med copters collide

[D.E. (Donn) Barnes]

Dr. McSwain,
 
Respectfully, IMHO self regulation will likely fall to profit motive. There
will always be medics who will seek the glamour in spite of the risk, and
there will always be physician medical directors who will blindly sign
protocols with sufficient incentive. I detest government regulation but
understand the reasons. This may qualify
 
I was once told that five flights a month paid all expenses for a single
chopper, and everything else was gravy. I have no idea if that is true or
not, but if it is there is a damn awful lot of gravy in HEMS.
 
Donn
 
"Liberty is telling people what they do not want to hear."
-Eric Arthur Blair, from the preface to Animal Farm
 


  _____  

From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of McSwain, Norman E Jr.
Sent: Tuesday, July 01, 2008 9:34 PM
To: Trauma &amp
Subject: RE: med copters collide


It must be self regulation with protocols that are followed or outside
regulation, as has far too often in the past. Are there any other choices?
 
Norman
 
Norman McSwain MD
Trauma Director, Charity Hospital
Professor of Surgery, Tulane University
New Orleans LA
504 988 5111
 <mailto:norman.mcswain at tulane.edu> norman.mcswain at tulane.edu

  _____  

From: trauma-list-bounces at trauma.org on behalf of D.E. (Donn) Barnes
Sent: Tue 7/1/2008 8:47 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: med copters collide



Kat,

You're correct, of course, but consider that medical directors are employees
too - or contractors - and just like the medic who refuses, when an MD runs
contrary to profitable business practices......

Voices on other discussion groups posit regulation as the only hope. Not
sure I disagree.

Donn


> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of KPCRP at aol.com
> Sent: Tuesday, July 01, 2008 1:27 PM
> To: trauma-list at trauma.org
> Subject: Re: med copters collide
>
> Andrew,
> 
> I think that's a BS answer to Bill's commentary and I  think
> it's beneath you.
> 
> We all know that if he refuses calls, sooner or later  they
> will find someone
> else who WILL come, and then he gets fewer and fewer  calls,
> probably goes
> out of business, etc.  THAT won't fix the problem(s).  Some
> things just have to
> be and education starts the process. 
>
>
>
> I agree we need to have this discussion NOW.  Doc  B. is one
> of those who
> have been trying to jump-start this dialog for a LONG  time
> and look where HE
> got.  We ALL need to have this discussion - a  realistic one.
>  And it needs to
> start with the providers and their local  Medical Directors. 
> 
> Respectfully,
> 
> Kat Rickey
> NH/USA
> alphabits unimportant
> 
> 
> In a message dated 7/1/2008 2:10:52 P.M. Eastern Daylight Time, 
> andrewj.bowman at gmail.com writes:
>
> So,  start refusing calls. There is no law (I do not think)
> that says you
> have  to take every flight especially if the facts presented
> do not warrant
> air  transport.
>
> Andrew
>
>
>
> I'm sick
> > of my flight crew  being called out in all kinds of weather for
> > uninjured, intoxicated  patients. For times when the ground
> crew is about
> > to go off shift and  don't want to drive the hour round
> trip. For a dog
> > bite to the foot.  And it goes on and on and on.
>
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