There is a free standing ER that is located in a nearby suburb which is connected with our hospital. A free standing ER is an ER that has no hospital at the location. Any patients admitted are transferred to our hospital or another hospital. These free standing ERs operate the same as any other ER. They can do anything a normal ER can do.
I was thinking about the whole Joan Rivers thing and the news that she probably died of airway compromise related to vocal cord spasm. I don't know anything about how something like this is dealt with. I mean I don't know if you can do a cric or what. Its obvious that an outpatient clinic isn't prepared for something like this.
Got me to thinking about free standing how vulnerable free standing ERs are. Yes they have qualified highly trained ER doctors who can manage just about anything. I wonder if there have been cases across the country where something has come in that can't be handled or a delay in transfer has caused a death?
I remember one time when a young girl came into our ER. She was about 6 years old. She was in anaphylactic shock. It was very difficult to intubate her. Fortunately there was a pediatrician who was in the special care nursery and helped with it. What would they have done if he hadn't been there?
I guess thats the chance you take with outpatient settings.