Medical Helicopter Crash; 3 injured

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These things focus the mind......particularly as I have just stepped out of
the jetranger that takes me every week to some reserves that I service.  I
_do_ worry about the risk.  The communities _do_ need service.

I also do Class D HETS (helicoter external transport system) (the hanging
off a rope to go get people, thing).............it is a good tool but needs
careful assessment as to when and how it should be used.

I think I am correct in saying that the major cause of death, in the 20th
century, in N American parks is not bear attack, cougar attack, falls from
rock, hypothermia.....but, rotary winged aircraft (often whilst involved in
rescue work).

Don't get me wrong, I am not anti-helo......but I am very much of the school
of thought that just because it works, doesn't mean it is the right choice
always.

Cheers all and seasons greetings.  May you all have a quiet and peaceful
holiday period.

Jel




On 21 December 2010 12:17, Gross, Ronald <Ronald.Gross at baystatehealth.org>wrote:

> Ken Mattox and others on this site have been pushing to have a directed
> discussion among us, the "subject matter experts", directed at the
> development of a proposal for a protocol, based on medical necessity only,
> that would guide all of our HEMS services as to when air transport is truly
> needed.  Such a protocol would hopefully eliminate any debate as to whether
> the risk of a flight was justified by the medical needs of the patient.
>
> To date, we have ALL failed and we continue to debate to simple question as
> to whether the flight was really indicated, or motivated solely by the
> profit margins of the program........AFTER each crash.
>
> Now, I will put my curmudgeon hat aside and put on my other one - and wish
> you all a very peaceful, healthy and Happy Holiday Season!
>
> Ron
>
>
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org] On Behalf Of Bjorn, Pret
> Sent: Tuesday, December 21, 2010 1:46 PM
> To: Trauma-List [TRAUMA.ORG]
> Subject: RE: Medical Helicopter Crash; 3 injured
>
> Since the crash is still in the blunt-instrument phase of NTSB
> investigation, the involved individuals can be forgiven their reluctance
> to offer public statements.
>
> The available media suggest that this was a single-engine aircraft which
> unexpectedly became a zero-engine aircraft shortly after launching to an
> "emergency call."  The pilot was able to return to the helipad, albeit
> abruptly.
>
> Although it sounds as if this turned out well (at least relative to
> expectations) I share your concern over whether the original patient
> merited air transport, especially since all three of the crew -- whose
> injuries have been repeatedly described as non-life-threatening -- were
> transported by HELICOPTER to the University Hospital in Columbia.
> That's a gutsy call.
>
> Pret Bjorn, RN
> Bangor, ME USA
>
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of McSwain, Norman E
> Sent: Tuesday, December 21, 2010 12:28 PM
> To: Trauma-List [TRAUMA.ORG]
> Subject: RE: Medical Helicopter Crash; 3 injured
>
> Glad that Staff for Life is a good service. Glad that protocols are in
> progress. But that does not answer the specifics of this run.
>
> Norman
> Norman McSwain MD, FACS
> Professor, Tulane School of Medicine
> Trauma Director, Spirit of Charity Trauma Center, ILH/MCLNO
> norman.mcswain at tulane.edu
> 504 988 5111
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of Stephen Richey
> Sent: Monday, December 20, 2010 6:27 PM
> To: Trauma-List [TRAUMA.ORG]
> Subject: Re: Medical Helicopter Crash; 3 injured
>
> Staff for Life is a very good service.
>
> On Mon, Dec 20, 2010 at 9:50 AM, <Krin135 at aol.com> wrote:
>
> > The bird reportedly was Staff for Life, which, from my experience, is
> one
> > of the more conservative outfits on taking missions.
> >
> > In addition, the State of Missouri has a comprehensive Time Critical
> > Diagnosis system that is being refined, and The Staff is participating
> in
> > the
> > development of the protocols. the intent of the TCD system was to
> define
> > which
> >  AEMS missions were most useful to patient treatment, and the program
> has
> > been  ongoing for over 3 years now.
> >
> > ck
> >
> >
> > In a message dated 12/20/10 08:29:46 Central Standard Time,
> >  nmcswai at tulane.edu writes:
> >
> > Other  question---was the flight indicated? Was the patient severe
> enough
> > to  warrant the AEMS? Could the transport have been done equally safe
> for
> > the  patient on the ground?
> >
> > Norman
> > Norman McSwain MD, FACS
> > Professor,  Tulane School of Medicine
> > Trauma Director, Spirit of Charity Trauma Center,  ILH/MCLNO
> > norman.mcswain at tulane.edu
> > 504 988  5111
> >
> >
> > -----Original Message-----
> > From:  trauma-list-bounces at trauma.org
> > [mailto:trauma-list-bounces at trauma.org] On  Behalf Of Dr Timothy
> > Hardcastle
> > Sent: Monday, December 20, 2010 12:09  AM
> > To: Trauma-List [TRAUMA.ORG <http://trauma.org/>]
> > Subject: Re: Medical Helicopter Crash; 3  injured
> >
> > Hey Stephen
> >
> > Will do - for once it does not seem to be a  weather or pilot problem
> -
> > engine failure can happen to anyone at anytime -  we had a SAAF AB109
> go
> > down last week injuring pilot winchman and the base  OC. Apparently
> some
> > sort of tail rotor failure
> >
> > Tim
> >
> > Dr T C  Hardcastle
> > M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS  (SA)
> > Principal Specialist Trauma Surgeon /
> > Honorary Senior Lecturer UKZN  Dept Surgery
> > Deputy Director - IALCH Trauma Service
> > Durban, South  Africa
> > > Uncertain how severe the injuries are, but please everyone keep  the
> > crew
> > > in
> > > your  prayers.
> > >
> > >
> >
> http://www.kansascity.com/2010/12/19/2531138/medical-helicopter-crash-la
> > nds.html
> > >
> > >  --
> > > Stephen Richey
> > >
> > > "A man's moral worth is established  only at the point where he is
> > ready to
> > > give up his life in defense  of his convictions."- Henning von
> Tresckow
> > > --
> > > trauma-list :  TRAUMA.ORG <http://trauma.org/>
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> > >
> >
> >
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>
>
> --
> Stephen Richey
>
> "A man's moral worth is established only at the point where he is ready
> to
> give up his life in defense of his convictions."- Henning von Tresckow
> --
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