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Re: Helicopter use

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Wow, did a nerve get stepped on? Not the intention, promise. Oh, and I'm

glad that you have some personal protection but sorry you've had to pull it.

That's always a sticky situation to be in. Off the subject, I have the same

Ruger with the stainless bull barrel; very nice target gun. In fact, I have

a very nice collection of military and target weapons. I spent the weekend

with my family, so no, don't believe you had any MORE fun..and I own, free

and clear, my home (125k +) and one 2006 vehicle (Z71 Tahoe)

I hope we all have a good day!

Gods Speed,

BB

_____

From: [mailto: ] On

Behalf Of Red

Sent: Monday, February 20, 2006 5:09 PM

To:

Subject: RE: Re: Helicopter use

ok..... I just read this one.... 50 is not old....and I have a handgun.....

I live in Houston.......carry it whenever I travel alone, have had to pull

it twice.....women cannot be stranded for any reason on the side of the road

anymore without being at risk.....

And competition shooting is fun... I have a competition stainless steel

Ruger with a bull barrel, it's a 22 and I like the steel targets... lots of

fun..so is 50....

Bet my weekend was more fun than yours.... and bet I had more money to

spend...that's the beauty of 50......

Bobby Brinson wrote:

Doc, first of all, you're old! Secondly, I am glad you told us about the

gay

bar thing!! Thirdly and lastly, very professional and sincere statement.

Education is the key to all success. Sometimes that education hurts! I say

all of that with nothing but respect!

_____

From: [mailto: ] On

Behalf Of Bledsoe, DO

Sent: Sunday, February 19, 2006 6:00 PM

To:

Subject: RE: Re: Helicopter use

I'll be serious now. There is a saying in medicine: " Good judgment comes

from experience; experience comes from bad judgment. " I am now 50-years-old

and lucky to be here. When I was young, I did all sorts of stupid things. I

used to drag race motorcycles. I have ridden a motorcycle at over 130 MPH on

Loop 820 in Fort Worth. When I was a paramedic and EMT, we only used gloves

to pick up bodies. I have had more blood on my hands than the curator of the

Coliseum in Rome. I once ran an MCI for a knife fight in the most notorious

gay bar in Fort Worth before we ever heard of AIDS. I was covered in blood

(I was on-duty--not in the bar). We used to volunteer for all sorts of

stupid experiments when I was a medical student. I took one of the first

Hepatitis B vaccines ever developed--made from the serum of Oklahoma

prisoners with antibodies to hepatitis B. I was a helicopter medic. We used

to rappel from helicopters for the fun of it. I was once in a Bell 206 that

flew under a highway bridge in Fort Worth. I have a bullet fragment in my

right forearm from entering an apartment complex (oh well, " projects " ) cause

I was macho and didn't want to wait for the cops. I used to collect hand

guns. In 1999 I was so ill I received Last Rites from the Catholic Church.

Fortunately, I survived and my outlook on life changed.

I learned through all this that life is precious and medicine is a calling

and a privilege as is EMS. While we all have to learn through our own

experiences, it never hurts to heed the experiences of others. Now, I am

very careful about wearing gloves. I am very cautious riding motorcycles and

will not ride one outside of a rural environment. I am cautious in bad

neighborhoods and on streets that look unsafe. I gave up hand guns and now

collect something I will be glad to pass on to my grandson-first editions of

Mark Twain's books. I am not for taking anybody's handguns away, I just

don't feel anybody but the cops and military need them. I just have seen too

many dead teenagers on my ED bed due to a gun shot from another teenager.

You can interpret the second amendment as you want, that is just how I see

it. I have seen more people die than most people would see in a millennium.

Human life is precious. We all must believe that or we would not put up with

the poor wages and other bullshit inherent in EMS.

The counteracting mechanical forces of a helicopter make for a wonderful

device. As Igor Sikorsky said, " If you're in trouble anywhere in the world,

an airplane can land and drop you flowers; a helicopter can land and save

your life. " Helicopters can save some lives. We need perhaps 10 medical

helicopters for all for Texas. There are 17+ in DFW and that is why you hear

stories like the one earlier today about the patient with the brain tumor.

As you mature, you measure risks against benefits for everything--not just

your family, but yourself. I was supposed to go to Cuba last year to do a

series for JEMS. Castro was cracking down on dissidents. I decided it safest

not to go. Ten years ago I would have been there and maybe never heard from

again.

The helicopter issue is a major problem in the US. I love helicopters. I

like looking at them. I love riding in them--I have even landed one once.

But, when you choose to take a mission, as occurred recently in Indiana, you

are making a decision for your crew (which I know the mantra, " Three to go,

one to stay. " ), but you are also making a decision for the patient who does

not know the risks and benefits you do. And if you tell me that all

helicopter EMS services practice safety first, I can direct you to over 70

NTSB reports that say they don't. Helicopter EMS has a macho culture--some

of which due to the military influence. Now that I am older I have found

myself giving eulogies for friends and co-workers. There is nothing more

sobering. The JEMS article I linked was my way of dealing with the loss of

life that contacted me. Each of us has a way of doing that. That was mine.

Make your own mistakes. Learn. Don't place anybody else at risk while you do

so. This comes from one with experience in doing so.

And don't forget that there is more to life than EMS and helicopters. As

Mark Twain said, " So throw off the bowline. Sail away from the safe harbor.

Catch the trade winds in your sails. Explore. Dream. Discover. " Just don't

endanger.

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Guest guest

Wow, did a nerve get stepped on? Not the intention, promise. Oh, and I'm

glad that you have some personal protection but sorry you've had to pull it.

That's always a sticky situation to be in. Off the subject, I have the same

Ruger with the stainless bull barrel; very nice target gun. In fact, I have

a very nice collection of military and target weapons. I spent the weekend

with my family, so no, don't believe you had any MORE fun..and I own, free

and clear, my home (125k +) and one 2006 vehicle (Z71 Tahoe)

I hope we all have a good day!

Gods Speed,

BB

_____

From: [mailto: ] On

Behalf Of Red

Sent: Monday, February 20, 2006 5:09 PM

To:

Subject: RE: Re: Helicopter use

ok..... I just read this one.... 50 is not old....and I have a handgun.....

I live in Houston.......carry it whenever I travel alone, have had to pull

it twice.....women cannot be stranded for any reason on the side of the road

anymore without being at risk.....

And competition shooting is fun... I have a competition stainless steel

Ruger with a bull barrel, it's a 22 and I like the steel targets... lots of

fun..so is 50....

Bet my weekend was more fun than yours.... and bet I had more money to

spend...that's the beauty of 50......

Bobby Brinson wrote:

Doc, first of all, you're old! Secondly, I am glad you told us about the

gay

bar thing!! Thirdly and lastly, very professional and sincere statement.

Education is the key to all success. Sometimes that education hurts! I say

all of that with nothing but respect!

_____

From: [mailto: ] On

Behalf Of Bledsoe, DO

Sent: Sunday, February 19, 2006 6:00 PM

To:

Subject: RE: Re: Helicopter use

I'll be serious now. There is a saying in medicine: " Good judgment comes

from experience; experience comes from bad judgment. " I am now 50-years-old

and lucky to be here. When I was young, I did all sorts of stupid things. I

used to drag race motorcycles. I have ridden a motorcycle at over 130 MPH on

Loop 820 in Fort Worth. When I was a paramedic and EMT, we only used gloves

to pick up bodies. I have had more blood on my hands than the curator of the

Coliseum in Rome. I once ran an MCI for a knife fight in the most notorious

gay bar in Fort Worth before we ever heard of AIDS. I was covered in blood

(I was on-duty--not in the bar). We used to volunteer for all sorts of

stupid experiments when I was a medical student. I took one of the first

Hepatitis B vaccines ever developed--made from the serum of Oklahoma

prisoners with antibodies to hepatitis B. I was a helicopter medic. We used

to rappel from helicopters for the fun of it. I was once in a Bell 206 that

flew under a highway bridge in Fort Worth. I have a bullet fragment in my

right forearm from entering an apartment complex (oh well, " projects " ) cause

I was macho and didn't want to wait for the cops. I used to collect hand

guns. In 1999 I was so ill I received Last Rites from the Catholic Church.

Fortunately, I survived and my outlook on life changed.

I learned through all this that life is precious and medicine is a calling

and a privilege as is EMS. While we all have to learn through our own

experiences, it never hurts to heed the experiences of others. Now, I am

very careful about wearing gloves. I am very cautious riding motorcycles and

will not ride one outside of a rural environment. I am cautious in bad

neighborhoods and on streets that look unsafe. I gave up hand guns and now

collect something I will be glad to pass on to my grandson-first editions of

Mark Twain's books. I am not for taking anybody's handguns away, I just

don't feel anybody but the cops and military need them. I just have seen too

many dead teenagers on my ED bed due to a gun shot from another teenager.

You can interpret the second amendment as you want, that is just how I see

it. I have seen more people die than most people would see in a millennium.

Human life is precious. We all must believe that or we would not put up with

the poor wages and other bullshit inherent in EMS.

The counteracting mechanical forces of a helicopter make for a wonderful

device. As Igor Sikorsky said, " If you're in trouble anywhere in the world,

an airplane can land and drop you flowers; a helicopter can land and save

your life. " Helicopters can save some lives. We need perhaps 10 medical

helicopters for all for Texas. There are 17+ in DFW and that is why you hear

stories like the one earlier today about the patient with the brain tumor.

As you mature, you measure risks against benefits for everything--not just

your family, but yourself. I was supposed to go to Cuba last year to do a

series for JEMS. Castro was cracking down on dissidents. I decided it safest

not to go. Ten years ago I would have been there and maybe never heard from

again.

The helicopter issue is a major problem in the US. I love helicopters. I

like looking at them. I love riding in them--I have even landed one once.

But, when you choose to take a mission, as occurred recently in Indiana, you

are making a decision for your crew (which I know the mantra, " Three to go,

one to stay. " ), but you are also making a decision for the patient who does

not know the risks and benefits you do. And if you tell me that all

helicopter EMS services practice safety first, I can direct you to over 70

NTSB reports that say they don't. Helicopter EMS has a macho culture--some

of which due to the military influence. Now that I am older I have found

myself giving eulogies for friends and co-workers. There is nothing more

sobering. The JEMS article I linked was my way of dealing with the loss of

life that contacted me. Each of us has a way of doing that. That was mine.

Make your own mistakes. Learn. Don't place anybody else at risk while you do

so. This comes from one with experience in doing so.

And don't forget that there is more to life than EMS and helicopters. As

Mark Twain said, " So throw off the bowline. Sail away from the safe harbor.

Catch the trade winds in your sails. Explore. Dream. Discover. " Just don't

endanger.

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Guest guest

It would be safer to be secured while in motion but sometimes Pt. care is needed

during the transport. IV intubations cpr ect. Would be safer but not possible

unless you just stop Pt. care while you are moving.

THEDUDMAN@... wrote:

I don't see a reason to stay at home and not do anything...but I do think that

it is time we, as an industry, started truly examining what and why we do what

we do...and truly try and make changes that can protect all of us. This

probably includes only using helicopters in finite defined circumstances,

finding and mandating that all EMS personnel are restrained at ALL times the

vehicle is in motion (yeah...in the back too) and other steps as they are proven

to make a difference.

BTW, did anyone see the recommendation late in the week that EMS personnel in

the back of ambulances be made to wear helmets???

We don't need to stay home...we just need to do what is necessary to stay as

safe as possible.

Dudley

Re: Helicopter use

You should perhaps look at a different profession all together then

as the statistic for it as a whole a pretty dangerous. Maybe we

should just all stay home?.

Jon

> >>

> >> > when's the last time the Presidential copter (or any for the

white

> >> > house staff) crashed? If they're so unsafe, why's the

government

> >> > using them so often?

> >>

> >> Perhaps they know maintenance and a less cavalier attitude on

when and

> >> how to fly makes a difference. Military craft still go down.

Two did

> >> today.

> >>

> >> --

> >>

> >>

> >>

> >>

> >>

> >>

> >>

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It would be safer to be secured while in motion but sometimes Pt. care is needed

during the transport. IV intubations cpr ect. Would be safer but not possible

unless you just stop Pt. care while you are moving.

THEDUDMAN@... wrote:

I don't see a reason to stay at home and not do anything...but I do think that

it is time we, as an industry, started truly examining what and why we do what

we do...and truly try and make changes that can protect all of us. This

probably includes only using helicopters in finite defined circumstances,

finding and mandating that all EMS personnel are restrained at ALL times the

vehicle is in motion (yeah...in the back too) and other steps as they are proven

to make a difference.

BTW, did anyone see the recommendation late in the week that EMS personnel in

the back of ambulances be made to wear helmets???

We don't need to stay home...we just need to do what is necessary to stay as

safe as possible.

Dudley

Re: Helicopter use

You should perhaps look at a different profession all together then

as the statistic for it as a whole a pretty dangerous. Maybe we

should just all stay home?.

Jon

> >>

> >> > when's the last time the Presidential copter (or any for the

white

> >> > house staff) crashed? If they're so unsafe, why's the

government

> >> > using them so often?

> >>

> >> Perhaps they know maintenance and a less cavalier attitude on

when and

> >> how to fly makes a difference. Military craft still go down.

Two did

> >> today.

> >>

> >> --

> >>

> >>

> >>

> >>

> >>

> >>

> >>

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Guest guest

It would be safer to be secured while in motion but sometimes Pt. care is needed

during the transport. IV intubations cpr ect. Would be safer but not possible

unless you just stop Pt. care while you are moving.

THEDUDMAN@... wrote:

I don't see a reason to stay at home and not do anything...but I do think that

it is time we, as an industry, started truly examining what and why we do what

we do...and truly try and make changes that can protect all of us. This

probably includes only using helicopters in finite defined circumstances,

finding and mandating that all EMS personnel are restrained at ALL times the

vehicle is in motion (yeah...in the back too) and other steps as they are proven

to make a difference.

BTW, did anyone see the recommendation late in the week that EMS personnel in

the back of ambulances be made to wear helmets???

We don't need to stay home...we just need to do what is necessary to stay as

safe as possible.

Dudley

Re: Helicopter use

You should perhaps look at a different profession all together then

as the statistic for it as a whole a pretty dangerous. Maybe we

should just all stay home?.

Jon

> >>

> >> > when's the last time the Presidential copter (or any for the

white

> >> > house staff) crashed? If they're so unsafe, why's the

government

> >> > using them so often?

> >>

> >> Perhaps they know maintenance and a less cavalier attitude on

when and

> >> how to fly makes a difference. Military craft still go down.

Two did

> >> today.

> >>

> >> --

> >>

> >>

> >>

> >>

> >>

> >>

> >>

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" Jon " wrote:

>

> Look, Dr. Bledsoe continually states that a helicopters

> only function is speed and that only makes a difference

> in 1% of patients. That a helicopter crew's closest

> cousin, in danger, is an Alaskan snow crab Fisherman.

> Sounds like bashing to me.

So researching recorded incidents then extrapolating incident

percentages and reporting the findings is " bashing " . Wow. There sure

is a lot of bashing going on out there. Not a single industry immune

to bashing, is there?

>> " Fly till you die "

Yep, I read that. What I saw was Dr. Bledsoe's frustration. He was

attempting to answer your emotional tirades with cold statistics.

You didn't like it so you made some silly, childish comments. Dr.

Bledsoe apparently got tired of dealing with childishness and just

told you to go play in the street. That is what I read in the

comment.

>> " And then there is the safety issue. The increased number

>> of medical helicopters (now approaching 800 in the US)

>> has diluted out the pilot/nurse/paramedic crew. Coupled

>> with the retirement of Vietnam-era pilots, this has caused

>> the air ambulance industry to continually lower pilot

>> qualifications. So, as we saw in Indiana a few weeks ago,

>> bad decisions are being made despite NTSB and FAA

>> warnings-all in the name of profit. In terms of care, we saw

>> little if any litigation over helicopter EMS. In the last year

>> I have been contacted by lawyers here in Texas suing two

>> Texas private EMS providers over unrecognized esophageal

>> intubations following RSI. I received a similar inquiry two

>> weeks ago from another state regarding a helicopter quality

>> of care issue. "

Again, all established facts, so definitely bashing. I can see why

you don't like it.

>> " If man had been meant to fly, he would have been given

>> wings! A helo doesn't even have those. Who wants to be

>> under a windmill that's kept in a straight line only by another

>> windmill? If you knew what I know about helo maintenance

>> practices, you'd never get within 300 yards of one. "

That was Mr. Gandy, and I suspect he was countering your over-

emotionalism with a bit of emotional jesting himself.

> I could continue but I think you can see at this point.

Yes, I see that you have a thin skin and wear your emotions on your

sleeve and can't participate in a logical debate because you are too

emotionally involved.

> Our industry is cleaning up after itself.

The helicopter industry is cleaning itself up reluctantly and only

following threat from the FAA.

> One single opinion or one set of stats shouldn't speak for

> everyone in this industry. Bledsoe likes to make dramatic

> quotes that basically say you're a fool if you fly 99% of the

> time and you're going to die. It's just not that simple.

First of all, statistics are not opinion, and there are multiple

research projects in progress and several already finished, all of

which indicate the same thing. Secondly, Dr. Bledsoe has not said,

at least nothing I have read, anything even close to " 99% of the

time you are going to die. "

--

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