Air Medical Resource Management for the Totally Brilliant!
By Randy Mains
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About this ebook
As an air medical professional why do you need this book? The short answer is to save your life and the lives of your team members with the byproduct of greatly reducing the carnage that has plagued our helicopter air ambulance industry for decades. Why is this book for the totally brilliant? Because the very fact you hold this book in your hand proves you are no dummy—that you care about flight safety and want to learn more. The data is in. Dr. Ira Blumen, Medical Director at the University of Chicago, Life Flight, UCAN and his team of over 40 air medical professionals determined an alarming truth in their Opportunities for Safety Improvement (OSI) study when they performed root cause analysis on hundreds of helicopter air ambulance crashes and found a human error rate of 94%. The high percentage of human-error accidents is the very reason you NEED this book, to take control of your destiny by educating yourself and your team members, giving you the power of AMRM to prevent a human-error accident from occurring in your program.
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Air Medical Resource Management for the Totally Brilliant! - Randy Mains
Copyright © 2017 by Randolph P. Mains
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the written prior permission of the publisher.
Rotor Tales Publishing 2017
ISBN-13: 978-1722848057
ISBN-10: 1722848057
Ebook conversion by SpicaBookDesign
Author’s Note
Two of the best books I’ve read on what could be considered complex subjects were incredibly small, easy to read and understand and have withstood the test of time. That is what I have attempted to do here.
The first ‘little book’ was The Elements of Style published in 1918 by Strunk and White recommended by my English and journalism professors when I went back to college in 1982 to earn my degree. The Elements of Style is still considered a classic, listed as one of the 100 best and most influential books written in English by Time Magazine in its 2011 list.
I came across another small book in 1977 when I had the dream of sailing the world’s oceans before the days of satellite Global Positioning Systems, GPS. To prepare myself for the task, I enrolled in a celestial navigation class where I learned to use a sextant to measure the angles of the sun, moon and the stars to (try to) plot my position on Earth.
The book the professor recommended to the class was a small book entitled Celestial Navigation for Yachtsmen, by Mary Blewitt. Her book became the bible for many generations of ocean navigators and a bestseller for over 50 years. Now in its 12th edition, Blewitt’s concise and clear style to explain a particularly difficult skill made it an instant classic. Her aim was to make a tricky subject easy to understand. That is my aim here.
I am not implying AMRM is a difficult concept to grasp like celestial navigation. It isn’t. But understanding its importance in getting you as the pilot of a helicopter and those who fly with you home safely cannot be overemphasized.
I learn best if things are made simple. That is what I have attempted to do here by distilling what I consider the very essence, the ‘golden nuggets’ of AMRM theory. I’ve approached the subject that way to avoid giving you a headache while you learn the concepts; that is, what can cause you to make an unwise decision. It is my great hope by doing so you will become a AMRM ambassador.
Enjoy the (short) journey.
Why is AMRM so Important for You, an Air Medical Professional?
Because the data is in and it’s quite alarming. Dr. Ira Blumen, Medical Director at the University of Chicago, Life Flight, UCAN and his team of over 40 air medical professionals determined an alarming truth in their Opportunities for Safety Improvement (OSI) study when they performed root cause analysis on hundreds of helicopter air ambulance crashes and found a human error rate of 94%.
It is for that reason you NEED this book, to take control of your destiny by educating yourself and your team members by understanding the power AMRM has to prevent a human-error accident from occurring in your program.
Ira Blumen’s team members on the OSI study included individuals from:
Associations
Air & Surface Transport Nurses Association (ASTNA)
Air Medical Physician Association (AMPA)
Air Medical Safety Advisory Committee (AMSAC)
American Association for Respiratory Care (AARC)
Association of Air Medical Services (AAMS)
Commission on Accreditation of Medical Transport Services (CAMTS)
Helicopter Association International (HAI)
International Association of Flight Paramedics (IAFP)
National Association of Air Medical Communication Specialists (NAACS)
National EMS Pilots Association (NEMSPA)
Helicopter operators
Air Evac Lifeteam
Air Methods Corporation
CareFlite (Dallas/Fort Worth)
EraMed
Intermountain Life Flight
Keystone Medflight
Maryland State Police Aviation
Med-Trans Corporation
Metro Aviation
Omniflight Helicopter, Inc
PHI Air Medical
Palm Beach County, Trauma Hawk
Helicopter Manufacturers
American Eurocopter
Bell Helicopter
Turbomeca USA
Federal Aviation Administration
Aviation training (FlightSafety International)
Aviation insurance (AirSureLimited)
The idea for this book sprung from the AMRM chapter I wrote for the second edition of the Air Medical Physician’s Textbook—Principles and Direction of Air Medical Transport entitled Air Medical Resource Management—A Potential Life Saver.
When Dr. Ira Blumen asked me if I would write the AMRM chapter for the textbook I literally panicked. I called him to say, Ira, I’m a journalist. I don’t know how to write in textbookeze!
He assured me, Don’t worry about that, Randy, what’s important is your knowledge and your insight on the subject. We have an editor to deal with the textbookeze.
I want to express my sincerest gratitude to Ira for allowing me the opportunity to make a significant contribution on such an important subject, one that has the proven potential to save lives as evidenced by the successes in our nation’s airlines over the years.
This book is the distillation, the very essence of air medical resource management. I am giving you the AMRM concepts proven by the airlines, NASA and universities in America and abroad that study the subject, the human factors that can cause your team members to make unwise decisions.
With that introduction, I want to welcome you to this proven, life-saving topic. To back up my claim, here is what former helicopter air ambulance, (HAA) helicopter pilot and retired Continental Airlines captain, Mike Brezden had to say about the CRM training he received at Continental Airlines.
Dear Randy
I too flew as a pilot in a helicopter EMS program early in my career (1982-1984). Sadly, not much has changed in the industry.