[CCM-L] trauma-list Digest, Vol 63, Issue 38

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Could not (should not) the AAST, ACS, EAST, West, NFTC and all other trauma related organizations lobby Congress (state or national) to stop this over-use or is this just naivete at its finest? Wishful thinking or not, is there no one or single entity willing to take this challenge head on?

D-

-----Original Message-----
From: trauma-list-bounces at trauma.org <trauma-list-bounces at trauma.org>
To: Discussion of Critical Care Medicine <ccm-l at ccm-l.org>; trauma-list at trauma.org <trauma-list at trauma.org>
Sent: Mon Sep 29 05:54:58 2008
Subject: Re: [CCM-L] trauma-list Digest, Vol 63, Issue 38

On Mon, Sep 29, 2008 at 8:41 AM, Arthur Morgan <arthurmorgan2 at gmail.com>wrote:

> Stephen Richey wrote:
>
>>
>>
>>    s.
>>
>>  How about we stop beating our heads against a brick wall and cut the
>> throats of the air ambulance industry by partnering with the insurance
>> industry to do away with the funding for such services. I know the old adage
>> about getting up with fleas when you lay with dogs, but perhaps the cost of
>> associating with the insurance industry is worth it if we can truly nip this
>> problem in the bud.  Any comments or threats of burning me at the stake for
>> my heresy?
>>
>> I am told that this 'plane flew because of severe injuries and bad traffic
> patterns on the road ( possibly due to light rain ).
> It is possible that the reasons to fly were adequate.
>

Well, the definition of "severe" in Maryland does not mean much seeing as
how they tend to lose their damn minds over MOI.  That being said, having
driven the area in question multiple times, the traffic on the roads at that
time of night is relatively light.  Even in the face of light rain, the
option of ground transport would still have likely result in more
expeditious arrival at the hospital when one considers the time delays
associated with launch and landing of the helicopter.

Until you can show in individual flights that patients and staff were
> endangered unnecessarily, you will get nowhere.


I believe there is plenty of evidence to support this: the literature
showing no benefit, the NTSB reports stating the helicopters should not have
been flown in X circumstances, etc.




-- 
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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