Which agency established the coordination of benefit rules?

Based on the following presentations of patient injuries, which one would be considered MOST severe, justifying immediate transportation to a trauma center?

A) Open (compound) midshaft femur fracture B) Flail chest C) Midline cervical spine pain D) Closed head injury

Today some municipalities, faced with tight budgets and limited personnel, are shifting to a ____________________ requirement for their emergency responders

Fill in the blank(s) with correct word