Podcast
Questions and Answers
Which condition requires immediate trauma assessment in patients aged 0-9 years?
For patients aged 10-64 years, what is an indicator of life-threatening conditions?
Which symptom signifies the need for ventilatory support in patients aged 10-64 years?
What blood pressure is classified as concerning for patients aged 65 years and older?
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What injury type mandates immediate care due to its severity?
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Which piece of information is NOT required for flight arrangements regarding aeromedical transport?
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What is the minimum perimeter size required for a landing zone during the daytime?
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What is a crucial factor to consider regarding the safety of the landing zone?
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What is the maximum nominal slope that a site should have for a landing zone?
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Which item is necessary to provide to the helicopter dispatcher during a request?
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What should a rescuer do when signaling a helicopter during the day?
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How should the landing area be illuminated during nighttime operations?
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What information regarding patient transport should be provided if special devices or personnel are required?
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Why is it important to describe the landing zone using landmarks rather than street names?
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What is the recommended distance to keep bystanders from the landing area?
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What should be done if traffic is present on a nearby roadway during a landing?
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What is a recommended distance for a landing zone to be from patients to ensure safety?
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In adverse weather conditions, what is the additional perimeter requirement for a landing zone?
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What equipment should be present to ensure safety during helicopter landings?
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What is the significance of having a vehicle with headlights crossing in the center of the landing area?
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What precaution should be taken regarding vehicles around the aircraft?
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What is the primary recommendation regarding patient transport in the NWC EMSS policy?
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Who is responsible for making the decision to use aeromedical transport?
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What should be considered when selecting a helicopter service for transport?
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Under which circumstance might aeromedical transport be justified?
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What does OLMC stand for in the context of aeromedical transport decisions?
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What is the initial procedure for arranging helicopter transport according to the NWC EMSS policy?
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What role does the System Resource hospital play in aeromedical transport decisions?
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What is one potential condition that warrants the use of aeromedical transport according to the policy?
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What is the primary purpose of completing an ePCR after a call?
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How soon should the ePCR be faxed to the receiving hospital after a call?
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What is required from the NCH OLMC after a helicopter request is made?
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What does LEVEL I classification signify in air transport?
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Which role is responsible for overseeing the quality management of all EMS runs using helicopters?
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What document must be forwarded by the NCH OLMC within 24 hours of all helicopter requests?
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What should be done after completing an ePCR in patient care?
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What is the outcome if a helicopter request is denied?
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Study Notes
Policy Overview
- The Use of Aeromedical Transport Vehicles policy encourages ground transport, reinforcing that air transport is a medical decision made by a physician.
- The policy was approved on January 12, 2023, and supersedes an earlier version from July 1, 2014.
Decision-Making Criteria for Aeromedical Transport
- Aeromedical transport should be considered for high acuity patients when speed is critical, particularly for long distances.
- Consultation and approval from the On-Line Medical Control (OLMC) physician at Northwest Community Hospital (NCH) is mandatory for transport arrangements.
Scene Personnel Responsibilities
- Information required by OLMC for flight arrangements includes:
- Agency name, contact person, and call back details.
- Patient count, age, incident type, and acuity.
- Patient condition summary, vital signs, and medical history.
- Care performed prior to transport.
- Detailed landing site location with GPS coordinates if possible.
- Timing for patient pickup and any special transportation requirements.
- Current weather conditions affecting the scene.
Landing Zone Safety
- Landing zone must have a clear area of 100 sq. ft. or 150 sq. ft. in adverse conditions.
- Key safety considerations include clearance from obstacles, proper slope, and safety from rotor winds.
- Mark landing zones appropriately: use hand signals during the day and specific light arrangements at night.
- Emergency vehicles present should have flashing lights; ensure area security to limit bystander access.
Patient Transfer and Quality Improvement
- Complete an electronic Patient Care Report (ePCR) after the call to document the transfer of care.
- All helicopter EMS runs are subject to quality monitoring and review for ongoing improvement.
Emergency Medical System Designations
- GEMS (Ground Emergency Medical Services) and HEMS (Helicopter Emergency Medical Services) are integral to the operations of the aeromedical system.
Helicopter Request Worksheet
- Critical data is compiled for helicopter requests, which include:
- Date and time of request.
- Type of incident and mechanism of injury.
- Level I trauma designations for patients at high risk for severe injury.
- Specific patient criteria for air transport, including age and vital sign thresholds, are detailed for effective triage.
Special Considerations
- Assessments must be made to determine if extrication is required and if specialized skills or equipment are needed on scene.
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Description
This quiz covers the key policies and decision-making criteria for aeromedical transport as outlined in the 2023 guidelines. It emphasizes the importance of physician approval and the responsibilities of scene personnel during transport arrangements. Test your knowledge on the operational standards for high acuity patient transport in emergency situations.