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Mon Nov 24 20:45:35 GMT 2008

Well said Steven! > Date: Mon, 24 Nov 2008 15:40:49 -0500> From: stephen.richey at gmail.com> To: trauma-list at trauma.org> Subject: Re: Maryland Air Ambulance Review Panel> > On Mon, Nov 24, 2008 at 3:34 PM, Sahaj Khalsa <sahajs at gmail.com> wrote:> > > As a prehospital provider in a rural state (NM), I believe that HEMS has a> > very valid use> > > In extremely rural areas, it does. However in some cases (certain parts of> NM being examples) the use of fixed wing aircraft is more feasible and> safer.> > > > . 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.> > > It is a massive failure of more than that. However, the problem is not that> they are not taught or allowed to assess and triage, but rather that they> have been taught inappropriate standards for doing so.> > >> >> > Are they truly dispatching helos for pt's with NO APPARENT INJURIES?!?!> > > Yup. I've also seen them land a helicopter more or less in sight of a> trauma center for a patient who was awake and talking because he had> bilateral femur fractures.> > 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.> > > I agree, the education standards need to be drastically increased but at the> same time we can not stand by and allow our colleagues to continue to die> while waiting for a long term fix like massive overhaul of the educational> standards to bear fruit.> > We are not making nationwide judgments, but rather trying to learn from each> of these mistakes and apply the lessons wherever they are applicable, which> for the most part is almost everywhere with a few notable exceptions.> > >> >> > 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> > the new AOL.com > today!(> > http://pr.atwola.com/promoclk/100000075x1212962939x1200825291/aol?redir=http://www.aol.com/?op>> > tin=new-dp%26icid=aolcom40vanity%26ncid=emlcntaolcom00000001)> -->> > trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:>> > http://www.trauma.org/index.php?/community/> > _________________________________________________________________> > Access your email online and on the go with Windows Live Hotmail.> >> > http://windowslive.com/Explore/Hotmail?ocid=TXT_TAGLM_WL_hotmail_acq_access_112008> > --> > trauma-list : TRAUMA.ORG> > To change your settings or unsubscribe visit:> > http://www.trauma.org/index.php?/community/> > --> > trauma-list : TRAUMA.ORG> > To change your settings or unsubscribe visit:> > http://www.trauma.org/index.php?/community/> >> > > > -- > 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> --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
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