SMLE
Member
You hit the nail on the head there man. Where I work, we can usually be at the local level 1 trauma center (University of New Mexico Hospital) before the bird can get on scene. The local Vollunteer FDs often call for the chopper just because the call came out as an MVA without ever seeing the scene or sizing it up for level of injuries or entrapment Etc. We roll up, cancel the bird, grab the patient and book it to UMNH....EMS has gotten into the habit of flying out a lot of stuff that doesn't need to be flown. If the EMS crew were good experienced EMTs or more than half-assed Paramedics they should have been able to tell whether or not you had a pneumothorax. Of course other considerations come into play, like what services the local hospital can offer for trauma.
Not knowing all the details about the care level of the units that responded to E.K.'s accident, the distances involved to the approprriate facility, Etc. The chopper may have been warranted here. But yeah, too many first responders panic and call for it unnecessarily.
FWIW, I'm an EMT-I working on becoming a Paramedic. I've had PHTLS training, so it's only the really advanced ALS procedures I can't do yet. But from what I've seen in my short EMS carreer so far, the best treatment for most trauma is diesel fuel.