[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-253028-105":3,"detail-sidebar-cat-1-en-105":85,"doc-detail-253028-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":78,"head_meta":80,"extra_data":82,"updated_unix":84},105,"en","transport-decisions-and-protocol-by-zone","Transport Decisions and Protocol by Zone","","This document outlines crucial transport decisions and protocols for emergency medical services (EMS), specifically detailing patient transport logic under various conditions and outlining transport procedures based on geographical zones. It addresses the capability of EMS to make definitive care decisions in the field, including decisions regarding transport to a higher level of care (trauma hospital) and en-route intercepts with EMS. The document details the process for requesting these resources and describes the system for medical direction from Mobridge Regional Hospital for diversions to higher-level trauma centers within defined zones. Furthermore, it elaborates on the EMS service's capacity to utilize ground or air assistance, fire, search and rescue, and other appropriate agencies for patient incidents. The protocol section further defines specific transport pathways for severely injured trauma patients, distinguishing between different transport zones (Zone #1, Zone #2, and Zone #3), and specifies the conditions under which patients are transported to Mobridge Regional Hospital or other medical centers like Bismarck St. Alexius or Aberdeen Avera St. Luke's. It also specifies that Mobridge Fire and Rescue is auto-dispatched for all MVCs and includes notification procedures for Mass Causality Incidents. The document also includes sections on Service Information, detailing operational aspects like the number of runs per year, volunteer status, number of licensed ambulances, helicopter landing zone availability, participation in quality improvement programs, and the extent of hospital assistance provided. Additionally, it details Personnel information, including the number of different levels of EMS providers, and their credentials. Finally, it lists Additional Resources available within the response area, covering ground EMS, first responder units, quick response units, rescue and extrication units, air medical, and other relevant agencies, along with other resources like rugged, technical or special rescue agencies and haz-mat or biohazard decontamination units.",{"@graph":14,"@context":77},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/transport-decisions-and-protocol-by-zone/253028/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/transport-decisions-and-protocol-by-zone/253028.png","ImageObject",442,249,{"name":42,"@type":43},"Chumphorn","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-13",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69,73],{"name":60,"@type":61,"acceptedAnswer":62},"Can EMS make definitive care decisions in the field?","Question",{"text":63,"@type":64},"Yes, EMS services have the ability to make decisions in the field to ensure patients receive definitive care in the shortest possible time, which may include choosing transport to a specific trauma hospital or requesting en-route intercept services.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What is the process for requesting air assistance or medical direction?",{"text":68,"@type":64},"EMS can request air assistance from the scene. For diversions to a higher-level trauma center, EMS will contact Mobridge Regional Hospital, which will then facilitate communication with the designated trauma center in the appropriate zone.",{"name":70,"@type":61,"acceptedAnswer":71},"How are trauma patients transported based on their zone?",{"text":72,"@type":64},"Patients in Zone #1 are transported to Mobridge Regional Hospital, with ALS units having the option to divert to other medical centers. In Zone #2 and #3, BLS units transport to Mobridge Regional Hospital for cases where transport to a higher-level trauma center would exceed a 20-minute delay; ALS units again have diversion options.",{"name":74,"@type":61,"acceptedAnswer":75},"What are the personnel qualifications and training requirements for EMS providers?",{"text":76,"@type":64},"EMS services maintain a number of EMT-B's, EMT-I's, and EMT-P's (including RNs). Personnel licensed above EMT-B are expected to have the necessary protocols and equipment for advanced care. A significant number of EMS providers have taken and are current in PHTLS training.","https://schema.org",{"og:url":32,"og:type":79,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":81,"canonical":32},"index,follow",{"doc_id":83,"site_id":7},253028,1790008388,{"code":4,"msg":86,"data":87},"success",[88,93,98,103,108,113,117,122,127],{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},11,"Presentations",90,"presentations",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},12,"Resumes",80,"resumes",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},14,"Invoices",70,"invoices",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},15,"Posters",60,"posters",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":110,"show_sort_weight":111,"slug":112},16,"Social Media",50,"social-media",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":115,"slug":116},17,40,"forms",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},18,"Letters",30,"letters",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":125,"slug":126},21,"Paper Templates",5,"papers-templates",{"id":128,"doc_module":22,"doc_module_name":25,"category_name":129,"show_sort_weight":4,"slug":130},158,"General","general-158",{"code":4,"msg":86,"data":132},{"doc_id":83,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":22,"category_id":114,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":11,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":30},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","cbCaivR1gTP7R2yQ","https://ap.wps.com/l/cbCaivR1gTP7R2yQ","pdf",610270,9,"English","# Transport Decisions (cont.): (R)\n## 3. Does the service have the ability to make decisions in the field that will ensure the patient will receive definitive care in the shortest amount of time. Examples include: choosing to transport to a trauma hospital with more resources over another with less resources, requesting ALS air assistance be dispatched to the hospital prior to patient arrival, and requesting an en-route intercept with an EMS service with a higher level of care.\n### If yes, what is the process for these requests and who is notified? If no, please explain.\n## EMS can request air assistance from scene...\n# Transport Protocol by zone: (R)\n## (Explain the transportation plan for severely injured trauma patients by zone listed above. See example on trauma website. http://www.DOH.sd.gov/trauma/EMS.aspx)\n## Zone #1: Trauma Team Alert patients transport to Mobridge Regional Hospital. Trauma Team is activated from the scene.\n### ALS units may divert to Bismarck St. Alexius, Med Center One, or Aberdeen Avera St. Luke's anywhere within Zone #1, with on-line medical direction from Mobridge Regional Hospital.\n## Zone #2: BLS units transport to Mobridge Regional Hospital when a transport to a higher level trauma center would delay transport greater than 20 minutes. Trauma Team is activated from the scene.\n### ALS units may divert to Aberdeen Avera St. Luke's anywhere within Zone #2, with on-line medical direction from Mobridge Regional Hospital.\n## Zone #3: BLS units transport to Mobridge Regional Hospital when a transport to a higher level trauma center would delay transport greater than 20 minutes. Trauma Team is activated from the scene.\n### ALS units may divert to Bismarck St. Alexius or Med Center One anywhere within Zone #3, with on-line medical direction from Mobridge Regional Hospital.\n## MASS CASUALITY WITH MULTIPLE RESPONDING UNITS: Mobridge Regional Hospital will be notified of all transport plans of patients by the transport officer.\n# Service Information:\n## Number of runs per year: 750\n## Volunteer  Paid  Combination\n## City  County  Hospital  Private  Other\n## Number of State licensed ambulances: 3\n## Is there a designated emergency helicopter landing zone in the response area? Yes  No\n## Does the service participate in any hospital performance improvement programs? Yes  No\n## Does the service assist any hospital with education or outreach programs? Yes  No\n# Personnel:\n## Number of EMT-B's: 14\n## Number of EMT-I's: 4\n## Number of EMT-P's: 4 - RN's 2\n## Do the personnel that are licensed at a level above EMT-B have the necessary protocols and equipment to properly give care at that level? Yes  No\n### If no, please explain.\n## Number of EMS Providers that have taken PHTLS: 15\n## Number of EMS Providers that are current in PHTLS: 15\n# Additional Resources: (R)\n## (List all mutual-aid resources that are available with-in your response area including: ground EMS, first responder units, quick response units, rescue and extrication units, air medical, both rotor and fixed wing.)\n## GROUND: Selby EMS, Standing Rock EMS, Emmons Co. EMS, Timber Lake EMS, Campbell Co. EMS, Hoven EMS, Eagle Butte EMS, FIRE & RESCUE: Mobridge, Selby, Campbell Co., Standing Rock Exection, 1st RESPONDERS: Mobridge Police Dept., AIR: Averra St. Luke's, Mobridge Regional Hospital.\n# Other Resources: (R)\n## (Rugged, technical or special rescue agencies; haz-mat or biohazard decontamination units.)\n## Northern Oahe Rescue-Search and Rescue-Water Rescue, Aberdeen Fire/Haz-mat","[{\"question\":\"Can EMS make definitive care decisions in the field?\",\"answer\":\"Yes, EMS services have the ability to make decisions in the field to ensure patients receive definitive care in the shortest possible time, which may include choosing transport to a specific trauma hospital or requesting en-route intercept services.\"},{\"question\":\"What is the process for requesting air assistance or medical direction?\",\"answer\":\"EMS can request air assistance from the scene. For diversions to a higher-level trauma center, EMS will contact Mobridge Regional Hospital, which will then facilitate communication with the designated trauma center in the appropriate zone.\"},{\"question\":\"How are trauma patients transported based on their zone?\",\"answer\":\"Patients in Zone #1 are transported to Mobridge Regional Hospital, with ALS units having the option to divert to other medical centers. In Zone #2 and #3, BLS units transport to Mobridge Regional Hospital for cases where transport to a higher-level trauma center would exceed a 20-minute delay; ALS units again have diversion options.\"},{\"question\":\"What are the personnel qualifications and training requirements for EMS providers?\",\"answer\":\"EMS services maintain a number of EMT-B's, EMT-I's, and EMT-P's (including RNs). Personnel licensed above EMT-B are expected to have the necessary protocols and equipment for advanced care. A significant number of EMS providers have taken and are current in PHTLS training.\"}]","Transport Decisions and Protocol by Zone | PDF",1789263943]