Caring for Your Medical Flight Crew

You may be surprised to read the headline. Aren’t medical flight crews supposed to provide care and not the other way round? If you’re running an air ambulance operation, caring for the physical and emotional well-being of your in-flight crew is a crucial part of running an effective operation. Because overworked, overstressed, and overtired crew members could potentially risk the safety of their patients and fellow crew members.

Providing Emotional Care to Your Crew

You may already have programs set up for employee assistance and critical stress debriefing. These programs can help in providing essential emotional support to your employees in their hour of need. At the same time, they may not be able to realize when they should sign up for these programs unless you make them mandatory.

These programs are especially necessary when a medical flight paramedic or doctor goes through an unexpected clinical event. Such incidents can put them at risk of becoming “second victims”. Make sure your crew members go through a mandatory emotional support and debriefing program after going through the following:

  • First patient death on their watch
  • Caring for pediatric patients
  • Unexpected death of a patient
  • Caring for a patient that they personally know
  • Experiencing multiple bad outcomes

Promoting Emotional Health and Support for Medical Flight Crews

As an air ambulance operator, you need to be aware of the fact that your employees will be experiencing high levels of physical and emotional stress. In addition to promoting healthy lifestyle, you should take care to promote emotional support among your employees. Take them through regular training and counseling sessions so as to raise awareness about emotional and mental issues.

This could potentially help them in identifying any problematic behavior in their colleagues. This could then lead to timely intervention. So promoting peer support and early intervention could seriously make an impact on the health and wellness of your employees.

Why Higher Education could Make You a Better Air Ambulance Service Paramedic

An associate degree or a certificate with the relevant certification and training is usually enough for a person to qualify as an air ambulance paramedic. And people who do hold this position are highly-trained and professional. They have the expertise and the knowledge required to carry out their duties. But having a higher education is ideal to secure your job as a paramedic for an air ambulance service.

Benefits of Higher Education to Work for an Air Ambulance Service

There are many air ambulance paramedics out there who are perfectly capable of carrying out their duties despite only fulfilling the minimum education requirement. However, a higher education is ideal to better perform your duties because of the following reasons:

  • Better comprehension – In your training to become an air ambulance paramedic, you will be covering plenty of text books and course books to help you learn the basics. And when you have a higher degree, there’s a better chance of you understanding what these books are saying. Although most paramedic students will be able to read the books, students who have a low grade level reading skill might find it more challenging to comprehend the study course.
  • Better ability to make rational decision – Being a paramedic for an air ambulance service requires rational thinking, which will lead to rational decision making. For this, you need to train your brain to logically work through difficult situations and problems.

    Courses in math and accounting can help with this and if you have a higher education, it’s likely that you would have gotten through such courses. So you will be able to easily make accurate drug calculations, time and distance calculations, etc.

  • Better ability to handle complexities in paramedicine – A higher education also improves your chances of understanding changes and revolutions in paramedicine. It could help you gain a better understanding of complex pathophysiology, anatomy, and physiology.

Uses of Pre-Hospital Ultrasound for Medical Flight Paramedics

As a medical flight paramedic, you would understand that many patients could have been saved if only you had the right equipment. Many air ambulance planes operate on charity and may not have sufficient equipment aside from the basics. If air ambulance operators can afford to supply their aircrafts with high-tech devices, however, portable ultrasounds are a crucial addition.

Importance of Portable Ultrasounds on Medical Flight Aircrafts

If your air ambulance aircraft is equipped with a portable ultrasound, here are some of the ways you can make use of it:

  • Identifying OB emergencies – Pre-hospital ultrasound can be used to identify emergency cases like placenta abruption and ectopic pregnancy with around 95% accuracy.
  • Confirming airway placement – A portable ultrasound can help you confirm the correct placement of endotracheal tube for airway management. Using this device, you will have better accuracy in differentiating main tracheal intubation from right mainstream intubation.
  • Identifying dyspnea causes – With the help of a field ultrasound device, you can more accurately determine the cause of acute dyspnea. You will have a better idea whether it was caused by chronic obstructive pulmonary disease or pulmonary edema.
  • Better evaluation of cardiac motion – Medical flight paramedics strive to safely deliver patients to the appropriate medical facility. But in many cases, lack of equipment may prevent you from thoroughly evaluating cardiac motion. This may result in incorrect pre-hospital treatment procedures.

    But with a field ultrasound, you should be able to have better accuracy in evaluating cardiac motion. This can help you with correct diagnosis and treatment procedures, increasing the survival to hospital admission.

  • Diagnosing strokes – An ultrasonic device can also help you accurately diagnose time-sensitive conditions like strokes. Timely stroke diagnosis can also ensure the transportation of the patient to the appropriate stroke center for specialized treatment.

What Medical Flight Paramedics should Know about Seizures and Respiratory Issues

As a medical flight paramedic, you will come across different situations and patients with various conditions. You might even come across patients undergoing a seizure, in which case you will need to carry out immediate and correct intervention to improve the patient outcome. Many seizure patients will even encounter respiratory issues, making the situation even more critical. This post will help you find out some useful facts about seizures and the accompanying respiratory issues.

Assessment Process for Seizure Patients

Seizures often last for only a few minutes and by the time you arrive on scene, the patient might be unconscious or in a postictal phase. But sometimes, seizures may last more than 20 minutes or even recur before the patient becomes conscious again. These cases are life-threatening and are known as status epilepticus.

Medical flight paramedics should carry out the following assessment steps for seizure patients:

  • Determine the duration of the seizure and how many seizures they have had
  • Determine whether or not the patient had regained consciousness after each seizure
  • Try to determine the underlying cause of the seizure – any medical condition, injury, or trauma that could result in it
  • Enquire about any complaints the patient had before the seizure

Airway Management Tips for Medical Flight Paramedics

When carrying out airway management for seizure patients, protecting the upper airway is crucial. You will also need to administer high-flow oxygen and ensure proper ventilation. In case a patient is still seizing or positical, you need to use a non-rebreather mask to administer oxygen and set it at 12-15 liters per minute.

Additionally, stopping the seizure is crucial to ensure proper airway management. So if the patient is still actively seizing you might need to consider administering anti-seizure medication because seizures that last more than 5 minutes might not stop unless you intervene.