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Re-Introduction

What Dietrich has been up to since the last podcast

Bobby- Intro

Topic:  Medical Considerations for Aviation Accidents,

1. Intro
   1. Videos on Skinny Medic’s IG channel
   2. DC, Philadelphia, Alaska
   3. 87 accidents so far this year in the US, 13 of them fatal
   4. Toronto, no deaths, 21 injuries, plane landed and flipped upside down.
   5. When you are flying, keep ID and important docs on you during takeoffs and landings. Don’t bring a bag with you!
2. Scene Considerations
   1. Dietrich-lives close to a small airport; decent probability of an incident in your call area
   2. I live in the flight path for Dallas Love field.  
   3. Location-water, runway, road, forested area?
   4. Leaking fuel? Fuel is stored in the wings which are likely to be damaged
   5. Number of patients?
   6. Resources available?
3. Likely types of trauma
   1. Similar to a car crash, but higher energy impact
   2. Typically gliding into obstacles, but there are planes with parachutes
   3. Head injuries
   4. Fractures
   5. Bleeding
4. Do we move patients out of a plane?
   1. Dynamic situation, which could change quickly. Pilots use a few factors to decide whether to order an evacuation. I would think of it like they do. 
   2. Severity:
      A major fire, uncontrolled smoke, or severe structural damage would necessitate an immediate evacuation. 
   3. Location and accessibility:
      If the plane is on the ground and accessible to emergency services, evacuation might be quicker and safer. 
   4. Ability to manage the emergency:
      If the crew believes they can contain the issue and safely land the plane, they might not initiate an evacuation. 
   5. When a pilot might choose to keep passengers on board:

• Minor emergencies:
  Minor structural damage might not warrant an immediate evacuation.
• Potential for further danger:
  If evacuating could put passengers at greater risk due to the location or weather conditions, the pilot might choose to remain on board until a safer opportunity arises. 

5. MARCH Review
   1. M: Massive hemorrhage
   2. A: Airway
   3. R: Respiration
   4. C: Circulation
   5. H: Hypothermia or head injury. Are you creating a hypothermia condition by evacuating?
6. Teaser for next episode: Jiu Jitsu for First Responders
7. Dietrich speaking  Feb 28 at the SC Pediatric Trauma Symposium at the Westin Poinsett in Greenville, SC

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Skinny Medic – @SkinnyMedic | @skinny_medic | Medical Gear Outfitters

Bobby – @rstantontx | @bobby_wales