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Medical Helicopter Crash; 3 injured

Stephen Richey stephen.richey at gmail.com
Tue Dec 21 23:09:26 GMT 2010


I agree with everything that you said except the part about the rotary
wing aircraft being a leading cause of death in parks.  All of the
data I have seen shows things like:
"Cardiac deaths (17%),
Drowning (15%),
Falling (15%),
Motor vehicle accidents (10%)"

"Cardiac 16.7%
Drowning 15.4%
Fall (50-800 feet)  15.4%
MVA 10.3%
Plane crash 6.4%
Natural causes 5.1%
Gunshot 2.6%
Asthma  1.3%
Avalanche 1.3%
Drug OD 1.3%
Hypothermia 1.3%
Shark attack 1.3%
Volcanic fumes 1.3%
Unspecified trauma 1.3%
Unknown 12.8%
(SOURCE:  Montalvo R, Wingard DL, Bracker M, Davidson TM. Morbidity
and mortality in the wilderness. West J Med. 1998 Apr;168(4):248-54.)

286 suicide events (68% fatal) over a seven year span.  (Source: MMWR
Morb Mortal Wkly Rep. 2010 Dec 3;59(47):1546-9.
Suicides in national parks--United States, 2003-2009.)

One of the few parks with a high frequency of helicopter crashes seems
to be the volcanoes park in Hawaii, but that is due to the sightseeing
helicopters and not rescue helicopters.   Other than the ANG Pavehawk
crash on Rainer and a couple of incidents where HEMS operators tried
rescue flights in mountainous terrain (both of which I believe
occurred outside of parks), I'm not recalling any crashes.  I could be
forgetting some....it has been a long day.

On Tue, Dec 21, 2010 at 5:44 PM, Jel Coward <jel at wildmedic.org> wrote:
>
> 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).
>
>
> 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
> > > > --
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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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--
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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