Randy Mains, author, speaker, consultant and crew resource management (CRM) as well as air medical resource mamagement (AMRM) instructor is the guest of this months prerecorded episode of Firemedically Speaking.  Show host Mike McEvoy talks with Randy about his experience as one of the first helicopter EMS (HEMS) pilots and how the industry developed in the United States compared to other countries.  Randy explains why recommendations for improvement in HEMS safety have not been implemented and offers his suggestions about what could be done to improve HEMS safety.