Wednesday, October 29, 2014

Africa does not have a Level 1 Trauma Center. I don't think it has a Level 3, does it?

October 26, 2014
By Liz Szabo

...Studies of African (click here) patients have shown that ones who are in better condition at the time of infection — with better nutrition and overall health — are more likely to survive Ebola. Younger people and those who receive blood transfusions also fare better, said Peter Hotez, dean of the National School of Tropical Medicine in at Baylor College of Medicine in Houston.

Emory treated four of the survivors — Vinson, Brantly, Writebol and the unidentified patient. The Nebraska Medical Center in Omaha treated Sacra and Mukpo.

Those hospitals have excellent intensive care units, where doctors could prevent some of the most dangerous complications of Ebola, such as dehydration and electrolyte imbalances, which can cause heart rhythm disturbances, said Robert Murphy, director of the Center for Global Health at Northwestern University in Chicago. American hospitals also have a variety of ways to maintain stable blood pressure, control pain and treat bacterial infections.

Vinson's physician, Bruce Ribner, said he has learned that it's possible to treat Ebola patients much more aggressively than doctors once believed, using ventilators to help them breathe and kidney dialysis if their kidneys begin to fail....

What medical doctors are finding in the patients that survive and those that die is their age and physical wellness BEFORE contracting Ebola. Should patients with Ebola be given intravenous nutrition to attempt to increase their physical stamina?

American College of Surgeons Reference Guide to Suggested Classification (click here)

I realize being the center of quarantine as a professional can be traumatizing in itself. But, time will pass and people will forget the notoriety. 

Americans are fairly intelligent people without many superstitious beliefs to taint their view of the world. If the professionals found in the middle of the USA experience with Ebola would continue to speak to the media when possible it would help Americans deal with what is basically 'group think' anxiety and panic. 

If it were me I would also talk about the conditions of those in Africa and the profound struggle to keep them alive long enough to recover from the virus. I would also ask for greater support of the African people in improving their medical facilities and life outcomes. I'd broaden the understanding of the American people to realize the difference in the societies here and abroad and bring focus to the need of others to live a better quality life to insure such diseases aren't spread throughout the world.

You only go around once and while legal battles are necessary to set limits on government, making an impression on the public in general is not such a bad idea. Caring for the Ebola patients in West Africa is incredibly admirable, but, being their advocate could be live changing for them. Advocacy by the way for medical professionals at all levels is legal and within practice ethics.
LEVEL I (click here)
As verified by the American College of Surgeons' Committee on Trauma, a Level I Trauma Center is a comprehensive regional resource that is a tertiary care facility central to the trauma system. A Level I Trauma Center is capable of providing total care for every aspect of injury – from prevention through rehabilitation.
Key elements of a Level I Trauma Center include 24-hour in-house coverage by general surgeons, and prompt availability of care in specialties such as orthopedic surgery, neurosurgery, anesthesiology, emergency medicine, radiology, internal medicine and critical care. Other capabilities include cardiac, hand, pediatric, microvascular surgery and hemodialysis. The Level I Trauma Center provides leadership in prevention, public education and continuing education of the trauma team members. The Level I Trauma Center is committed to continued improvement through a comprehensive quality assessment program and an organized research effort to help direct new innovations in trauma care.