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Mon Sep 28 14:18:52 BST 2009

Since the times are the same, make it 30 minutes by ground and go directly to the neuro institute.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of cadeth66 at aol.com
Sent: Monday, September 28, 2009 7:46 AM
To: Trauma-List [TRAUMA.ORG]
Subject: Question

In light of the recent EMS Helicopter crash I extend my condolences to their families. 

 But I want to pose a question to the list if you would have or would have not airlifted this patient?

 17 y/o caucasian female calls 9-1-1 with "severe headache and left sided numbness" local BLS arrives begins assesment, ALS arrives but is cxl'd by BLS "services not needed" pt is brought into ED unresponsive and decorticate posturing. Pt intubated w/in 5 min of arrival in ED. Pt sent to CT head which shows intracranial bleed 8mm, midline shift w/ mass effect ( forgive me if this is wrong) pt begins to become unstable bp tanks etc etc..... Neuro consult wants immed transfer.  Ground or Air?   Ground will take 30 min to get to hosp and another 30 to transferr to neuro institute. Helo takes 15 eta to hosp, hot load, 15 min to neuro institute....

 Weather clear and its roughly 2 AM

What would y'all do?
------Original Message------
From: Doc Holiday
Sender: trauma-list-bounces at trauma.org
To: .Trauma List
ReplyTo: Trauma-List [TRAUMA.ORG]
Subject: RE: Condolences and Concerns
Sent: Sep 28, 2009 07:36

From: Ronald.Gross at baystatehealth.org
>...this industry is now all about the money, and it is getting people killed.

--> Saddened as we all are by the loss of friends/colleagues, I believe we should always look ahead immediately for the opportunity to prevent further such loss of life. Although we have helicopters buzzing about our ED on a daily basis (we recieve 500 flights annually), I am not at all an expert on the subject. Especially not how it goes in the USA. So I have a question...

And I am only asking out of ignorance and a search for clarification - I am not expressing an opinoin...

Is it a case of profit being the number one objective that is standing in the way of safety here? Or is it lack of data? Or is it the public's expectation that we use helicopters? Or what? I guess this List is the place to find answers.

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