You are on the scene of a single-vehicle rollover collision in which the two teenage occupants were ejected. Both patients are conscious but seriously injured. Yours is the only transporting vehicle on the scene and you are the only paramedic, but there are two volunteer EMTs and two first responders on the scene. Helicopter transport is not available. There is a small community hospital 23 miles away but a larger level II regional trauma center 40 miles away. The closest BLS transporting unit is 18 miles away. Which of the following is the best transport decision?

Question

Quizplus · Accepted Answer

Both patients are seriously injured and require a higher level of care. The regional trauma center, although farther away, is better equipped to handle their injuries. Transporting both patients in one unit will also allow for better utilization of resources and quicker transport. The BLS transporting unit is too far away to be a viable option. Splitting up the patients and leaving one EMT and one first responder behind may delay transport and decrease the level of care available to the patients.

You Are on the Scene of a Single-Vehicle Rollover Collision