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Sat Oct 11 19:01:45 BST 2008

In response to the discussion between the two Stephens: 

Perhaps.   However helicopters and LONG RANGE fixed wing air  ambulance 
services are ESSENTIAL in Australia, where distance, conditions,  weather and 
review standards are agreed upon by the government, EMS, emergency  medicine, 
critical care, trauma surgeons, and nursing.   

If you analyzed the issues of:

Time
Distance
Diagnosis
Weather
Supervision
Review

in Australia and the United States you would find two totally different  
philosophies driven by two totally different  motivations.      Helicopters and 
fix wing aircraft fly  every day in the US that would never be allowed to take 
off in  Australia. 

Stephen:   We could really really benefit from your standards and  
regulations and review and discipline activities being available to the "panel"  if a 
panel ever does convene.    Thank you for not only your  leadership in 
Australia, but also your participation in this discussion in the  US regarding how we 
can make helicopter air ambulances safer for the crew and  patients, as well as 
optimize the beneficial use of these  "birds".     Everyone would agree that 
they should not fly  dui ring prohibitive weather, or for patients with 
conditions which are  trivial.   

k

In a message dated 10/11/2008 10:03:47 A.M. Central Daylight Time,  
stephen.richey at gmail.com writes:

As an  emergency physician working part time with a helicopter service in
>  Australia, I (and my colleagues) have been shocked and saddened by the
>  number of recent fatal crashes in the US. Some of this reflects your size  
-
> there are possibly more helicopter programs in the US than in the  rest of
> the world combined. 

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