Questions on crash

Questions on crash

There are 8 comments on the Baltimore Sun story from Oct 1, 2008, titled Questions on crash. In it, Baltimore Sun reports that:

Our view: Despite the well-regarded safety record of Maryland State Police medevac unit, Sunday's helicopter crash deserves review by several agencies October 1, 2008 A teenager survives a weekend car accident ...

Join the discussion below, or Read more at Baltimore Sun.

fire_911medic

United States

#1 Oct 1, 2008
As a medic myself in a rural area, two and a half hours by ground from any trauma center, I frequently have to make difficult decisions whether to fly patients based on mechanism of injury of not to. I work in a very high trauma area and frequently signs of significant injury aren't present yet, but may present an hour or so later. I don't want to be in a situation where I would be caring for a patient enroute when it could have been prevented. However, I carefully consider my options and we have standard landing zones within our county where our ambulances meet the helicopters which we know are safe places to land at any time to help eliminate the risk of landing in unsafe areas.

This was a sad situation indeed. However, everyone seems to ignore that MSP was begging for money to upgrade their fleet as it was aging just weeks before this accident and were told that it might not receive it. I hope this opens the public's eye that an air service, though a valuable help cannot maintain itself on routine maintenance alone. Sometimes upgrades, expensive upgrades similar to what might have helped prevent the crash are needed and the money simply is not there. Maryland's citizens do not have to pay for the transport, so billing does not help fund the service and a minor tax does not even begin to cover the costs.

Out of respect for the crew, I will not debate whether the patients should have been flown or not because I was not on that scene. Perhaps there were indicators that we are not aware of, perhaps not. At any rate, ground crews should think long and hard as to whether risking a helicopter crew's life is worth the potential benefit to the patient.

God bless the crew, lost patient, and their families. Thank you for your service.
Joe

Annapolis, MD

#2 Oct 1, 2008
Prayers for the family and friends of all those involved in this tragic accident.

God bless and be with those that are willing to take this risk to try and help others.
Randy

Hyattsville, MD

#3 Oct 1, 2008
YOU ALL NEED TO KNOW THE FACTS BEFORE SAYING S*-/ LIKE THIS IF THE EMTS AND MEDICS THINKS THERE A TRUMA TO THE PATIENT THEY HAVE ALL F*-/ING RIGHT TO CALL FOR A FLY OUT FOR THE PATIENT HEALTH - FROM THE MEDICS TO THE STATE POLICE MEDIC BACK - THE MEDIC GIVE THE PATIENT TO THEM SO FOR ITS NOT THE MEDICS OR ANYONE PROBLEM NO ONE CANT TELL THE F*-/ING FUTHUR OR WHATS GOING TO HAPPEN IN 5 SECONDS SO EVERYONE CAN F/- OFF
Bob

Baltimore, MD

#5 Oct 2, 2008
Well..they should replace the medi-vacs...its time...there old..and give them some high tech nav.systems for bad weather flying.

Since: Mar 08

Frederick

#6 Oct 2, 2008
I concur people on the scene should make the call and the NTSB is investigating.

Funding is adequate.

http://www.medevacmdsurcharge.com/mvasurcharg...
Aaron

United States

#7 Oct 2, 2008
Randy,

I would suggest that the next time you have an anger outburst to go and seek professional help. After that, it might be advisable to seek some educational training, specifically in the grammer arts.
Randy wrote:
YOU ALL NEED TO KNOW THE FACTS BEFORE SAYING S*-/ LIKE THIS IF THE EMTS AND MEDICS THINKS THERE A TRUMA TO THE PATIENT THEY HAVE ALL F*-/ING RIGHT TO CALL FOR A FLY OUT FOR THE PATIENT HEALTH - FROM THE MEDICS TO THE STATE POLICE MEDIC BACK - THE MEDIC GIVE THE PATIENT TO THEM SO FOR ITS NOT THE MEDICS OR ANYONE PROBLEM NO ONE CANT TELL THE F*-/ING FUTHUR OR WHATS GOING TO HAPPEN IN 5 SECONDS SO EVERYONE CAN F/- OFF
SKOOK TOO

Harrisburg, PA

#8 Oct 2, 2008
Slow news day Baltimore Sun? Why else would you feel the need to report this the way you did? Quote" A teenager survives a weekend car accident with little if any physical injuries" - followed up later by the extensive list of major injury symptoms.
They did their job, as they always do, and risk their life in service to the public - as always. Lay off the courageous EMS & police - this is a enough of a tragedy without your nonsense.
NotThatIveDoneTh isBefore

Glen Burnie, MD

#9 Oct 2, 2008
"Should paramedics have consulted with a trauma center physician in such a case before ordering a helicopter?"
In so doing, the much of the benefit to calling for the helicopter is lost. The purpose of the helicopter is to reduce transport times. In order to accurately "paint a picture" of the patient's mechanism of injury and extent of physical injury, the EMS provider must be able to assess the scene and patient. This takes time-- first, the patient must be extricated, then vital signs must be taken and patients must answer the right questions the right way. By failing to collect and convey the proper information, the physician canot advise on patient disposition. It could be 10 minutes before this information is collected. If the physician orders helicopter transport, 10 minutes have already been lost waiting for the helicopter to go en route.

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