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Major Trauma Protocols – If the patient meets any one of the criteria delineated in the protocols, they must be transported to a regional trauma center 3.Therefore, the direction or redirection of a transporting vehicle cannot be made without medical approval based upon established Regional Emergency Medical Services System protocols 2.Īlso, the NYS Basic Life Support Protocols, which Part 800 regulations require all Emergency Medical Technicians to comply with specify: For any given patient, the appropriateness of the receiving facility to provide emergency care is a medical decision.
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The triage and transport of out of hospital patients must be based upon established principles of emergency medical practice, including pre-established state and regional medical protocols and guidelines.All ambulance patients can expect to be informed of the need to be taken to a medical facility capable of providing appropriate emergency medical care 1.However, the New York State Emergency Medical Services Council has made the following statements concerning the transport of emergency patients:
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While Article 30 of the New York State Public Health Law defines ambulance service, it does not require ambulances to transport patients to specific hospital destinations. EMS services are required by either state or regional EMS medical advisory committees to transport patients to hospitals with special designations. Re: Emergency Patient Destinations and Hospital DiversionĪs prehospital care becomes more sophisticated and hospital care more specialized, it is important to clarify the responsibilities of ambulance services to transport their patients to the appropriate medical facility destination. Emergency Patient Destinations and Hospital Diversion Bureau of EMS Policy Statement