flight-lp

Here's another article from another site with a small detail that most are leaving out of their reporting.......... Medical copter crash injures 3 in Kansas The Associated Press MULLINVILLE, Kan. | Three members of a LifeTeam medical helicopter crew were injured today when the helicopter crashed while responding to a traffic accident in southwest Kansas. Trooper Ronald Knoefel, a spokesman for the Kansas Highway Patrol, said the helicopter took off from Dodge City to respond to a crash between a pickup and tractor-trailer on U.S. 54 in Mullinville. The aircraft crashed while landing at the site of the traffic accident, Knoefel said. The three injured crew members and one person injured in the first crash were taken to a Wichita hospital. The extent of their injuries was not immediately known. Winds in the area were gusting to 40 mph, Knoefel said, but it was not clear whether that was a factor in the helicopter crash.[/font:c904319c44] Godspeed recovery to the crew, they are in my thoughts and prayers. Very sad that this occured as it could have been prevented.................. The good 'ol bell 206, safest aircraft in the world............except when used in EMS fully loaded with fuel and crew and then flown to a scene with a crosswind gusting at 31 knots...

Another score for the Jersey EMT volunteers............. Good, I love reading this stuff! She got what she deserved and I am not buying this whole "I am now deaf and can't see out of my right eye" crap. Suck it up woman, you got served, deal with it and stop slapping patients............

Recently discussed................ http://www.emtcity.com/phpBB2/viewtopic.ph...ght=hypothermia

Wow Whit, we agree finally............. I HATE it when people use the asinine MOI excuse. Ruff, man that sucks that you cannot use your professional assessment abilities to say whether or not a pt. get flown. I'd like to see more air services start to say no to these B.S. pts. After all, its their lives on the line, not the ground crew. Maybe after being told no a couple of times, your med con will rethink that policy......................

About two years ago, a service I was with utilized Aggrastat pre-hospital. While I could see the benefit, unfortunately it wasn't cost effective, wasn't truly understood or appreciated by many medics, and received frowns by several cardiologists who preferred ReoPro or Integrilin. Currently we use O2, NTG, ASA, Morphine / Fentanyl, Lovenox, and Heparin. Seems to work well and is cath lab compatible............

I swore I was going to stay out of this ridiculous thread as I could run with it all day long, but I have to ask, why on earth a dirty multitool is anywhere near a sterile packed item that is going into someone's trachea??????WTF, over..........

Also consider doing the CCEMT-P course first. FP-C offers no additional training per se, it is only a certification test...........

Sorry my friend, but your opinion, although welcomed and respected, is way off base. I do concede that you are correct in the aspect of some medics not quite "up to par", but there are some really revolutionary services out there with well educated and top notch Paramedics. These are the services performing this procedure. Maybe this idea is not well taken in your area, but it is well supported in ours, only one hospital has not elected to continue this thereapy and we have elected to bypass that facility in the case of one of these presentations. We do have the needed manpower, diagnostic equipment (rectal is effective for this technique pre-hospital), and appropriate pharmacological interventions. Thus far, our results are outstanding, hopefully we will have something on paper by the end of the year. This is a wonderful treatment option, one that when combined with items such as the ITD, a CPR assist device such as the Lucas, and effective defibrillation, will show a dramatic increase in arrest survivability...................

Ther are many agencies out there that have selective spinal motion restriction protocols. It is becoming quite common, so your "standard of practice comment" may not hold water in some areas. I really think you are over doing your fictitious courtroom drama. NREMT is a testing agency and certification registry only, nothing more. They do not have "protocols", only the skill sets that are required for their test. Nor does AAOS have any input, regulation, or authority over anything that I do as a medic. I've been on the stand at both ends on numerous occasions and I've never heard either agency mentioned................... As others have mentioned, you can cement someone to a backboard and staple their head to it all day long, you still are going to do nothing for a head bleed. So a lack of SMR would not have had any detrimental effect or change in the patient's condition. Dumbass should have been wearing a helmet.......................

We are using cooled NaCl, Versed and Vec to control shivering............I'll try to post the protocol tomorrow. So far it seems to work well, most of the hospital seem to be on board.

Welcome to the city............. For those of us that don't quite know a whole lot about the organization, can you tell us why they are "great". Also explain why the PD is so wrong. Give us another side to the story..........................

Greens - Put them all on a bus and send them into town. Have one of those available nurses or an EMT ride with them. The local ER can see them throughout the night and the next morning. Yellows - To the trauma centers by ground or to the "18 bed ER" and others in the vicinity. Reds - Send them by air to the trauma centers. If they can't double load, start them by ground, either they will get there by ground or a helicopter can intercept along the way. Speed is the key. Start sending further out helicopters towards the scene. Blacks - Sucks to be you, get them out of the way............... Be cautious about automatically launching your helicopters. Unless you have an airport nearby that has 24 hour Jet-A, fuel will become an issue. Don't launch them until you can reasonably obtain access to the pt. It would really suck if you helicopter is now stuck on scene or can't make it to the trauma center because of insufficient fuel. Not sure where you are Ruff, but there are a lot of underpowered POS Bell 206's running around in rural America (No names mentioned ). Even full of fuel, you are looking at less than 3 hours capability. And they are only single pt. capable. Sometimes it is better to have a farther helicopter with better capabilities respond. Its good to know all of your available resources..................

1st question in my mind would be why these cheap ass people didn't spend a couple extra bucks and fly Southwest?????? LOL That sucks, guess its gonna be one of those nights............... Pull both of your units, both available rescue trucks. Get a heavy duty wrecker out there to pull the silver bullet out of the water or out of the ditch. Senior fire officer is IC, senior medic is medical sector, his partner can start triaging once access to pts. has been made. Start maybe 2-3 mutual aid units and put your helicopters on standby. Have the BLS truck respond to rehab on scene workers and provide extra hands. Contact the local school district, get a bus or two out there to utilize for transport. If it turns out to have a large pt. count, consider any available local military resources. Page out all available personnel for manpower and have a chief officer (someone with a clue on MCI scenes) set up a personnel section and transportation section. Increase or decrease your needed resources as required. Return to service in time to go get a couple of donuts and a cold beer!

Yea, like getting your ass shot isn't stupid.............Hence one reason why I have absolutely no hesitation to keep on going. I'll call for a unit, but there is no reason why individual "a" has any more right to my ambulance than individual "b". In my area, they will all get a unit. They will get one in under 10 minutes over 95% of the time. Since there are still some that really don't get it, let me offer yer another tidbit............. You stop at the horrific MVC that you come up on instead of continuing to your "BS" old man sick call. Your MVC victims turn out to be uninjured and they do not require EMS, so you continue to your original call. Upon arrival, your elderly male tell you his nuts hurt and that he has been "sick" for a couple of days now. His ball pain continues to worsen and enroute to the ER, his BP drops throught the floor and he becomes unconscious. Why?? And how are you going to explain the delay of emergent care this pt. required?? Because you saw a MVC? Because you elected to triage one call before even knowing what is occuring on the other? Hope you enjoyed your EMS career........................ Oh well, to each their own, I'm done arguing........................

What if my car caught on fire in front of the fire station. I see the engine through the window, but its a volunteer station, not manned. Do I sue them because THAT engine that was RIGHT there didn't immediately respond??????? Sorry, too many what ifs....................... Bottom line is you can't save the world, most need to stop trying and focus on the job at hand. That little 9 month old is entitled to the best that can be offered by by the medics. The baby didn't receive that, delivery to definitive care was delayed, and the patient was placed in harms way, both physical and psychological. O.k. maybe this is policy and then yes they followed policy, but it was still wrong and the child is entitled to a payed education courtesy of NYC. My belief, take it or leave it.................. Since we are discussing this to some depth, let me throw a couple other scenerios at you.... 1. You are at the ER with your asthma patient. The ER is currently full and you are awaiting a bed along with several other ambulances. An MVC with a confirmed pinned victim is toned 2 blocks from the hospital. Your nearest ambulance is responding from the other side of the district and will take over 10 minutes to get there. While you are enjoying holding up the wall awaiting your room assignment, a young lady bursts in to the ER screaming that her 8 month's pregnant sister is trapped in the car, bleeding profusely, and is unconscious. What do you do? 2. You are now a flight medic and are flying an AMI pt. from the outlying, podunk ER, to the tertiary cardiac care center. While flying over a rural area, you witness a school bus get t-boned by a logging truck. The bus flips over, then catches fire. It is 3p.m. and you suspect that children may be on the bus. You are familiar with this rural area and know that it will take almost 30 minutes to get an ambulance on scene. You do not see movement coming from inside the bus. Do you land? Interested in hearing your opinions..........................

Actually I think you severly underestimate most employers. MANY will not hire a criminal convicted of a DWI / DUI for obvious and appropriate reasons. I know I certainly wouldn't. If an individual cannot make a simple decision between right and wrong concerning a legal and safety issue, then I don't want them. Next applicant please............. I can understand your frustration about the perceived invasion of self believed rights, so lets examine this in a similar light to alcohol. Are you willing to stop smoking 8 - 12 hours prior to your shift at all times??

No one said anything about lynching anyone................. I just can't believe that the editor in chief of our national level EMS magazine is condoning the ridiculously stupid actions of an individual who put multiple lives in jeopardy. Hold your judgement if you wish, but the FACTS have been presented by several sources..............And they are equally appalling................ Sorry, two thumbs down for those FDNY medics and anyone who agrees [-X ...............

No doubt, I'd love to hear his take on it.......... Did you notice in the Jems.com comment's the comment made by their editor??? Unbelievable!!!! BTW - Mike, I enjoyed your comment............Kid could be set for life..............

Think about it from another standpoint as the obvious reasons aren't apparent to you. In Texas, an ambulance is required to have a minimum of two certified or licensed personnel on it. When the driver presents himself on scene and his / her partner is in the back, you are no longer a legal unit as you do not have the required components to be a licensed inservice unit. Plus, what happens if, while you are farking around on the MVA scene, your partners patient crashes after you make contact with a new MVA patient. Then your screwed.......... I honestly can't believe this is even being debated, at least its not as bad as the morons on Jems.com who actually believe these dumb#@$es were heros.............

People are actually condoning this???? They had a patient, period. That is their focus. There was no reason to stop, as others have said, pick up the damn radio and call for another unit. These two should be fired immediately, with no questions asked. Glad to see a good outcome for the baby who deserved a lot more than received................. I have passed numerous MVA's over the years and have NEVER stopped at any of them if we had a patient on board. If it could be safely done, I would slow down long enough to advise that another unit was notified and/or en route (and tell bystanders to stop CPR on a decapitated body on one occasion) and then continued on with our call..........

Naw, its called working overtime at a very slow station, haven't turned a tire yet! I have a girlfriend, she just isn't working with me today! (Just don't tell my wife :twisted: ) I know I'm getting more involved than I should, but after a recent convo with a 'Bama medic friend of mine, it just got me thinking........... I'll leave it alone....

Hey Broken, You have received sound advise from several people here that know a hell of a lot more about what your treatment should have been than you. As I previously stated, you will never see a penny from any of the EMT's or their employers. The hospital may be a different story, however irrelevant to this forum. I've been looking into this a little and I think I have found what I am looking for, but I have a question that I'd like clarification on. Who is hospital "C"? You said that you didn't want to go to hospital "B", a trauma center, but that "C" was only 2 miles further and also was a trauma center. I will agree with you that trauma care in Alabama is sub par, but there are only three trauma centers in the state, UA-Birmingam (the only College of Surgeons rated level 1), USA-Mobile, and Huntsville Hospital. None of which are within 2 miles of each other. I thought perhaps you were talking about Vandy or Erlanger, but neither of them would be close enough. So the only possibility is that you were to be transported to one of the three Alabama trauma centers, but requested one in another state (Florida, Georgia, Tennessee) or vice versa. That being the case, you may wish to consider the possibility that you could not be transported across state lines thus the "its the law" comment. Also as per your states EMS regulation, section 8.5 specifically, if there is a reasonable belief in any underlying trauma, then transport to an APPROVED trauma center is indicated. You are obviously very determined to describe wrong doing. Why not start naming some name's???? BTW - Please remember that larger private companies have several divisions. Not all are equal, some are good, some are great, some are horrible. The one you describe does have some decent people, but alas some that are not so decent. They cover a lot of turf, so without knowing geographically where you tested the laws of physics, its hard to make a judgment. Anyways, as previously stated, god-speed and the best of luck......

Care to elaborate? I'd be interested in knowing how they ascertain that a patient is or is not having a medical emergency.....................

I'm sorry, I can't speak intelligently about why your local educator gave you false information. I feel I did present it in a manner that would be easily interpretated by EMS professionals, however should you really not understand it, I'd be happy to break it down for you. As far as your care as a patient goes, yes absolutely the Medic should have obtained appropriate vitals and completed a thorough assessment. However, your 10 minute trip, as you describe, did not constitute an emergency response to the ER. Also, I am interested in the "chemical" intervention that you mentioned. Could you clarify? I'm not going to get into a pissing match with you. I run the 3 a.m. bullshit just like the next medic, I deal with the drunks, and I deal with the stupid, emphasis on the latter. Each pt. I encounter deserves the level of assessment, treatment, and transport that I provide in conjunction with my partner. Even the B.S. deserves at least an initial ALS assessment. If after that it is deemed to not require a Paramedic, then the care can be delegated at that time. On my final note as the more I type, the more I realize that this is going nowhere, please understand that the dialysis calls, Dr. appointments, and hospital discharges are NOT EMS calls. They are transportation calls that do not usually require any level of care. Show me a professional EMS agency that offers these services based on the belief that they are truly MEDICALLY needed vs. an easy way to supplement their agencies income, then the first beer is on me.....................