient complains of physical injuries. EMS personnel
shall document on the EMS Report Form to whom the incident was reported.
0:08
/
0:15
Brainpower
Read More
• The importance of the Sexual Assault Response Team (SART) evaluation for victims of sexual assault and which patients may be released to law enforcement for direct transport to a SART center.
Increased rate of conviction
The definition of BRUE
Brief Resolved Unexplained Event (BRUE): A brief episode characterized by any one of the following (for children 12 months of age or younger):
absent, decreased, or irregular breathing;
color change (usually cyanosis or pallor);
marked change in muscle tone (usually limpness or hypotonia, may also include hypertonia);
altered level of responsiveness.
EMT personnel shall transport 9-1-1 patients deemed stable and requiring only basic life
support (BLS) to the
MAR regardless of its diversion status (
When would EMT personnel not transport patients to the MAR?
exception: internal disaster).
Transport personnel shall take into consideration what kind of factors for transport?
traffic, weather conditions, or other factors that may influence transport time in identifying the most accessible facility. final authority for patient destination rests with the
base hospital handling the call
EMT personnel may honor patient requests to be transported to other than the MAR provided that the patient is deemed
stable, requires basic life support measures only, and the ambulance is not unreasonably removed from its primary area of response. In order to facilitate this, EMT personnel may transfer care of a patient to another EMT team if necessary.
In life-threatening situations (e.g., unmanageable airway or uncontrollable hemorrhage) in which the estimated time of arrival (ETA) of the paramedics exceeds the ETA to the MAR, EMTs should
exercise their clinical judgment as to whether it is in the patient's best interest to be transported prior to the arrival of paramedics.
Destination of Restrained Patients
. Restrained patients shall be transported to the MAR within the guidelines of this policy.
. Restrained patients shall be transported to the MAR within the guidelines of this policy.
Allowable exceptions
1. Patients without a medical complaint, with a 5150 order written by a designated Department of Mental Health Team, when transport to a psychiatric facility has been arranged
. 2. A law enforcement request for transport other than the closest may be honored with base concurrence
Patient requests for transport to hospitals that are not 9-1-1 Receiving Facilities may be honored by EMT or paramedic personnel provided:
1. made aware that the requested hospital is not a 9-1-1 receiving facility;
2. The Base hospital or EMS provider contacts the requested facility and ensures that the hospital has agreed to accept the patient;
3. If transport requires additional transport time, the patient's condition is considered sufficiently stable to tolerate
Ref 500
TRANSPORTATION / PATIENT DESTINATION
Ref 502
Patient destination
Ref 503
Guidelines for Hospitals Requesting Diversion of ALS Patients
Ref 506
Trauma triage
Do not delay transport of hypotensive patients with
penetrating torso trauma in order to apply spinal motion restriction.
When pediatric and adult trauma patients are transported together in one aircraft, the receiving trauma center shall be both a
trauma center and a pediatric trauma center
Trauma Criteria -
Requires immediate transportation to a designated trauma center
