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Mon Oct 20 01:27:20 BST 2008

The only problem for those of us who are also students (and therefore on
limited budgets) is the cost of attending.  That is why I am not going to be
able to attend this year, barring something changing drastically in the mean
time.

On Sun, Oct 19, 2008 at 8:23 PM, Mohammed al Malik <traumawon at hotmail.com>wrote:

>
> 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 &
> 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,
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> 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/> >> >> >
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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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brenildo envia Re: Block that PUNT (and panelld