Aeromedical accidents

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Sorry....I hit the reply a little too quickly....I also meant to say that I
do not believe- while safety should be priority number one then worrying
about the utilization fiasco- that the two need to be handled in sequence.
Advocacy for both can take part at the same time.

On Thu, Oct 16, 2008 at 12:00 PM, Stephen Richey
<stephen.richey at gmail.com>wrote:

>  I am actually more of an advocate of the safety changes needed than I am
> for the reform of the use of the helicopters.  It is just that I also
> support those measures and that is more widely discussed on here, hence the
> apparent discrepancy.  I could not agree with you more Lorick.
>
>   On Thu, Oct 16, 2008 at 8:43 AM, Lorick Fox, PA-C <Lorick at lorick.org>wrote:
>
>>   Let me try this another way
>> If there are pilot pressures leading to unsafe operations, then it needs
>> to be stopped.
>> If there are unsafe helicopters, they need to be pulled from the sky.
>>
>> Reducing operations is the WRONG way to approach this.
>> Fewer operations, under unsafe conditions, will STILL result in dead
>> people.
>>
>> These are our colleagues, and friends, out there.
>> The attention of all involved needs to be fixing the SAFETY issues, not
>> diverted by medical judgment call questions.
>> If there is an unsafe medical device on the market, we don't approach the
>> problem by reducing it's indications, we remove it from the market.
>>
>> There must be ONLY one individual able to decide if a flight goes - that's
>> the pilot (who also is responsible for deciding of the aircraft is
>> airworthy, BTW.)
>> It would be nice if the folks doing triage were always right...it would be
>> nice if the referring and accepting physician on a transfer were always
>> right... but helicopters are fairly safe so when the medical side of the
>> equation providers are wrong, the risk should still not exceed potential
>> benefit.
>>
>> This is EXACTLY analogous to surgery - there is ONE person who decides if
>> surgery is a good idea - the surgeon.
>> If that surgeon has excessive bad outcomes, then the surgeon gets looked
>> at.
>> You can't have a regulatory panel telling surgeons when they can operate.
>> You shouldn't try to reduce surgical mortality by allowing unsafe
>> practices but reducing surgeries.
>> You can't have someone other than the pilot decide to fly or not fly, once
>> the medical system asks if the flight can be made.
>>
>> We need to speak with ONE voice, and NOT about utilization - we need to
>> speak about unsafe operations.
>> I would rather see all aeormedical transfers stopped pending safety
>> reviews than have us delude ourselves, and the FAA/NTSB, that the medical
>> side of the operation is using poor judgment and that is somehow responsible
>> for crashes.  It is NOT!
>> AFTER the crashes stop, THEN we can address appropriate use concerns.
>>
>> If we want to facilitate profit motivated operators by making aeromedical
>> operations more complex and confusing to regulators and safety people,
>> continue to talk about evaluating appropriateness of operations.
>> If you want our colleagues to be alive, demand safe flying....
>> This is NOT impossible....
>>
>> Lorick
>>
>>
>>
>>
>>
>> --
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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
>
> "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
>



-- 
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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