Our registry had a question that came up during a discussion about highest level of care provided on scene. The definition...
Our registry had a question that came up during a discussion about highest level of care provided on scene. The definition in the guidelines state “Record the medical care and management of illness or injury; highest level of actual care provided at scene of injury/accident and en route to the first hospital/trauma center.” If any type of ALS measure or care is attempted, any type of ALS care that is anticipated during transport but is not needed, and/or any type of ALS care refused by the patient, what is the highest level of care that should be recorded?
If ALS care is provided to the patient or ALS care is attempted to be provided and unsuccessful (i.e. failed IV, failed intubation), record ALS as the highest level of care. Do not record if ALS care is anticipated and not needed. Typically in those situations the highest level of provider will be Advanced and highest level of care will be Basic. If ALS care is refused by the patient and no advanced care is provided or attempted, record Basic as the highest level of care.