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Air Medical Transport . Tintinalli Chapter 3. Helicopter Transport . Helicopter EMS Governed by FAA Industry lead Committee on Accreditation of Medical Transport Syste ms Safety Cost “Blinded” pilot . Helicopter Transport . The Air Medical Crew
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Air Medical Transport Tintinalli Chapter 3
Helicopter Transport • Helicopter EMS • Governed by FAA • Industry lead Committee on Accreditation of Medical Transport Systems • Safety • Cost • “Blinded” pilot
Helicopter Transport • The Air Medical Crew • Multiple configurations of nurses, paramedics, physicians, and respiratory therapists • Most non-physician crews have extended scope of practice
Helicopter Transport • Environmental Factors • For the patient • Annals of Emergency Medicine, Volume 56, Issue 2 , Pages 89-93.e1, August 2010. Endotracheal Tube Intracuff Pressure During Helicopter Transport • For the crew
Clinical Use of Helicopters • Logistics and Utilization • Use in Trauma • Use in Non-Trauma • Cost and Reimbursement
Fixed Wing Air Medical Transport • Can travel faster and further, generally preferred when distances are grater than 150 miles • Per mile, significantly less expensive than helicopter transport Cannot make on scene flights Physiology issues when flying under pressure
Medical Direction • Flight crews are often far from home base • Expanded scope • Must be sufficiently trained and act independently • More complicated because it involves most aspects of ground EMS • +Vehicle Specific • +Altitude related • +Acuity related