Ambulance transit from Covilhã to Coimbra lasts over five times the advertised hour and a half travel time.
A patient with cranio-encephalic trauma awaited over five hours for transfer from Covilhã hospital to Coimbra, sparking concerns about the efficiency of the emergency medical transport system. The search results do not directly address the specific reasons behind the delay, but several plausible explanations can be inferred based on medical transport logistics and common practice.
Helicopter transport, while often ideal for emergency situations, depends on factors such as weather conditions, helicopter operational status, and availability of trained air medical staff. If any of these are unfavorable or the helicopter is occupied, air transport may not be immediately available.
Distance and urgency considerations also play a role. Though helicopters provide faster transport, in some cases ground ambulances may be preferred because of quicker dispatch times or better immediate availability.
The medical team's judgement regarding the patient's condition and stability is another factor. In this case, it is unclear if the patient required constant monitoring and specialized care that the ambulance team was best equipped to provide during transport.
Logistical or regional protocols may have also been a factor. Specific regional health services may have protocols determining when helicopter use is authorized or feasible based on trauma severity, resource allocation, or hospital capabilities.
Without explicit information from the search results or official statements, the exact reasons cannot be confirmed. However, it is typical in trauma systems that helicopter transport, though often ideal, may face availability constraints, while ambulance transport, even with skilled teams, may be less preferred due to longer travel times or limited onboard resources compared to air medical units.
The SIC commentator, meanwhile, has attributed the system's failure to the presence of managers within the system, without providing evidence to support this claim. He argues that the system as a whole failed, not just individual components. Francisco Goiana da Silva, the doctor involved in the case, has reiterated his request for the use of means of transport to be adequate according to the patient's needs and has questioned why an aerial means of INEM was activated.
Official communications from the involved hospitals or emergency medical services would be required to obtain exact details on this particular case. Francisco Goiana da Silva did not explicitly state why the Covilhã hospital might not have had availability for mobilizing teams for ambulance transport, nor did he comment on the impact of the delay on the overall healthcare system.
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