EMTprep Free Training Materials


What are some advantages to using air medical transport?

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Some advantages to using air medical transport include access to specialized equipment, higher level of care with greater scope of practice, able to get some areas that ground vehicles have difficulty accessing, shorter transport time.

When would air medical transport be preferable over ground transport?

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Air transport is preferable if it will save greater than 20 minutes of transport time in a critical patient, if they have capabilities that the patient needs that you are unable to provide, or if the patient would benefit from a specialty center that is too far away to transport by ground in a reasonable amount of time.

What types of air medical transport are available?

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Air medical transport can include airplanes or helicopters. The type used when transporting from the field is typically a helicopter because they can land on grass, but if the patient is going from one hospital to another or if the scene is close to an airport then they may go by airplane. This would be arranged between dispatch and the flight company if it for a scene call, or between the hospital and the flight company if it an inter-facility.

How do you approach a helicopter?

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When you approach a helicopter you always wait for the crew to make eye contact and wave you in, then you approach from the side, and always on the downhill side so that you do not get caught in the rotors. Do not ever approach an aircraft until instructed to do so by the crew.

What do you look for in a landing zone?

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When trying to find a landing zone you want to find a place that is flat, without obstructions including trees, power lines, or buildings within 100 feet, and nothing on the ground that could be kicked up by the rotor wash.

How do you prepare a landing zone?

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When you are preparing a landing zone you want to put cones/flashlights and secure them at each of the four corners or park a vehicle at each corner to mark the boundaries of the landing zone so it is easily identifiable from the air. You also want to secure any loose articles or objects in the area so that they do not get blown around in the rotor wash.

What are some limitations of air transport?

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You may not be able to use air transport if it is raining, snowing, or otherwise bad weather that would be dangerous to fly in, or if you have an extremely large patient as there is not much space in the aircraft and there are weight limits.

How do you communicate with the air transport?

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When you are communicating with the pilot it is important to establish a different frequency than the one the call is being run on, and only one person should use that frequency to communicate with the pilot to minimize air traffic or confusion. The pilot is in charge of landing and if they are unsure of where the zone is, or they see a hazard, or they are otherwise unhappy with the conditions or landing zone then they will call it off, and you can attempt to fix the problem.

What protective equipment do you need if you are working at the landing zone?

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If you are at the landing zone you should have on a helmet, eye protection, and reflective equipment.

How do you package a patient to get transported by air transport?

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All clothing on the patient should be secured so that it doesn’t blow around, all wounds should be covered to prevent debris from getting in them, and they should have their eyes