The Death Toll Rises
Stephen Richey
stephen.richey at gmail.com
Sat Jul 5 00:52:07 BST 2008
SOURCE: http://origin.sltrib.com/ci_9788718
Salt Lake City nurse involved in Arizona copter crash diesBy Melinda Rogers
The Salt Lake Tribune<mrogers at sltrib.com?subject=Salt%20Lake%20Tribune:%20Salt%20Lake%20City%20nurse%20involved%20in%20Arizona%20copter%20crash%20dies>
Article Last Updated: 07/04/2008 05:10:29 PM MDT
Posted: 4:59 PM- A Salt Lake City nurse involved in a helicopter crash last
week near Flagstaff, Ariz. has died.
The family of James Taylor decided to take the man off of life support
about 3:45 p.m. today, a spokeswoman for Flagstaff Medical Center confirmed.
Taylor was on a helicopter transporting a patient with a medical
emergency from the Grand Canyon when his helicopter collided into another
chopper taking a patient to a northern Arizona hospital June 29.
His death marks the seventh fatality from the crash.
Taylor was working a second job as a flight nurse in Arizona at the time
of the accident. He also worked as a registered nurse at St. Mark's
Hospital.
Taylor's family could not be immediately reached for comment. They are
expected to release a statement in conjunction with the Flagstaff Police
Department later this evening, the hospital spokeswoman said.
Last week, Taylor's co-workers at St. Mark's praised his skills as nurse
and said they were hopeful the man would recover.
"He is a vital part of our team at St. Mark's and a skilled and caring
nurse. The staff is devastated by the news and we are all praying for his
swift recovery," said Kathleen Murphy, director of Marketing and
Communications at St. Mark's.
The collision between the two aircraft - one owned by a Utah company -
occurred east of Flagstaff Medical Center. The crash came just a few hundred
yards away from a neighborhood that was spared the falling debris. Officials
said they were unable to provide an account of what preceded the crash.
One of the helicopters was operated by Air Methods from Englewood,
Colo., and the other was from Classic Helicopters of Woods Cross. Both
aircraft were Bell 407 models, said Ian Gregor, a spokesman with the Federal
Aviation Administration.
An FAA investigation into the incident continues.
mrogers at sltrib.com -The Associated Press contributed to this report.
On Thu, Jul 3, 2008 at 7:00 AM, <trauma-list-request at trauma.org> wrote:
> Send trauma-list mailing list submissions to
> trauma-list at trauma.org
>
> To subscribe or unsubscribe via the World Wide Web, visit
> http://list.mistral.net/mailman/listinfo/trauma-list
> or, via email, send a message with subject or body 'help' to
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> trauma-list-owner at trauma.org
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of trauma-list digest..."
>
>
> Today's Topics:
>
> 1. Re: Flagstaff Tragedy (William Bromberg)
> 2. Oh, look.....propaganda! (Stephen Richey)
> 3. Re: Oh, look.....propaganda! (KMATTOX at aol.com)
> 4. RE: Flagstaff Tragedy (McSwain, Norman E Jr.)
> 5. R: Monocled Cobra bite (Peter)
> 6. Re: Oh, look.....propaganda! (Louis N. Molino, Sr.)
> 7. Re: blunt carotid injury advice (SJASMD at aol.com)
> 8. IVCF in pediatrics (Jane Harper)
> 9. RE: FOLLOWUP - Cobra bite (Timothy Craig Hardcastle)
>
>
> ----------------------------------------------------------------------
>
> Message: 1
> Date: Wed, 02 Jul 2008 16:12:38 -0400
> From: "William Bromberg" <brombwi1 at memorialhealth.com>
> Subject: Re: Flagstaff Tragedy
> To: <trauma-list at trauma.org>
> Message-ID: <486BA8F6.85AB.003A.0 at memorialhealth.com>
> Content-Type: text/plain; charset=UTF-8
>
> Pret, as demonstrated below, you are in fact NOT the chief scolder. Nor
> am I proposing any legislation or regulation by the government about
> when to use the helicopter because frankly I think the government would
> screw it up. As Dr Hardcastle noted I think it is time for a serious
> look at the indications for helicopter transfer from a medical (not
> regulatory) framework. I'm not sure how you got from my comment to "You
> seem quick to radically regulate medical helicopters in order to save a
> dozen peers and patients per year -- this criminal litany."
>
> I think we can all agree that an unstable, bleeding patient 120 miles
> from the nearest hospital would likely benefit from helicopter transport
> so no, I do not propose allow all the rural Mainers or Portlanders to
> die without the benefit of medevac.
>
> I think we could also agree that if the patient would get to the
> hospital faster by ground than by air they should probably NOT be flown
> ? this happens all the time at my institution and I have no authority
> demand or ammunition to convince them not to do so ? that's why I want
> to start the discussion.
>
> There are a lot of in betweens and I for one am incredibly insulted
> when someone accuses me of demeaning people whose lives may be at risk
> unnecessarily. I cannot see how it is "callous" to try to save both
> patient and provider's lives by coming up with guidelines to prevent
> unnecessary flights and to appropriately provide them to people who
> need them.
>
> And what does " don't preach unless you've been there" mean anyway? I
> am a trauma surgeon in a mixed rural/urban and suburban setting who
> takes care of people from as close as the parking lot to as far away as
> 6 hours south (Jacksonville was on diversion). I am a private pilot and
> have flown on the helicopter a number of times. I'm pretty sure that
> most of the people on this list have "been there" in one way or another.
> Do we have to die in an aircraft accident to be able to discuss
> indications for aeromedical evacuation?
>
> And Scott Crossfield died because ATC vectored him directly into a
> thunderstorm ? sort of like sending a helicopter up into bad weather
> for unclear reasons.
>
> Bill Bromberg
>
>
> >>> "Connie Potter" <Connie at traumafoundation.org> 7/2/2008 11:56 AM
> >>>
> The critical comments re: Flagstaff's tragic crash appear to come
> mostly
> from those least familiar with the rural nature of emergency care and
> distances, the diminishing numbers of "volunteer EMT's" able to leave
> their primary catchment area to transport a patient, AND the lack of
> access to even LIV trauma care in the great mass of this US, but who
> wish to second guess those who are no longer alive to rebut statements
> that they flew/died for nothing.
>
> Many trauma systems review every airmedical use. Portland OR's ATAB
> forbids them within 40 miles of the scene because they delay care.
> The
> rest of the rural American often does not have the luxury of even
> calling for airmed resources because there are none. Rural hospitals
> are losing specialists at an alarming rate so patients are being
> transported for "routine stuff"? Sorry, but not to an FP.
>
> No problems with spiders? Where do you live? A Brown Recluse caused
> one of my patients to lose her arm by the time it necrosed to the
> bone.
> This time the unlucky patient was a college student at U of M in
> Missoula, a firefighter from my home town. We at home will think of
> him
> as having died in service, thank you very much.
>
> Except for a few of this list, the callous comments any time one of
> flights goes down becomes increasingly demeaning to those who get out
> daily to place their life and safety on the line. No, we don't try to
> fly when it is unsafe and we do flight following because it is. My
> flight crew was in the air on the Columbia Gorge when Mt St. Helens
> blew: Should we have factored that possibility into all of our flight
> plans? And if flying is so easy, why did Scott Crossfield die after
> his
> plane tore apart in a thunderstorm? Even the best don't always make
> it.
> God Rest Them and Give Them Peace and pray for the survivor. And,
> don't
> preach unless you've been there.
>
> Connie Potter
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of
> trauma-list-request at trauma.org
> Sent: Wednesday, July 02, 2008 2:37 AM
> To: trauma-list at trauma.org
> Subject: Spam:trauma-list Digest, Vol 61, Issue 4
>
> Send trauma-list mailing list submissions to
> trauma-list at trauma.org
>
> To subscribe or unsubscribe via the World Wide Web, visit
> http://list.mistral.net/mailman/listinfo/trauma-list
> or, via email, send a message with subject or body 'help' to
> trauma-list-request at trauma.org
>
> You can reach the person managing the list at
> trauma-list-owner at trauma.org
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of trauma-list digest..."
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
>
>
> ------------------------------
>
> Message: 2
> Date: Wed, 2 Jul 2008 16:37:51 -0400
> From: "Stephen Richey" <stephen.richey at gmail.com>
> Subject: Oh, look.....propaganda!
> To: trauma-list at trauma.org
> Message-ID:
> <4a5fc68a0807021337j6f008f59hcbfb25b9ff4bc482 at mail.gmail.com>
> Content-Type: text/plain; charset=ISO-8859-1
>
> Hubris is great ain't it?
> ===============================
> Medical Helicopter Crash Unlikely Here, Officials Say
>
> <
> http://ads.mgnetwork.com/RealMedia/ads/click_nx.ads/www.tbo.com/news/story.htm@Right1?x
> >By
> KEITH MORELLI <kmorelli at tampatrib.com> | The Tampa Tribune
>
> Published: July 2, 2008
>
> TAMPA - The crash last weekend of two medical helicopters in Arizona that
> killed six people is unlikely to happen here because of all the precautions
> in place, said an Aeromed manager who oversees the landing and taking off
> of
> air ambulances at Tampa General Hospital.
>
> On any given day, helicopters can be seen hovering throughout the skies of
> Tampa. There are news helicopters, law enforcement helicopters, privately
> owned helicopters and the medical helicopters, which are shuttling patients
> with medical emergencies to hospitals.
>
> John Scott manages the Aeromed program at Tampa General, where such
> helicopters frequently.
>
> "We have lots of helicopters that land here," he said today. "We have all
> kinds of sophisticated systems in place here."
>
> There is Tampa International Airport nearby, which has a handle on every
> aircraft in the area, he said. Plus the hospital itself has a mini control
> tower which coordinates flights in and out of the hospital's landing zone.
>
> Communications frequencies are well-known among approaching pilots, he
> said.
> Redundancies in protocol mean a safer sky over the large hospital on Davis
> Islands, he said.
>
> He said he didn't know what happened in Arizona on Sunday, but, "I can say
> that I feel very comfortable with what we've got here, which are a lot of
> systems in place. We're vested in safety."
>
> Tampa General has three helicopters of its own. One is stationed at the
> hospital, while the others are in Sebring and Inverness. He couldn't say
> how
> many times a helicopter lands at Tampa General.
>
> "Some days, it's all day long," he said. "Some days it doesn't even
> happen."
>
> On Sunday, a helicopter taking a patient with a medical emergency from the
> Grand Canyon collided into another medical helicopter carrying a patient
> near a northern Arizona hospital. The crash killed six people and
> critically
> injured a nurse.
>
> The collision Sunday, east of Flagstaff Medical Center, barely missed a
> neighborhood, sparing the community from falling debris.
>
> An explosion on one of the helicopters after the crash injured two
> emergency
> workers who arrived with a ground ambulance company. They suffered minor
> burns and were taken to a hospital.
>
> A medical helicopter did crash in the Bay area eight years ago, killing the
> pilot and two crew members aboard. The aircraft was not transporting
> patients at the time. The crash occurred near Weedon Island in Pinellas
> County.
>
> A subsequent federal investigation concluded that the Bayflite helicopter
> was flying too low and attributed the crash to the pilot, 39-year-old Mark
> Wallace.
>
> Wallace had logged 4,367 flight hours and was at the controls of the
> Eurocopter BK117 as it flew from Bayfront Medical Center in St. Petersburg
> to St. Joseph's Hospital in Tampa. The day was clear with a visibility of
> 10
> miles, but the chopper flew into a 649-foot radio tower near Weedon Island
> and plummeted to the ground.
>
> Paramedic Erik Hangartner, 29, and flight nurse Alicia Betita-Collins, 51,
> died.
>
> Reporter Keith Morelli can be reached at (813) 259-7760 or
> kmorelli at tampatrib.com.
>
>
> --
> Stephen L. Richey, CRT
> Aviation Injury Research Project Leader
> Saginaw Valley State University
> Phone: 248-366-4452
>
>
> ------------------------------
>
> Message: 3
> Date: Wed, 2 Jul 2008 16:45:52 EDT
> From: KMATTOX at aol.com
> Subject: Re: Oh, look.....propaganda!
> To: trauma-list at trauma.org
> Message-ID: <cf6.355cf820.359d4300 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
> Sorry, but I disagree. ANY helicopter is capable of transmission
> problems,
> pilot error, weather, loosing a rotor, loosing a tail rotor, loss of an
> engine, contaminated JP4 fuel, etc. etc. That is why autorotation is
> taught.
> Even cars crash from time to time, totally outside the control of the
> best of drivers.
>
> k
>
>
> In a message dated 7/2/2008 3:38:48 P.M. Central Daylight Time,
> stephen.richey at gmail.com writes:
>
> Medical Helicopter Crash Unlikely Here, Officials Say
>
> <
> http://ads.mgnetwork.com/RealMedia/ads/click_nx.ads/www.tbo.com/news/story.ht
> m at Right1?x>By
> KEITH MORELLI <kmorelli at tampatrib.com> | The Tampa Tribune
>
> Published: July 2, 2008
>
> TAMPA - The crash last weekend of two medical helicopters in Arizona that
> killed six people is unlikely to happen here because of all the
> precautions
> in place, said an Aeromed manager who oversees the landing and
>
>
>
>
> **************Get the scoop on last night's hottest shows and the live
> music
> scene in your area - Check out TourTracker.com! (www.tourtracker.com
> ?NCID=aolmus00050000000112)
>
>
> ------------------------------
>
> Message: 4
> Date: Wed, 2 Jul 2008 15:52:39 -0500
> From: "McSwain, Norman E Jr." <nmcswai at tulane.edu>
> Subject: RE: Flagstaff Tragedy
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID:
> <B79C02DCC4FA074DB02381DF1C5D60BA0168DB7C at EX07.ad.tulane.edu>
> Content-Type: text/plain; charset="utf-8"
>
> Well said!
>
> Norman
>
> Norman McSwain MD
> Professor, Tulane School of Medicine
> Trauma Director, Charity Hospital Trauma Center
> 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 William Bromberg
> Sent: Wednesday, July 02, 2008 3:13 PM
> To: trauma-list at trauma.org
> Subject: Re: Flagstaff Tragedy
>
> Pret, as demonstrated below, you are in fact NOT the chief scolder. Nor
> am I proposing any legislation or regulation by the government about
> when to use the helicopter because frankly I think the government would
> screw it up. As Dr Hardcastle noted I think it is time for a serious
> look at the indications for helicopter transfer from a medical (not
> regulatory) framework. I'm not sure how you got from my comment to "You
> seem quick to radically regulate medical helicopters in order to save a
> dozen peers and patients per year -- this criminal litany."
>
> I think we can all agree that an unstable, bleeding patient 120 miles
> from the nearest hospital would likely benefit from helicopter transport
> so no, I do not propose allow all the rural Mainers or Portlanders to
> die without the benefit of medevac.
>
> I think we could also agree that if the patient would get to the
> hospital faster by ground than by air they should probably NOT be flown
> ? this happens all the time at my institution and I have no authority
> demand or ammunition to convince them not to do so ? that's why I want
> to start the discussion.
>
> There are a lot of in betweens and I for one am incredibly insulted
> when someone accuses me of demeaning people whose lives may be at risk
> unnecessarily. I cannot see how it is "callous" to try to save both
> patient and provider's lives by coming up with guidelines to prevent
> unnecessary flights and to appropriately provide them to people who
> need them.
>
> And what does " don't preach unless you've been there" mean anyway? I
> am a trauma surgeon in a mixed rural/urban and suburban setting who
> takes care of people from as close as the parking lot to as far away as
> 6 hours south (Jacksonville was on diversion). I am a private pilot and
> have flown on the helicopter a number of times. I'm pretty sure that
> most of the people on this list have "been there" in one way or another.
> Do we have to die in an aircraft accident to be able to discuss
> indications for aeromedical evacuation?
>
> And Scott Crossfield died because ATC vectored him directly into a
> thunderstorm ? sort of like sending a helicopter up into bad weather
> for unclear reasons.
>
> Bill Bromberg
>
>
> >>> "Connie Potter" <Connie at traumafoundation.org> 7/2/2008 11:56 AM
> >>>
> The critical comments re: Flagstaff's tragic crash appear to come
> mostly
> from those least familiar with the rural nature of emergency care and
> distances, the diminishing numbers of "volunteer EMT's" able to leave
> their primary catchment area to transport a patient, AND the lack of
> access to even LIV trauma care in the great mass of this US, but who
> wish to second guess those who are no longer alive to rebut statements
> that they flew/died for nothing.
>
> Many trauma systems review every airmedical use. Portland OR's ATAB
> forbids them within 40 miles of the scene because they delay care.
> The
> rest of the rural American often does not have the luxury of even
> calling for airmed resources because there are none. Rural hospitals
> are losing specialists at an alarming rate so patients are being
> transported for "routine stuff"? Sorry, but not to an FP.
>
> No problems with spiders? Where do you live? A Brown Recluse caused
> one of my patients to lose her arm by the time it necrosed to the
> bone.
> This time the unlucky patient was a college student at U of M in
> Missoula, a firefighter from my home town. We at home will think of
> him
> as having died in service, thank you very much.
>
> Except for a few of this list, the callous comments any time one of
> flights goes down becomes increasingly demeaning to those who get out
> daily to place their life and safety on the line. No, we don't try to
> fly when it is unsafe and we do flight following because it is. My
> flight crew was in the air on the Columbia Gorge when Mt St. Helens
> blew: Should we have factored that possibility into all of our flight
> plans? And if flying is so easy, why did Scott Crossfield die after
> his
> plane tore apart in a thunderstorm? Even the best don't always make
> it.
> God Rest Them and Give Them Peace and pray for the survivor. And,
> don't
> preach unless you've been there.
>
> Connie Potter
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org] On Behalf Of
> trauma-list-request at trauma.org
> Sent: Wednesday, July 02, 2008 2:37 AM
> To: trauma-list at trauma.org
> Subject: Spam:trauma-list Digest, Vol 61, Issue 4
>
> Send trauma-list mailing list submissions to
> trauma-list at trauma.org
>
> To subscribe or unsubscribe via the World Wide Web, visit
> http://list.mistral.net/mailman/listinfo/trauma-list
> or, via email, send a message with subject or body 'help' to
> trauma-list-request at trauma.org
>
> You can reach the person managing the list at
> trauma-list-owner at trauma.org
>
> When replying, please edit your Subject line so it is more specific
> than "Re: Contents of trauma-list digest..."
> --
> 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/
>
> ------------------------------
>
> Message: 5
> Date: Wed, 2 Jul 2008 23:17:15 +0200
> From: "Peter" <taliente at tiscalinet.it>
> Subject: R: Monocled Cobra bite
> To: "'Trauma & Critical Care mailing list'"
> <trauma-list at trauma.org>
> Cc: SURGINET at listserv.utoronto.ca, ccm-l at ccm-l.org
> Message-ID: <FBCMCL01B0896TwctPB0006c119 at FBCMCL01B08.fbc.local>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Cobras are usually neurotoxic, spitting cobras will instead give you
> extensive necrosis of the tissues. If there has been no local damage you
> will probably have none developing. Coagulopthy is not a feature of cobra
> envenomation. Rapid paralysis is rare, the cobra must have been very angry
> and disturbed to have injected so much venom. Probably some of the poison
> was injected directly in a blood vessel.
> Repeat dosage of antivenom is worth a try, as well as prostigmine. Keep him
> on the ventilator until his paralysis reverses.
> Peter
>
> -----Messaggio originale-----
> Da: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
> Per conto di KMATTOX at aol.com
> Inviato: luned? 30 giugno 2008 5.20
> A: trauma-list at trauma.org
> Cc: SURGINET at listserv.utoronto.ca; ccm-l at ccm-l.org
> Oggetto: Monocled Cobra bite
>
> For the endemic and usual kinds of poisonous snake bites in the United
> States I have always proposed to be very sparingly in using antivenin.
> Today we
> received a patient arriving less than 40 minutes after being bitten on the
> finger by a monocled cobra. He breeds and raises these snakes and his
> business is known to the authorities and the game warden near his house.
>
>
> Shortly after arrival his respiration just stopped and he was intubated.
> He was sedated as if he had been given a muscle relaxant. His
> BP,clotting
>
> studies were basically normal. His TEG was normal. He required no
> pressors. He had basically NO swelling or discoloration at the site of
> the bite
> as we usually see in US poisonous snakes. We called around the country
> and the consensus was that he should receive specific antivenin. The
> closest antivenin was 1/4 the way across Texas (None in Houston or
> Galveston), so
> it was flown here and he has received 6 vials of Naja specific antivenin.
>
> He is in the ICU and being supported with the usual ICU care.
>
>
> The reason I am posting this is for several reasons:
>
> 1. Cobra bites are RARE in the United States
> 2. I find that cobra breeders and sellers are fairly common in the
> United
> States
> 3. I found that the NEUROLOGIC paralysis was rapid and sure, and the
> hematological and coagulopathies effects of the antivenin were not seen.
> 4. Several of you on this web site have seen cobra bites.
>
> I am seeking wisdom and advice as well as long range outcomes and effects.
>
> I feel certain that we will receive a large variety of opinion and
> advice. We will receive and welcome any and all and will weigh all
> advice
> against
> his clinical course.
>
> Thanks in advance.
>
>
>
> **************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/
>
>
>
> ------------------------------
>
> Message: 6
> Date: Wed, 2 Jul 2008 22:29:15 +0000
> From: "Louis N. Molino, Sr." <LNMolino at aol.com>
> Subject: Re: Oh, look.....propaganda!
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID:
>
> <24737377-1215037780-cardhu_decombobulator_blackberry.rim.net-508623818- at bxe121.bisx.prod.on.blackberry
> >
>
> Content-Type: text/plain
>
> Sorry but human error and or technology or mechanical failures can, do and
> will occur at any time. Stuff like this is baloney sadly the average
> American diet is baloney based. From a PR standpoint should Tampa ever have
> any incident involving a helo this will likely come back an bite them.
>
> LNM from Baku, Azerbaijan
> Sent via BlackBerry by AT&T
>
> -----Original Message-----
> From: "Stephen Richey" <stephen.richey at gmail.com>
>
> Date: Wed, 2 Jul 2008 16:37:51
> To: <trauma-list at trauma.org>
> Subject: Oh, look.....propaganda!
>
>
> Hubris is great ain't it?
> ===============================
> Medical Helicopter Crash Unlikely Here, Officials Say
>
> <
> http://ads.mgnetwork.com/RealMedia/ads/click_nx.ads/www.tbo.com/news/story.htm@Right1?x
> >By
> KEITH MORELLI <kmorelli at tampatrib.com> | The Tampa Tribune
>
> Published: July 2, 2008
>
> TAMPA - The crash last weekend of two medical helicopters in Arizona that
> killed six people is unlikely to happen here because of all the precautions
> in place, said an Aeromed manager who oversees the landing and taking off
> of
> air ambulances at Tampa General Hospital.
>
> On any given day, helicopters can be seen hovering throughout the skies of
> Tampa. There are news helicopters, law enforcement helicopters, privately
> owned helicopters and the medical helicopters, which are shuttling patients
> with medical emergencies to hospitals.
>
> John Scott manages the Aeromed program at Tampa General, where such
> helicopters frequently.
>
> "We have lots of helicopters that land here," he said today. "We have all
> kinds of sophisticated systems in place here."
>
> There is Tampa International Airport nearby, which has a handle on every
> aircraft in the area, he said. Plus the hospital itself has a mini control
> tower which coordinates flights in and out of the hospital's landing zone.
>
> Communications frequencies are well-known among approaching pilots, he
> said.
> Redundancies in protocol mean a safer sky over the large hospital on Davis
> Islands, he said.
>
> He said he didn't know what happened in Arizona on Sunday, but, "I can say
> that I feel very comfortable with what we've got here, which are a lot of
> systems in place. We're vested in safety."
>
> Tampa General has three helicopters of its own. One is stationed at the
> hospital, while the others are in Sebring and Inverness. He couldn't say
> how
> many times a helicopter lands at Tampa General.
>
> "Some days, it's all day long," he said. "Some days it doesn't even
> happen."
>
> On Sunday, a helicopter taking a patient with a medical emergency from the
> Grand Canyon collided into another medical helicopter carrying a patient
> near a northern Arizona hospital. The crash killed six people and
> critically
> injured a nurse.
>
> The collision Sunday, east of Flagstaff Medical Center, barely missed a
> neighborhood, sparing the community from falling debris.
>
> An explosion on one of the helicopters after the crash injured two
> emergency
> workers who arrived with a ground ambulance company. They suffered minor
> burns and were taken to a hospital.
>
> A medical helicopter did crash in the Bay area eight years ago, killing the
> pilot and two crew members aboard. The aircraft was not transporting
> patients at the time. The crash occurred near Weedon Island in Pinellas
> County.
>
> A subsequent federal investigation concluded that the Bayflite helicopter
> was flying too low and attributed the crash to the pilot, 39-year-old Mark
> Wallace.
>
> Wallace had logged 4,367 flight hours and was at the controls of the
> Eurocopter BK117 as it flew from Bayfront Medical Center in St. Petersburg
> to St. Joseph's Hospital in Tampa. The day was clear with a visibility of
> 10
> miles, but the chopper flew into a 649-foot radio tower near Weedon Island
> and plummeted to the ground.
>
> Paramedic Erik Hangartner, 29, and flight nurse Alicia Betita-Collins, 51,
> died.
>
> Reporter Keith Morelli can be reached at (813) 259-7760 or
> kmorelli at tampatrib.com.
>
>
> --
> Stephen L. Richey, CRT
> Aviation Injury Research Project Leader
> Saginaw Valley State University
> Phone: 248-366-4452
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>
> ------------------------------
>
> Message: 7
> Date: Wed, 2 Jul 2008 22:15:02 EDT
> From: SJASMD at aol.com
> Subject: Re: blunt carotid injury advice
> To: trauma-list at trauma.org
> Message-ID: <ca3.358d7437.359d9026 at aol.com>
> Content-Type: text/plain; charset="US-ASCII"
>
>
> sure wish we had a CTA a ct to look at
>
> sal
>
> In a message dated 7/2/2008 3:38:54 A.M. Eastern Standard Time,
> danielsimonster at gmail.com writes:
>
> 32 YO MVA victim, was intubated and ventilated on site for a GCS of 7
> and
> maxilo-facial injury. He was evacuated to a local hospital where a Rt
> chest-tube was inserted for pneumothorax. Brain CT showed sub arachnoid
> hemorrhage with some small contusions , a C1 fracture was found as well.
> He
> was then transferred to a Level 1 Trauma Center. On admission he had a GCS
> of 5 (t) with right hemiparesis. Neck CT -angio showed dissection of the
> left internal carotid artery. What shall we do now?
> thanks
> Daniel Simon
>
>
> 8888888888888888
>
>
>
> **************Gas prices getting you down? Search AOL Autos for
> fuel-efficient used cars. (
> http://autos.aol.com/used?ncid=aolaut00050000000007)
>
>
> ------------------------------
>
> Message: 8
> Date: Wed, 02 Jul 2008 21:38:59 -0500
> From: Jane Harper <janeharper at mac.com>
> Subject: IVCF in pediatrics
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID: <C491A5F3.C443%janeharper at mac.com<C491A5F3.C443%25janeharper at mac.com>
> >
> Content-Type: text/plain; charset=US-ASCII
>
> We currently have a 14 year old patient with an extensive cerebral bleed
> and
> a complex pelvic fracture. How would you handle DVT prophylaxis? Do any
> of
> you have experience in using IVC filters in pediatric patients? She's a
> small 14 year old.
>
> Thanks in advance.
>
> Jane
> --
> Jane Harper, PhD(c), RN, APN
> Trauma Nurse Practitioner, Rockford, IL
>
>
>
>
>
> ------------------------------
>
> Message: 9
> Date: Thu, 3 Jul 2008 08:13:58 +0200
> From: "Timothy Craig Hardcastle" <TimothyHar at ialch.co.za>
> Subject: RE: FOLLOWUP - Cobra bite
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Message-ID: <36BA31504543804886C1E8967FEC9229BDF767 at alsex.ialch.co.za>
> Content-Type: text/plain; charset="iso-8859-1"
>
> Sent to the list yesterday
>
> Tim
> Dr Timothy C Hardcastle
> M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
> Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
> Deputy director: Trauma Unit and Trauma ICU
> Inkosi Albert Luthuli Central Hospital / UKZN
> 800 Bellair Road
> Mayville, Durban
>
> Postal: PostNet Suite 27
> Private Bag X05
> Malvern, 4055
> KwaZulu Natal
>
> timothyhar at ialch.co.za
>
>
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:
> trauma-list-bounces at trauma.org] On Behalf Of William S
> Sent: 02 July 2008 20:33
> To: Trauma & Critical Care mailing list
> Subject: Re: FOLLOWUP - Cobra bite
>
> shalom send me the article very interesting keep in touch thank
>
>
>
> ----- Original Message ----
> From: Dr Ross Hofmeyr <wildmedic at gmail.com>
> To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
> Sent: Tuesday, July 1, 2008 4:02:05 AM
> Subject: RE: FOLLOWUP - Cobra bite
>
> Hi Tim,
>
> Please send the article to me, too.? I've been reading around this issue
> and
> trying to get clarity.
>
> What is your source for the incidence of serum sickness?? There seems to be
> a HUGE variation in quoted rates for both immediate (allergic) and delayed
> (serum sicknesss) response to antivenom.
>
> R.
>
> Dr Ross Hofmeyr
> Expedition Leader? & Doctor
> South African National Antarctic Expedition
>
> > -----Original Message-----
> > From: trauma-list-bounces at trauma.org [mailto:trauma-list-
> > bounces at trauma.org] On Behalf Of Timothy Craig Hardcastle
> > Sent: 01 July 2008 06:02 AM
> > To: Trauma & Critical Care mailing list
> > Subject: RE: FOLLOWUP - Cobra bite
> >
> > Ken
> >
> > Did you get that article I attached on snake bites? I'm not sure if the
> > list sent it through; For cobra bites I would use antivenin. The risk of
> > serum sickness if overstated. Real incidence is about 20% in SECOND-TIME
> > administration. I will resend the article to you off-list.
> >
> > Tim
> > Dr Timothy C Hardcastle
> > M.B., Ch.B. (Stell); M. Med (Chir) (Stell); FCS (SA)
> > Principal Surgeon-Lecturer / Sub-specialist: Trauma and Critical Care
> > Deputy director: Trauma Unit and Trauma ICU
> > Inkosi Albert Luthuli Central Hospital / UKZN
> > 800 Bellair Road
> > Mayville, Durban
> >
> > Postal: PostNet Suite 27
> > Private Bag X05
> > Malvern, 4055
> > KwaZulu Natal
> >
> > timothyhar at ialch.co.za
> >
> >
> > -----Original Message-----
> > From: trauma-list-bounces at trauma.org
> > [mailto:trauma-list-bounces at trauma.org] On Behalf Of KMATTOX at aol.com
> > Sent: 01 July 2008 03:05
> > To: ccm-l at ccm-l.org; SURGINET at listserv.utoronto.ca;
> > trauma-list at trauma.org
> > Subject: FOLLOWUP - Cobra bite
> >
> > Thirty (30) hours after admission, our cobra bite (Naja sp sp) patient
> > is
> > doing well and extubated.? ? I have several clinical and? literature
> > items to
> > share with these three lists.? I duplicate send? as all of these groups
> > might
> > see patients with snake bite and might in some? small way benefit from
> > my
> > observations, which I will attempt to keep as? objective as possible.
> >
> > Clinical status:
> >? ? ? The monocled cobra is about 20 inches? long
> >? ? ? The snake struck when a water? dish? was being changed out
> >? ? ? ? It took 10 minutes for the? ambulance to arrive after the snake
> > bite
> >? ? ? ? From snake bite to arrival at the? hospital is now known to be 20
> >
> > minutes
> >? ? ? ? The patient was beginning? to feel numb and to have trouble
> > breathing
> > as the ambulance reached the? hospital
> >? ? ? ? ? ? He? was having trouble focusing and taking a breath as he
> > was put
> > on the shock room? table
> >? ? ? ? ? Patient was? intubated immediately upon presentation to the
> > hospital
> >? ? ? ? It was 3.5 hours after? arrival at the hospital before the out
> > of
> > town obtained antivenin was given
> >? ? ? ? He had almost no local? reaction at the site of the bite
> >? ? ? ? ALL laboratory tests were? normal and remained normal including
> > repeat CBCs and TEGs
> >? ? ? ? Cardiac and renal status? was unaffected
> >? ? ? ? He was extubated 24 hours? after admission
> >? ? ? ? He stated that he? remembered and heard everything.? We gave
> > him
> > sleep level versed? repeatedly during the 24 hours
> >? ? ? ? When asked to repeat any? conversation that he heard, he cited
> > he
> > heard talking, but could not cite? anything specifically
> >? ? ? ? He had received 6 amps of? specific antivenin in two of three
> > amp
> > batches
> >? ? ? ? He has no apparent visual? or neurologic impairment now
> >? ? ? ? He was not in pain nor? apprehensive during his intubation
> >? ? ? ? He stated that while he was? intubated he could not feel nor
> > move his
> > lips, hands or feet
> >? ? ? ? We did give tetanus? prophylaxis and broad spectrum antibiotics
> >
> >
> > Snake identification
> >? ? ? ? We discovered everyone? agrees on the genus of this snake
> > (Naja), but
> > we found at least 4 different? names of species and sub species
> > associated
> > with the Monocled? Cobra.
> >
> >? ? ? ? We found strong support? for ventilatory support, but in the
> > literature and? internet? recommendations, we could NOT find any
> > consistent reason why
> > antivenin should be? used.? ? We heard and read many urban legends, and
> > read
> > several? scientific papers with no real comparison and a lot of expert
> > opinion
> >
> >? ? ? ? We received many warnings? in the literature and from advisors
> > that
> > we must watch for serum sickness as? they thought it would occur in 3-6
> > weeks
> > in almost every case of antivenin? use.
> >
> > k mattox
> >
> >
> >
> > **************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
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>
> --
> trauma-list : TRAUMA.ORG
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>
>
>
>
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>
>
> ------------------------------
>
> --
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>
> End of trauma-list Digest, Vol 61, Issue 10
> *******************************************
>
--
Stephen L. Richey, CRT
Aviation Injury Research Project Leader
Saginaw Valley State University
Phone: 248-366-4452
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