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Old 30th May 2011 | 21:51
  #1092 (permalink)  
Ask21
 
Joined: Mar 2009
Posts: 10
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From: Norway
Undiagnosed emergenzy check-list?

I just wonder if there exist such a thing as a "stall checklist" or even a "general catastrophic -check-list" that is designed to reveal - to the perhaps bewildered crew the true state of the flight.

I'm talking about a checklist that designed to be used in the situation where the captain returned to the cockpit in this flight. The situation that he may not have realized the true state of the flight.

Take a lesson from emergency medicine (where I have some expreience) . Whenever a traumatized patients is hospitalized something called Triage is performed. To help the doctors cope with the situation a simple A-B -C -D -rule is performed. This procedure is trained regularly - so it will pop up in the minds of all involved and also direct the treatment of the patient. So here goes:
A -- Airways - - Are the airways open and and not threatened (as by unconciousness or blod - swelling /injury etc) --> if yes continue --> if No - Intubate - open airways - cricotomy --once fixed-- go to B
B: Breathing : Is patient breathing good - if yes go to C -- If no -- clear the situation --> tension pneumothorax? Collapsed lungs ? -Chest Xray- Apply chest tube
C: Circulation --> Stable blood pressure? - Signs of major bleeding?Substitute fluids/blood. Stop any major bleeding --> emergency surgery to control bleeding.
D: Disability - Severe injury? - fractures? wounds? Neurological damage? CT-scans - X-rays - surgery to treat fractures etc
E: Minor injury - can wait to diagnose and treat

This rule was invented when one realized that patients died in CT-scan- machines etc because of bleeding - instead of being brought directly to surgery when indicated

So what would be the analogue within aviation? Please notice that in this checklist A-B-C is concerned with stabilizing the patient - so he will not die within minutes. D: is only performed when A-B-and C (stability -at least temporal ) is achieved. Pleas also notice that this procedure is done with with the full attention of all involved. If the patient is stable (not severely injured)- A-B-C will not take long time to establish - it its a critically ill patient surgery for A-B-C may take lot of efforts- lot of surgery - lot of time.

May I suggest : A- for Angle of Attack?

Last edited by Ask21; 30th May 2011 at 22:08.
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