It is TIME

[KMATTOX at aol.com]

It is TIME...................................................
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In a message dated 7/1/2008 10:39:19 P.M. Central Daylight Time,  
donn at phudpucker.com writes:

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.
>
> --
>  trauma-list : TRAUMA.ORG
> To  change your settings or  unsubscribe  visit:
>  http://www.trauma.org/index.php?/community/
>
>
>
>
>
>
>  **************Gas prices getting you down? Search AOL Autos for
>  fuel-efficient used cars.     
>  (http://autos.aol.com/used?ncid=aolaut00050000000007)
> --
>  trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe  visit:
>  http://www.trauma.org/index.php?/community/
>

--
trauma-list :  TRAUMA.ORG
To change your settings or unsubscribe  visit:
http://www.trauma.org/index.php?/community/




--
trauma-list  : TRAUMA.ORG
To change your settings or unsubscribe  visit:
http://www.trauma.org/index.php?/community/




**************Gas prices getting you down? Search AOL Autos for 
fuel-efficient used cars.      (http://autos.aol.com/used?ncid=aolaut00050000000007)