When doctor shredder was talking about the ethics and the duty to self no duty to patients as much as you'd love to take off sometimes right it's a really serious accident if you can't you can't credit because I your safety so you have to make that call Yahoo make that's a great question though if that is a good question and so at the program where I work atdartmouth-hitchcock we have built on a local level SAP there as well in that a request will come into work dispatch center on to fly to I and accident scene of on the roadway the dispatch center will give that information to the pilots say we have a flight to mile marker 25 on route 89 and they give them no patient information whatsoever its can you accepted whether how to get to that point and come back I was blinded so that what the what deal is yeah exactly and then when the pilot either accepts the mission or declines the mission then they say all right you're going for a motor vehicle accident it's an adult male because we don't.
Want the pilots emotions to be part about the decision making on whether or not we can do the call interesting know what it's really an acute think and they bypassed the pilot and get your opinion as a nurse somewhat is I now have a guy like it does and itfalls back to that ultimate level of safety that if we can go from point A to point in back safely in the air that we can't do the mission so everybody loves a story so I do have a story about a run are athletic trainer my athletes to your mind I have a really great story on this happened a number of years ago on when I was a flight nurse out incalifornia and we went to a call for a head-on collision on a roadway that roadways pretty high speed it's a I think the speed limit to sixty miles an hour into two cars collided head-on and out one person was entrapped upside-down in the car so when.
We landed on the scene firefighters were there using the Jaws of Life trying to open up the car to get access to the gentleman who was on entrapped upside down in his vehicle the steering wheel was crushing his legs in his lap on he had broken both his legs on he was kind of in and out of consciousness and still limited access we get we've got an IV in his arm we got some oxygen on it but we really couldn't do a whole lot here that's all he's upside down her act oh my lord so we stood by and let the firefighters do their job because we're part iv: the bigger team where we're one piece at the big absolute garcinia team here so after about an hour up cutting thisgentleman's car apart they were able to get him out of the vehicle so when we pulled into the vehicle we laid him down on the stretcher to get immobilize the cervical collar in the head.