Emergency Health Care

Should you have an MI, a stroke, or multiple trauma you will likely die. There is no cardiac cath lab. There is no functioning trauma system. Without proper neurosurgical back up administering the “clot busting” drugs used in stroke would be risky. Paramedics don’t exist. Prehospital medications aren’t given. Prehospital monitoring doesn’t exist. The nearest hospitals with the capacity to treat any of these are hours away. (FWIW, I’m a retired Emergency Doc)