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Mon Nov 24 20:34:54 GMT 2008

As a prehospital provider in a rural state (NM), I believe that HEMS has a very valid use. If it is true that the system in MD does not allow prehospital providers the ability to ASSESS and TRIAGE their patients, that is a massive failure of their education system for EMS people. 

Are they truly dispatching helos for pt's with NO APPARENT INJURIES?!?!  As someone who works in EMS and trains providers, I find that stunning. I also think that if the system is that flawed (my opinion) they need to look at all aspects of it, starting with their education, and not make nationwide judgements based on that system. 

Just my thoughts,

Sahaj Khalsa 
Sahaj Khalsa

-----Original Message-----
From: Anthony Caruso <medic541 at hotmail.com>

Date: Mon, 24 Nov 2008 15:22:43 
To: <trauma-list at trauma.org>
Subject: RE: Maryland Air Ambulance Review Panel

Stephen, I have been reading this thread for as long as it has been on here.  I think that definitely changes are to be made for criteria on when, and when not to call for a chopper.  As I have said before more emphases should be placed on educating pre hospital providers. But there's enough blame to go around on that. 

However, how do you suppose that you (we) can change the way Maryland dose its job?  There helicopters' serve duel roles.  

A) Obviously EMS missions.

B) Law enforcement missions.  

Is there a big difference on civilian medavac Vs. law enforcement agency medavac and there standards?
> From: ALS79 at aol.com> Date: Mon, 24 Nov 2008 14:58:00 -0500> Subject: Re: Maryland Air Ambulance Review Panel> To: trauma-list at trauma.org> > Bill Metcalf filled my position when I left ACEP. At the time, he was the EMS > Director for the state of Colorado. He was originally a firefighter in > Maryland, and was at one time married to an executive with the ATS. He left ACEP and > went to work for JEMS magazine, and the on to be EMS Chief of the fire > protection district at Lake Tahoe. He serves on the IAFC's EMS Committee and also > does some consulting on the side with Jim Paturas.> > I have known Bill for many years. While he can be objective, the two > unalterable characteristics about him are that he'll vote on the side of the majority > opinion, and he'll always defend MIEMSS because that's his home turf.> > It doesn't look good for our side.> > Bob Kellow> > > **************> One site has it all. Your email accounts, your social > networks, and the things you love. Try 
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