Presentation on theme: "Baptist LifeFlight. History of Aeromedicine Began With Korean War Evolution Continued Into Vietnam War Vietnam Became Origin of Modern Day Paramedics."— Presentation transcript:
History of Aeromedicine Began With Korean War Evolution Continued Into Vietnam War Vietnam Became Origin of Modern Day Paramedics
Civilian Use Begins Flight For Life Began Operations In 1972 Baptist LifeFlight Began Operations In rd Oldest Flight Program In U.S.
Baptist LifeFlight Serving Community For 31 Years Oldest Flight Program In Florida #1 In Nation In Customer Satisfaction Baptist Hospital In Top 100 Places To Work In U.S. By Fortune Magazine For Past 7 Years
Baptist LifeFlight Now With Four Locations To Better Serve The Community All Helicopters Dispatched From One Local Communications Center One Call Will Access The Closest Aircraft
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 Treatment –Specialty Care May Be Needed
Indications - Trauma State Trauma Alert Criteria ACS Guidelines –GCS Less Than 10 OR A Falling Score –Penetrating Injuries –Depressed Skull Fractures –Suspected Cardiac Or Intrathoracic Injuries –Patients At Extremes Of Age –Accident Mechanism
Indications - Trauma Prolonged Extrication Traffic Congestion Overwhelmed Local Resources Environmental Roadblocks No ALS Care Available
Indications - Medical Chest Pain/ AMI Breathing Difficulty Suspected CVA Poisonings/ Overdoses
Crew Configuration Medical Crew Consists of Paramedic and Registered Nurse Paramedics Come From High Volume EMS Systems and Fire Departments Nurses Have Background in Both ICU and Emergency Department Both Crewmembers Undergo Further Training With Medical Control MDs
Specialized Training ACLS, PALS, BTLS Crew Resource Management HUET training Advanced Procedures –Central Line Placement –Rapid Sequence Induction –Needle Thoracostomy –Pericardiocentesis
LifeFlight 1 -Based at Baptist Hospital in Pensacola, FL
LifeFlight 2 -Based at EMS 20 Station in Semmes, AL
LifeFlight 3 -Based at Evergreen Medical Center in Evergreen, AL
LifeFlight 4 Based at Bobby Chain Airport in Hattiesburg, MS
Latest Aviation Technology
Experience Counts! Pilots Have An Average Of 3000 Flight Hours Before Being Hired Pilots Receive Specialized Training –Certified In Aircraft Type –Specially Trained For Non-Certified Landing Zones –NVG Certified
Night Vision Goggles
Night Vision Goggles (NVGs) Recommended By AAMS, NTSB, And The FAA To Prevent Incidents/accidents Dramatically Improves Ability To See In No Or Low Light Conditions LifeFlight Is The Only Program On The Gulf Coast Using NVGs
Night Vision Goggles Amplify Available Light Up To 40,000 Times Exterior Lights (Night Sun, Exterior Lights, etc) can enhance NVG effectiveness NVGs Allow Brighter Cockpit Lighting $100,000 Investment Per Ship
Cigarette Lighter 1000ft AGL
Cell Phone Light 2km
Commitment To Safety All LifeFlight Aircraft Have Excellent Safety Record NVGs Add To Safety For Night Ops Satellite Tracking Systems On All Aircraft Expanded Operational Control
One Call Does It All! Auto-Launch Vs Standby Location With Crossroad Landing Zone Contact Hazards in Landing Zone Area
Special Considerations Haz-Mat Multiple Patients Scene Security Patient Size Family Members
OK, We Called But You Didnt Come!
Reasons We Cant Be There When You Call Weather –Here, There, In Between Maintenance –Scheduled –Unscheduled On Another Flight
Landing Zone Preparation (S) Size of Landing Zone: 100 X 100 (L) Landing Area: Mark With Cones During Day And Lights At Night (O) Obstacles: Poles, Wires, Trees, Etc. (W) Winds: Current Wind Direction
Landings Helicopter Landings Generate High Winds Have All LZ Crew Face Away From LZ or Have Eye Protection Close All Doors And Windows Secure All Loose Objects
Landings (Cont.) Stop All Radio Traffic Including Emergency Vehicles All White Lights Off Wet Down Dirty or Sandy Areas No Radio Traffic Other Than LZ Officer To Aircraft If Unsafe, Call Abort And Wave Off
Roadway Landings If Using Roadway For LZ, Be Sure Traffic Flow Is Blocked In All Directions Use Apparatus To Block Roads Constantly Monitor Motorists For Unexpected Actions Watch For Bystanders
Staging Apparatus LifeFlight Recommends Positioning Fire Apparatus Near LZ And Keeping Firefighters On The Protected Side Of The Apparatus While Aircraft Is Landing This Practice Provides Greater Margin Of Safety Than Having Unprotected Personnel At The End Of Charged Line During Landings
Ground Operations LZ Officer To Remain In LZ For Security Tail Rotor Guard For Hot Loads Only Emergency Personnel Allowed Inside LZ Scene Control Is Critical!!!
Security and Crowd Control Keep Bystanders Over 200 From LZ And Helicopter Keep Non-Essential Personnel Out Of Approach And Departure Paths Ensure No Smoking Or Hazardous Activity Within 200
Protect Your Patient Remain In Safe Area –Report And Assessment In Ambulance If Possible –Protect Patient From Flying Debris If Outside
Crew Assistance Protective Clothing And Eye Protection Flight Crew Will Request Specific Responders For Assistance Do Not Approach Aircraft Unless Directed By Flight Crew
Always Avoid the Tail Rotor!!
Hot & Cold Loads Hot –Engines Running –Hearing And Eye Protection Necessary –Preferred When Patient Is Readily Accessible Cold –Aircraft Shut Down –Used When Access To Patient Is Delayed DONT APPROACH AIRCRAFT UNTIL CREW SIGNALS!!
When Were Gone Please Maintain Integrity Of The LZ For Several Minutes After Departure In An Unforeseen Emergency, We Will Return To The LZ
Summary Turn On Vehicle Lights No Flares Turn Off White Lights For Landings And Takeoffs No Spotlights Aimed At Aircraft No Hand Signals Necessary LZ Officer Has Overall Authority For LZ