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Flawed Helicopter EMS vs Ground EMS Research – Part I

- Image source. - The media are posting headlines that there is finally evidence that helicopters save lives.[1] This is from JAMA (Journal of the American Medical Association), which generated a...

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Flawed Helicopter EMS vs Ground EMS Research – Part II

- Continuing from Part I of the latest JAMA headline grab based on exaggerations of what the research almost shows. - What about the times? Total elapsed EMS times from dispatch to ED arrival were...

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A loose screw equals 3 dead

- Very easily preventable. The crash could have been much worse, since this is in a residential neighbor hood of a city with a population of over half a million people. Image credit. Ian Gregor,...

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Was a helicopter necessary to save 5 minutes?

  news-press.com file photo - There is a big kerfuffle in Florida over the dispatch of a helicopter to a scene not far from the destination hospital. Or were they transported to different hospitals?...

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Not all mechanisms are created equal

  How do we determine which patients go to a trauma center? Too often by MOI (Mechanism Of Injury). Physiologic criteria are not too bad and involve some assessment of the patient.     Notice that the...

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Two Children Abducted by EMS Helicopter for One Laceration

  What happens when a paramedic tells the parents that their children need to be flown to the hospital? The parents agree, the parents don’t decide right away, or the parents refuse. What happens when...

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We Should Not Question Two Children Being Abducted by Two EMS Helicopters for...

  There is a comment on Two Children Abducted by EMS Helicopter for One Laceration that demonstrates the ways we keep our standards low in EMS. We refuse to discuss problems and we discourage others...

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One Laceration, Two Helicopters, Third Part

  There is also a comment from steve mauch on Two Children Abducted by EMS Helicopter for One Laceration that deserves comment.   Rouge, I see what you’re getting at, but the problem is not so much...

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Fly Everyone, Let the NTSB Accident Investigators Sort ‘Em Out

Many people think that my posts on science and logical fallacies are not related to EMS. For a Fantastic Feast of Fallacies, head on over to A Day in the Life of an Ambulance Driver. Read his post Is...

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That’s not Klingon It’s One Word Dyspnea: EMS Garage Episode 98

– We were supposed to be talking about the potential harm from the way we use oxygen in EMS, but we ended up with That’s not Klingon It’s One Word Dyspnea. First, I mentioned that I am blogging at a...

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A Conversation on Mechanism of Injury

– I was talking with one of the long time, weekend, night shift nurses. The people I count on to do what is right for the patient, because the administrators are not around. Well, I mentioned in...

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First Few Moments – Mechanism Of Injury or Idiocy

On the First Few Moments podcast we had an interesting discussion about the usefulness of mechanism in making treatment and transport decisions. Mechanism of Injury or Idiocy? Dr. Jeff Myers, Kyle...

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The Bird is the Word – Coma Toast

At Coma Toast, there is a thorough thrashing of the EMS addiction to flying uninjured patients just because we can. The Bird is the Word. Now, there are a lot of arguments out there about the use of...

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Flipping the Patient the Bird

There is a nice sarcastic comment to The Bird is the Word – Coma Toast by Can’t say, clowns will eat me – What? You mean oxygen doesn’t cure all ills? It will be just our little secret, but oxygen is...

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A Very Unusual Fatal Helicopter vs. Plane Collision

– New Years Eve 2010 there was a truly unusual HEMS (Helicopter EMS) crash. Peters said it appeared the helicopter was attempting to land and the 1967 Cessna was taking off when they collided. He...

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Ambulance Driver Talks About a Close Call

– In Talk About a Close Call! there is some commentary from Ambulance Driver about the wisdom of transporting a patient by helicopter the extreme distance of – I checked the distance: 1.87 miles,...

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Hemostatic Resuscitation by Richard Dutton, MD

– There is a longer than usual video at EMCrit, but it is worth watching more than once. Dr. Dutton explains about the use of fluids in resuscitation. Hemostatic Resuscitation by Richard Dutton, MD We...

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Elderly patient dies after man blocked air ambulance landing space for half...

– Some nut blocked a helicopter from landing for an emergency transport of a patient from one hospital to another. The patient died. this raises some questions. – First, was the flight necessary?...

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Violent Patient Tries to Jump From S.C. Chopper

– This is wrong on so many levels. I hope that the biggest problem is the accuracy of the reporting. – A patient who leapt from a moving car on an interstate later tried the same thing from a...

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Trauma Criteria – preventative medicine – Part I

– On this episode of the First Few Moments podcast Kyle David Bates, Steve Murphy, Patrick Lickiss, and I discuss Patrick’s article about trauma triage criteria – Are Prehospital Trauma Triage...

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