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Trauma patients after triage will move thru a pipeline to the level of trauma care that is appropriate. Part of an casualty event is identifying the available facilities. If a victim requires level 1 care a plan to get them to an appropriate facility must be in place. That is the responsibility of responding agencies.
Yes, the nearest level 1 trauma center is briefed and the responding agencies are aware of their current status. Only saw one three letter agency drop the ball on that once.
If an agency does not have that information and pipeline established, they are simply wrong.
The golden hour is very important and responding LE must be aware of it. Life, limb, and eyesight must be their immediate priority. Clearing and securing an objective such as school does not take that long. Agencies must be proficient in multiple team, multiple room, and multiple building operations.
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