It also found this resulted in an average delay of 3.5 hours. Sometimes, however that system doesn’t work as well as it could.Ī recent study of Ornge scene requests found that 35 per cent of trauma scene calls destined for Toronto trauma centres were cancelled, but yet 25 per cent of those patients were still eventually transported to a trauma centre. These patients rely on an air ambulance scene response. In fact, 40 per cent of patients in Ontario live further than a 60-minute drive to a trauma centre. However, Canadian geography can present a barrier to prompt access to care. For many patients, this involves bypassing a local hospital to go directly to a trauma centre. The pre-hospital care system and emergency medical services therefore are an essential component within a trauma system and there is an incredible amount of coordination required to ensure that severely injured patients get appropriate care. It’s hard to talk about trauma systems without mentioning the concept of the “Golden Hour”, where there is a goal to get severely injured patients to a trauma centre within 60 minutes of injury. Likewise, a delay to receiving care at a trauma centre can result in patient harm. Patients who are treated at a trauma centre have better odds of survival. Though, there are many circumstances where an keeping an air ambulance responding may provide benefit to the patient. Whichever the reason, Ornge is no longer requested to transport the patient at that time. During this process, or often times during the launch of the helicopter, Ornge may be cancelled for multiple reasons, some of which may include death, injuries not requiring air ambulance support or the patient has been transported directly to the hospital by the local paramedic service. The pilot will accept or decline based on weather and safety. They will then contact the pilots of the closest and available helicopter to conduct a weather check to ensure it is safe to fly. List of number-one R&B albums of 1992 (U.S.When Ornge receives a request for an on scene trauma response, the OCC will review all available and closest helicopters to respond.^ Shipments figures based on certification alone. Bobby Wooten – engineer, mixing, multi Instruments, producer, synthesizer.Keith Sweat – executive producer, producer, vocals, background vocals.Alton "Wokie" Stewart – keyboards, producer, background vocals.Eddison Sansbury – drum programming, engineer, keyboards, mixing, producer.Teddy Riley – drum programming, keyboards.Emmanuel Rahiem LeBlanc – background vocals.Thomas Walter Hilton – background vocals.Keni Burke – arranger, keyboards, producer.Stanley Brown – arranger, keyboards, multi-instruments, producer.John Adams – drum programming, keyboards.This was the last album where Sweat collaborated with the longtime new jack swing producer Teddy Riley until Just Me was released 16 years later. On February 21, 1992, Keep It Comin ' was certified platinum by the Recording Industry Association of America, for shipments of one million copies in the United States. It features the album cut "There You Go (Tellin' Me No Again)", originally on the New Jack City soundtrack months earlier. Two more singles "I Want To Love You Down" and "Why Me Baby" were Top 20 R&B hits. The album's title track, " Keep It Comin'", was Sweat's fourth single to top the R&B chart. It spent three weeks on the former, temporarily knocking Michael Jackson's Dangerous from the top position. It was released on November 26, 1991, and topped the R&B Albums chart upon its debut, while entering the top 20 of the Billboard 200. Keep It Comin ' is the third studio album by the American R&B recording artist Keith Sweat.