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Mon Oct 20 01:23:00 BST 2008

Yes,   I have been a lurker foir much of the year.   I have been concerned about the helicopter crashes.    I will be going to the Las Vegas meeting again.   I would not miss it.   If a person in surgery, emergency medicine, critical care, or trauma goes to only ONE meeting a year, this meeting is the one to go to as it stimulates the mind and I always go home with a lot of new ways of thinking of things.    It is very practical, but cutting edge.   I also love the networking with old friends and sharing of information with them.   

Mo al Mallick > From: brenildo33 at uol.com.br> To: brenildo33 at uol.com.br; trauma-list at trauma.org> Subject: brenildo envia Re: Block that PUNT (and panelld> Date: Sat, 18 Oct 2008 17:08:09 -0200> > en> ----- Original Message ----- > From: "Brenildo Tavares" <brenildo33 at uol.com.br>> To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>> Sent: Saturday, October 18, 2008 5:04 PM> Subject: Re: Block that PUNT (and panel)> > > > As always Prof K Matox puts the finger at pain point.> > I mean his proposal to leave to industry the principles and rules instead > > the Government lay talk as it is the way it happens in every country.> > Hope is the light and the strengh of life.> > It is necessary just to survive to see and enjoy the future.> > Brenildo Tavares MD> > One Intensive care funders 1970 in Brasil> > For details please see in Google some of 4.000 references that happens to > > be there> > looking either as Tavares, Brenildo or Brenildo Tavares> > If there are any doubts please honor me contacting as> > brenildo33 at uol.com.br as well as medmundi at uol.com.br> > BT> > President> > Continuing Medical Education International System> > and International Symposia.> > Both are no profit humanitarian communitary institutions founded in 1970 > > devoted toMedicine updating concepts and practice.> > ----- Original Message ----- > > From: "Stephen Richey" <stephen.richey at gmail.com>> > To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>> > Sent: Saturday, October 18, 2008 3:21 PM> > Subject: Re: Block that PUNT (and panel)> >> >> > No, you are not alone Dr. Matthews. I could not have said what you did> > better myself. As I have said beforehand, if I can contribute to> > organization or execution of such a meeting, I am willing to put myself > > and> > my abilities at the beckon call of those with seniority to me.> >> >> >> > On Sat, Oct 18, 2008 at 1:00 PM, Marc Matthews - MedPro MMC X <> > Marc_Matthews at medprodoctors.com> wrote:> >> >> Sir,> >>> >> I am not alone in saying that we look up to you. When we attend your> >> tremendous meeting in Las Vegas, we listen to you and the many > >> influential> >> leaders that you have assembled for advice on the challenges in the > >> current> >> trauma world. We also look to all of your and those leader's papers in > >> the> >> literature to refine, re-define and fine-tune the critical care issues > >> and> >> acute surgical techniques with which we then use to treat our sickest> >> patients.> >>> >> My thoughts were with the raising death toll in this pre-hospital,> >> aero-medical transport field, the concern over the appropriate launch> >> criteria (clinical versus mechanism versus non-trauma), and the risk that> >> many crews are asked to take with or without the proper aeronautical> >> instruments that should be considered standard by today's technology.> >> Perhaps a national meeting could be arranged to review and make> >> recommendations as to the aforementioned. Perhaps that meeting even > >> mandates> >> change in many areas in such a mode of transport, where it would be> >> considered unethical or "poor care" for patients to be flown and > >> physicians> >> or medical directors would be no longer able to do so without following > >> much> >> more formal guidelines.> >>> >> Who knows the literature best? Or more appropriately, who could take all > >> of> >> the literature and assemble the greatest minds that know this field and > >> come> >> out with a declaration of what is known, what is advised and what is not> >> advised for this field? With personal bias exposed and evidence based> >> research placed at the forefront, such a position could in fact be used > >> to> >> influence change. Perhaps even national research projects could be > >> generated> >> that could involve trauma and non-trauma centers to answer questions on > >> such> >> a massive scale that the results could no longer be refuted. Safety would > >> be> >> the goal for patients and crew. The FAA and NTSB could be invited to > >> watch> >> the process or participate.> >>> >> If panels at this meeting have a consensus or if research projects are> >> developed, implemented, and later completed, they could learn of what> >> changes needed to be implemented. That body of information could then be> >> taken to the congressional or state legislative bodies to demonstrate > >> what> >> was found and what the medical literature supports and create change form> >> the data as it would save lives and money. It may take time, effort and> >> money, but a course should be plotted for completion of projects and > >> perhaps> >> a follow-up meetings to finish the details.> >>> >> Such action will save lives. It could save insurance companies big money,> >> so that they are not paying for helicopter flights from a local crash > >> scene> >> to a hospital that is 10 minutes driving time because someone felt that > >> it> >> would be easier or better or safer or however they were feeling at that> >> moment. I had a case just last night where a 9 percent burn was flown > >> from> >> one institution to mine. The patient was "stable" without airway > >> compromise> >> and normal vital signs, but the other institution had a protocol that > >> said> >> that "all burns must be flown"! We asked them several times not to fly > >> the> >> patient and we were refused. Now, the family will now have to pay (eat) > >> over> >> $20,000 dollars for that flight instead of $500 for ground > >> transportation.> >> The patient will be discharged 36 hours after arrival. The risk to the > >> crew> >> and the waste of resources including fuel and the potential need for that> >> helicopter somewhere else in their county having now been lost is just> >> unforgivable and happens many times, but I am sure we all have our war> >> stories.> >>> >> The bottom line for me was reading for several weeks the urgency in the> >> e-mails and at times the vitriol from www.trauma.org. In your last Las> >> Vegas meeting you praised this website in bringing the world-wide trauma> >> community to together. The audience agreed and applauded. Well, here we > >> sit> >> reading for weeks about this problem. So, I was thinking, if there is one> >> person that has the ability to bring together this community in person,> >> including the greatest minds in trauma, critical care and acute surgery, > >> it> >> is Dr. Kenneth Mattox. It is not presumptuous to ask a great man for > >> help.> >> He knows how to organize and direct such a meeting (we read your e-mails> >> about your helping the Katrina and Rita evacuees at the Superdome and > >> have> >> seen the organization at your Las Vegas meetings), how to do the > >> research,> >> who knows who the participants SHOULD be so that this will not a "white> >> washing" as suugested in a recent e-mail, and how to effect change. Dr.> >> Kenneth Mattox could bring together these forces in just more than an> >> afternoon session but at a larger meeting, perhaps even a closed meeting > >> at> >> first to organize, where ideas could be flushed out and a clearer> >> understanding of what needs to have happen could be decided, and then > >> action> >> taken in whatever form it must, such as a national research project, a> >> position paper, incorporation of other bodies such as the ACS COT, NFTC,> >> EAST, etc, into this effort. The "industry" must have medical evidence > >> based> >> knowledge and input rather than pecuniary concerns or misguided > >> approaches> >> that would not meet such evidence based criteria. It has the greatest > >> chance> >> of the fox watching the henhouse. There must be input into those industry> >> "Standards". We here in Arizona have had three devastating incidents just> >> this year, one of which involved one of my trauma nurse's family members.> >>> >> It is a tall order, Dr. Mattox, to ask this of you, and I do appreciate> >> this. However, if there is one man that could do this, organize this, > >> meet> >> this challenge, I doubt that few on this website would disagree, that it > >> is> >> you. Now, I apologize for placing you in this "hotseat" or confronting > >> you> >> in front of this site, calling you to action, but perhaps we, the trauma > >> and> >> medical community, need you as a leader that is recognized, to help us> >> confront what needs to be confronted or change what needs to be changed. > >> As> >> for the details on how to do this, when, where, who, those details are > >> for> >> much greater minds than mine, but I do believe that the people are crying> >> out for change. I think we know who that person is and the only question > >> is> >> when . . . I will now sit down and be quiet as I feel I have said perhaps> >> far too much. I apologize if I have offended anyone, including Dr. Mattox > >> or> >> the body of this tremendous website. Perhaps it is my juvenile angst, > >> hubris> >> or immaturity, or all of the above, but it pains me to see this happening> >> and I feel powerless to do anything.> >>> >> Very respectfully,> >>> >> Marc Matthews, MD> >>> >>> >> CONFIDENTIALITY NOTICE: This message and any of the attached documents> >> contain information from the Medical Professional Associates of Arizona,> >> (MedPro), that may be confidential and/or privileged. If you are not the> >> intended recipient, you may not read, copy, distribute, or use this> >> information, and no privilege has been waived by your inadvertent > >> receipt.> >> If you received this transmission in error, please notify the sender by> >> reply email and then delete this message. Thank you.> >>> >> CONFIDENTIAL MATERIALS PROTECTED under ARS § 36-445, ARS § 36-2403 and> >> Federal Patient Safety and Quality Improvement Act of 2005> >>> >>> >> -----Original Message-----> >> From: trauma-list-bounces at trauma.org [mailto:> >> trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com> >> Sent: Friday, October 17, 2008 7:47 PM> >> To: trauma-list at trauma.org> >> Cc: Redstart at aol.com; KMATTOX at aol.com> >> Subject: Re: Block that PUNT (and panel)> >>> >> Dr. Matthews: I am intrigued by your suggestion. My role at the> >> meeting you cited is to be a catalyst to bring together in one venue the> >> persons> >> and subjects you cited. It is too late for this year to have a > >> special> >> day, but I might have a "blue sky" noon session on Tuesday if there is> >> interest.> >> I would never be so presumptuous as to even know all of the agenda> >> items or just who all the stakeholders are. I do know that today > >> State> >> Senators from Maryland began calling for witnesses to testify to them> >> about this> >> issue. I do know that it is better if industry creates the STANDARDS > >> and> >> Principles, rather than government creating the regulations.> >>> >> k mattox> >>> >>> >> In a message dated 10/12/2008 11:01:15 A.M. Central Daylight Time,> >> Marc_Matthews at medprodoctors.com writes:> >>> >> Okay, Trauma.org, then everyone on this list server should form a > >> meeting.> >> All of you can get together and discuss it with every single paper ever> >> written. You can even invite people that are from the government and > >> those> >> from outside the United States and you can bring these great minds > >> together> >> and wrangle it out. Imagine the best and the brightest all coming > >> together.> >> Imagine deciding the reasons for transport and saving lives from > >> needless> >> death yet defining the reasons for the use of such transport and then> >> tracking your changes. It can and should be done instead of complaining> >> about others meeting that will either white wash this or do it wrong!> >>> >> Dr. Mattox, every year you bring together many to a meeting in Las Vegas> >> to educate. I been there three times. I have Dr. Wisner, Knudsen, Rhee, > >> the> >> Dorlacs, Johanigman, Sise, McSwain, Fildes, Tuggle, and many others, > >> true> >> heroes that discuss the latest on trauma, acute care surgery and > >> critical> >> care. You have even expanded your meeting to include a Disaster> >> Preparedness ssection.> >> Why not a day, two or three somewhere to resolve this issue? Of anyone> >> that can organize such a meeting and decide such issues that has the > >> power> >> to org anize, it is you. It is a large enough issue for people to have> >> disscussed this for weeks now. If somewhere "they" are doing it "wrong",> >> then do it right.> >> Have that meeting and then bring it out in the literature and take it up> >> the stairs to Washington. Get the ACS COT or NFTC behind you and get the > >> US> >> trauma world to go to their representatives and change it.> >>> >> This website could be the used as a launch pad to help save lives in an> >> organized fashion but someone needs to lead. Now who is it going to be? > >> I> >> nominate Dr. Mattox and then everyone on this web server to help who has> >> been so bold as to write in and speak up. The squeaky wheel gets the> >> grease! Either that or we sit here and do nothing. We need a leader. Who> >> will that be . . . ?> >>> >> MRM> >>> >> ________________________________> >>> >> From: trauma-list-bounces at trauma.org on behalf of KMATTOX at aol.com> >> Sent: Sat 10/11/2008 7:24 PM> >> To: trauma-list at trauma.org> >> Subject: Block that PUNT (and panel)> >>> >>> >>> >> My wife is from Oklahoma. I and many of my friends are from Texas. I> >> thoroughly enjoyed watching the Oklahoma/Texas game today. I really> >> did> >> not> >> have a dog in the hunt. But the game with its swings back and forth> >> was a> >> GREAT game. I heard the stands yell, "BLOCK THAT PUNT" even when > >> the> >> team came to the line to try for two points and NOT PUNT.> >>> >> It is with GREAT sadness and frustration, that I have learned and inform> >> anyone who wishes to know, tremendous, TREMENDOUS forces have formed to> >> BLOCK that Panel which is being proposed to be formed to look at safety> >> standards , flight criteria, weather conditions, charges, and quality> >> review by the> >> regions trauma system. It is really SAD that forces in industry, in> >> hospitals, and some individuals have put considerable pressure on local> >> agencies, state agencies, federal agencies, and even individuals to > >> state> >> that a "panel"> >> is not needed, that the indirect data is sufficient, and that deaths > >> have> >> occurred in ground ambulance crashes. A huge diversionary tactic > >> is> >> being> >> orchestrated with as great a focus as either the democratic or > >> republican> >> presidential and congressional campaign of 2008.> >>> >> If this campaign to BLOCK the PANEL is successful or even achieves a> >> DELAY, then the next deaths from a preventable helicopter crash, > >> carrying a> >> patient that did not need such a transport or even a higher level of > >> care,> >> must be> >> attributable to societal lethargy and business strong armed tactics.> >>> >> k> >>> >>> >> In a message dated 10/11/2008 3:17:51 P.M. Central Daylight Time,> >> bbledsoe at earthlink.net writes:> >>> >> Perhaps> >> "the panel" will be that introspection.> >>> >> Bryan> >>> >> Bryan Bledsoe, DO, FACEP> >>> >>> >> **************New MapQuest Local shows what's happening at your> >> destination.> >> Dining, Movies, Events, News & more. Try it out> >> (http://local.mapquest.com/?ncid=emlcntnew00000002)> >> --> >> trauma-list : TRAUMA.ORG> >> To change your settings or unsubscribe visit:> >> http://www.trauma.org/index.php?/community/> >>> >>> >> --> >> trauma-list : TRAUMA.ORG> >> To change your settings or unsubscribe visit:> >> http://www.trauma.org/index.php?/community/> >>> >>> >> **************New MapQuest Local shows what's happening at your> >> destination.> >> Dining, Movies, Events, News & more. Try it out> >> (http://local.mapquest.com/?ncid=emlcntnew00000002)> >> --> >> trauma-list : TRAUMA.ORG> >> To change your settings or unsubscribe visit:> >> http://www.trauma.org/index.php?/community/> >> --> >> trauma-list : TRAUMA.ORG> >> To change your settings or unsubscribe visit:> >> http://www.trauma.org/index.php?/community/> >>> >> >> >> > -- > > 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> > --> > trauma-list : TRAUMA.ORG> > To change your settings or unsubscribe visit:> > http://www.trauma.org/index.php?/community/> >> >> > --------------------------------------------------------------------------------> >> >> >> > No virus found in this incoming message.> > Checked by AVG - http://www.avg.com> > Version: 8.0.173 / Virus Database: 270.8.1/1731 - Release Date: 17/10/2008 > > 19:01> > > > --> trauma-list : TRAUMA.ORG> To change your settings or unsubscribe visit:> http://www.trauma.org/index.php?/community/
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brenildo envia Re: Block that PUNT (and panelld