2Welcome to Vanderbilt LifeFlight Thank you for applying to the Vanderbilt LifeFlight Ride-Along program. We are excited to have your participation. The LifeFlight Ride-Along Program is designed to allow direct visualization of patient care in the field, as well as, provide exposure to appropriate flight criteria, and safe helicopter operations.
3This presentation will offer an overview of the Vanderbilt LifeFlight Program, as well as preview essential safety information for candidates participating in the Ride-Along program. After completing this presentation, please complete the attached questionnaire and present it to the flight crew on duty the day of your Ride-Along.
4VANDERBILT LIFEFLIGHT OVERVIEW Vanderbilt LifeFlight is the critical care air medical transport service for Vanderbilt University Medical Center (VUMC). VUMC is the 6th largest level I trauma center in the nation, with a service area of approximately 65,000 square miles. Vanderbilt Life Flight completes over 2900 patient transports a year.
5VANDERBILT LIFEFLIGHT OVERVIEW In supporting Vanderbilt University Medical Center, Vanderbilt LifeFlight utilizes five helicopters, a KA-200 fixed wing aircraft, and a Lear jet. Our aircraft are strategically placed in Nashville, Lebanon, Tullahoma, Clarksville, and Mount Pleasant. This placement allows rapid access to definitive care for all of middle Tennessee, southern Kentucky, and northern Alabama.
7Vanderbilt LifeFlight Base Locations and Service Area
8Vanderbilt LifeFlight Overview As illustrated on the previous slide, LifeFlight helicopters serve the area within the 130 mile radius around Nashville. The addition of our fixed wing aircraft allows us to now conduct international patient transports. Vanderbilt LifeFlight has completed patient transports to locations as far away as Cairo, Egypt and Mexico City, Mexico.
10The LifeFlight Commitment to Safety The number one focus of Vanderbilt LifeFlight is safety. Our safety highlights include:Over 25,000 accident free patient transports completed since the program’s inception in 1984.Vanderbilt LifeFlight operates solely in dual engine aircraftOur pilots average over 5,000 hours of flight experienceThe first CAMTS (Commission of Air Medical Transport Services) accredited air medical transport provider based in Tennessee
11The LifeFlight Commitment to Safety Safety Highlights continued:LifeFlight can safely respond to transport requests under poor weather conditions. Global positioning systems (GPS) allow direct routing during poor weather situations which will minimize flight delays. LifeFlight is the only air medical transport service in Middle TN utilizing this technology.LifeFlight components/medical equipment installations meet or exceed FAA requirements.
12Quality Patient CareLifeFlight medical crew members receive competency based training in all areas of care including:Adult and Pediatric EmergenciesCardiac EmergenciesNeurological EmergenciesTrauma and Burn EmergenciesRespiratory EmergenciesObstetrical Emergencies
13Clinical CompetenceLifeFlight crewmembers are trained to perform life-saving skills that would normally only be available in an emergency department. These skills include:Chest tube insertionFemoral venous accessPericardiocentesisVanderbilt LifeFlight also carries two units of blood on every helicopter. This allows initiation of blood transfusions in flight. Blood transfusion is another treatment that is normally unavailable in the pre-hospital setting.
14Clinical CompetenceAdditionally, Vanderbilt LifeFlight medical crew members receive extensive training in difficult airway management. Advanced airway skills include: RSI intubation, needle cricothyroidotomy, and surgical cricothyroidotomy
15Clinical CompetenceMany continuing education and continuous quality improvement activities are mandatory for medical crew members. Some of these activities include:Monthly chart review meetings with attending emergency, trauma, anesthesia, and pediatric physiciansBi-annual skills labsDocumentation of skills competencies
16Community OutreachCommunity outreach and education is another primary mission of Vanderbilt LifeFlight. We routinely fly in for various local community events such as safety fairs, conferences, or other educational events.
17Community Education Vanderbilt LifeFlight offers multiple educational opportunities for health care providers within our service area. Some of the classes provided include:TNCCENPCNRPBTLSAMLSAdvanced Skills LabPediatric BTLS
18Community EducationEMS Night Out (ENO) is an additional educational opportunity provided by Vanderbilt LifeFlight. ENO attendees may earn CEU’s by participating in two 45 minute lectures on various topics. The lectures are separated by a dinner break, where food is provided. ENO is open to everyone and admission is free.
19Please visit our website for more information about Vanderbilt LifeFlight.
20Passenger Safety Briefing Let us again welcome you to Vanderbilt LifeFlight. We are pleased to have your participation in the Ride-Along program. The goal is for every Ride-Along participant to have a positive and exciting educational experience. Our first, and most important, priority in creating a positive experience is ensuring your personal safety. The following portion of this presentation will focus on aviation and scene safety.
21Passenger Safety Briefing A Vanderbilt LifeFlight crew will typically consist of a pilot and two flight nurses. Please strictly adhere to any instructions from crew members, as all direction will be given with your best interest in mind. The pilot will be the ultimate authority at all times.
22Approaching the Aircraft Please do not approach a running aircraft unless accompanied by a LifeFlight crew member. These diagrams indicate the proper areas from which the aircraft may be approached. As a Ride-Along participant, you will not typically enter the “Caution Area”. You should NEVER enter the “Danger Area”.
23Approaching the Aircraft The main rotor system may flex, or bend down, when the aircraft engines are running at less than full idle. In some helicopters, this can greatly reduce the height clearance when approaching an aircraft. Never travel underneath the main rotor system unless the aircraft is at full idle, or completely shut down.
24Approaching the Aircraft Patients are loaded using the rear clam shell doors. Since this requires emergency personnel to enter the CAUTION area, you will see the pilot station himself between the tail rotor and the rear doors. His job is to prevent someone from inadvertently backing into the tail rotor. This is what we refer to as performing “tail watch”, and is well illustrated in the photo on the right.
25Approaching the Aircraft Participating as a ride-along may provide some exciting circumstances. However, regardless of the emotional gravity of any situation, please maintain your situational awareness, and be mindful of the rotor systems at all times. One small mistake can have catastrophic consequences.
26Types of LifeFlight Helicopters You will be flying in one of two types of helicopters, either the EC-145 or the BK While these aircraft are very similar, there are subtle differences between the two. This presentation will also preview some of the important differences you will need to be familiar with.
27EC-145The exterior doors of the EC-145 are shown, closed and secured, in the upper photo. Note the handles are in the vertical (locked) position. Twist the handles, as shown below, to unlock and open the doors
28EC-145The interior door handles of the EC-145 are pictured to the right. The upper photo shows the handle in the vertical (locked) position. To open the door, simply lift the handle up, as illustrated in the lower picture.
29EC-145In an emergency situation, the windows on the rear compartment doors may be removed. The red tabs highlighted in the photos are located on both the interior, and exterior portions of the doors. Remove and pull a red tab to disrupt the window seal. This will allow for easy separation and removal of the window
30EC-145In the EC-145, fire extinguishers are located in both the forward and rear compartments. The rear extinguisher is located next to the rear clamshell doors (pictured above). The forward extinguisher is located between the two seats (pictured below).
31EC-145This picture illustrates proper operation of the EC-145 seatbelts. Seatbelts must be worn at all times.
32EC-145To ensure optimal seatbelt performance, the belt should be snuggly seated low across the pelvis. The top picture shows a properly donned seatbelt. While the lower picture has the seatbelt situated too high, and too loose.
35BK-117The front and rear compartment door handles of the BK-117 are pictured in the opposite photo. The handles are in the closed and secure position. To unlock and open these doors, twist the handles in the directions indicated by the arrows.
36BK-117The interior door handles for the BK-117 are pictured below. The forward compartment handle is on the left, and the rear compartment handle is on the right. Turn the handles as the arrows indicate to open the doors.
37BK-117On the BK-117, the doors may be jettisoned after an emergency landing. The door jettison triggers are pictured below. Pull the jettison trigger to detach a door.
38BK-117Fire extinguishers are located in both the front and rear compartments on the BK In the front compartment, the extinguisher is located between the seats. The rear compartment extinguisher is mounted on the wall between the bench seat and the door.
39BK-117Pictured on the right is a BK-117 seatbelt. These belts act in a fashion similar to the EC-145 seatbelts, and operate as illustrated. Again, seatbelts must be worn at all times during aircraft operation.FASTENUNFASTEN
41Aircraft Door Operations LifeFlight crew members will typically handle the operation of the aircraft doors. Only in the event of an emergency aircraft evacuation would non-LifeFlight personnel be expected to open or close aircraft doors.
42Emergency EvacuationAlthough emergency landings/evacuations are uncommon, and highly unlikely. The FAA requires ALL passenger carrying aircraft to include emergency evacuation procedures in their passenger briefings. In the event of an emergency landing, please remember the following steps.Stay CalmCheck that seatbelt and helmet straps are securely fastenedAfter aircraft stops, exit aircraft using doors if possible. Exit via windows if unable to open doors.Be mindful that rotors have stopped turning before exiting.Crew members will rendezvous, at a safe distance away, directly off the nose of the aircraft, in the 12 o’clock position.
43In-Aircraft Communications On the day of your Ride-Along, you will be given a helmet similar to the one pictured here. This helmet has a microphone, and will plug into the aircraft intercom systems. This allows you to effectively communicate with the crew members.
44In-Aircraft Communications Your helmet cord will plug into an intercom box. There is one box for each seat in the aircraft. The bottom picture shows the box, and how the helmet cord should be inserted.
45In-Aircraft Communications The illustration below describes the controls on the intercom box.InterCom Talk Switch.The volume button may be rotated clockwise, or counter-clockwise, to appropriately adjust the intercom volumeRadio Transmit ButtonHelmet plug -in
46In-Aircraft Communications Depending on which aircraft you are in, the intercom talk switch operates in one of two ways. In the EC-145, slide the switch as indicated in this photo. This switch should lock in the “on” position. Then simply speak into the helmet microphone to talk.EC- 145
47In-Aircraft Communications In the BK-117, slide and hold the intercom talk switch, as indicated in the photo, to talk on the intercom system. When you are finished talking, release the switch, and it will return to the neutral position. Do not lock the switch in the “on” position, as in the EC-145.BK-117
48In-Aircraft Communications The radio transmit button is used to send communications outside the aircraft (i.e. patient report to the emergency department, or communications with flight comm). With the exception of an emergency situation, ride-along participants would not need to use the radio transmit button.
49In-Aircraft Communications During takeoffs and landings, aircraft occupants will observe what is known as “sterile cockpit”. In our environment, sterile cockpit refers to the elimination of all conversation that is not directly related to aviation safety and/or the aircraft maneuver taking place.
50Key Points For Review Safety is always the #1 priority Strictly adhere to any crew instructionsMaintain situational awareness at all times.Never approach a running aircraft unless accompanied, or directed, by a crew memberBe mindful of the CAUTION and DANGER areas when around the aircraft. STAY AWAY FROM THE TAILROTOR.
51Key Points For ReviewFamiliarize yourself with door and seatbelt operationTo ensure optimal seatbelt function, seatbelts should be worn snug and low around the hips.Familiarize yourself with the fire extinguisher locations
52Key Points For Review Remember emergency evacuation procedures LifeFlight crew members will typically handle all door operationFamiliarize yourself with the intercom system box operationRemember Sterile Cockpit
53Passenger Safety Briefing This concludes the Ride-Along safety briefing. The presentation was designed to cover the FAA minimum of information to be included in the passenger safety briefing. Please expect a more thorough briefing after you arrive on the day of your Ride-Along. Review this presentation until you feel comfortable with the information contained. Then complete the attached Ride-Along quiz, correctly answering all questions. Please present your completed quiz to the on-duty crew the day of your Ride-Along. We look forward to seeing you!