As someone who provides air medical transport, you’re probably aware of how scary and challenging it can be to provide airway management. The task is especially daunting when you’re dealing with babies and children. Their smaller and delicate bodies make it extremely difficult for medical care providers to manage their airways effectively.
Important Facts and Tips about Pediatric Airway Management for Air Medical Transport Providers
Even when you’re a trained professional and have the necessary skills to carry out airway management, you may still make a mistake. This could be because of poor assessment, poor decision-making, fixation error, poor planning, or delayed fibreoptic incubation. Here are some useful facts you could make use of to help you carry out excellent pediatric airway management:
- Truly difficult laryngoscopy occurs rarely but the main issue is that you can’t intubate when the patient is awake. This can make your job especially daunting if the patient requires immediate airway management.
- In children, difficult laryngoscopy normally occurs if the child is younger than a year old with low BMI. It can also occur due to faciomaxillary and cardiac surgery, so it would be crucial for respiratory medical care providers to be aware of such incidences.
- In case of infants who are chubbier than normal, it may be tricky to determine the right IV access location during a gas induction. If it’s difficult to find IV access or to administer anesthetic for such infants, it would be ideal to have two experienced hands.
- Some infants may even experience laryngospasm, which is a common cause of hypoxia. It can occur due to various factors including secretions or blood in the airway, ENT and airway surgery, multiple attempts at airway instrumentation, and inexperienced anesthetist. It’s important for air medical transport providers to be aware of such incidents and avoid irritant volatiles.
When availing any kind of medical service, it’s always a good idea to be armed with some knowledge about the service. Even when it comes to medical transportation via air, there are a number of facts and rules patients should know. That’s why we’re going to give you a brief yet comprehensive guide on some important facts about air ambulance service.
Checklist for air ambulance service
When you’re preparing for medical transportation by air, here are a few things you should not forget:
- It would be of great help to be prepared with most of the basic patient information such as name, height, weight, date of birth, and medical condition. Additionally, you might want to specify details about special requirements such as diet and/or equipment (IV, ventilator, oxygen, etc.).
- Further, it would be helpful if you can provide other specifics like the patients’ ability to sit or whether they would require a wheelchair or stretcher. This will help the medical team in quickly and efficiently providing appropriate assistance.
- There are numerous myths surrounding air ambulance coverage, so it would be wise to read up on the facts about insurance coverage for such services. If the patient has health insurance, arrange for copies of insurance card and recent health and physical from a hospital or discharging facility. Also, keep a copy of the “face sheet” of the said hospital or facility.
- Most medical aircrafts allow only one carry-on suitcase (maximum size 21”) per passenger. If you have any excess baggage beyond this, make sure you communicate with the flight coordinator as the aircraft may not have room to accommodate it.
What about international transfers?
In case of international transfers, when availing air ambulance service, you will need to carry copies of a current non-expired passport, necessary travel documents, and visa for each passenger. For those who don’t have a copy of their passport, you will need to be prepared to provide some personal information. The required information includes full legal name and date of birth along with passport number and expiration date, home address, and place of birth.
While it’s not always easy to arrange for all this in case of emergencies, it’s always a good idea to be prepared. This will ensure that you have a smooth transaction and pleasant experience if you need emergency medical transport service by air.
World today is truly a smaller place with people travelling from one end to the other for business purposes all the time. Most organizations have branches all over the world and it becomes imperative for executives to travel between these destinations frequently. However, not all those destinations have quality medical care. You wouldn’t want to be stranded in a country with inferior medical standards due to the air ambulance service costs. Here’s what you can do to keep yourself safe at all times.
Look at the Extent of Air Ambulance Service Coverage
Not all air ambulance service covers are equal. While some will bring you complete coverage, others might not. Study the agreement well, especially the fine-print. Check whether the policy covers the regions that you travel and also about the limitations of the policy. You don’t want to end up in your home country but still pretty far from your home. So, determining the destination is vital.
Does the Air Ambulance Service Policy Cover Pre-existing Medical Conditions?
Most policies do not cover the risk of pre-existing medical conditions. When you’re travelling overseas, you don’t want to be stuck with such a limitation. Keep in mind that a pre-existing condition is more likely to trouble your health than a new one. You want an air ambulance service cover that has no such conditions.
Speak to Your Employer about Air Ambulance Service Cover
Don’t shy away from asking your employer to foot the costs that an air ambulance cover demands. After all, it is also for the good of your company that you travel to far-off lands. So, it is your employer’s moral responsibility to keep you safe through an air ambulance service cover. Many a times, it is only the lack of knowledge that keeps your employer from offering you such benefit. All you need to do is make your concerns apparent.
If your loved one is in need of air ambulance transport and if you have enough time in your hands to choose among the various service providers, would you still opt for a broker to choose one? If your answer is yes, think again. Here, we list a few reasons as to why you are better off scouting for an air ambulance transport yourself.
Cost of Air Ambulance Transport
An air ambulance transport broker usually pours in all efforts to give you the cheapest available option out there. Of course, this is good but one needs to keep in mind that the cheapest is not always the best. It is necessary to look into other aspects too. Moreover, the broker will invariably add his charges to the overall cost of air ambulance transport. If you look for an air ambulance yourself, you can save this money.
Ability to Answer Questions About Air Ambulance Transport Service
Keep in mind that the broker is not a representative of the air ambulance transport company. He would therefore have limited knowledge to allay all your fears and concerns. This can be a major disadvantage if you are anxious about the whole thing. When you choose to find an air ambulance transport company yourself, you would be dealing with the representative of the company who would be in a better position to clarify all your doubts.
Do the Legwork for Air Ambulance Transport Yourself
Spending a bit of time to find an air ambulance transport service yourself can free you of a lot of worries. Most of the time, all it takes is looking online for a few phone numbers of air ambulance companies and calling them up. The air ambulance transport coordinators would do the rest of the work. Spending a couple of hours to perform this task can save you money and worry.
RVSM is an abbreviation that stands for Reduced Vertical Separation Minimum. RVSM-approved medical flights must be fitted with certain gadgets such as autopilot and certified altimeter. These medical flights are allowed to fly 29,000 feet above the sea level.
RVSM allows aircrafts to fly maintaining reduced vertical distance between each other; thus, paving way for more medical flights to share airspace simultaneously and safely. While this may seem quite technical for a layman, there are other distinct advantages of flying above 29,000 feet. It brings speed, comfort and safety. Let’s discuss the importance of RVSM, especially with long-distance medical flights.
Safety of Medical Flights and RVSM
Safety is always the primary concern when you choose an air ambulance. Medical flights coursing at lower altitudes are more susceptible to turbulence. Such turbulences can cause unnecessary anxiety in the patient which is not advisable when the condition of the patient is critical or the patient is already anxious about his or her health.
Speed of Medical Flights and RVSM
Time is always of essence when choosing an air ambulance. Medical flights flying at higher altitudes fly quicker and burn lesser fuel. This means that the air ambulance does not have to stop frequently for fueling. Circling the airport, landing, fueling and resuming flight can be quite time consuming and RVSM approved medical flights avoid/ reduce such hassles greatly.
Comfort of Medical Flights and RVSM
The reduced chances of turbulence, when flying at higher altitudes, make travel comfortable for the patient. The difference in comfort level is not too great but for a patient who has a fragile health condition, the small difference can mean a lot. There is also the peace of mind that comes along when you know that the aircraft carrying you will take lesser time.
Cost is always a consideration when choosing medical flights. The fact that a RVSM approved aircraft burns less fuel could translate into lesser costs for you.
If you’re guessing that we are discussing more about health insurance, you must know that we aren’t. What we discuss here is the malpractice insurance and liability insurance coverage that an air ambulance service is mandated to provide. Let’s discuss each of the insurance individually and see what they mean for you.
Air Ambulance Service and Liability Insurance
What do you think of a car driver who does not have adequate liability insurance? The answer in one world would be “irresponsible.” The same holds good for an air ambulance service. You do not want to associate with an air ambulance service provider that doesn’t care for such responsibilities. In fact, all air ambulance companies in the United States must have a liability insurance cover of $20 million.
What if the air ambulance service you travel does not have liability cover? You don’t have to worry about that in terms of legality, it is entirely the responsibility of the service provider. However, such coverage is an indication of the air ambulance service provider’s reputation.
Air Ambulance Service and Malpractice Insurance
Of course, the last thing you want is a malpractice situation. There’s no doubt about that but medical malpractice does exist and you need coverage against it. Wouldn’t you want your physician or ground medical transportation to have malpractice insurance to feel secure? This should be no different for an air ambulance service. The law mandates that every air ambulance service in the United States has a policy that covers $1 million for medical malpractice.
Ask the Air Ambulance Service about Insurance Covers
The air ambulance service providers are under no obligation to make their insurance covers public. However, most reliable air ambulance service providers come forth with complete information regarding both liability and medical malpractice coverage. This shows that such providers are patient-oriented. If an air ambulance company is unwilling to discuss these details with you, perhaps you should look elsewhere for this life-saving medical service.
It’s often a long and painful wait for an organ donor, no matter which part of the world you’re from. The number of donors around the world is much lesser than those waiting for a donor. Then, there is the issue of organ suitability. All these issues make finding an organ a prized opportunity. It is also vital that the organ reaches the recipient on time and this is where the air ambulance services often come into picture.
How Do Air Ambulance Services Help?
Air ambulance services help transport organs from the remotest of the places to the recipient in the shortest possible time. While air ambulance choppers are used for short distances, fixed wing medical aircrafts are used for longer distances. The air ambulance services are always available on-call in situations like these where a few minutes can mean the difference between life and death. Air ambulance services are considered 100% safe when transporting organs such as kidneys and liver. There are instances where even heart has been airlifted.
What Makes Air Ambulance Services Ideal for Organ Transport?
Two obvious reasons are the reach and the time taken by air ambulance services. The sophisticated aircrafts also provide a congenial environment for carrying the human organs. Unexpected eventualities like road blocks are virtually nonexistent. The air ambulance services also pave way to carry the patient quickly – with all necessary medical care – to a facility that specializes in organ transplantation. We need to understand that often recipients too are carried to a particular location, depending on factors such as time and availability of specialized hospitals.
The point to note is that most air ambulance services will take complete responsibility of coordinating the entire transport so that the organ reaches safely and on time. There are also insurance covers available to cover such air ambulance services. All it takes is a bit of planning and coordinated effort.
Availing a medical flight can be quite intimidating, especially considering the stress of caring for a loved one who is already in distress. Here, we bring you a typical medical flight trip and how things usually pan out. In fact, we walk you through the entire process.
What Happens When You Contact a Medical Flight?
When you call a medical flight company, you will be greeted by customer support first who would collect certain basic information and then transfer you to a case manager or flight coordinator. Here pertinent information related to the medical flight would be relayed to you. This is the time that you can raise any initial concerns such as average flight cost, flight timing, distance, and accompanying the patient. You will be asked to confirm payment arrangement for the medical flight. Feel free to take help of the treating physician and hospital staff if you are not able to answer questions relating to the patients condition or ailment.
The Medical Flight Coordination Begins
The information gathered from you will be relayed to the medical director of the air ambulance provider. The director will, in turn, get in touch with the attending physician. The attending physician would lay down the medical necessities of the patient so that the flight can be prepared accordingly. This includes qualified staff as well as medical equipment, and also information regarding transfer to an appropriate medical facility.
On the Day of Medical Flight
The medical flight company will get in touch with all those involved in the transport of the patient, including the hospital staff. The ground ambulance would take the patient up to the medical flight and the patient would be taken onboard. The patient and the person accompanying would be briefed on safety precautions and the dos and don’ts.
Upon reaching the destination, a ground ambulance would be already waiting to ferry the patient to the medical facility which is pre-decided. The patient is carefully offloaded and reconnected to any vital medical equipment in the ground ambulance as necessary. The medical flight team would brief the receiving medical staff about the patient’s condition before signing off.
The onus of arranging and coordinating between medical facilities, ambulances and the medical flight is taken care by the hospital and the air ambulance staff. All you would need to do is take care of the payment procedure and pray for the good health of the patient.
When we discuss medical air transport, we resign to the fact that it is going to be an expensive affair. Well, if you are one such person, you cannot be blamed. Media today is filled with stories about bankruptcies and bills that run over several thousands – all thanks to medical air transport.
What if we told you a few wise decisions can contain the costs to a large extent? Of course, it is wise to have medical air transport membership cards and insurances that cover you for air evacuation. But if you are caught in a situation where you don’t have the privilege of such facilities, how do you tackle the situation without having to pay a huge amount? Here, we bring you the answer to this pressing question.
Medical Air Transport Low Price Guarantee
Surprised?! Medical air transport industry today is highly competitive and there are service providers out there who bring you a low price guarantee. These providers will either match the price or bring you the services for a lesser price without compromising on the quality.
Medical Air Transport Vehicle
The medical air transport vehicle you choose can determine the costs. For instance, a twin-jet aircraft will cost less than a jet engine aircraft. Turboprops are another low cost option. As a consumer, you have the right to choose the aircraft in order to keep the costs low. Make cost inquiries about these options before you choose one.
Explore Alternatives to Medical Air Transport
Ask the treating physician whether an air medical escort or air medical stretcher service would suffice. Such services can cut the cost by half or even more sometimes. Also, sometimes, you can share a medical flight if another patient is heading in the same direction. This can be another option to cut down the costs.
Most importantly, never hesitate to discuss cost savings with the medical air transport provider that you choose.
Travelling overseas alone, or even as a couple, can be quite intimidating, especially if you encounter a medical emergency of serious nature. Even if you are covered for emergency medical evacuation and have good travel insurance, you would be better off returning to your home country for better treatment and aftercare. Air ambulances become a necessity in these cases. If you are a citizen of the United States, you can expect some help from the US Consulate in this regard.
How Can the Consulate Help You with Air Ambulances?
The consulate will assist you in locating an air ambulance that is best suited for your medical evacuation. You can even request that your friends and family be informed if doing that is tough for you given the circumstances. This will give your loved ones enough time to arrange for finances and take care of other aspects on your arrival.
You can always visit the US Passports and International Travel website to view the list of medical evacuation companies. The same website also lists the US as well as overseas travel and medical insurance companies.
Consulate does not Cover Cost of Air Ambulances
Keep in mind that the consulate merely acts as a facilitator and any expense will still have to be borne by you, your family, your insurance or any other type of coverage that you might have opted for. Keep in mind that your domestic insurance carrier will not cover you when you are abroad, if you have not purchased a cover that specifically states that a medical evacuation will be covered.
The website of the US Passports and International Travel specifically mentions that it assumes no liability or responsibility of any kind. The companies that provide air ambulances are merely listed for the convenience of international travellers. However, finding links to information about air ambulance companies and insurance providers becomes easy when you refer to this website.