Category Archives: Air Ambulance Guide

The Impact of Obesity on Medical Air Transport Crews

In an era where people are trying to promote self-love, you may notice a lot of people talking about how it’s unnecessary to lose weight. But as an air ambulance paramedic, obesity could have a serious impact on your health and safety. It can’t be considered as just a lifestyle issue but also a safety issue when you have to be a part of a medical air transport crew.

Physical Fitness Crucial for Medical Air Transport Jobs

When you’re obese, you generally move slowly and your physical abilities are impaired to a significant extent. You’re much heavier, which means that you’re going to find it difficult to carry your weight around effortlessly. You may even struggle to perform certain tasks that your co-workers can easily finish. It is no surprise that many air ambulance providers may require that their ambulance paramedics are physically fit to qualify for the job. Due to the fact that the job calls for plenty of physical activity and fast response, it’s crucial that you maintain your physical fitness.

Health Effects of Obesity

So you see that the job calls for medical air transport paramedics to remain fit. But even if the job doesn’t call for it, being fit is significantly healthier than being obese. Obesity leaves you more prone to several health problems such as hypertension, coronary artery disease, and diabetes as well as certain types of cancer. People with obesity are also more prone to suffering from back injuries, which can be a burden.

You probably already know all the negative impacts of obesity, but it’s important to keep reminding yourself about them when you’re surrounded by a culture that’s telling you to “love yourself”. Remember that maintaining an unhealthy body weight is an effective way to love yourself so try to get fit for the sake of your health and your job.

Tips for US Air Ambulance Paramedics to Prevent Infectious Disease Transmission

As a US air ambulance paramedic, it’s your duty to prevent the spread of infectious disease to others. You’re dealing with different kinds of patients on a daily basis, some of who may be suffering from a highly infectious disease. Even if you’re doing what you can to avoid catching the illness, you may still be contributing to the transmission of the disease to other people. In fact, influenza, mumps, measles, etc. have been known to be transmitted through unvaccinated health workers. Plus, such infectious diseases may pose a problem to the healthcare professionals themselves.

Tips for US Air Ambulance Paramedics to Handle Infectious Diseases

The steps you’ve learnt years ago to prevent infectious disease transmission may be out of date. With new diseases being discovered, it’s important that you stay updated with the following latest tips that will help you in preventing the transmission of infectious diseases:

  • Make sure you regularly use personal protective equipment so that you can minimize the exposure to OPIM and blood.
  • Make sure you get your annual vaccinations on time and stay up to date as new transmittable diseases are discovered.
  • Make sure you annually go for your 2-step tuberculosis skin test.
  • Make sure you use disinfection supplies and processes as recommended by the CDC so as to ensure you kill off even the toughest of microorganisms.
  • Come up with a protocol to carry out a routine disinfection of your medical devices and patient care area within the US air ambulance.
  • Make sure you maintain the hand hygiene standards and sanitize your hands multiple times throughout the process of care and patient contact.

These are just a few of the steps you need to carry out in order to prevent the transmission of infectious diseases. Stay updated with latest regulations and standards from the CDC.

Tips for Medical Flight Paramedics to Pack a Wound with Extensive Bleeding

When you are in the air ambulance industry, it is natural that you come across different cases and incidents on a daily basis. You may often have to be part of missions in which the patient has been in a critical accident and is suffering from a serious injury. In such cases, there is a huge chance that they are suffering from a wound that is bleeding heavily. This makes it crucial for you stay updated with tips on how you can pack such wounds and provide better medical flight service and effective care for such patients.

Key Wound-Packing Tips for Medical Flight Paramedics

Take a look at the following useful tips in order to better improve how you pack wounds that are bleeding severely:

  • Direct pressure – Applying direct pressure on the wound is the first step you will need to carry out. You can use a gauze, rag, hand, knee, or whatever is available to stem the flow as you prepare your supplies.
  • Pushing in the wound – Now the next step is to push hard in the wound using your hand or finger so you can stop the bleeding.
  • Proper packing – One of the most crucial steps for medical flight paramedics is to pack gauze (plain or hemostatic) into the wound. Keep doing this until no more gauze can go in.
  • More pressure – Once you’re done with this step, apply firm pressure against the wound for about three minutes. This combined effort of wound packing and firm pressure usually does the trick to stop the bleeding.

After this, you will need to reassess the wound and see if the bleeding has stopped. If it has, you can then begin the transportation process but if it hasn’t, you will need to repeat the process.

Important Facts about Impaired Consciousness for US Air Ambulance Crews

If you are part of an air ambulance crew, it’s likely that you get through some days working overtime and having to respond to multiple calls in a day. While this is all part of the job, it’s important to remember that long shifts and over-exhausted can leave you feeling drained – both physically and mentally. The result will be impaired consciousness, which can prevent you from doing your job properly. This is why US air ambulance paramedics need to ensure that they get proper sleep whenever possible.

Signs US Air Ambulance Paramedics Should Watch Out For

Whether you work for an air ambulance or a ground ambulance, being an EMS provider means there is a high risk of chronic sleep deprivation. Maybe you are secretly proud of yourself for being able to perform well despite lack of sleep. While you may be able to do so for a few days, over time you’re just going to experience impaired consciousness. This can be dangerous for your job, for the lives of your patients, and for yourself.

As a US air ambulance paramedic, here are some signs you should watch out for telling you that you need to get some sleep ASAP:

  • Inability to remember the last call you responded to
  • Inability to distinguish one patient from the other
  • More than normal illegible writing
  • Strong smell of coffee and/or Red Bull while urinating
  • Impaired ability to read patients’ vital signs
  • Impaired ability to distinguish reality from dreams

These are just a few of the more common signs of impaired consciousness among EMS providers. It may be easy to be in denial, making it difficult for you to honestly assess yourself using these signs. Get help from a partner or a fellow crew member that you trust.

What Air Medical Transport Crews should know about Acute Coronary Syndrome

Acute coronary syndrome or ACS is a term used for describing different myocardial (heart) conditions caused by a sudden reduction of blood flow to the heart muscle. This could result in heart attacks, cardiac arrests, and more. The patients suffering from these conditions require immediate care, making ACS a time-sensitive condition. So as an air medical transport crew, you need to administer the necessary pre-hospital care aiming towards rapid reperfusion, which involves the suddenly blocked coronary artery.

Important Pre-Hospital ACS care Tips for Air Medical Transport Crew

When providing pre-hospital care to patients suffering from any kind of ACS, here are some important tips you can make use of:

  • If the patient has a normal oxygen saturation level, it may be harmful to administer supplemental oxygen. So make sure you consider their SpO2 readings before you resort to supplemental oxygen use.
  • If the patient doe not have an allergy towards aspirin or is suffering from active gastrointestinal bleeding, immediate administration of aspirin is highly recommended. In order to ensure that the aspirin enters the bloodstream more rapidly, make sure the pill is chewed instead of being swallowed whole.
  • Although air medical transport crews can safely administer fibrinolytic therapy, it is not recommended if you can get the patient to a PCI center quickly. It is only recommended for use if the transport time is greater than 30 minutes.
  • Transporting a cardiac arrest patient to a PCI center at least 24 hours after the arrest is essential for better chance of survival.

When you are a part of an in-flight medical crew, it’s highly likely that you’ll encounter patients with chest pain every now and then. This makes it crucial to educate yourself on the latest assessment and treatment guidelines for acute coronary syndrome.

Sepsis Care Tips for Medical Flight Paramedics

Sepsis is commonly referred to as blood poisoning. It takes more lives than cancer and is more common than a heart attack. In fact, more than 4,000 children die in the U.S. every year because of sepsis. This makes it crucial for medical flight paramedics to proactively assess and care for patients with suspected sepsis. So here’s a brief guide to help you understand how to care for patients with this condition.

Initial Assessment for Septic Patients

Properly assessing a patient is crucial for medical flight paramedics and EMS providers alike. This speeds up the medical treatment process and also ensures the administration of appropriate care. In order to assess a patient suspected of having sepsis, it’s important to measure the body temperature accurately. A fever or a body temperature lower than normal may be detected if a patient has sepsis.

Fevers, chills, and body aches are some common symptoms of an infection. But not all patients may experience this especially when it comes to older individuals. Enquire about recent procedures like diagnostic tests or surgery, which may expose the patient to an infection risk. In addition, it’s important to measure the lactate level of a patient. If it’s greater than 4 mmols, it could be a strong indicator of sepsis.

To further confirm your suspicion of sepsis, it’s important to measure the exhaled carbon dioxide level of a patient. While a normal capnography reading may range between 35 and 45 mm Hg, a patient with sepsis generally exhibits a reading lower than 25 mm Hg. If this level of reading coincides with other vital signs that drove your suspicion of sepsis, the patient may be in need of immediate medical care.

Sepsis Treatment for Medical Flight Paramedics

It’s crucial to initiate sepsis treatment by administering large amounts of fluid to the patient. While you initiate antibiotic therapy, you may also need to maintain vascular tone through vasopressors like dopamine or norepinephrine.

Medical Flight Crew Guide: How to Identify Stroke and Provide Essential Care

Stroke is one of the top causes of death and long-term disability in the United States. Leaving a stroke untreated for one minute would result in about 1.9 million neurons being destroyed. If it’s untreated for an hour, the brain loses neurons equal to neuron loss occurring from 3.6 years of regular aging. This makes it crucial for a medical flight crew to conduct thorough assessment and provide necessary care for stroke patients or suspected stroke patients.

Detecting Symptoms of Stroke

If stroke is suspected, it is crucial to rush the patient to a facility that can rapidly assess and diagnose the condition in addition to providing treatment. However, many patients deny the symptoms. As a medical flight crew responding to a call in such cases, it’s important that you try to determine if the patient experienced or is experiencing some or all of the following symptoms:

  • Sudden confusion
  • Sudden vision trouble (one eye or both eyes)
  • Sudden severe headache
  • Sudden trouble with walking
  • Sudden numbness or weakness around the face, arm, or leg
  • Dizziness/loss of coordination
  • Speech issues/trouble understanding

Providing Necessary Care to Stroke Patients as a Medical Flight Crew

Managing patients showcasing stroke symptoms requires team effort. With it being a time-dependent patient, you will need to have a protocol in place for providing organized and quick pre-hospital care to such patients. Although you may have a limited ability in terms of resources to provide care for a stroke patient, it would make a huge difference for you to alert a Stroke Team or make plans for rapid transportation to a stroke center.

During the transportation, try to carry out general neurological assessments as possible. Providing oxygen and, monitoring cardiac function, and drawing blood for labs, etc. should be quickly accomplished to streamline and expedite the care process.

How to Become Certified as a Respiratory Therapist for Air Ambulances

When you’re in the medical field, there are a number of areas in which you may opt to specialize. If you’ve decided to become a respiratory therapist, there are a number of places in which you can work including in an air ambulance. You’ve met the necessary educational qualifications to pursue your licensure, but you’re not sure where to go from there. Just read on to find out more about how to obtain a license and operate as a respiratory therapist for air ambulances.

Meeting the Certification Requirements

The standard requirement for anyone to become a certified respiratory therapist is by obtaining a national license through the NBRC or National Board for Respiratory Care, Inc. It is the basis by which all other state boards will assess your qualification for a state licensure. So you will need to get through the Certified Respiratory Therapist or CRT examination.

Some respiratory therapists even pursue an advanced-level credential known as Registered Respiratory Therapist or RRT. While this may not be a prerequisite for licensure, it can boost your chances of being accepted as a certified respiratory therapist and provide your services at air ambulances. In fact, states like California and Ohio made it a mandate for respiratory therapists to obtain this license before gaining eligibility for a state license.

Meeting State Licensing Requirements and Working for Air Ambulances

Except for Alaska, every state within the U.S. requires that respiratory therapists also obtain state licensure. Although the process of gaining licensure may differ from state to state, the requirements are pretty much similar in all the states. This may include background checks, educational transcripts, and NBRC verifications in addition to application for licensure and application fees. It would do you well to study the requirements and procedures prescribed by the state licensing board in the state of your choice.

Basic Airway Management Tips for Medical Air Transport Providers

Even the most experienced healthcare professionals can find airway management quite challenging. While it’s a fundamental skill for all EMS professionals, it’s an extremely daunting task that requires precision, skill, and expertise. As medical air transport providers, you may also come across patients who need airway management and depend on your competence for their future.

Important Tips for Medical Air Transport Providers in Airway Management

When providing medical care to patients who need airway management, make use of the following tips to help make your job easier:

  1. Remember the good airway management hallmarks – oxygenate, ventilate, and protect the airway. You will be attempting to accomplish two physiological tasks that are equally important. For proper oxygenation and ventilation, you need to ensure that the airway is clear from blood or secretions.
  2. Don’t forget to conduct a thorough assessment and remain vigilant for any early signs of respiratory issues. Measure airway patency by determining the patient’s level of consciousness. Ideally, you will need to be more aggressive with patients that have a Glasgow Coma Scale (GCS) that is lower than 8.Your assessment should include measuring the adequacy of the patient’s breathing, whether it’s too fast or too slow, whether their breathing is shallow or deep, etc. Try to listen for abnormal sounds like snoring, grunting, stridor, or wheezing. All of these factors can have a huge impact on the success or failure of your airway management efforts when providing medical air transport.
  3. As someone who provides medical care, you need to master the use of whatever equipment you need. Your equipment usage should be true to the principles of airway management mentioned in point #1. Ensure that your suction devices, BVMS, and oral and nasal airways are working properly and of the right size for the patient.

Air Ambulance Transport for People with Altitude Sickness

High altitude can leave people with a certain type of sickness and edema, which may result in a call for air ambulance transport in many cases. Altitude sickness normally occurs at elevations higher than 8,000 feet. It is a combined result of genetic build-up, underlying conditions, and fitness level. The most common form of this condition is acute mountain sickness.

What Happens When a Person Has Altitude Sickness?

In your job as an air ambulance specialist, you may have come across a patient experiencing this condition. But not everyone knows how to determine whether or not someone has altitude sickness. In case of acute mountain sickness, the patient may experience symptoms like headache, decreased appetite, nausea, fatigue, vomiting, and general malaise.

In some cases, the patient may experience periodic breathing, which can be identified by irregular breathing that is mostly noticeable while sleeping. Many forms of altitude sickness may not be life-threatening although they may limit the body’s abilities. However, air ambulance transport may be crucial for patients with high altitude cerebral edema (HACE) or high altitude pulmonary edema (HAPE).

Providing Air Ambulance Transport for Patients with Altitude Sickness

Acute mountain sickness doesn’t require a specific treatment, but it’s important for people to stop ascent until the symptoms subside. If the symptoms worsen, ensure proper hydration, which can significantly improve symptoms like headache. Descent can normally alleviate most symptoms of altitude sickness.

HAPE treatment requires the treatment of underlying pulmonary hypertension through descent. You will need to administer oxygen and other necessary medications. Even for patients with HACE, descent and oxygen usually help alleviate symptoms like irritability and headache. Many people make the mistake of getting such patients to descend alone. Instead of this, having an air ambulance chopper transport them back to safety is the best choice.