ELECTRONIC ICU (eICU)

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Do any of the trauma surgeons on the listserver have any experience with their patients being managed/co-managed by the electronic ICU (eICU)?? I know Penn Trauma's patients are monitored by this system.? Are there others out there?? What do you like/dislike about the system?? Is your hospital entertaining the idea of starting one?? Your input is appreciated.


Forrest "Dell" Moore, MD
Trauma Critical Care Surgeon
St. Joseph's Hospital and Medical Center
Phoenix, AZ


-----Original Message-----
From: Stephen Richey <stephen.richey at gmail.com>
To: Trauma &amp, Critical Care mailing list <trauma-list at trauma.org>
Sent: Thu, 16 Oct 2008 11:20 am
Subject: Re: Medical Directors of Aeromedical



On Thu, Oct 16, 2008 at 11:36 AM, Lorick Fox, PA-C <Lorick at lorick.org>wrote:

>
> Then if that same physician tells management of the helicopter service that
> either the medical director will withdraw their supervision, or the those
> recommendations were implemented, that might be a stop gap until a more
> system oriented solution happens.


If the medical director withdraws their support, the service simply finds a
different doc willing to oversee it.  Throw enough money at enough people
and eventually someone will take it to look the other way.

Something tells me that few institutions will tell their Chief of Trauma
> they will replace him/her, knowing that a "Trauma Chief fired over calls for
> safety" would be a headline the next morning...


If threatened with my job, I would tell them the same thing I told the
representative from one of the air ambulances services that threatened legal
action if I didn't stop rasiing concerns about their operations: "Go ahead
and do it.  The first thing my defense will do is demand you turn over every
last scrap of paper in your records and that will make great fodder for
research into how effective and appropriate your company actually is in its
operations."  I haven't heard from them since.  I can only imagine how it
would also play out in the press, especially if it were a physician in a
high position.  Some of the reporters I've talked with (including several
whom I know monitor this list discussion) would eat that up.....

>
>
> One could even call their FAA Flight Standards District Office and ask for
> an Inspector to come chat with the Medical Director about their operation.
> Management would have an STEMI, but better them than air crew...Talk to your
> Chief Pilot before doing this, however...
>
> Yes, I know not a universal solution, but a perhaps possibility for some.
>

Perhaps the FAA should just have the FSDOs do this proactively every few
months.  It would really serve to put the community on notice that they are
being watched by the one agency positione
d to really turn the screws on
them.

>
>
> *Lorick
>
> * Lorick Fox, MPAS, PA-C
> SEAVIN/Peace Vector IV
> Gianaclis Egyptian Airbase
> Gianaclis, Egypt
> (cell) +20-18-230-4448
> (landline) +20-45-240-9450
> www.lorick.org
>
>
> --
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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
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