Fw: Slow down, ambulance driver!

[Guest guest]

This is from Advisory.com

Ron

Slow down, ambulance driver!

Common sense would accept that ambulances should " run hot " with lights and

sirens blaring in the interest of time, but a study in ls of Emergency

Medicine suggests that high-speed driving actually may do more harm than good.

Writing in Slate, two practicing emergency physicians say the study questions

the merits of the " golden hour, " which holds that severe trauma patients have

the best chance of survival if they get to a hospital within 60 minutes. While

the golden hour is relevant in certain situations-it could have saved the life

of Princess , who died in 1997 after a several-mile ambulance ride required

40 minutes-the study concludes that not all trauma patients benefit from the few

extra minutes gained by a speeding ambulance. Citing the " Ambulance Crash Log, "

among other data, the Slate authors note that what makes the study " fascinating "

is that the researchers " elegantly explored " the effect of ambulance time on

survival, concluding that " hot " driving " may not be warranted " (Meisel/Pines,

Slate, 5/11; Newgard et al., ls of Emergency Medicine, March 2010; Barrett

et al., ls of Emergency Medicine, March 2010).

P Please consider the environment before printing this e-mail.

All e-mails or files transmitted are considered confidential and intended solely

for the use of the individual to whom they are addressed. Any unauthorized

dissemination, review, distribution, or copying of these communications is

strictly prohibited. If you received an e-mail in error, please contract the

sender and delete/destroy the message.

[Guest guest]

Ron,

Thanks for posting this. Of course, this is nothing new. Bledsoe, for one, has

been saying for years that The Golden Hour is a myth, and he's right. There are

very, very few situations where speed makes any difference. Of course, both

speed and The Golden Hour continue to be taught, and those of us who dare

question are always accused of wanting to ruin EMS. I expect I'll get some

blasts for stating my thoughts, but, truth is an absolute defense, and this is

not the first study to show no correlation between transport times and patient

outcomes.

However, for those who still believe in the tooth fairy, you can drive as fast

as you want. You have my permission. Matter of fact, take up a collection and

get a Q2 and some Grover Stutter Tones, and two, not one, electronic Whelens so

that you can run 4 different sounds at once. Great fun. But don't delude

yourselves into thinking that speed helps. Most of the time it's God that

helps, not a speeding ambulance. MAYBE, just MAYBE, in a few situations, if

you're close enough to the Level I, getting to the OR before the last drop of

blood leaves the circulatory system and enters the peritoneum, getting there

will make a real difference. Most of the time, what little time that's saved

doesn't make the slightest difference.

Blast away. I've got my vest on.

Gene G.

Fw: Slow down, ambulance driver!

This is from Advisory.com

Ron

Slow down, ambulance driver!

Common sense would accept that ambulances should " run hot " with lights and

sirens blaring in the interest of time, but a study in ls of Emergency

Medicine suggests that high-speed driving actually may do more harm than good.

Writing in Slate, two practicing emergency physicians say the study questions

the merits of the " golden hour, " which holds that severe trauma patients have

the best chance of survival if they get to a hospital within 60 minutes. While

the golden hour is relevant in certain situations-it could have saved the life

of Princess , who died in 1997 after a several-mile ambulance ride required

40 minutes-the study concludes that not all trauma patients benefit from the few

extra minutes gained by a speeding ambulance. Citing the " Ambulance Crash Log, "

among other data, the Slate au thors note that what makes the study

" fascinating " is that the researchers " elegantly explored " the effect of

ambulance time on survival, concluding that " hot " driving " may not be warranted "

(Meisel/Pines, Slate, 5/11; Newgard et al., ls of Emergency Medicine, March

2010; Barrett et al., ls of Emergency Medicine, March 2010).

P Please consider the environment before printing this e-mail.

All e-mails or files transmitted are considered confidential and intended solely

for the use of the individual to whom they are addressed. Any unauthorized

dissemination, review, distribution, or copying of these communications is

strictly prohibited. If you received an e-mail in error, please contract the

sender and delete/destroy the message.

[Guest guest]

Even when hauling arse is justified, there is still one cardinal rule you never

break.

NEVER PASS ON THE RIGHT!

Passing on the right should constitute legal justification for giving your

driver a right hook to the jaw. No good comes of it.

Rob

[Guest guest]

I vote we shut the whole darn ems system down and make people fend for

themselves. Survival of the fittest. We have become a major crutch in this

upside down society. The world was a better place when people had to think for

themselves.

Subject: Re: Fw: Slow down, ambulance driver!

To: texasems-l

Date: Thursday, May 13, 2010, 11:34 PM

 

Ron,

Thanks for posting this. Of course, this is nothing new. Bledsoe, for one, has

been saying for years that The Golden Hour is a myth, and he's right. There are

very, very few situations where speed makes any difference. Of course, both

speed and The Golden Hour continue to be taught, and those of us who dare

question are always accused of wanting to ruin EMS. I expect I'll get some

blasts for stating my thoughts, but, truth is an absolute defense, and this is

not the first study to show no correlation between transport times and patient

outcomes.

However, for those who still believe in the tooth fairy, you can drive as fast

as you want. You have my permission. Matter of fact, take up a collection and

get a Q2 and some Grover Stutter Tones, and two, not one, electronic Whelens so

that you can run 4 different sounds at once. Great fun. But don't delude

yourselves into thinking that speed helps. Most of the time it's God that

helps, not a speeding ambulance. MAYBE, just MAYBE, in a few situations, if

you're close enough to the Level I, getting to the OR before the last drop of

blood leaves the circulatory system and enters the peritoneum, getting there

will make a real difference. Most of the time, what little time that's saved

doesn't make the slightest difference.

Blast away. I've got my vest on.

Gene G.

Fw: Slow down, ambulance driver!

This is from Advisory.com

Ron

Slow down, ambulance driver!

Common sense would accept that ambulances should " run hot " with lights and

sirens blaring in the interest of time, but a study in ls of Emergency

Medicine suggests that high-speed driving actually may do more harm than good.

Writing in Slate, two practicing emergency physicians say the study questions

the merits of the " golden hour, " which holds that severe trauma patients have

the best chance of survival if they get to a hospital within 60 minutes. While

the golden hour is relevant in certain situations-it could have saved the life

of Princess , who died in 1997 after a several-mile ambulance ride required

40 minutes-the study concludes that not all trauma patients benefit from the few

extra minutes gained by a speeding ambulance. Citing the " Ambulance Crash Log, "

among other data, the Slate au thors

note that what makes the study " fascinating " is that the researchers " elegantly

explored " the effect of ambulance time on survival, concluding that " hot "

driving " may not be warranted " (Meisel/Pines, Slate, 5/11; Newgard et al.,

ls of Emergency Medicine, March 2010; Barrett et al., ls of Emergency

Medicine, March 2010).

P Please consider the environment before printing this e-mail.

All e-mails or files transmitted are considered confidential and intended solely

for the use of the individual to whom they are addressed. Any unauthorized

dissemination, review, distribution, or copying of these communications is

strictly prohibited. If you received an e-mail in error, please contract the

sender and delete/destroy the message.

[Guest guest]

How many " amlance drivers " have ever had an emergency driving course of any

kind? I never have, and I've been doing this for 35 years (well, not driving

now) and what I learned was common sense and what some great old mentors taught

me.

Just another place we fail in training our cadre.

Oh yah, yah, yah. I know. Gandy's always finding fault. Well, it's a tough

job but somebody's got to do it.

GG

Re: Fw: Slow down, ambulance driver!

Even when hauling arse is justified, there is still one cardinal rule you never

break.

NEVER PASS ON THE RIGHT!

Passing on the right should constitute legal justification for giving your

driver a right hook to the jaw. No good comes of it.

Rob

[Guest guest]

Steve,

What makes you think that shutting down EMS will make people think for

themselves? I submit that it won't, but membership in the Darwin Society will

balloon. And maybe that's a good thing. I have been in a lot of countries

where there is no EMS system at all, and life seemed to go on in spite of it.

I'm not trying to be snide, but fools will be fools. And those who are not

fools will, as you suggest, take care of themselves.

If we shut down EMS and made people fend for themselves, would they invent EMS?

If they did, what would it be like? Anything like it is now?

GG

Fw: Slow down, ambulance driver!

This is from Advisory.com

Ron

Slow down, ambulance driver!

Common sense would accept that ambulances should " run hot " with lights and

sirens blaring in the interest of time, but a study in ls of Emergency

Medicine suggests that high-speed driving actually may do more harm than good.

Writing in Slate, two practicing emergency physicians say the study questions

the merits of the " golden hour, " which holds that severe trauma patients have

the best chance of survival if they get to a hospital within 60 minutes. While

the golden hour is relevant in certain situations-it could have saved the life

of Princess , who died in 1997 after a several-mile ambulance ride required

40 minutes-the study concludes that not all trauma patients benefit from the few

extra minutes gained by a speeding ambulance. Citing the " Ambulance Crash Log, "

among other data, the Slate au thors

note that what makes the study " fascinating " is that the researchers " elegantly

explored " the effect of ambulance time on survival, concluding that " hot "

driving " may not be warranted " (Meisel/Pines, Slate, 5/11; Newgard et al.,

ls of Emergency Medicine, March 2010; Barrett et al., ls of Emergency

Medicine, March 2010).

P Please consider the environment before printing this e-mail.

All e-mails or files transmitted are considered confidential and intended solely

for the use of the individual to whom they are addressed. Any unauthorized

dissemination, review, distribution, or copying of these communications is

strictly prohibited. If you received an e-mail in error, please contract the

sender and delete/destroy the message.

[Guest guest]

Yet try to add a week of EVOC to a training program and students go

elsewhere. I have a bid in to an island nation to do EVOC never seen

one in the US.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

LNMolino@...

> How many " amlance drivers " have ever had an emergency driving course

> of any kind? I never have, and I've been doing this for 35 years

> (well, not driving now) and what I learned was common sense and what

> some great old mentors taught me.

>

> Just another place we fail in training our cadre.

>

> Oh yah, yah, yah. I know. Gandy's always finding fault. Well, it's a

> tough job but somebody's got to do it.

>

> GG

>

> Re: Fw: Slow down, ambulance driver!

>

> Even when hauling arse is justified, there is still one cardinal

> rule you never break.

>

> NEVER PASS ON THE RIGHT!

>

> Passing on the right should constitute legal justification for

> giving your driver a right hook to the jaw. No good comes of it.

>

> Rob

>

>

[Guest guest]

Ever taken an EVOC class? 75% of it is the exact same content as the

" Operations " module of an EMT-B course.

Just add in an extra day for the road course.

>

> Yet try to add a week of EVOC to a training program and students go

> elsewhere. I have a bid in to an island nation to do EVOC never seen

> one in the US.

>

> Louis N. Molino, Sr. CET

> FF/NREMT/FSI/EMSI

> Typed by my fingers on my iPhone.

> Please excuse any typos.

> (Cell)

> LNMolino@...

>

> On May 14, 2010, at 1:24, wegandy1938@...

> wrote:

>

> > How many " amlance drivers " have ever had an emergency driving course

> > of any kind? I never have, and I've been doing this for 35 years

> > (well, not driving now) and what I learned was common sense and what

> > some great old mentors taught me.

> >

> > Just another place we fail in training our cadre.

> >

> > Oh yah, yah, yah. I know. Gandy's always finding fault. Well, it's a

> > tough job but somebody's got to do it.

> >

> > GG

> >

> > Re: Fw: Slow down, ambulance driver!

> >

> > Even when hauling arse is justified, there is still one cardinal

> > rule you never break.

> >

> > NEVER PASS ON THE RIGHT!

> >

> > Passing on the right should constitute legal justification for

> > giving your driver a right hook to the jaw. No good comes of it.

> >

> > Rob

> >

> >

[Guest guest]

Not if done right. 75% should be behind the wheel. I am not talking

about a sit butt in class but a real true EVOC done corectly. You

gotta burn some disel in my EVOC and drive the types of rigs you have.

Louis N. Molino, Sr. CET

FF/NREMT/FSI/EMSI

Typed by my fingers on my iPhone.

Please excuse any typos.

(Cell)

LNMolino@...

> Ever taken an EVOC class? 75% of it is the exact same content as the

> " Operations " module of an EMT-B course.

>

> Just add in an extra day for the road course.

>

>

> >

> > Yet try to add a week of EVOC to a training program and students go

> > elsewhere. I have a bid in to an island nation to do EVOC never seen

> > one in the US.

> >

> > Louis N. Molino, Sr. CET

> > FF/NREMT/FSI/EMSI

> > Typed by my fingers on my iPhone.

> > Please excuse any typos.

> > (Cell)

> > LNMolino@...

> >

> > On May 14, 2010, at 1:24, wegandy1938@...

> > wrote:

> >

> > > How many " amlance drivers " have ever had an emergency driving

> course

> > > of any kind? I never have, and I've been doing this for 35 years

> > > (well, not driving now) and what I learned was common sense and

> what

> > > some great old mentors taught me.

> > >

> > > Just another place we fail in training our cadre.

> > >

> > > Oh yah, yah, yah. I know. Gandy's always finding fault. Well,

> it's a

> > > tough job but somebody's got to do it.

> > >

> > > GG

> > >

> > > Re: Fw: Slow down, ambulance driver!

> > >

> > > Even when hauling arse is justified, there is still one cardinal

> > > rule you never break.

> > >

> > > NEVER PASS ON THE RIGHT!

> > >

> > > Passing on the right should constitute legal justification for

> > > giving your driver a right hook to the jaw. No good comes of it.

> > >

> > > Rob

> > >

> > >