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Tue Nov 25 17:53:22 GMT 2008

But point 2 would eliminate the use of HEMS in rural and frontier  
areas where it MAY actually be warrented.

Louis N. Molino, Sr. CET
FF/NREMT/FSI/EMSI
Typed by my thumbs on my iPhone.

On Nov 24, 2008, at 14:35, "Stephen Richey" <stephen.richey at gmail.com>  
wrote:

> 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> > >
>> **************> One site has it all. Your email accounts, your  
>> social >
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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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