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Food for Thought

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Dudley wrote, " Dr. Bledsoe, we need to call for a 72 to 96 hour moratorium

on Air Medical Flights.? Ground them all, mandate some safety work and

policy review...and the FAA needs to get off their politically insensitive

back-sides and mandate REAL safety improvements in these

helicopters...terrain avoidance, collision avoidance, night vision goggles,

dual engines, flight recorders and maybe even dual pilots...the air medical

industry wants to hide behind the Federal Airline Deregulation Rules when

individual states try to regulate them, then have them step up to the big

boy microphone and live by it all the time? "

I mentioned the need for a national stand down on Flightweb. The responses

seem interested. Who would call it? Would it be mandatory? I have done 4-5

interviews this AM and mentioned it (when I can). I think people will have

to listen now. I have spoken with some big outlets today (NPR, AP, New York

Times and soon NBC). I'll relay the message. But, remember, to the

helicopter community I am some disgruntled yahoo from Texas who hates HEMS.

Actually, I love HEMS. I hate to see good people die when the benefits for

the patient do not outweigh the risks.

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" I agree the selfish GEMS provider

that calls HEMS to transport a non emergency patient so he can get back

to bed needs to at the very least have his hand slapped, but I know

first hand (yes it is anecdotal) the need for HEMS in the rural setting.

Scientifically proven or not there is a benefit to flying patients in

certain settings. But I do agree that Houston, Dallas and San

are not those settings. "

On that we agree wholeheartedly. I'd imagine feels the same.

--

Grayson, CCEMT-P

www.kellygrayson.com

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Dudley wrote: " Unfortunately it was WAY more than 2...and many many crown vics

are still out there...I would bet many without the modifcations to prevent them

from becoming fire balls when rear-ended. "

And I wonder how many are 'hand me downs' that have been given to EMS as a First

Responder / supervisor vehicles in that condition?

Just something else to cogitate about.

" A prudent man foresees the difficulties ahead and prepares for them; the

simpleton goes blindly on and suffers the consequences. "

Proverbs 22:3

Subject: Re: Food for thought

To: texasems-l

Date: Monday, June 30, 2008, 1:27 PM

,

Dudley

Re: Food for thought

At some point the FAA and the NTSB need to step in and say enough is enough. If

this was any other sector of commercial aviation they would have already done

so. This crash raye would not be aceptable in the millitary so why is it so in

the civilian sector? I shall contact the FAA and ask them about this. Enough is

enough.

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Dr. Bledsoe wrote: " I hate to see good people die when the benefits for

the patient do not outweigh the risks. "

The military uses the mandatory Safety days to get the pilots and crews to

refocus. Agreed: too many good people are getting killed and it works on

everyone's minds.

" A prudent man foresees the difficulties ahead and prepares for them; the

simpleton goes blindly on and suffers the consequences. "

Proverbs 22:3

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" Could it be because every time a helicopter crashes, the " ground

pounders " raise up in arms with the " here we go again, when will someone

step in and stop all this air ambulance madness " . "

Not to piss in your Wheaties, Rick, and that is really not my intent...

....but that's *exactly* what we should be doing. Someone needs to raise

a hue and cry about the HEMS industry - not that it isn't a needed

component of EMS overall, because it is - but because the safety record

is abominable. And rather than have HEMS industry insiders leading the

charge for stricter standards, they're resisting it at every turn. That

leaves the ground pounders to point out the problems, who are then

accused of having an ax to grind by those recalcitrant HEMS industry

insiders.

You rightly point out that ground EMS has its safety issues as well. RLS

responses, long shifts, shoddy ambulance design - both in handling and

crew safety features - are *all* things ground EMS needs to address.

Nadine Levick lectures all over this country about ground ambulance

accidents, vehicle design and safety issues. Her talks are popular,

well-attended and well-received by those of us who practice ground EMS.

She's known throughout the industry as a safety advocate with the best

interests of EMS crews at heart. More and more people are listening to

what she has to say.

Conversely, who decries the same lack of safety standards in HEMS, with

the same reach? *One* lonely voice - Bledsoe - and every time he

points out the insanity, he is pilloried by everyone in flight suits as

that outsider kook DO from Midlothian who hates EMS helicopters.

Something powerfully wrong with that picture, and unless something is

done soon from the *inside*, pretty soon you're gonna see draconian

regulations implemented by people from the *outside*, who will make

Bledsoe look like your best friend.

Of course, YMMV...

--

Grayson, CCEMT-P

www.kellygrayson.com

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