Flightmed archive for December-2003

Flightmed archive for December-2003
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Re: CAMTS accreditations
I appologize for forgetting to sign my responce the computer signed it "mee"
Mike Earnheart, R.N.
mikey49@concentric.net
mee wrote:
About a year ago I helped get a fixed wing program I worked for, CAMTS
certified. During this process we went to several Air medical
conferences. Many opportunities were said to be available to us once
we were certified. Unfortunately a change in ownership occurred and
the certification was not included in the change. So I cannot say
whether these doors would have actually opened for us.
That having been said I would like to ask, who do you serve, your
accountant or your patients? Why does the US have air medical crash
rates (rotor) above 13 per 100,000 hrs flown? (not even close to the
rate in Europe or Canada).
While I was involved in the CAMTS process I realized safety
preparedness was the thrust of most of the regulations. Recurring
education and training cost money. Being sure every thing you use has
a back up supply and a plan costs money. It also requires commitment
on the part of pilots, medical crew and most of all management.
These are a few of the changes we made a result of CAMTS preparation.
I have a 100% backup supply of oxygen on board that is completely
separate from the primary system. The Ohemeda outlet could fail and
dump the entire volume of my "m" cylinder half way back from Hawaii
and My patient would still be safe.
The medical crew I fly with know how hard you must pull to remove
the emergency escape window or the raft release tether to get them to
function.
The medical crew know how to shut off fuel flow to the engines. How
to turn off the main battery switches. How to activate the engine fire
extinguishers. I know rhe med crews are not pilots but if the pilot is
disabled these could be valuable skills.
We added a fire extinguisher that is clearly visible to the medical
crew in the cabin and easily reached.
With our vented patients we carry adapters for most common "oxygen"
and "air" wall outlets along with ETCO2 monitor (reads in mm Hg) . We
obtain a blood gas prior to transport to verify the effect of vent
settings on the patient and to have a baseline pCO2 comparison to ETCO2.
This list could go on for several pages and I know we cannot operate
at a financial loss. But ask your self and your company, What did you
do for safety today? This week?
CAMTS certification will help you find the areas where your program
can improve safety for your patient and your crew.
Stogsdill, Dave wrote:
Looking for opinions about the value of CAMTS accreditations ? Our
program is divided over the value of becoming CAMTS accredited. We
were in the accredition process several years ago, but after much
thought and meetings, we decided not to follow through. Hopefully
there is a lot of opinions out
there, both pro and con, that will help us have a better
understanding. Especially interested in programs that are currently
accredited. Those that decided against it, and those that may have
been accredited, but then did not reapply or let there accreditation
lapse.(Why?)
Thanks !!!
David Stogsdill
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