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Thu Dec 30 01:36:04 GMT 2010

Aeromedical transport is also fantastic for military applications,
although that could be grouped under "wilderness".

On Wed, Dec 29, 2010 at 7:53 PM,  <KMATTOX at aol.com> wrote:
> Air is FANTASTIC for off shore, wilderness, or high rise  rescue.   If one
> is using the helicopter as an air frame ambulance,  the predominance of
> literature and meta analysis states the following:
>
> 1.    From first call to arrival at definitive facility,  ground is better
> than air
> 2.    Costs of air is 20-25 times greater than ground
> 3.    Survival is better statistically for ground than  air.
> 4.    For organ recovery for transplants in brain dead  patients, ground is
> better than air
> 5.    For crashes, air is more dangerous than ground
> 6.    For advertising for the company that owns the  ambulance, air is
> better than ground.
> 7.    For overall beneficial outcomes ground is better than  air,
> especially for the conditions you made for your case.
>
> k
>
>
>
>
>
> In a message dated 12/29/2010 6:48:19 P.M. Central Standard Time,
> dwseastrom at cmh.edu writes:
>
> I know  there was a question posted on here earlier about policies.  I also
> have  a question as to whether anyone has policies/guidelines/protocols as
> to the  transfers of their patients and how they are getting from Point A -
> Point  B.  I guess I'm wondering if anyone has it spelled out that these
> patients (i.e. aortic tears, etc.) will get air transport preferentially or
> ground, etc.  Does anyone also have a "back-up" plan in writing in case a
> patient who is very sick has to go by ground EMS for a bit of a distance and
> maybe 1 Paramedic is insufficient to care for him/her
> (nurses/residents/attendings to accompany the patient, etc.).
>
> I know  there has also been some discussion around what's appropriate for
> air (with  the recent crash in Missouri) floating around and was curious if
> anyone has  seen any evidence based info out there on this?  I've been
> digging and  ready a lot of the papers and it seems there really isn't too much of
> a  concensus (unless I'm missing something).  The only thing I have found
> some consistency in is that it is only beneficial to the "most critically
> injured" patients.  I've also seen the guideline recommendations from  AAMS
>
> Any input on either topic would be great and  appreciated!
>
> Thanks a bunch and stay WARM!  :)
>
>
> David  Seastrom RN, BSN, EMT-I
> Trauma Injury Prevention / Outreach
> Education  Coordinator
> The Children's Mercy Hospitals & Clinics
> Kansas City,  MO.  64108
> Office:  816-983-6917
> Fax:  816-234-3821
> Pager:  816-458-4995
> E-mail:   dwseastrom at cmh.edu<mailto:dwseastrom at cmh.edu>
>
>
>
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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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