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Home > List Archives

trauma-list Digest, Vol 48, Issue 20

MARK FORREST atacc.doc at btinternet.com
Mon Jun 18 16:03:58 BST 2007


Dear Malusi
  As you might have gathered, or been confused by some of the comments, the List members are largely very familiar with the MAST device and it's various proposed 'uses'.
  However, if you look back through the list archives, you will find reasons why this has fallen out of Vogue. 
  Whilst discussions frequently go around and come around again and again on ths list, some will move forward and for others the views rarely change. MAST is one such device and it remains unpopular. But, like many other things considered and reviewed on this list, they dont filter down to ground level and as you describe, it is still in everyday use and training around the world. So who knows, you may get your discussion!
   
  Thanks for your contribution and don't be put off for raising something that is unpopular!
  Regards
  Mark F
  UK

mls at webmail.co.za wrote:
  
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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> When replying, please edit your Subject line so it is more specific
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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" 
> Subject: RE: looking for an article
> To: trauma-list at trauma.org
> Message-ID: 
> 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 
>>Reply-To: "Trauma & Critical Care mailing list"
>>
>>To: "Trauma & Critical Care mailing list" 
>>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)
>>
>>
>>
>>
>>
>>--
>>trauma-list : TRAUMA.ORG
>>To change your settings or unsubscribe visit:
>>http://www.trauma.org/index.php?/community/
>
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>
>
> ------------------------------
>
> Message: 2
> Date: Fri, 15 Jun 2007 07:04:44 +0100
> From: "Karim Brohi" 
> Subject: Re: You should not be reading this
> To: "Trauma &, Critical Care mailing list" 
> Message-ID:
> 
> 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 
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 
> Subject: Re: looking for an article
> To: "Trauma & Critical Care mailing list" 
> 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" 

> Subject: Sister Of Lost Flyer Pushes For Tougher Helicopter Air
> Ambulance Standards .... AN ISSUE DISCUSSED IN THE LIST
> To: 
> 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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> End of trauma-list Digest, Vol 48, Issue 20
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