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Mon Nov 24 20:35:47 GMT 2008

On Mon, Nov 24, 2008 at 3:22 PM, Anthony Caruso <medic541 at hotmail.com>wrote:

>
> 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?

*Flight safety measures*:
1-Two pilots on board all flights
2-No landings at sites that have not previously been surveyed and approved
(no more impromptu landing zones at the scenes of car accidents, etc)
3-No flights without terrain awarness and warning systems (TAWS), ground
proximity warning system (GPWS) and night vision equipment available to the
pilots
4-No flights in deteriorating weather conditions or in situations where the
lowest level of clouds is within 500 feet of the top of the highest
obstruction along the planned flight routes.

*EMS System Changes*
1-All flights are subject to audit and review to determine the medical
necessity of the flight and the data is open to anyone who wants to use it
for research purposes; this would allow for agencies other than MIEMMS to
keep tabs on the system as well as allow MIEMMS to recognize and address
problems before they become severe.  It could also allow further tailoring
of the dispatch protocols for a specific area if certain issues arise.
2-Hold ground crews accountable for their actions when they unnecessarily
call for aeromedical transport in cases where it was not needed (based upon
careful review of the case) and allow for punishment (suspension,
termination, etc) for repeated abuse of the system.
3-Term limit for the medical director to avoid development of complacency
and abuse of power
4-Abolishment of statewide protocols in favor of a regional or county based
system.

 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?

I honestly can not say because so far as I am aware there has never been a
good comparison of the two because there are so few dual purpose operations
(off the top of my head- Maryland State Police, Los Angeles County Sheriff's
Department (I think the fly rescue), the US Coast Guard)

>
> > 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> > >
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-- 
Stephen L. Richey, CRT
Aviation Injury Research Project Leader
Saginaw Valley State University
Work E-mail: slrichey at svsu.edu
Home Office Phone: 248-366-4452

"Hier stehe ich. Ich kann nicht anders. Gott helfe mir. Amen."- Martin
Luther, before the Diet of Worms, 16. April 1521

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