[NYBob]

We're looking into an Independent Living Facility we saw on Wingnuts YouTube channel located on 466a and Buena Vista Blvd in the Trailwinds area. We noticed there is a Freestanding ER (HCA Florida Trailwinds Village Emergency) literately right next to it. The question is in the case of an emergency such as stroke, cardiac arrest, ect would the Paramedic Unit bring them to this facility or do they bypass these Freestanding ERs for a Hospital ? And what is the quality of treatment in these ERs in a life-threatening scenario ? UF Health Leesburg Hospital and UF Health Spanish Plaines Hospital are 12 miles and 9 miles respectively from this location. Thank you...

[retiredguy123]

I called the ER and asked that specific question. Their answer was that the 911 ambulance will take you to their facility if you request it, unless you are having a heart attack. In that case, they will take you to The Villages Hospital because the hospital is better prepared to treat you.

[Stu from NYC]

Originally Posted by NYBob

We're looking into an Independent Living Facility we saw on Wingnuts YouTube channel located on 466a and Buena Vista Blvd in the Trailwinds area. We noticed there is a Freestanding ER (HCA Florida Trailwinds Village Emergency) literately right next to it. The question is in the case of an emergency such as stroke, cardiac arrest, ect would the Paramedic Unit bring them to this facility or do they bypass these Freestanding ERs for a Hospital ? And what is the quality of treatment in these ERs in a life-threatening scenario ? UF Health Leesburg Hospital and UF Health Spanish Plaines Hospital are 12 miles and 9 miles respectively from this location. Thank you...

My wife has been taken by ambulance to Trailwinds. We think very highly of them.

[GregR]

I don't know VPSD's specific policies, but based on my experience on a volunteer fire department in VA, It's probably "The nearest appropriate facility". The key word is appropriate. If you have a minor injury or undefined illness, you'd likely go to the standalone ER. If you have major trauma, they may go to the nearest trauma center, HCA Ocala. If you're having a heart attack or stroke, they'll go to the nearest facility certified for those treatments. If you have significant burn injuries they may go to a burn center in Orlando, Gainesville, or Tampa, (though for us a ride that long that would likely prompt a helicopter) etc, etc.

All that being said, we could sometimes be convinced to go to a further facility if the patient seemed stable enough and requested it because their doctor was there or they were recently discharged and the Drs and staff most familiar with their care were there and the area had sufficient coverage (ie, there wasn't a house fire or some major accident draining the dept's resources at the time)

[NYBob]

Originally Posted by retiredguy123

I called the ER and asked that specific question. Their answer was that the 911 ambulance will take you to their facility if you request it, unless you are having a heart attack. In that case, they will take you to The Villages Hospital because the hospital is better prepared to treat you.

Thanks RG, we'll be heading over there in the next two weeks or so to speak with the staff and doctors. Thanks for the heads up.

Originally Posted by GregR

I don't know VPSD's specific policies, but based on my experience on a volunteer fire department in VA, It's probably "The nearest appropriate facility". The key word is appropriate. If you have a minor injury or undefined illness, you'd likely go to the standalone ER. If you have major trauma, they may go to the nearest trauma center, HCA Ocala. If you're having a heart attack or stroke, they'll go to the nearest facility certified for those treatments. If you have significant burn injuries they may go to a burn center in Orlando, Gainesville, or Tampa, (though for us a ride that long that would likely prompt a helicopter) etc, etc.

All that being said, we could sometimes be convinced to go to a further facility if the patient seemed stable enough and requested it because their doctor was there or they were recently discharged and the Drs and staff most familiar with their care were there and the area had sufficient coverage (ie, there wasn't a house fire or some major accident draining the dept's resources at the time)

Thanks Greg, their web page indicates:
"we offer the same exceptional care you would find at any of our emergency room locations" and states "board-certified emergency medicine specialists
Nurses certified/trained in: Advanced cardiac life support (ACLS)"

which would indicated they should be able to handle heart attacks, cardiac arrest, stroke, ect though Retired Guy spoke with them and was told 'the 911 ambulance will take you to their facility if you request it, unless you are having a heart attack. In that case, they will take you to The Villages Hospital'.

So I'm not clear on why an 'ER' staffed with ACLS personnel would divert a heart attack. Sounds more like a glorified Urgent Care.

That said, I think with the growth in TV it's time to build another hospital.



Taken from their website:

HCA Florida Trailwinds Village Emergency is a campus of HCA Florida Ocala Hospital. As part of their emergency care network, we offer the same exceptional care you would find at any of our emergency room locations.

Trailwinds Village Emergency features:
11 private exam rooms
24/7 adult and pediatric emergency care
Comprehensive laboratory services
Designated trauma treatment room
Diagnostic imaging services, which include:
Dedicated computerized tomography (CT) scan rooms
Ultrasound
X-ray
Highly skilled, board-certified emergency medicine specialists
Nurses certified/trained in:
Advanced cardiac life support (ACLS)
Pediatric advanced life support (PALS)
Advanced trauma care
Pediatric emergency and neonatal resuscitation

HCA Florida Trailwinds Village Emergency

[PilotAlan]

Originally Posted by NYBob

So I'm not clear on why an 'ER' staffed with ACLS personnel would divert a heart attack. Sounds more like a glorified Urgent Care.

FYI, I’m a retired medic, and my wife Runs a standalone ER.

No, it’s a fully staffed and equipped ER. But with an active heart attack, you will likely need a cardiac catheterization, which needs to go to the hospital to treat definitively.

In an ambulance with ACLS personnel, the transport time to a further away hospital is not relevant. But for an unrecognized heart attack, the Standalone ER can provide very advanced care and stabilization prior to transport to the hospital.

[villagetinker]

OP, unfortunately both myself and my wife have had to use Trailwinds ER twice each with GREAT results, I recommend this facility.

[Howdy]

Trailwinds ER = You will be transported to a Hospital in " Ocala "... Period !

Otherwise you will be given a choice if picked up by an Ambulance the question that you will be asked which ER do you wish to go to...The Villages or Leesburg.

This comes from experience I have been to both: My choice if asked a 3rd time would be " Leesburg ".

The Villages simply does Not have the Staffing & is unable to cope.

[bowlingal]

that ER on 466A is associated with Ocala hospitals. That is where they will take you, if necessary. The ER on 44 across from Brownwood is associated with Leesburg and Villages hospital. That is where they will take you if necessary. They are both excellent!

[Berwin]

We live in southern Marion County close to the HCA ER on 441. Based on our experiences, (and we've had plenty) the ambulance would take us to the ER for minor stuff or directly up to the trauma center in Ocala for more serious stuff. My wife was being treated for a condition in Gainesville and sometimes the HCA ER would send her all the way to Gainesville in an ambulance if she needed it. I highly recommend the HCA ER on 441 and expect the others would be as good.

[goneil2024]

For the medical professionals on this thread, is there some reason that you wouldn’t include the UF Emergency facility on 44 in Brownwood? Is is simply proximity or a question for staff?

[Villager24]

Agree with the praise for Trailwinds ER. Been twice this year for a fall and received exceptional care. Keep in mind, however, it’s ER prices.

[Howdy]

Originally Posted by bowlingal

that ER on 466A is associated with Ocala hospitals. That is where they will take you, if necessary. The ER on 44 across from Brownwood is associated with Leesburg and Villages hospital. That is where they will take you if necessary. They are both excellent!

I disagree with you on The Villages ER, based on my recent experience (6) weeks ago. I chose The Villages only because it was closer & I wanted to see for myself whether they were Good or Bad based on what I have read.
My opinion: They the staff were terrific, however, wait, wait, wait is the norm to go from the ER to a room...why ? Staffing ! They The Villages simply do not have enough staff to cope. Plus The Villages Hospital is limited on what procedures they are able to do

Leesburg ER is 100% the complete total opposite. Ocala Regional is on par with Leesburg.

[RoboVil]

Originally Posted by NYBob

We're looking into an Independent Living Facility we saw on Wingnuts YouTube channel located on 466a and Buena Vista Blvd in the Trailwinds area. We noticed there is a Freestanding ER (HCA Florida Trailwinds Village Emergency) literately right next to it. The question is in the case of an emergency such as stroke, cardiac arrest, ect would the Paramedic Unit bring them to this facility or do they bypass these Freestanding ERs for a Hospital ? And what is the quality of treatment in these ERs in a life-threatening scenario ? UF Health Leesburg Hospital and UF Health Spanish Plaines Hospital are 12 miles and 9 miles respectively from this location. Thank you...

They will definitely bypass the freestanding ERs and that is a very good thing

[ThirdOfFive]

What are the chances that the recent kick to the wallet that Villages Health has taken as a result of their $360 million "billing discrepancy" is or will be impacting the quality of their ER service? If they had to borrow to make payroll, it stands to reason that they will be squeezing every penny, and that personnel/services may indeed be on the chopping block.

That possibility alone would be enough motivation, should it ever be needed, for my wife and I to avoid the Villages Hospital ER unless there were absolutely no other choice.