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Old 24th Nov 2010, 11:20
  #27 (permalink)  
Thud_and_Blunder
 
Join Date: Aug 2000
Location: SW England
Age: 69
Posts: 1,501
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There you have it in a nutshell, Crab - your aircraft is suited to one kind of patient care, so that's where your area of knowledge is centred. Occasionally you fly with a consultant from a nearby hospital (who also flies with the local Air Ambo) - he has made his very valid opinions clear.

Other contributors here have explained why treatment on board their aircraft is less likely to achieve the optimum patient outcome, which is why pre-hospital-medicine specialists travel on those aircraft to help produce the best result for the patient. These specialists, especially on aircraft operating in the Home Counties where they are actually employed by the Air Ambulance Trust, are in contact with duty consultants who also provide weekly clinical governance; top-cover that your volunteer consultant does not have.

It has been explained to you in the past that a RSI'd, stabilised patient does not require a trauma team to meet the aircraft on arrival at hospital (your anaeshetists will be able to explain the advantages this confers). In fact, several things have been explained to you but you still cherry-pick the snippets which appear to match your viewpoint. It may simply be that you don't realise that comments like:

We then come back to the dilemma of 'stay and play' or 'scoop and run'.
are the conversational equivalents of a hand-grenade. Or you may just enjoy muck-spreading for the sake of it. I can't be sure.
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