Aeromedical AGENDA items
KMATTOX at aol.com
KMATTOX at aol.com
Sat Jul 19 01:26:46 BST 2008
Excellent thoughts. AND YOU WERE THE FIRST TO ADD AGENDA ITEMS
1. Records of previoius crashes, dx of patients who died in crashes
2. Flight conditions at time of crash
3. Existing guidelines regarding URBAN use
In a message dated 7/18/2008 7:17:37 P.M. Central Daylight Time,
napthene at gmail.com writes:
Dr. Mattox:
I don't know whether any of this will be useful or appropriate, but:
- Concerted study of FAA records for aeromedical incidents: what
happens and why? Focus on the flying conditions at the time
aeromedical was requested: are aeromedical units flying in "unflyable"
conditions? Are they flying in more dangerous conditions than other
general aviation? If so, why?
- Use and utilization in urban, suburban and rural areas: list members
have already pointed out the vast differences in aeromedical
utilization in rural environments versus more concentrated
environments.
- Are algorithmic criteria being used for aeromedical requests? If so,
how do the algorithms match up to long-term mortality and morbidity?
If algorithms aren't being used, then are the decisionmakers trained
to evaluate safety conditions and/or true medical necessity?
- What's the long-term survival rate for aeromedical transportees? How
many people are being flown only to be pronounced in-hospital?
- What are the true costs and true risks of an aeromedical evacuation?
How often, epidemiologically, "should" they be happening in a patient
population, and how often are they happening in the patient
population?
Just my random thoughts. Thanks for your lead and your time on this.
Ashton Treadway
On Fri, Jul 18, 2008 at 5:07 PM, <KMATTOX at aol.com> wrote:
> I might suggest that persons here suggest REALISTIC agenda items which
might
> be included in such a task force. I have at least 4 agenda items to
> suggest, but I do believe that all who participated in this discussion
earlier
> should submit.
>
> k
>
>
> In a message dated 7/18/2008 7:00:44 P.M. Central Daylight Time,
> jkaymdc at aim.com writes:
>
> >From what I have been told, this is a convening of possibly ALL the
> Aeromedical services across the country. I would imagine that includes
other
> states, no?
>
> I didn't weigh in with an opinion on it, I simply stated there was a group
> forming...however..................
>
> It may not be ideal, but decisions can't and shouldn't be made about an
> industry without the industry being a part of it, yes?
>
> Should there be an independent panel with input from the industry? of
> course...NON-stakeholder only? Not in my opinion.
>
> Most non-stakeholder groups I've observed and been a part of, make some
> pretty important decisions for an industry without understanding THAT
> industry.
>
> Look at the Ryan White Act....non-EMS stakeholders made the decisions on
the
> revision of that bill and notification of EMS personnel by hospitals for
a
> potential exposure disappeared because "It didn't affect any of us so when
> we were reviewing the bill we didn't think it was important to keep in
it"..
>
> My point being....we should be unified on this and NOT allow more
> fragmentation to take place.
>
> Jules
>
> On Fri, Jul 18, 2008 at 6:39 PM, Marc Matthews - MedPro MMC X <
> Marc_Matthews at medprodoctors.com> wrote:
>
>> And what does the data say? Are you going to use data? Who has the data
> you
>> are looking for? Or will this be a "feel-good
>>
>
shoot-from-the-hip-emotional-see-look-what-I-did-at-least-something-so-the-government-doesn't-do-something-first"
>> meeting, putting the same sort or types of policies together? I would
> think
>> that an independent panel of non-stakeholders that can have an objective
>> view supported by current data, will go much farther and have more
meaning
>> to implement change. Any other way is suspect. Also, please consider what
>> individual states have to say about new rules as each may have different
>> laws and ideas for safety.
>>
>> My two cents . . .
>>
>> MRM
>>
>>
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>> -----Original Message-----
>> From: trauma-list-bounces at trauma.org [mailto:
>> trauma-list-bounces at trauma.org] On Behalf Of Jules
>> Sent: Friday, July 18, 2008 4:27 PM
>> To: Trauma &, Critical Care mailing list
>> Subject: Re: Aeromedical Task Force Idea
>>
>> Hello,
>>
>> I have heard the aeromedical folks are convening a large group of
>> stakeholders and holding a meeting this month or next. I would imagine
they
>> would be able to advise about representation at that meeting...seems
>> redundant and detrimental to them and EMS to form different task
>> forces/groups. Should be all be in this together? I would imagine NAEMT
>> would be a significant partner in this group.
>>
>> Jules
>>
>> On Fri, Jul 18, 2008 at 6:22 PM, Bob Waddell <bobwaddell at bresnan.net>
>> wrote:
>>
>> > Absolutely Dr. Mattox! Is this a discussion/forum that could be
>> > requested at the 2009 Trauma conference? I think (personally) there
>> > are a lot of "best practices" and "best - don't do that" that needs to
>> > be shared, may one of the conferences would be the venue to allow the
>> > openness to discuss and the credibility to adapt. I would be happy to
>> > submit the proposal, make the coffee, or whatever needs to be done.
>> > Thanks.
>> >
>> > Take care,
>> >
>> > Bob
>> >
>> > Robert K. Waddell II
>> > Vice President -
>> > Emergency Preparedness and Response
>> > "The Sacco Triage Methodology"
>> > ThinkSharp, Inc
>> >
>> > Wyoming Office:
>> > 1302 East 5th Avenue
>> > Cheyenne, Wyoming 82001
>> > (307) 920 - 2020 cell
>> >
>> > bwaddell at sharpthinkers.com
>> > or bobwaddell at bresnan.net
>> > www.sharpthinkers.com
>> >
>> >
>> > -----Original Message-----
>> > From: trauma-list-bounces at trauma.org [mailto:
>> > trauma-list-bounces at trauma.org]
>> > On Behalf Of KMATTOX at aol.com
>> > Sent: Friday, July 18, 2008 5:04 PM
>> > To: trauma-list at trauma.org
>> > Subject: Re: Aeromedical Task Force Idea
>> >
>> > I am extremely interested. I do believe that the local trauma centers
>> > trauma directors should be in the discussion. We also discussed the
>> > CRITERIA for
>> > using helicopters. If we merely address safety, we will not have
>> address
>> > the root cause and root problem.
>> >
>> > k
>> >
>> >
>> > In a message dated 7/18/2008 11:10:19 A.M. Central Daylight Time,
>> > bobwaddell at bresnan.net writes:
>> >
>> > In the immediate aftermath of the Flagstaff crash, there was
>> > discussion on the list about forming a group, perhaps affiliated with
>> > one or more of the national organizations related to EMS or trauma
>> > care to work towards improving the safety of aeromedical operations.
>> > Is anyone still interested in pursuing this? I am very interested in
>> > it given both my background and current work. Please feel free to
>> > contact me either on- or off-list to discuss it.
>> >
>> > --
>> >
>> >
>> >
>> >
>> >
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