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Unnecessary flight risks?

Review of 26 fatal medevac crashes shows many didn't involve life-or-death missions

Sun Special Report

October 23, 2008|By Robert Little , robert.little@baltsun.com

The medical helicopter crash in Prince George's County that killed four people last month was one of more than a dozen fatal crashes nationally during the past six years that raise doubts about whether the victims ever needed to leave the ground.

A review by The Baltimore Sun of crash records and other documents on the 26 fatal medevac crashes in the United States since 2003 shows that many did not involve urgent, minutes-from-death missions. At least eight involved patients who waited longer for a helicopter than a ground ambulance might have needed to drive them to a hospital. And at least six were for patients discharged soon after a helicopter dropped them off at a hospital, or who survived a lengthy ambulance ride after the helicopter sent to get them went down.

The recent history of medevac crashes also includes heroic accounts of late-night flights to retrieve critically ill or injured people in foul weather and urgent missions such as transferring a sick woman from an underequipped hospital in rural Alaska or plucking a young hiker with heat stroke off a mountain in Utah. In the wake of last month's deaths, Maryland officials have repeatedly defended the state's 4,500 annual flights as safe and necessary for saving lives, even if some flights appear unnecessary in hindsight.

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But one patient who died after an accident in Arkansas had waited in an ambulance for more than an hour for a helicopter that was to fly him 35 miles. Another victim with a broken leg waited while three helicopters tried to fly through fog, even as ambulance drivers offered to take her to a hospital.

In four cases, including the Sept. 28 incident in Forestville, patients survived not only their initial condition but a subsequent helicopter crash.

Half of the 26 fatal medevac accidents occurred during missions to transfer patients between hospitals - one for a distance of 10 miles - and many of the transferred patients waited hours from the time a helicopter was called until it arrived and was ready to take off again, records show.

Officials at the state agency that oversees emergency medical care in Maryland plan to convene a panel of national specialists to review the state's medevac system and recommend potential improvements. The National Transportation Safety Board will hold a public hearing next year to explore the potential causes of a sharp increase in fatal medevac crashes, including eight this year.

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