Helicopter crashes

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Good idea Bob....just make sure the street provider has a part in it..often
time management doesn't have a clue what is happening in the street or for
the patient. The person working with the situation everyday is a valuable
resource and has important input to give.

We often time forget to listen to those voices in our association (s).

Jules

On Wed, Jul 2, 2008 at 11:22 AM, Bob Waddell <bobwaddell at bresnan.net> wrote:

> It seems that we and the popular press jump on exactly the same bandwagon
> when a tragedy such as these occur, yet I would propose that we DETERMINE
> THE TIME IS RIGHT TO DISCUSS EMERGENCY MEDICAL TRANSPORTS versus the ground
> vs air issue in isolation.  The recent death of a Paramedic in Delaware is
> no less devastating to EMS and EM than that of the loss of life in Arizona,
> California, . . .  WE have developed a system were the patient, their
> family, the Physician, the Nurse, the Paramedic, the EMT, the cat can call
> 911 and SOMEBODY's going to the hospital in an emergency vehicle.
>
> Unsafe vehicles, vehicles NOT specifically designed for the objectives
> demanded, inadequate and inappropriate protocols, failure to decline
> services for a plethora of medically valid reasons, and lack a data are
> only
> the beginnings of why good healthcare providers and their operational Team
> members are dying unjustifiably.  Let's quit the political self
> congratulatory rhetoric and let's actually DO something to fix the problem!
>
> With NNAEMSA, EMS EXPO, and NAEMSE conferences coming up in the next few
> months I propose we start an ACTION Force (not Task Force), and bring the
> issues forth.  I can look into finding meeting space if there is any
> interest.
>
> Take care,
>
> Bob
>
> (307) 920 - 2020 cell
>
> bobwaddell at bresnan.net
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org]
> On Behalf Of McSwain, Norman E Jr.
> Sent: Wednesday, July 02, 2008 9:10 AM
> To: Trauma & Critical Care mailing list
> Subject: RE: Richey and Helicopters
>
> How about just comparing the "need" of air vs ground, based on the
> patient's condition and the comparative difference in time. The time
> must be measured in time from the incident to arrival at the hospital
> not just the partial time of air vs ground drive/fly times from injury
> site to the hospital.
>
> Example - waiting for the launch and arrival vs just starting out to
> drive the distance is a variable that MUST be considered. Most folks
> don't include this when they measure transport times.
>
> Norman
>
> Norman McSwain MD
> Professor, Tulane School of Medicine
> Trauma Director, Charity Hospital Trauma Center
> norman.mcswain at tulane.edu
> 504 988 5111
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Robert F. Smith
> Sent: Wednesday, July 02, 2008 9:39 AM
> To: 'Trauma & Critical Care mailing list'
> Subject: RE: Richey and Helicopters
>
> Unfortunately there is no
> NTSB mandate to investigate ambulance crashes, and there is no uniform
> database for these crashes.  This makes it extremely difficult to
> compare the risk of air vs. ground.
>
> Dave,
>
> Do you think that is something that is "fixable" if pressure was applied
> by
> our various august governing bodies?
>
> Rob
>
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