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Need help locating specific citations on Mechanism of Injury, Over/Under Triage, and medical aircraft usage
Stephen Richey stephen.richey at gmail.comMon Oct 6 19:47:38 BST 2008
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Try looking at the Air Medical Journal - most are from statements of the Air Medical Association or similar. Largely thumbsuck stuff though - limited evidence for anything in air-med! Some others quote inferences from the ACS list of who must go to a "Level 1 Trauma Center" - see the ATLS manual. I would not trust anything published in the Air Medical "Journal" unless it came from someone I respected a great deal already and considered to be reputable. It's akin to judging a political issue based upon the press releases of a particular party or candidate. I think the large scale study that showed that mechanism of injury was a poor predictor of actual injury severity pretty much eclipses most if not all of the questionable studies that have come out of the AAMS propaganda rag that "support" the more or less industry wide practice of flying anyone and everyone that they can get their hands on. The attempts to defend such practices do far more harm to the industry because it draws attention to the herd of elephants in the living room every time a helicopter goes down. If they put as much effort into trying to determine when and where we can really help people by flying them as they put into whitewashing public opinion and threatening anyone who questions their stance with legal action, we might actually be saving patients rather than simply shuffling them around in expensive and flashy helicopters at great expense in both money and the lives of our colleagues. -- 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 "It is the characteristic excellence of the strong man that he can bring momentous issues to the fore and make a decision about them. The weak are always forced to decide between alternatives they have not chosen themselves."- Dietrich Bonhoeffer
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