You are transporting a stable patient who was involved in a minor fall from a ladder at a height of about 10 feet to a local community hospital.You assumed full spinal precautions not only because the patient has midline back pain in the sacrum,but also because he was knocked unconscious.While transporting,the patient begins to become increasingly confused,develop an irregular respiratory rate,and experience a drop in heart rate with an increase in blood pressure.You just called in a radio report and are about 7 minutes from the hospital.A trauma center is about 10 minutes away.Which of the following is the BEST transport decision?
A) Call medical control for advice from the trauma center.
B) Divert to the trauma center because the patient is becoming symptomatic.
C) Continue transporting to the local hospital because you've already given report and they accepted the patient.
D) Continue transporting to the local hospital since it's the closest facility.

Question

Quizplus · Accepted Answer

The patient's worsening symptoms suggest that their condition may be deteriorating and require a higher level of care than what the local hospital can provide. Diverting to the trauma center, which is equipped to handle complex cases, may provide the patient with better outcomes. It is important to prioritize the patient's well-being over convenience or prior arrangements.

You Are Transporting a Stable Patient Who Was Involved in a Minor