Yes, In the case of a potential life threatening illness, Parametics by law are required to transport a patient to the nearest facility, they can be over ruled by dispatch. When you become stable enough, you may request a transfer to a facility of your choice. I know back in my home state of Mass. there're were several hospitals that we transported to. Different hospitals were rated better for different incidents. Only some were trauma centers, only a couple were stroke centers. etc. In some cases if the ER was full, the dispatch might divert you to another facility. When a transport starts, the Parametic calls into dispatch with all the vital info on the patient. Dispatch is in the ER of certain hospitals, manned by nurses, maybe even a doctor. Dispatch makes the final call.
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