Does everyone in Hernando County have equal access to quality healthcare in an emergency situtation? In the event that you, or your loved one, has a medical emergency you should be aware of directives in place by the emergency medical director. The Hernando County Emergency Medical Director has issued directives to transport patients to the nearest emergency room even if the patient has specified a particular facility. This makes logical sense, or does it?
What if the patient lives on the east side of the county and requests transport to Oak Hill Hospital? EMS directives dictate that the patient be taken to the nearest facility which is Brooksville Regional Hospital, under the discretion of the paramedic. This seems like the safest path for the patient, or does it?
Hypothetically speaking, if the east side emergency patient is exhibiting stroke-like symptoms, EMS personnel would take the patient to Brooksville Regional even though Oak Hill is the only state certified stroke facility in Hernando County. Once this hypothetical patient is evaluated as a stroke patient, they are air lifted to Tampa General Hospital for stroke treatment. The question that should be on everyone's mind is why wasn't the patient transported to Oak Hill Hospital in the first place to safe precious minutes. The first three hours after suffering a stroke symptoms are the most critical in the recovery of a patient so it would be only logical that they should have been transported to Oak Hill Hospital in the first place. The full recovery of the patient should be the main objective of EMS personnel when evaluating stroke patients. How much precious time is wasted in the critical 3-hour stroke window of the patient by taking them to Brooksville Regional, only to then be air lifted to Tampa General?
This stroke scenario could be re-created with the heart attack patient since Oak Hill is a certified heart facility, too. When the heart patient is taken to Brooksville Regional, only to be air-lifted to Tampa General, how much heart muscle could have been saved by an immediate transport to Oak Hill Hospital?
Is the health, safety and the welfare of the patient paramount in the Hernando County Medical Director's directive or are HMA's corporate interests the driving factor in the "closest facility directive" since Brooksville Regional Hospital and Tampa General are under this parent corporation. The county's emergency medical director is under contract by the approval of the Hernando County Board of Commissioners. It is the Hernando County Board of Commissioners overriding authority to protect the health, safety and welfare of all the citizens of this county. Hopefully they will investigate this very troubling directive by their emergency medical director that allows out of county transport of our citizens in medical emergencies.
2 comments:
closest facility is for only certain types of medical emergencies, routine transport can be to where ever the patient wants to go. except very long distnace transports which leave our county with fewer ambulances. those are arranged after the patient is seen locally.
patients can also sign a waiver saying that "against medical advise" they wish to take the risk of bipassing the closest facility and be taken to another hospital. this does not mean they will be taken whereever they want i.e- long distance transfer. they must first be cleared for such a risky dangerous trip at a local facility then can be taken somewhere else. the forms are with all ambulances in county.
The closest facility is used by EMS as a written directive, not just in certain conditions. I verified this information from a very reliable source within the system.
Yes, I know that there are forms on the ambulances but a patient should not have to deal with the decision to be taken to a state certified stroke facility in an emergency, it should be an automatic response by EMS.
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