Category Archives: Equipment

Airambulance cabin filled with Medical Equipment

Structural Guidelines for Fixed Wing Airambulance Transport

All most all states in the United States have laid down certain minimum requirements that a fixed wing airambulance must satisfy. The guidelines given below have been issued by the state of Tennessee but the structural guidelines are, in general, similar in other states too.

Airambulance Doors

The doors of the airambulance must be wide enough that a stretcher can be passed through it without tilting it more than 30 degrees. This guideline ensures that the transit of the patient into the airambulance is safely done.

Vertical Height of the Airambulance

It is vital that there is enough headspace so that the medical personnel can function optimally and provide adequate care for the patient. For this reason, all airambulance vehicles must have a minimum vertical height of 30 inches.

The lighting of the Aircraft

The electrical capacity of the airambulance must be equipped to provide “sufficient” light inside, such that medical care is not hindered due to lack of it. The service providers are allowed to make use of portable lamps to achieve this.

Guidelines for Airambulance Equipments

To ensure stability of the patient while entering the aircraft and during the transport, the stretchers must be fitted with at least two restraining straps to keep the patient in place.

The suction devices must have a capacity to produce suction of at least 12 inches of mercury.

Oxygen bags or masks must be available within the airambulance. There must be enough stock so that 95% fraction inspired oxygen is available at all times. The equipment must be capable of adjusting flow between 2 to 5 liters of oxygen per minute.

Adequate sanitary supplies like trash disposal bags, emesis bags, urinal, bedpan, towels, etc, must be available.

Basic tools like stethoscope, blood pressure cuff, dressing materials, and flashlights must be kept handy.

As a patient and a customer availing airambulance services, it is your right to have these facilities and being aware of such basic things about air ambulances can help.

Patient on a stretcher with paramedics

Preparing the Patient for a Medical Flight

It is important that the medical flight taken by a patient is both safe and comfortable. Following certain guidelines ensures that the medical flight transport is carried out smoothly and quickly. Here, we discuss the vital considerations that must top your mind.

Proper Documentation for Medical Flight

Laws specify that transfer orders by the treating physician and acceptance documents by the receiving facility must be in order before the patient boards a medical flight. Also, the patient’s medical chart, discharge summary, lab results and other medical information must be carried. A photo ID is vital and must be kept handy. Consent for medical flight transport must be sent to the air ambulance operator beforehand.

Medications and Equipments during the Medical Flight

An IV access must be ready. If the patient does not need IV access on a continuing basis, it can be capped. All medications that are necessary and those that are meant for comfort must be administered. These meds must also be provided to the crew in case the need arises midair. This also includes IV medications.

Casts, Traction, and Diapers

If the patient is being treated with a circumferential cast, it must be bivalved beforehand. Hanging weights for traction are not suited for a medical flight. Appropriate traction device must be used instead. An unconscious patient must be diapered prior to transfer to the medical flight and any tube feeding must be discontinued about 7 to 8 hours in advance.

Accompanying the Patient in Medical Flight

The passenger accompanying the patient must have prior approval. If the condition of the patient demands that no one accompanies him or her during the medical flight, the passenger must comply. Most fixed wing aircrafts have limited space and one must understand that it is essential for the medical staff to have enough space to function efficiently. Even when accompanying the patient, the passenger must occupy minimum space possible.

Knowing these guidelines well in advance helps make the medical flight travel a comfortable one.

Is Your US Air Ambulance in Accordance to Medicare Norms?

Understanding what constitutes an air ambulance according to Medicare is necessary. The fact ensures that you get into an aircraft that is equipped enough to take care of you or your loved ones. According to “Medicare Benefit Policy Manual,” the air ambulance needs to be equipped and designed such that it can be of use during emergency and nonemergency situations. It is also essential that a US air ambulance or worldwide air ambulance service complies with the State as well as local laws.

Air Ambulance Equipment Requirements According to Medicare

The medical flight must be equipped with linens, stretcher, medical supplies for an emergency, oxygen supplies and equipment, and other vital emergency lifesavers or life-sustenance equipment. It must also contain support equipment such as neck and back boards, inflatable arm and leg splints. The air ambulance must be complete with necessary signage that signifies it is a medical flight. Telecommunication equipment must be present in accordance with the State or local law. In other words, there should be one wireless telephone or two-way voice radio at the minimum.

Adequate Staffing of Air Ambulance According to Medicare

If a basic life support air ambulance is chosen, it must have two people at the minimum with at least one of them being a certified EMT or emergency medical technician. The certification must have been granted by the state or local authority. The person must have legal authorization to operate lifesaving equipment onboard the medical flight. Any advanced life support air ambulance too must be staffed with two people with at least one being an EMT paramedic or EMT intermediate.

Statement of Compliance to be Furnished by Air Ambulance Service Provider

A statement that signifies compliance to norms laid down by Medicare is necessary for reimbursements. Medicare might ask the air ambulance service provider to furnish these at its discretion, although the information might not be asked for with every flight. The documentary evidence must contain letters from State or local authorities such as certificates, permits and licenses to name a few. Although checking for compliance is not a beneficiary’s responsibility, keeping oneself informed always helps.