tag:blogger.com,1999:blog-18943510.post7122635188169708319..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Door-to-Balloon Time: Simple?DrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-18943510.post-50974366241698122632008-07-13T03:20:00.000-05:002008-07-13T03:20:00.000-05:00With appropriate training and oversight there is n...With appropriate training and oversight there is not much reason for ED involvement in this. We spend a ridiculous amout on trauma activation by EMS (activation that often by-passes the ED) that has less than 10 percent of the trauma alerts emergently going to the OR. The whole justification for the trauma system was the "Golden Hour" from injury to surgery. A lot of places manage with level 3 Rogue Medichttps://www.blogger.com/profile/07598646309630074992noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-60234529229983469332006-11-14T13:30:00.000-06:002006-11-14T13:30:00.000-06:00I wouldn't be so pessimistic. As I noted over at...I wouldn't be so pessimistic. As I noted over at <a href="http://allbleedingstops.blogspot.com/">Movin' Meat</a>, from the ED point of view it's very feasible. In-house cardiology and techs are not a sine qua non of the goal (we don't have it and our time is 69 min), though they certainly would help. Why not start with simpler interventions that provide the most bang for the buck? Like shadowfaxhttps://www.blogger.com/profile/11648279307230813762noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-34002340496937429932006-11-13T12:22:00.000-06:002006-11-13T12:22:00.000-06:00Great post. I was hoping you would cover this toda...Great post. I was hoping you would cover this today. I've been reading the news reports as well, and I was going to talk about this...<br /><br />My small community hospital does not have a cath lab. What does that mean for my patients? Our nearest cath lab is a helicopter ride away.<br /><br />So, does that mean that the helicopter has to be on the way as the ER doctor is interpreting the EKG Dr. Ahttps://www.blogger.com/profile/05207266669522973903noreply@blogger.com