Speaking of trauma. It's well a very well known fact around the world when Princess Diana had a car crash in Paris. She was cared for for an extended time, you know, at the scene. Dr. Anton Titov, MD. Her transfer to the major hospital, which was quite nearby, was delayed by almost two hours by a hundred and 10 minutes. Dr. Sam Shen, MD. It was reported in global media. Some people said that because of this Franco-German care, a system of care, you know, her evaluation and appropriate management was delayed so that all the hospital resources were not available because she was not brought to the hospital. Dr. Anton Titov, MD. Whereas in the United States, a perhaps more thorough evaluation would have been undertaken either in the emergency room or in an operating room. Dr. Sam Shen, MD. Of course, that is not to say that she would have been saved because her injuries were very extensive, but it's for illustration purposes. This is just one of the examples where the focus is all in the care of a person with all the resources of the major hospital. Dr. Anton Titov, MD. Do you see that model as a necessity? Yeah, I mean, there's certainly a concept of the golden hour of trauma. I mean, that first hour, it's very critical in resuscitating and stabilizing a trauma patient golden hour of trauma. So first hour, Correct, correct. Dr. Sam Shen, MD. And so and so adhering to that principle, you know, paramedics will often you know, again, do everything they can to mobilize that patient to safely be transported to the emergency department, where again, you would have access to a lot more resources. Then and that model is you see that model as well in again in strokes as well as heart attacks in any situation where time is of the essence. And some people also speak, you know, there was a first-hour golden hour, but there are a platinum 10 minutes. And in the United States, there is the information about how fast ambulance and emergency medical technicians get to the patient is publicly available, and overall seems that the time I bought sim seven minutes for the arrival of first responders and about 10 minutes in major metropolitan areas for the arrival of advanced life support. Dr. Sam Shen, MD. This looks like a very fast time. What are some of the important aspects of getting a person through the first Platinum 10 minutes and getting to the hospital? Yeah, I think that's having experienced Paramedic Services that, that have very specific protocols, standing orders. And it's a very organized response. It's a very team-based response. Where, you know, the medics have a very clear idea in their mind what they do and paramedics are under the direction medical direction of a supervising physician, but often, whether it's a county or the state, they'll set certain protocols for that, for the practice of a paramedic in the field. Dr. Anton Titov, MD. And I think having that type of proactive, pre-planned response to certain clinical scenarios Just speed up the efficiency to which they can evaluate the patient. Dr. Sam Shen, MD. Begin the stabilization process and get them to the emergency department. And that could mean that they're doing CPR on the scene and en route after mean this. Dr. Anton Titov, MD. They’re doing a quick procedure or that could mean that they're just they're getting some basic information and then getting them to the hospital.
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