Toymanswife
Toymanswife Reader
3/12/21 9:20 p.m.

I have spent the past month getting my parents home packed and ready for sale. We have been concerned about one of them getting sick down in New Orleans and me being 12 hours away. Today, the house dream offer came thru. Last night mama had a massive stroke. We know rehab is a must. We are not sure how long until we can safely move her to Charleston but it's a monster of a trip. Can anyone give me information on trying to medically transport her?

Thanks

GIRTHQUAKE
GIRTHQUAKE Dork
3/12/21 10:30 p.m.
Toymanswife said:

I have spent the past month getting my parents home packed and ready for sale. We have been concerned about one of them getting sick down in New Orleans and me being 12 hours away. Today, the house dream offer came thru. Last night mama had a massive stroke. We know rehab is a must. We are not sure how long until we can safely move her to Charleston but it's a monster of a trip. Can anyone give me information on trying to medically transport her?

Thanks

Hi. I've been a paramedic for 8 years, most of that has been working private ambulance service with smatterings of 911 in between.

It's enormously expensive. Cheapest company I worked for, for just an EMT-basic for monitoring was ~$950 up front and ~$13.00 per mile. Some companies even went as high as $1,250 per trip with $15.00 per mile, and that wasn't even getting into what other consumables we'd use on the trip. Everything- EVERYTHING- costs, and 90% it's just for peace of mind and insurance than say, ventilators or ECMO/LVAD which were my specialties.

Are you hoping to get her up to you in your new city as soon as possible? What about her condition are you okay with revealing to an internet forum? Because the costs- and COVID precautions- might keep you from bringing her up OR you going down right now.

 

mtn (Forum Supporter)
mtn (Forum Supporter) MegaDork
3/12/21 10:46 p.m.

Best of luck and medical science to your mama, I'll be praying for her recovery. 
 

My only advice, vet it and ask questions and get specific reviews. Ask about the care during, what they'd do in adverse situations (including to the vehicle, as well as the obvious medical situations). My aunt was transported 4 hours in August in an Ambulance that didn't have AC. Don't do that. 

mtn (Forum Supporter)
mtn (Forum Supporter) MegaDork
3/12/21 11:51 p.m.
GIRTHQUAKE said:
Toymanswife said:

I have spent the past month getting my parents home packed and ready for sale. We have been concerned about one of them getting sick down in New Orleans and me being 12 hours away. Today, the house dream offer came thru. Last night mama had a massive stroke. We know rehab is a must. We are not sure how long until we can safely move her to Charleston but it's a monster of a trip. Can anyone give me information on trying to medically transport her?

Thanks

Hi. I've been a paramedic for 8 years, most of that has been working private ambulance service with smatterings of 911 in between.

It's enormously expensive. Cheapest company I worked for, for just an EMT-basic for monitoring was ~$950 up front and ~$13.00 per mile. Some companies even went as high as $1,250 per trip with $15.00 per mile, and that wasn't even getting into what other consumables we'd use on the trip. Everything- EVERYTHING- costs, and 90% it's just for peace of mind and insurance than say, ventilators or ECMO/LVAD which were my specialties.

Are you hoping to get her up to you in your new city as soon as possible? What about her condition are you okay with revealing to an internet forum? Because the costs- and COVID precautions- might keep you from bringing her up OR you going down right now.

 

Can you pick and choose what you want on board? ECMO and LVAD cannot be standard, right? They wouldn't make sense in this situation; in my estimation if it. How does it even work having it on standby? Is there a surgeon on board as well?  EDIT: nvm, I just realized that adult ECMO is probably completely different than neonatal ECMO and wouldn't require a surgeon to insert the cannula.

/EDIT

 

Motorsports connection: when my daughter was transferred hospitals, the gurney that they had her on had Moton shock absorbers on it. I commented to my wife that the shock absorber was probably $5k minimum, possibly 3x as much. She thought I meant the entire gurney. No, dear, just that little cylinder there. 

GIRTHQUAKE
GIRTHQUAKE Dork
3/14/21 11:47 p.m.

In reply to mtn (Forum Supporter) :

Tons of ambulances- especially in Medical transport/private ambulance where the margins are thin, don't work properly in some form. I have had to preform cares in a rig with holes in the floor so bad we could flinstone it.

No, ECMO was just brought up as both an example and a fact- lots of these transports are for insurance purposes, and once the worst is over most people really start the long recovery process and don't have sudden changes. The EMT in an EMT-Basic transport typically is there for legalities with someone who cannot sit in a wheelchair for long periods or for some other reason why they need a cot, which she easily might. In all my exprience I know of 2 EMT-basic transport out of thousands where something went awry.

She can still pick and choose what care she wants in the back, no problem.

If you don't mind me asking, what's her current state?

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