The Michigan Daily - Wednesday, October 19, 1994 - 7
Labor of love, lifesaver: Survival Flight takes off

'U' co-hosts Air Medical Services conference

By EDMUND LOCOCO
Special to the Daily
The sound of slashing rotors an-
nounces the arrival of Survival
Flight's precious cargo. As the heli-
copter touches down, it blows open
the doors onto the landing pad atop
the University Medical Center.
Inside, Mary Kay Smith waits to
help off-load the incoming patient.
She doesn't rush out. Smith knows it
will take two minutes for the engines
of the maize and blue Bell 230 to cool
down.
A flight nurse clad in a fireproof
jumpsuit rushes in from the pad. They
hug, then the nurse briefs Smith. Their
patient is the victim of a hunting acci-
dent in Jackson, Mich.
Once the rotors stop, Smith and
two other flight nurses rush to get the
patient to the emergency room.
"It's satisfying to know that we
*can provide assistance in a life-threat-
ening situation and get them the care
that may save their lives," Smith said
later.
During its 11-year history, Sur-
vival Flight has brought more than
12,000 patients to the University's
medical center, said Bob Garypie, a
hospital spokesman.
This week, Survival Flight is co-

host of the 15th annual Asssociation
of Air Medical Services Conference
in Detroit. Members of the program's
nursing, pilot and adminstrative staff
will share experiences with other pro-
fessionals from around the world, said
Dr. Mark Lowell, associate medical
director of Survival Flight.
"The conference is a chance to see
how other programs are run and to get
ideas for how to improve your own
program," Lowell said.
Members of the air medical pro-
fession are drawn together by one
universal characteristic no matter
where they serve, Smith said. Each
day they must provide a high level of
service in trying conditions.
"We handle the most critically ill
and injured patients, but we have to
have the strength to function outside
the conventional medical facility,"
Smith said.
Nurses may make life-and-death
decisions in cramped quarters while
flying at more than 100 miles per
hour, but pilots have other concerns.
They worry about getting the patient
and crew safely to the hospital, said
pilot Thomas Handzlik.
"It's the most stressful type of
flying next to combat," Handzlik said.
"It's like the difference between driv-

ing an ambulance or driving a limo,
that's the best analogy. This is not a
corporate shuttle for 'Joe Executive.'
You're flying out to corn fields at
three in the morning to pick up some-
body who's mutilated."
Crew members seem to respond to
the pressure of their job with a combi-
nation of professionalism and humor.
Janine Polley has been a critical care
nurse for 15 years and has been with
Suvival Flight for seven.
"I suppose it is stressful, but it
doesn't seem so after a while," Polley
said. "It's your job and you do it well.
If you're ringing you hands over it all
the time, you can't be effective."
Sometimes the crew has to accept
the loss of a patient, Smith said.
"We can't save everybody, no
matter how many tubes we put in or
how many surgeries we perform,"
Smith said. "We put forth our best
effort for every patient and that com-
forts even the families of those pa-
tients who couldn't pull through. The
families know everything possible
was done."
Crew members develop a defense
mechanism for dealing with this as-
pect of the job, Garypie said.
"Things get so serious that we end
up having tremendous senses of hu-

Jim Kettles, one of six pilots for Survival Flights, transports a patient to University Hospitals yesterday.

mor to compensate," Garypie said.
"After a traumatic flight people need
a release. It can be psychologically
overwhelming. If we didn't laugh,
we'd cry."
Despite pressures of the job, for
many of these professionals there is

no other career. Kyra Turner-
Schlieman joined SurvivalFlight three
years ago. She had flown with an-
other air medical program before and
missed it after she left.
"I missed the independence of
making critical decisions that affect a

patient," Turner-Schlieman said.
"Then there's the unique environment
of flying around. How many people
get to do that as a part of their job?"
Lococo is a free-lance writer and a
graduate student in the University's
Master's in Journalism Program

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U.S. poised to halt
Mideast buildup

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Los Angeles Times
WASHINGTON - The Clinton
administration is poised to halt further
deployments of U.S. troops to the Per-
sian Gulf laterthis week, provided Iraqi
forces complete their withdrawal and
Baghdad does not react militarily to the
latest U.N. restrictions on its troops.
The new orders,- which have been
discussed by presidential national se-
curity advisers, would leave the total
number of U.S. ground troops in the
area at between 12,000 and 15,000,
instead of the 30,000 envisioned last
week by Defense'Secretary William J.
Perry.
Before deciding, the administration
wants to make sure the three Iraqi bri-
gades that had stalled for two days near
the town of Nasiriyah have withdrawn
to their home bases in Baghdad and
Mosul.
The United States also wants to
make certain Iraq has been formally
notified of the restrictions on further
Iraqi troop movements contained in
the resolution that the U.N. Security
Council passed late Saturday, as well
as the possible consequences of any
violations.
The latest shift by policy makers
reflects abelief that with the Iraqi threat
now essentially gone, the United States
can forestall any new Iraqi troop foray
mainly with air power. Some 150 U.S.

fighters and bombers will be left in the
Persian Gulf indefinitely.
To maintain acredibleground force
to defend Kuwait, the United States
would have had to deploy almost 30,000
ground troops, a major increase over
the 7,300 Army and Marine Corps com-
bat forces in Kuwait and Saudi Arabia
yesterday.
Those ground troops now in the
region are expected to remain for sev-
eral more weeks, but the Pentagon is
expected to halt pending deployments
of some 20,000 additional troops, iN
cluding the 1st Marine Expeditionary
Force atCampPendleton in California
The Pentagon also is expected to
cut back the size of the planned air
armada, possibly by not sending Air
Force B-52 bombers and F-117 radar
evading Stealth fighters.
Dennis L. Boxx, the Pentagon's
spokesman, said yesterday the deploy:
ment of the Marine Expeditionary Force
is "still on hold while we look at the
intelligence situation and make some
final determinations.... We would ex-
pect to make some decisions .. very
soon."
The Pentagon's strategy all along
has been to rely on air strikes to blunt
any Iraqi invasion of Kuwait, but offi-
cials had hinted earlier that the United
States also would pour ground troops
into the area as a defense force.

JONATHAN LURIE/Daily
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Aristide's choice for leader rejects job

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Decision by prime
minister-designate
throws Haiti into
political, economic
turmoil
Los Angeles Times
PORT-AU-PRINCE, Haiti -
President Jean-Bertrand Aristide's first
choice for the crucial job of prime
minister has rejected the offer, leaving
the restored leader facing a possible
lack of confidence in his government
by international lendersand the Clinton
administration, according to Haitian
and diplomatic sources.
SmartMichele,a wealthy business-
man and close associate of Aristide,
was offered the prime ministership last
week in Washington, the sources said,
but turned it down.
The sources said thatAristide's sec-
ond choice for prime minister is

Claudette Werleigh, a little-known so-
cial activist with almost no support in
the local business or international fi-
nancial communities.
"Her appointment," said one diplo-
mat, "could lead to the unraveling of
Aristide's entire financial team" in the
Cabinet. "It certainly would hurt the
confidence (of foreign) investors in
Aristide's commitment to a modern,
free-market economy."
The most immediate result would
be the likely refusal of Leslie Delatour
to serve in the Cabinet.
Delatour, a widely respected former
finance minister and World Bank con-
sultant, has been Aristide's chief eco-
nomic adviser in recent months and
drafted an economic program that trig-
gered promises of serious financial aid
from several wealthy nations.
Most U.S. officials involved in Haiti
policy, including Secretary of State
Warren Christopher, expectedDelatour

would be named either finance minis-
ter or president of the central bank.
If he is not appointed to a key finan-
cial post or refuses to accept a ministry
rather than serve with Werleigh, the
confidence in Aristide's government
among the international lending agen-
cies and wealthy governments could
be hurt, the sources said.
"The whole premise of the enthusi-
astic support of Aristide's return by the
donor nations and the IFIs (interna-
tional financial institutions) was that
Leslie (Delatour), Leslie Voltaire and
Mrs. Rey would make up the financial
center of the government," according
to one diplomat.
He was referring to the widely held
assumption that Delatour would be fi-
nance minister; Voltaire, a well-known
planning expert, would be planning
minister; and Marie-Michele Rey, a
long-time and successful private
banker, would head the central bank.

All are known as technocrats who
advocate free-market economics, re-
duced government bureaucracy,
privatization of public enterprises and
alternative approaches to traditional
government involvement in public af-
fairs.
Werleigh's appointment would not
immediately endanger the half-billion-
dollar multinational aid program al-
ready approved for the Aristide gov-
ernment, world financial sources said.
But "itcertainly coulddamage (pri-
vate) investment prospects," one ex-
pert said, "and it would cause us to look
closely at projects in the future. It
doesn't build confidence, that is fMr
certain."
No reasons were made public for
Michele's refusal, but sources specti-
lated that he dislikes the indecisive
manner in which Aristide is known to
conductaffairs. MichelequitAristide's
first Cabinet.

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Israel turns attention to Syria after peace accord
Los Angeles Times raeli officials and analysts, asserting "Will he get the best deal by being stressing the speculative nature of his
JERUSALEM - With peace that Syrian President Hafez al-Assad last?" Joseph Alpher, director of the comments. "But I'm far from certain
agreements with the Palestinians and should move swiftly and decisively to Tel Aviv University's Jaffee Center for that Assad will respond in the same
now Jordan, Israel is about to focus on ensure he is not left out in the peace- Strategic Studies, said of Assad. "No, way. I don't understand what he gains


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