Aeromedical AGENDA items

Jules jkaymdc at aim.com
Sat Jul 19 02:15:35 BST 2008 

   1. Existing guidelines regarding RURAL use
   2. Who makes the final determination on flight status?
   3. How many flights are requested by a specialty physician at the
RECEIVING hospital, not the sending hospital?
   4. How many "similtaneous" dispatches for flight with ground EMS?
   5. How many AEMS are dispatching based on dispatch monitoring vs request?

Those are my thoughts.

Jules

On Fri, Jul 18, 2008 at 7:26 PM, <KMATTOX at aol.com> wrote:

> 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 &amp, 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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