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Paoli Hospital Releases 'Sara's Trauma Story' Video

The hospital holds up the young patient's treatment after a car accident as an example of the importance of the new trauma center.

Main Line Health released a new video recounting the story of a young woman, Sara, who was treated at last summer and returned to meet her physicians six month later.

According to the video, after sliding off the road and into a tree on July 3, 2011, Sara was rushed to Paoli Hospital's new trauma center. She suffered brain injuries, a broken humerus and five fractured ribs, and she required a breathing tube, X-rays and CAT scans. Sara is shown returning to the hospital to meet the doctors and nurses, though she doesn't remember them.

The video asserts the utility of having a trauma center nearby. Paoli Hospital's trauma center—the only one in Chester County—opened in October 2010.

In the video, Trauma Center Manager Kerry Larkin, R.N., describes the importance of the "golden hour," the first hour after a patient is involved in an accident or injured, when treatment is most effective.

"On average, Chester County trauma patients now receive critical care in half the time," down from 73 minutes to 37 minutes, according to a title slide near the end of the video.

Gregory January 25, 2012 at 03:21 PM
Steve, The problem, at least in my opinion, is multi-faceted. First, is how this whole thing was carried out in a very dishonest (see some of the false PR propaganda highlighted above) and forceful manner by the county. Certain members at the county level were upset that we were calling helicopters for many patients. Now, some of those patients did not need to go to a trauma center (admittedly), but local hospitals in the county were refusing to handle these patients if they had even a suspicion of benign trauma (including the now trauma champion, Paoli). This is including patients that fell off of curbs and broke an ankle. Got in a minor accident and have neck and back pain. All kinda of scenarios. So those patients then had to be transported to trauma centers, causing the increase in flights. So the county pushed for a a trauma center because there was an increase in patients being medevac'd out because hospitals were refusing patients that they were well equipped to handle.
Gregory January 25, 2012 at 03:34 PM
Another problem is that, as I noted already, Paoli used to be one of the several hospitals that would complain all the time about many of the patients they were brought. And my understanding from friends in the East who take patients there much more frequently than I, they still do this often. Another: talking to friends who work in that area, Paoli still transfers out quite a bit of patients to higher care centers. The problem there is similar to what Delaware county experienced years ago with Crozer. Crozer would get very upset when patients were transported to city trauma centers and started to hammer the county to enforce making all county patients go to Crozer. Even the patients that were 5 minutes away from HUP and 15-20 away from Crozer. Crozer would then treat them and then admit or quite often transfer them downtown. This causes a delay in the patient reaching definitive care. A disgracefully unneeded one. And what we appear to be going through now in this county is exactly how it started out down there. Paoli's trauma center is all about Main Line Health. They wanted to be able to have a trauma center in ther health system. It works for them as a status builder. They were set on having it, even when many of the staff physicians complained loudly about the prospect. These are just a couple of more reasons why this whole thing is shady.
Greg Lewis Jr. January 26, 2012 at 03:23 PM
Just to clear up some confusion here about these posts from "Gregory." I have no idea who that person is but I am Greg Lewis Jr. that works for Malvern FC. Not sure who that person is hiding behind that screename but its really embarassing reading their comments. I received numerous phone calls from people asking me if I was this "Gregory" on this site. "Gregory" whoever you are thanks a bunch for picking that screename and getting me involved with your sillyness.
Gregory January 26, 2012 at 07:16 PM
Ummm. No worries. My screenname is my name. I don't know you and don't care. This is about bringing out to the public all this crap. So go back to Malvern and have fun.... Embarrassing? How so? Please explain or contradict with proof anything I have said....I'll be waiting.
Pete Kennedy (Editor) January 26, 2012 at 09:13 PM
A comment was deleted because the user's name violated the terms of use. People are passionate about this topic and have very different opinions, but please keep it civil. Thanks to everyone who is contributing to the conversation.
Colleen January 27, 2012 at 02:16 AM
Sara and I participated in a video to pay tribute to the wonderful (and I do mean wonderful) people at Paoli, both the Trauma Center and the ICU. Sara and I "lived" in that ICU for four weeks. They are like family to us. I am deeply saddened by the joke that Gregory has made out of the whole experience. I also believe strongly in a democracy that allows freedom of expression when that expression is honest and not for an individual's own agenda at the expense of someone else's beliefs. I know healthcare and politics are intertwined, I'm not as ignorant as someone here has suggested. I suspect everyone in this country knows that. I've done my research. Sara received better care going to Paoli Hospital than she would have getting medevac'd into Philly. Many of the Paoli staff came from Jefferson, etc., so we had the best of both worlds right here. While many doctors will say being treated at a facility where friends and family can visit every day helps the healing process, others call that selfish. We feel blessed to be near a fantastic facility with an outstanding medical staff at Paoli Hospital. Within the next month, Sara will be visiting the firehouse EMS team that cut her out of the car she was driving, treated her and took her to Paoli Hospital, to do a story about them. Who knows, maybe someone will trash them too, we'll see.
Colleen January 27, 2012 at 02:55 AM
Yo Gregory, Sara's father here....Dr.Kaulback's offer for a public forum at your station house is genuine yet you seem to prefer the anomynity of the online forum where you do not have to stand up and face the people you rail against. Be a man, accept Dr. K's offer and present your position in person rather than hiding behind the internet. I'll be there as will be my wife and probably Sara. Bring your convictions to a truly public forum. Rob Galbraith
Gregory January 27, 2012 at 03:39 AM
To Sara's parents: I have stated MULTIPLE times that this is nothing personal towards your daughter. I have stated MULTIPLE times that her story is an amazing one. I have stated MULTIPLE times that I am very happy that things went so well for her. And I have state MULTIPLE times, that unfortunately for her story, the hospital and this article have chosen to put her story forward as an example of how great they are, even when they still tout erroneous statistics. Ma'am, if I may ask, how exactly did you "research" that Sara received better care at Paoli than she would have gotten in the city? Comparing morbidity/mortality numbers? Number of patients seen by the various trauma services? Successful patient outcomes of the various services? While there is NO ARGUMENT AT ALL that being located close to family helps the healing process, no argument (I've seen firsthand the difference it makes), it is not the single factor in determining good patient outcomes. As for the attacking nature of you, Sir. I ask these questions in a public forum, because everybody deserves the answer. I already know the validity of these statements. But the public deserves to hear the discourse. Whether you know the rest of my identity or not, how does that have one iota of bearing on the validity of the issues raised???the point of discourse on public forums is to generate many views from many places, not just two people back and forth. And it is to also inform the many.
Gregory January 27, 2012 at 04:19 AM
I'm done though. It's quite obvious nobody is interested in any kind of public discussion of the issue. Too bad.
Gregory January 27, 2012 at 12:30 PM
Not a coward. Just tired of immature/rude people(such as yourself) and people not willing to discuss the topic. Try just want confuse the issue rather than addressing and discussing issues raised. Who are you, Mr. Johnny Bravo? I've at least given you part of my name. I haven't been insulting or anything. Not hiding behind anything. Simply using medium to discuss an issue. So are you a fervent supporter of Paoli or just some Main Line whacker? I've been productively adding and trying to discuss. You have been attacking and condescending with both of your childish posts.
Pete Kennedy (Editor) January 27, 2012 at 07:03 PM
I've removed comments from "I'm the real Gregory" because they were likely posted using a fake email address. Our tech people are looking into it, and if they are legitimate, they will be restored.
Kelsey January 30, 2012 at 07:41 PM
Gregory, where is your proof or your substantiated facts that the numbers are false? Support your argument, don't just throw out slandor. If there are lies, what's the truth and why? Did you actually study the timing before and after trauma services? Paoli has very legitimate reasoning along with actual facts supported by definitive research behind their statistics, all you have are your words. Show me what the truth really is and substantiate it, then your argument may have some validity.
Gregory January 30, 2012 at 08:52 PM
Proof? How about actually having taken patients to Paili from various sections of the county. How about taking patients to trauma centers outside of the county from within Chester County. The absolute longest transport I've ever done was 35 minutes. I've transported patients to Lancaster, Reading, Christiana, Crozer, HUP, and Jefferson from within Chester County. I take that back, I think I had one that was just over 40 minutes. That's why we have helicopters now. I could sit here and pull up mapquest for you and show you the time needed for transport to any one of a number of trauma centers in the area. We have more trauma centers in this area than some whole entire states do.
Colleen January 30, 2012 at 11:06 PM
Unfortunately you removed my response as well. Since I have not violated any terms and my email address is legit, I cannot figure that one out.
Colleen January 30, 2012 at 11:38 PM
So this is about your own personal experience but no one else is allowed to base their opinions on their personal experience? I did not say that having Sara close to friends and family was the sole basis of my position. No I did not research the statistics you mentioned above when I did my research. I have only spoken to representatives of other trauma centers in the 3 state area as well as reading too many articles and legal opinions. As for this area having more trauma centers than some states, this area also has a larger population and denser areas of population than some states. Once again, each of the four paragraphs in the article above relates to Sara's care. Only the fifth paragraph states something I cannot relate specifically to Sara's care but you dispute. Others have said the numbers you dispute were put together by outside agencies, not Paoli Hospital. Your numbers come from you, unless I'm missing something. Mapquest does not address all of the variables. Oh were it that simple.
Gregory January 31, 2012 at 12:40 AM
Colleen, I never said that at all. Although my personal experience is based on more than 25 years in EMS. Yours is based on one incident. Which article are you referring to? The one I am reading mentions her name in ONLY the first two paragraphs. The other paragraphs are a support structure for their argument. The argument that is laid out in the byline of the whole thing that says Sara's story is an example of their importance. Again, people don't want to discuss. They only want personal attacks and to discuss everything but the issues I raised in my very first post and the supporting points since. And we wonder why the cost of healthcare is so high.... It's called duplication of resources. That is a contributing factor to the issue. I am far from the only one who has anecdotal evidence like I have brought up regarding the times. I am far from the only one that has experienced some of the issues I have raised. I am far from the only one that was at the county meeting last month where it came out through the CQI process that there was a LARGE number of patients going to Paoli because certain hospitals were turning away ANY patient that has a longboard and collar.
Gregory January 31, 2012 at 12:41 AM
I will explain that for those who may not understand the significance of that. Part of the justification process is that the trauma center applicant has to show a volume of care provided. If they can't show that, their chances of accreditation are much lower. Because it demonstrates a lack of need, as well as a lack of skill development. When several hospitals don't take patients that they are supposed to be able to handle, and those patients have to go to Paoli, it raises there numbers erroneously, making it look like there is a need when there really may not be.
Colleen January 31, 2012 at 01:45 AM
And you're assuming my experience is based on one incident. I disagree with your assessment that everyone else is doing the personal attacking, and I'm not the only one to notice your personal attacks at others. Say what you will, and some of it is well said, based upon my life experience, I'm grateful to the staff at Paoli Hospital and I cannot express in words how thankful we are that Paoli's Trauma Center was there when Sara needed it.
Gregory January 31, 2012 at 01:57 AM
Pleas explain to me where I have done any personal attacking.
Pete Kennedy (Editor) January 31, 2012 at 02:05 AM
Colleen's comment was removed unintentionally, because it was a reply to the deleted comment. Here is her what she had written: "Sara and I participated in a video to pay tribute to the wonderful (and I do mean wonderful) people at Paoli, both the Trauma Center and the ICU. Sara and I "lived" in that ICU for four weeks. They are like family to us. I am deeply saddened by the joke that Gregory has made out of the whole experience. I also believe strongly in a democracy that allows freedom of expression when that expression is honest and not for an individual's own agenda at the expense of someone else's beliefs. I know healthcare and politics are intertwined, I'm not as ignorant as someone here has suggested. I suspect everyone in this country knows that. I've done my research. Sara received better care going to Paoli Hospital than she would have getting medevac'd into Philly. Many of the Paoli staff came from Jefferson, etc., so we had the best of both worlds right here. While many doctors will say being treated at a facility where friends and family can visit every day helps the healing process, others call that selfish. We feel blessed to be near a fantastic facility with an outstanding medical staff at Paoli Hospital. Within the next month, Sara will be visiting the firehouse EMS team that cut her out of the car she was driving, treated her and took her to Paoli Hospital, to do a story about them. Who knows, maybe someone will trash them too, we'll see."
Gregory February 12, 2012 at 03:06 PM
Thought so.
cast4 February 12, 2012 at 09:05 PM
What company do you run with in Chester County. Do you run out west?
Colleen February 13, 2012 at 02:22 AM
Sorry Gregory, I've been consumed by important hings like work and taking care of my family. If you can't see it for yourself, I don't have time to help you.
Gregory February 14, 2012 at 06:02 AM
Sorry, Colleen. I figured two weeks would have been adequate time to provide a response. Obviously not. Cast4- Sorry, as nepotistic and vengeful as EMS is, and this county.......
cast4 February 14, 2012 at 02:43 PM
Paid or volunteer?
Gregory February 16, 2012 at 01:49 AM
Cast4- Volly, Paid, neither, both, yes...... It doesn't matter. Quit deflecting from the discussion and trying to figure out ways to respond to my background and not addressing the issue. Whether I'm volunteer or paid has zero relevance.
cast4 February 16, 2012 at 05:33 AM
Just Saying... Depending on who you run with you have no right to criticize. Many companies in this county need to work on getting ambulances out before response check. You talk about transport times, what about the companies that waste 7+ minutes with their ambulance scratching and refuse to put it on zero response?
Gregory February 16, 2012 at 12:45 PM
Again, trying to distract from the issue at hand. It has zero relevance. Attempting to justify one negative with another.... The issue you bring up is no less important and does need to be addressed by this county, but has zero relevance other than to change the subject from the discussion at hand.
R July 21, 2012 at 12:49 AM
Gregory, get a life!
cast4 September 04, 2012 at 02:54 AM
I wonder what ever happened to Gregory?

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