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Life Flight Network

Life Flight Network. Presentation to Latah County Emergency Management. Dominic Pomponio RN, CCRN, CEN, CFRN, NREMT-I Base Manager, Life Flight 79 Lewiston, ID. Agenda. Overview of Life Flight Network Ownership and History Service Area Crew Configuration

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Life Flight Network

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  1. Life Flight Network Presentation to Latah County Emergency Management Dominic Pomponio RN, CCRN, CEN, CFRN, NREMT-I Base Manager, Life Flight 79 Lewiston, ID

  2. Agenda • Overview of Life Flight Network • Ownership and History • Service Area • Crew Configuration • Activation and Air Medical Necessity • Time Sensitive Illness’ • Membership • Landing Zone Safety • Outreach, Education, and Training

  3. Hospital Consortium

  4. History • Founded 1978 as Emanuel Life Flight • Became hospital/community hybrid in 2007 • Expansion to Eugene and Dallesport in Spring 2008 • Expansion to Longview in Fall 2008 • Merge with St. Alphonsus Life Flight in Fall 2009 • 2009 Air Medical Program of the Year

  5. Service Area

  6. Flight Crew Information Safety is our #1 priority! • Pilot • Flight Nurse • Certified • PALS, BLS, ACLS, NRP, PHTLS, TNATC • Advanced skills training – chest tubes, emergent cricothyrotomy • Flight Paramedic • Field EMS Training • NREMT-P • PALS, BLS, ACLS, NRP, PHTLS • BLOOD

  7. Clinical Operations We carry a full complement of Critical Care and Emergency medications

  8. Clinical Operations LTV 1200 Ventilator

  9. Clinical Operations 2 units of O-Negative PRBCs

  10. Activation

  11. General CriteriaPosition Papers from AAMS and NAEMSP Patient requires critical care life support Patient requires short out of hospital time High potential for delays with ground transport Remote area inaccessible to regular ground traffic Patient requires specific or timely treatment not available at the referring hospital or facility. Patient’s clinical condition is familiar to receiving hospital’s physicians Use of local ground transport team would leave the local area without adequate EMS coverage.

  12. Air Medical Necessity Guidelines TRAUMA NON-TRAUMA Any patient airway that cannot be maintained Cardiac disease with progressive deterioration Unstable cardiac patients Severe or acute neurological illness Toxic exposure or electrolyte disturbances Unstable vascular emergency Critically ill obstetric patients Critically ill pediatric/neonatal patients Transplant patients SICK patient • Head and/or spine injuries • Significant penetrating injury above mid-thigh, in torso, or head • Chest injuries • Unstable vital signs • Burns >10% BSA or major burns • Major electrical/chemical burns • Amputation or near-amputation • 2 or more long bone fractures or major pelvic fracture • Scalping or degloving injury • Significant mechanism of injury

  13. STEMI Transfer Coordination • Early Activation • Call Life Flight First • Medications/interventions may be started by Flight Crew if time does not allow • You may activate without accepting MD/Facility • Door to balloon in less than 90 minutes • Life Flight can be at your facility within minutes

  14. Membership Insurance • Membership • $60/year covers entire family • Guarantees patient will have no out of pocket expense if flown by Life Flight Network or one of our reciprocal partners (NW. Medstar or Airlift NW) • Life Flight Network has agreements with NW Medstar and others to honor memberships

  15. Landing Zone Education Life Flight Instructional DVD Selection and preparation Helicopter safety Preapproved landing zones

  16. Outreach, Education, and Training • ACLS, BLS, PHTLS classes • Mock MCI Drills and Mock STEMI Transports • Inservices • Conferences and Public Education events • Community Events • Ride-along program • Pediatric simulation event

  17. Aviation Services • Rotorcraft aviation services provided by Air Methods Corporation • AMC provides the aircraft, pilots, mechanics • AMC holds FAA Part 135 Certificate

  18. Aviation Services • Eurocopter A-Star AS350 B3 • Eurocopter EC135

  19. Aviation Services • Fixed wing operations by Aero Air, LLC and Conyan Aviation, Inc. • Both operators supply aircraft, pilots, and mechanics • Both hold FAA Part 135 Certificates

  20. Aviation Services • Aero Air operates a twin- engine turbo prop Commander • Conyan Aviation operates a twin-engine turbo prop Cheyenne III

  21. Summary (or what I want you to remember) • Air medical transport can make a significant difference in out of hospital time. • Early activation and cut down on potential delays. • Helicopters are not just for traumas. • We love a good collaboration! • BLOOD!

  22. Questions?

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