Hospital Transport and Diversion Guidelines
- Any level trauma patient
- Significantly ill , violent, psychiatric pediatric patients
- Stroke Alerts w/ R.A.C.E score > 4 Comprehensive Stroke Center
Greenville Memorial or SFH Downtown
- Uncooperative / violent adult patients
- STEMI Alerts
- ACS patients
- Post arrest patients
- Sexual assault patients
- Dialysis Patients with dialysis related complaints
- Suspicion of leaking Aortic Aneurysm; determined by age, presentation and physical exam.
- Obvious Hip Fractures
GMH, Greer, SF Downtown, SF Eastside, PMC
- Stroke, TIA (R.A.C.E score < 4)
Greenville Memorial, SFH Eastside, or Greer Memorial
- OB patients greater than 14 weeks with OB complaint
- With With a R.A.C.E score of ≥ 4 recommend transport to a comprehensive stroke center (Greenville Memorial)
- Any acute coronary syndrome patient that presents a high suspicion for need of intervention should be transported to a PCI capable hospital.
- Once the destination hospital has been determined, the EMS crew must call the receiving facility via a recorded line as soon as possible. The report should include Age, Sex, Chief complaint, & Vital signs.
- A more complete report should be given for higher acuity patients.
- Any deviation of this Hospital Destination Guideline should be made by the diverting physician on a recorded line.
- Behavioral patients should be evaluated on a one-by-one basis by the EMS crew and will be transported to the nearest, most appropriate facility.
- Every attempt should be made to transport all OB patients to the hospital in which their OB physician is located.
- The patient retains the right to refuse a diversion. In these cases notify the receiving hospital that the diversion was refused by patient, and have the patient sign a refusal declining the recommendation to divert to a more appropriate facility.