List Archives

Tue Nov 25 18:14:47 GMT 2008

Continuation from last post my fat finger sent too soon.

I think an outright ban on ad hoc LZs is overkill. How many of the  
crashed HEMS birds can be attributed to the fact it was at an ad HIV  
LZ?  I may be missing it but I don't see that factor as a huge part of  
the overall problem. Seems that other factors are more the issue. No ?

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

On Nov 25, 2008, at 12:04, "Stephen Richey" <stephen.richey at gmail.com>  
wrote:

> No, it would not.  It would simply require the air ambulance  
> operations to
> go out and designate appropriate landing zones in their service  
> areas.  This
> is in keeping with the type of proactive approach to safety we are  
> trying to
> encourage in the industry.
>
> The simpler option is to utilize existing airports and have the  
> patient
> transported there.  There are a lot more airports around- public and
> private- than many people realize.
>
> On Tue, Nov 25, 2008 at 12:53 PM, LouIs N. Molino, Sr. <lnmolino at aol.com 
> >wrote:
>
>> 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 >
>>>> networks, and the things you love. Try
>>>> the new AOL.com > today!(
>>>>
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>>>>>
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>>>> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe  
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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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>>
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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
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/

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