Prehospital Care in the Acute Setting

  • Norman E. McSwainJr.


A 16-year-old gang leader sustains a stab wound to the midchest (precordial area). He is found by the paramedics collapsed on the street with a thready pulse rate. With a Level I trauma center 11 miles away and a Level II facility four blocks away, which of the following should be the prehospital management decision?
  1. (A)

    Perform endotracheal intubation and establish intravenous access

  2. (B)

    Arrange air evacuation to the Level I facility

  3. (C)

    Transport directly to the Level II facility

  4. (D)

    Fully stabilize the patient in the field before any transport

  5. (E)

    Pronounce the patient dead at the scene



Cervical Spine Emergency Medical Service Cervical Spine Injury Advance Life Support Emergency Medical Service System 
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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Norman E. McSwainJr.
    • 1
  1. 1.Department of SurgeryTulane University School of Medicine, Charity Hospital Trauma CenterNew Orleans

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