Capabilities
Summarize what a hospital with an OB / Prenatal specialty can do.
Facility has an L&D ward and personnel trained to handle obstetrics / prenatal emergencies.
Give me three capabilities of Suburban (JHU).
Cardiac; stroke; P-T stroke; psych pod; level II adult trauma; peds non-trauma.
Washington Medstar blew up and is unavailable to receive an adult burns patient. What is the 2nd closest adult burns center?
Johns Hopkins Bayview
Why would a hospital go on mini disaster status?
A facilities issue is prohibiting the hospital from operating.
Give me two ways to check if a hospital is on diversion status.
1. Check online using EDAS (R.I.P. CHATS :( )
2. Ask EMRC.
3. Ask Montgomery.
Summarize what a hospital with a peds burns specialty / peds burns capabilities can do.
It has doctors and equipment designed for children with burns to be safely handled.
What is the approximate travel time from R2 to Suburban (JHU)?
16 min.
A 16-year-old male accidentally got shot in the eye with a BB gun. The BB didn't penetrate the eyeball, but scratched the eye. Which is an appropriate destination:
A. Pediatric trauma center
B. Neuro-trauma center
C. Hand center
D. Normal ER
E. Consult to decide
E. Consult to decide
Why would a hospital go on yellow status?
The ER is overwhelmed to the point it can no longer safely handle unstable patients.
When is EMS700 in service?
Summarize what a hospital with a level I trauma specialty / level I trauma capabilities can do.
They have 24-7 in-house trauma specialists and a ready operating room.
What is the approximate travel time from R2 to Walter Reed (Bethesda Naval)?
14 min.
All of the hospitals with adult trauma centers in MoCo and D.C. are having on trauma bypass. What is the next closest facility we can transport to AND what level do they provide?
Inova Fairfax; Level I
What patients should we not bring to a hospital on red status?
Divert any patients requiring telemetry / monitoring to a different facility.
You are at Georgia Ave / Randolph Rd with a stable priority 2 patient experiencing shortness of breath. Holy Cross Silver Spring, White Oak, Suburban, and Medstar Montgomery are all on red and yellow. The patient has no preference in hospital destination. Which facility do you transport to?
Shady Grove (Adventist)
Summarize the referral indications to transport to a hospital with a neuro specialty / neuro capabilities.
Any patient with a traumatic injury that signs and/or symptoms suggest a possible neurological injury or deficit.
What are the three capabilities of White Oak Medical Center (Adventist)?
Cardiac; P stroke; OB/prenatal
An H-mart employee accidentally got his finger partially sliced off while portioning a fish fillet. The finger is sliced about 2/3 of the way through between the 1st and 2nd knuckles. Which is the appropriate destination?
A. Trauma center
B. Neuro-trauma center
C. Hand center
D. Normal ER
E. Consult to decide
D. Normal ER or E. Consult to decide
What patients do are we not to bring to a hospital on reroute?
Divert any stable patients to a different facility.
How does an EMS unit request to place a hospital on reroute?
To place a hospital on reroute call the EMS duty officer.
Summarize what a hospital with a hyperbaric specialty / hyperbaric capabilities can do.
The facility has the equipment and specialty staff to operate a hyperbaric chamber.
What are the five capabilities of Holy Cross (Silver Spring)?
Cardiac; P stroke; perinatal; peds non-trauma; OB / prenatal
What specialty referral centers are at Shock Trauma?
Spinal trauma
(Also hyperbaric and neuro)
Why would a hospital go on reroute status?
An EMS unit has been waiting for > 20 minutes due to the lack of available beds.
Describe the circumstances when you are required to communicate with EMS 700.
Providers on all units are required to consult with EMS700 on 7A13 before determining the disposition of the call, when obtaining a high-risk refusal, and before requesting a mutual aide response.