2 History of Aeromedicine Began With Korean WarEvolution Continued Into Vietnam WarVietnam Became Origin of Modern Day ParamedicsWith the Huey, there was a larger aircraft used with medically trained personnel on board providing care en route to field hospitals. This data was evaluated and the concept was adopted for civilian use.
3 Civilian Use Begins Flight For Life Began Operations In 1972 Baptist LifeFlight Began Operations In 19773rd Oldest Flight Program In U.S.Remind audience that we’re the 3rd oldest hospital based air medical service in the U.S. and the first in Florida
4 Baptist LifeFlight Serving Community For 31 Years Oldest Flight Program In Florida#1 In Nation In Customer SatisfactionBaptist Hospital In Top 100 Places To Work In U.S. By Fortune Magazine For Past 7 Years
5 Baptist LifeFlightNow With Four Locations To Better Serve The CommunityAll Helicopters Dispatched From One Local Communications CenterOne Call Will Access The Closest AircraftCall us and we’ll send you however many helis you need.
6 Why Use A Helicopter? Rapid Transport The Golden Hour Definitive Care Is In the O.R.The Nearest Hospital May Not Be Prepared For This Level Of TreatmentSpecialty Care May Be NeededDiscuss how the golden hour originated with trauma but has been adopted by other branches of medicine (cardiology, neurology, etc.)The benefit of LifeFlight is that we get the patient to the closest doctor that can fix their problem faster, not just the closest doctor.
7 Indications - Trauma State Trauma Alert Criteria ACS Guidelines GCS Less Than 10 OR A Falling ScorePenetrating InjuriesDepressed Skull FracturesSuspected Cardiac Or Intrathoracic InjuriesPatients At Extremes Of AgeAccident Mechanism
8 Indications - Trauma Prolonged Extrication Traffic Congestion Overwhelmed Local ResourcesEnvironmental RoadblocksNo ALS Care Available
9 Indications - Medical Chest Pain/ AMI Breathing Difficulty Suspected CVAPoisonings/ OverdosesRemind them that it’s a good idea to call us for medical patients.Many times we don’t get a call because people think that patients “aren’t sick enough”.
10 Crew ConfigurationMedical Crew Consists of Paramedic and Registered NurseParamedics Come From High Volume EMS Systems and Fire DepartmentsNurses Have Background in Both ICU and Emergency DepartmentBoth Crewmembers Undergo Further Training With Medical Control MDsNurses and paramedics need 3 years minimum. Nurses have to have one year each of ER and ICU experience, and must also be an EMT at minimum.
11 Specialized Training ACLS, PALS, BTLS Crew Resource Management HUET trainingAdvanced ProceduresCentral Line PlacementRapid Sequence InductionNeedle ThoracostomyPericardiocentesisStress that our advanced skills aren’t used on every patient, and that our main asset to the caller is the speed with which we transport the patient.
12 LifeFlight 1Based at Baptist Hospital in Pensacola, FL
13 LifeFlight 2Based atEMS 20 Stationin Semmes, AL
14 LifeFlight 3-Based at Evergreen Medical Center in Evergreen, AL
15 LifeFlight 4Based at Bobby Chain Airport in Hattiesburg, MS
17 Experience Counts!Pilots Have An Average Of 3000 Flight Hours Before Being HiredPilots Receive Specialized TrainingCertified In Aircraft TypeSpecially Trained For Non-Certified Landing ZonesNVG CertifiedWe don’t often land at airports. We land in yards, roads, etc, and our pilots get training in landing in those areas.
19 Night Vision Goggles (NVGs) Recommended By AAMS, NTSB, And The FAA To Prevent Incidents/accidentsDramatically Improves Ability To See In No Or Low Light ConditionsLifeFlight Is The Only Program On The Gulf Coast Using NVGs
20 Night Vision Goggles Amplify Available Light Up To 40,000 Times Exterior Lights (Night Sun, Exterior Lights, etc) can enhance NVG effectivenessNVGs Allow Brighter Cockpit Lighting$100,000 Investment Per Ship
27 Commitment To SafetyAll LifeFlight Aircraft Have Excellent Safety RecordNVGs Add To Safety For Night OpsSatellite Tracking Systems On All AircraftExpanded Operational Control
28 1-800-874-1555 One Call Does It All! Auto-Launch Vs Standby Location With CrossroadLanding Zone ContactHazards in Landing Zone AreaWe’ll stand by, but we’d rather be launched. We’d rather be cancelled over a scene and not needed than have a requestor hold off on calling us because they didn’t want to “bother the crew” and then need us when they arrive on scene.
29 Special Considerations Haz-MatMultiple PatientsScene SecurityPatient SizeFamily Members
31 Reasons We Can’t Be There When You Call WeatherHere, There, In BetweenMaintenanceScheduledUnscheduledOn Another FlightWe ask the pilot if we can go, and he makes a determination based on weather at requestor, weather at heli base, and the weather in between. Pilot isn’t told what type of mission until we say yes or no. We’ll have a backup in place for maintenance before we take an aircraft out of service for scheduled maintenance. If something breaks, we fix it as soon as possible. If we can’t fix it in a day, we get a backup aircraft.
32 Landing Zone Preparation (S) Size of Landing Zone: 100 X 100(L) Landing Area: Mark With ConesDuring Day And Lights At Night(O) Obstacles: Poles, Wires, Trees, Etc.(W) Winds: Current Wind DirectionLanding area- We can always see a fire apparatus. If they use that to mark the LZ, that’s fine. Obstacles- stress the unlit cell towers and high tension lines. Tell them we’re looking for them to warn us of obstacle within a half mile radius of where we’re landing
33 Landings Helicopter Landings Generate High Winds Have All LZ Crew Face Away From LZ or Have Eye ProtectionClose All Doors And WindowsSecure All Loose ObjectsEncourage crews to wear safety glasses. The lowered shield on a fire helmet still allows for dirt to blow into the responders’ eyes.
34 Landings (Cont.) Stop All Radio Traffic Including Emergency Vehicles All White Lights OffWet Down Dirty or Sandy AreasNo Radio Traffic Other Than LZ Officer To AircraftIf Unsafe, Call “Abort” And Wave OffWhite lights- hand lights, headlights, floodlights on fire apparatus. Don’t aim these at aircraft, and don’t use flash photography at night.
35 Roadway LandingsIf Using Roadway For LZ, Be Sure Traffic Flow Is Blocked In All DirectionsUse Apparatus To Block RoadsConstantly Monitor Motorists For Unexpected ActionsWatch For Bystanders
36 Staging ApparatusLifeFlight Recommends Positioning Fire Apparatus Near LZ And Keeping Firefighters On The Protected Side Of The Apparatus While Aircraft Is LandingThis Practice Provides Greater Margin Of Safety Than Having Unprotected Personnel At The End Of Charged Line During Landings
37 Ground Operations LZ Officer To Remain In LZ For Security Tail Rotor Guard For Hot LoadsOnly Emergency Personnel Allowed Inside LZScene Control Is Critical!!!If they can spare the manpower, leave the LZ officer to watch for people walking toward the aircraft.
38 Security and Crowd Control Keep Bystanders Over 200’ From LZ And HelicopterKeep Non-Essential Personnel Out Of Approach And Departure PathsEnsure No Smoking Or Hazardous Activity Within 200’
39 Protect Your Patient Remain In Safe Area Report And Assessment In Ambulance If PossibleProtect Patient From Flying Debris If Outside
40 Crew Assistance Protective Clothing And Eye Protection Flight Crew Will Request Specific Responders For AssistanceDo Not Approach Aircraft UnlessDirected By Flight CrewBecause of our stretcher system, we shouldn’t need assistance unless we’re doing a double carry. We’ll point out the people that we need clearly if we need help. Stress that we need to keep the number of people at the aircraft to a minimum.
42 Hot & Cold Loads Hot Engines Running Hearing And Eye Protection NecessaryPreferred When Patient Is Readily AccessibleColdAircraft Shut DownUsed When Access To Patient Is DelayedDON’T APPROACH AIRCRAFT UNTIL CREW SIGNALS!!Many times the LZ officer wants to walk over to the aircraft after we’ve touched down. PLEASE DON’T APPROACH UNLESS WE SIGNAL FOR YOU TO DO SO!! This is safer for everyone involved.
43 When We’re GonePlease Maintain Integrity Of The LZ For Several Minutes After DepartureIn An Unforeseen Emergency, We Will Return To The LZKeep LZ open until you can’t see the aircraft anymore. Once we’re that far away it won’t make sense for us to come back to our departure point. Hold LZ open for a couple of minutes max.
44 Summary Turn On Vehicle Lights No Flares Turn Off White Lights For Landings And TakeoffsNo Spotlights Aimed At AircraftNo Hand Signals NecessaryLZ Officer Has Overall Authority For LZ