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Fri Nov 7 01:31:45 GMT 2008

Bob:   My highest congratulations for those professional  organizations who 
have openly addressed the problems, real and perceived, and  have stepped 
forward with the leadership to voice opinions.   I see a  coalition consensus group 
forming.   Does the Maryland Panel know or  communicated with those groups 
that are developing this consensus  statement?    I have also heard that the 
Feds are coming up with  their own standards and recommendations which might be 
much more rigid than  those being discussed by the clinical and EMS groups.    
You  might also suggest to your OB/Gyn, Cardiology, Critical Care, Orthopedic, 
and  Pediatric Colleagues that they might like to enjoin with the EMS, 
Trauma, and  Flight organizaitons in their efforts and consensus standards and  
recommendations.   

k mattox

In a message dated 11/6/2008 7:19:11 P.M. Central Standard Time,  
bobwaddell at bresnan.net writes:

I  understand that Maryland is convening a group to decide on the make-up of  
the review panel in the very near future.

Another point that needs  to be brought forth is that helicopters also 
transport non-trauma patients  and advocates for these patients' care such as 
Internal Medicine/Critical  Care/OB-GYN/Pulmonology/Cardiology/Orthopedic/and 
other specialist and  sub-specialist and/or their association(s) need to be 
appropriately  represented at the local, state, regional, and national levels.

Take  care,
Bob

On Thu, 6 Nov 2008 20:10:29 EST
KMATTOX at aol.com wrote:
> Now that the new elected officials are  considering Health Care Reform  
> discussions, it is fully time to  get a progress report on our 
conversations 
>of a  
> few  weeks ago regarding Air Ambulance Helicopter Improved Safety and Air   
> Standards, as well as clinical guidelines regarding appropriate use  and 
>review  of 
> this form of prehospital  transportation.   
> 
> I have not heard if there was a  Maryland Panel Appointed by FAA, the  
> Maryland Governor, the  Maryland Legislature, or someone else.     No one 
>that  I know 
> has been placed on a non-biased non-partisan   board.   I would hate to see 
>the 
> momentum created  by this list  lost.  
> 
> I do understand that the  helicopter industry itself has asked that the  
> following safety  standards be incorporated and required on ALL air 
> ambulance 
>  operations:   
> 
> 1.    Terrain avoidance  equipment
> 2.    Night sight goggles and  instrumentation
> 3.    Dual pilots, especially under VFR  flight conditions,  night, and 
> unfamiliar terrain.   
> 
> I also understand that there are civilian groups  recommending:
> 
> 1.    All air ambulance flight  activities be reviewed  every month by the 
> Regional Trauma  Authority, be it a state, county, or regional  activity
> 
>  2.    All deaths and complictions in patients  transportated by  air 
>ambulance 
> be reviewed by the trauma committee of  the  hospital to which the patient 
>was 
> flown.
>  
> 3.    Review of any interventional procedures, such  as  needle 
> decompressions, intubations, or pericardiocentesis be  reviewed by the 
> trauma committee
> 
> 4.     Each flight program develop time/distance  standards for their area 
so  
> that patients would be taken to the trauma centers  based on the  most 
> expedicious method
> 
> 5.     Each  flight program develop a list of  diagnoses and conditions 
under 
>  which air ambulances would and would not be  used.  
>  
> 6.    Such criteria be part of a state or ACS review  of  trauma center 
> designation process.  
> 
> I  do believe that these were discussed at the ASHBEAMS,  ACEP,    ACEMSP, 
and 
> some items discussed at the ACS COT  meetings.   There is becoming a 
> groundswell across the  country  for standards both in the clinical and the 
>air safety 
>  industry.       
> 
> K Mattox
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Take  care,

Bob

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