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. . . even the toughest planes get blown away . . .  

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     which is why we need to continually evaluate our position, our strength and adjust to the winds.   Some airships can overpower the wind, but most do not have the capability to do so.  The crew has to assess the weather then choose an altitude, attitude and direction that allow the wind to be less of a factor.  Sometimes that means flying around storms, sometimes it means staying grounded until the storms pass.   
      What does this mean for us?  The first rule of flying is Plan the flight and fly the plan.  If that fails, keep in mind the principles of safe return:  aviate, navigate and communicate.    Translated to patient care these might read:  Plan the care and follow the plan.   If this fails:  act safely, note deviation and communicate.   One aspect of medicine in general, but especially in the ER, is that our plan of care changes rapidly.  These two approaches still offer useful guidance as we begin to develop the standards that will be most useful to us. 
        I'm curious to know how you think we have been applying these principles, and how consistent we are at doing that.  

Internal Website for South Haven Health System Emergency Department