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Mon Jun 18 13:24:38 BST 2007

Please oh please tell me that this is a joke.

Bill

William J. Bromberg, MD, FACS
Chair, EAST Practice Management Guidelines Committee
Savannah Surgical Group
912 350-7412

>>> <mls at webmail.co.za> 06/18/07 7:48 AM >>>

Greeting all,

I also have a suggestion. Have you looked at this device called The
MAST
SUIT, it one old pierce of equipment, but still South African
Paramedic
are being trained to use it.

It a strong plastic trouser, it is used to splint, to splint the user
have
to inflate it, he can chose whether he wants to inflate the legs only
or
the pelvis only or all of the simultaneously . However, it use is
controversial, mostly when the user have to deflate it, since it might
lead the compartment syndrome if deflated done.

However, you can research about it, if you have an interest. Another
thing
that might be a problem is most medical practitioners are not trained
to
use this pierce of equipment. As I have said look for information about
it
if u are interested.

>From Malusi Mtetwa
A registered Intermediate Life Supporter & an N: Dip Paramedic student

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> Today's Topics:
>
>    1. RE: looking for an article (Anthony caruso)
>    2. Re: You should not be reading this (Karim Brohi)
>    3. Re: looking for an article (mike)
>    4. Sister Of Lost Flyer Pushes For Tougher Helicopter Air
>       Ambulance	Standards .... AN ISSUE DISCUSSED IN THE LIST
(MSD)
>
>
>
----------------------------------------------------------------------
>
> Message: 1
> Date: Sat, 16 Jun 2007 07:44:29 -0400
> From: "Anthony caruso" <medic541 at hotmail.com>
> Subject: RE: looking for an article
> To: trauma-list at trauma.org 
> Message-ID: <BAY141-F28E330AFA9F4B21C817C00991D0 at phx.gbl>
> Content-Type: text/plain; format=flowed
>
> Mike, I don't have any access to the papers.  I would like to share
with
> you
> a concept that I use in stabilization.  It maybe help you or it may
not.
> You may be familiar with a device called the (KED) kendrick
extrication
> device.  Normally, its used to immobilize patients that are entrapped
with
> suspected cervical spine injuries.  However, if you take the unit
and
> invert
> it to have the head portion pointing in the direction of the feet. 
Take
> the
> back portion and wrap it around the pelvic area.  Use the void filler
in
> between the legs.  Wrap it all together using the belts and you have
a
> nifty
> little device that's quick, and requires little movement of the
patient.
> Also not to mention it goes really well on a backboard.
> Like I said, this may help you or it may not, but happy trails.
> Sincerely,
> Anthony M. Caruso
> Paramedic/firefighter
>
>>From: mike <mike.smyth at blueyonder.co.uk>
>>Reply-To: "Trauma &amp; Critical Care mailing list"
>><trauma-list at trauma.org>
>>To: "Trauma &amp; Critical Care mailing list"
<trauma-list at trauma.org>
>>Subject: looking for an article
>>Date: Sat, 16 Jun 2007 09:54:46 +0100
>>
>>Hello all
>>
>>Please forgive what might be considered inappropriate use of the
list.
>>
>>I am currently currently undertaking background research concerning
>> initial
>>management of pelvic fracture in the pre-hospital environment (as
part of
>>my MSc). I have found a number of relevant papers, but I cannot get 
hold
>>of a full text copy of the following:
>>
>>Prehospital stabilization of pelvic dislocations: a new strap belt
to
>>provide temporary hemodynamic stabilization.
>>Source:Swiss surgery = Schweizer Chirurgie = Chirurgie suisse =
Chirurgia
>>svizzera, {Swiss-Surg}, 1999, vol. 5, no. 2, p. 43-6,
>>ISSN: 1023-9332.
>>Author(s): Vermeulen-B, Peter-R, Hoffmeyer-P, Unger-P-F.
>>
>>Although the article is 'old' I am only able to obtain the abstract.
>>Unfortunately my limited access does not allow me to get hold of the
full
>>text for this journal. If anyone can forward a pdf copy I'd be most
>>grateful.
>>
>>Again, my apologies if you feel this is an inappropriate request, and
my
>>sincere gratitude if you are able to help.
>>
>>Regards
>>
>>Mike Smyth
>>(paramedic)
>>
>>
>>
>>
>>
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>>trauma-list : TRAUMA.ORG
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>
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>
> ------------------------------
>
> Message: 2
> Date: Fri, 15 Jun 2007 07:04:44 +0100
> From: "Karim Brohi" <karimbrohi at gmail.com>
> Subject: Re: You should not be reading this
> To: "Trauma &amp, Critical Care mailing list"
<trauma-list at trauma.org>
> Message-ID:
> 	<b8b351510706142304l2365eb18v68ee29c2242f4463 at mail.gmail.com>
> Content-Type: text/plain; charset=ISO-8859-1; format=flowed
>
> Ken & all
>
> Thanks for the comments.  The conference has indeed gone very well,
and
> we're just setting up for the masterclass and nursing conference
today,
> which should both be excellent & a lot of fun.  We have a large,
> international audience for both meetings, and hopefully we'll have a
lot
> of
> discussion & interaction.
>
> I can however, take no credit for the London Trauma Conference. 
Gareth
> Davies, the director of London-HEMS and David Lockey are entirely
> responsible for the development of this novel conference, which
pushes the
> presenters to answer the difficult questions and push the envelope.
> Highlights of the last 2 days were talks on decompressive
craniectomy,
> suspended animation for traumatic arrest and immunomodulation.  And
of
> course the shy & retiring Dr. Mattox!
>
> I will take responsibility for today's proceedings though, which
we're
> running in conjunction of the Royal College of Surgeons. 
Interestingly,
> half the faculty from the main conference have booked in for the
> Masterclass
> :-)
>
> If I don't see you today, see you next year hopefully
>
> Karim
>
> On 14/06/07, Mathias Kalkum <listen at doc-kalkum.de> wrote:
>>
>> Ken,
>>
>> I'm sure many others would like me love to be there but have to
cover
>> calls, or - unlike me - have a long way to go to get to London.
However,
>> you are right: this *IS* a very interesting meeting and hopefully
I'll
>> be there next year.
>>
>> Mathias
>> --
>> trauma-list : TRAUMA.ORG
>> To change your settings or unsubscribe visit:
>> http://www.trauma.org/index.php?/community/ 
>>
>
>
> ------------------------------
>
> Message: 3
> Date: Sat, 16 Jun 2007 17:30:23 +0100
> From: mike <mike.smyth at blueyonder.co.uk>
> Subject: Re: looking for an article
> To: "Trauma &amp; Critical Care mailing list"
<trauma-list at trauma.org>
> Message-ID: <4674101F.1020404 at blueyonder.co.uk>
> Content-Type: text/plain; charset=ISO-8859-1; format=flowed
>
> Hi Anthony
>
> I am aware of this piece of kit and this improvised use of it - even
> used it this way many years ago.
>
> Cheers
> Mike
>
> Anthony caruso wrote:
>> Mike, I don't have any access to the papers.  I would like to share
with
>> you a concept that I use in stabilization.  It maybe help you or it
may
>> not.  You may be familiar with a device called the (KED) kendrick
>> extrication device.  Normally, its used to immobilize patients that
are
>> entrapped with suspected cervical spine injuries.  However, if you
take
>> the unit and invert it to have the head portion pointing in the
>> direction of the feet.  Take the back portion and wrap it around
the
>> pelvic area.  Use the void filler in between the legs.  Wrap it all
>> together using the belts and you have a nifty little device that's
>> quick, and requires little movement of the patient.  Also not to
mention
>> it goes really well on a backboard.
>> Like I said, this may help you or it may not, but happy trails.
>> Sincerely,
>> Anthony M. Caruso
>> Paramedic/firefighter
>
>
>
> ------------------------------
>
> Message: 4
> Date: Sat, 16 Jun 2007 16:18:30 -0400
> From: "MSD" <listasmsd at gmail.com>
> Subject: Sister Of Lost Flyer Pushes For Tougher Helicopter Air
> 	Ambulance	Standards .... AN ISSUE DISCUSSED IN THE LIST
> To: <trauma-list at trauma.org>
> Message-ID: <000901c7b0a2$ac9c3f60$6801a8c0 at sceptre>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Sister Of Lost Flyer Pushes For Tougher Helicopter Air Ambulance
Standards
>
> Senator Proposes Adding Tougher Safety Requirements To FAA Funding
Bill
>  Before Stacy Friedman lost her sister Erin in the 2005 downing of a
> medical
> transport helicopter in Washington, she never viewed the job as
especially
> dangerous. In the two years since the Airlift Northwest Agusta A109
helo
> carrying nurse Erin Reed, nurse Lois Suzuki, and pilot Stephen Smith
was
> lost in Puget Sound, however, Stacy has become a crusader for
stricter
> helicopter ambulance safety standards.
>
> Friedman, who lives near Sacramento, CA, is pushing for the addition
of
> terrain awareness systems and cockpit voice and data recorders to
medical
> ambulance flights. She has the support of Washington Senator Maria
> Cantwell,
> who has suggested adding tougher safety requirements to the FAA
funding
> reauthorization bill now making its way through Congress.
>
> Those suggestions are opposed by many within the medical transport
> industry,
> reports the Seattle Times. They say mandating such systems onboard
medical
> helicopters would drive up the cost of lifesaving services,
potentially
> grounding some operators -- while not doing very much to improve
safety.
>
> "The reality is there are going to be sick people who are not going
to get
> health care because they cannot be flown," said Ed Marasco, owner of
CJ
> Systems Aviation Group. The Pennsylvania-based company owned the
Airlift
> Northwest helicopter that crashed in Washington in 2005.
>
> Marasco suggested a more cost-effective safety addition would be
> night-vision goggles, so pilots could maintain visual references
when
> flying
> in the dark through clouds.
>
> As ANN reported, the helicopter carrying Erin Reed was returning to
its
> base
> at Arlington Municipal Airport (AWO) in low night IFR conditions,
after
> dropping off a patient in Seattle September 29, 2005. The helicopter
> disappeared from radar just past 9:00 pm PDT, impacting the water
near
> Edmunds, WA. The NTSB ruled the probable cause of the crash was loss
of
> control in maneuvering flight for reasons unknown.
>
> A recent study by Johns Hopkins University School of Public Health
found
> helicopter emergency crews are 16 times more likely to perish in a
> job-related mishap, than on average. According to the FAA, there were
83
> accidents involving medical transport helicopters in a six-year
period
> from
> 1998 through mid-2004.
>
> A separate 2006 study conducted by the National Transportation
Safety
> Board
> found most fatal accidents involving medical helicopters occurred
without
> a
> patient onboard -- which might be due in part to tougher regulations
> governing flights when patients are in the helicopter. The FAA
states
> pilots
> of helos transporting patients must maintain at least two miles
visibility
> at low altitudes. No such minimum visibility requirement exists when
> flying
> without a patient, according to the Times.
>
> The Association of Air Medical Services sent a letter to the Senate
> Commerce
> Committee in May, telling lawmakers the industry has worked to
improve
> safety over the years -- adding imposing new regulations like the
ones
> proposed would add "millions of dollars to the costs of
out-of-hospital
> care
> and decreasing public access to needed emergency care - without a
> corresponding increase in safety."
>
> Stacy Friedman has travelled to Capitol Hill three times, making a
bit
> more
> inroads on each trip but failing to earn a face-to-face meeting with
> lawmakers. On the last trip, she met with a member of Senator
Cantwell's
> staff, who suggested it would be easier to add tougher safety
standards to
> the FAA bill, than to push for new regulations outright.
>
> "He said sometimes when you ask for things, they happen," Friedman
said,
> adding the proposed safety regulations are now in the Senate
Commerce
> Committee. "Things take a lot of time to make happen in Washington."
>
> FMI: www.senate.gov, www.aams.org, Read The NTSB Probable Cause
Report
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