In case of multiple patient events, who assigns all the destinations for transport?

The correct answer is that county communications assigns all the destinations for transport in cases of multiple patient events. This is because county communications typically manages the coordination and logistics of emergency services, especially during incidents that involve multiple victims or large-scale emergencies. They have the authority and the systems in place to assess the situation and make decisions regarding which hospitals are most suitable for each patient based on factors such as hospital capacity, specialties required, and proximity.

In scenarios with multiple patients, it is crucial to streamline the response to ensure efficient use of resources and timely care for all individuals involved. County communications operates as the central command to facilitate this, utilizing information from various sources to make informed decisions.

The attending physician generally provides medical guidance but does not have the overarching authority to determine transport destinations in emergencies of this scale. Similarly, while the paramedic in charge plays a vital role in patient care and may suggest options based on immediate needs, they are not in control of the logistical aspect of transport assignments. The nearest hospital authority focuses on patient intake and emergency services, but in multi-casualty incidents, coordinating transport efficiently is a broader task that falls to county communications.