The COVID-19 situation has caused a lot of problems throughout the country. The treatment expenses sometimes are very huge and the need for treatment highly urgent. A family from Central Florida was in one such situation. A family member had contracted the COVID-19 infection and was on a ventilator. The hospital that he was being treated had conveyed to the family that the patient needed to be transported to a more appropriate facility. The family had then contacted a medical flight company to transport the patient. The cost of the flight was going to be over USD 16,000 and the medical flight company had helped the family set up a GoFundMe page.
The Medical Flight Service was Not Availed by the Family
There are two versions that are currently going around. The family, on its part, revealed that they had canceled the medical flight due to certain apprehensions and the constant demand from the medical flight company for funds. They had arranged for another air ambulance service and had conveyed it to the first company. However, they later found that about USD 8,000 was withdrawn from the fund by the medical flight company.
The Version of the Medical Flight Company
The medical flight company said that the family was insisting that the patient be transported despite the treating physician not giving permission to do so. For this reason, the flight had to be rescheduled. Further, this had gone on for quite a few days. They revealed that, ultimately, they had got a text message that they no longer needed the medical flight service and the patient’s family had stopped responding to their attempts at communication. In fact, the air ambulance company had already arrived, ready to transport the patient when the cancellation was conveyed through the text message. Due to this, the air ambulance company had charged the family USD 8,000.
REVA Medical Flights, the world’s most distinguished Medical Flights service transport company in the North American continent , has finalized the takeover of American Care Air Ambulance and its subsidiaries (“American Care”). American Care is a pronounce Medical Flights transporter with business Spokane, WA and San Diego, CA. The American Care transaction continues REVA’s geographic expansion and further strengthens REVA’s presence and coverage of the Western U.S. and Asia.
Based in Fort Lauderdale, FL, REVA is the largest dedicated fixed wing medical flights services provider in the Americas. REVA provides responsive, safe and reliable air transportation and quality medical care through its company owned and operated fleet of aircraft, experienced pilots and world-class medical staff. The company is a leader in the challenging international transport segment executing trips throughout North America, South America, Europe and Asia. For more information, please visit http://www.flyreva.com/.
American care air ambulance has a over nineteen year operating history and a strong reputation with its loyal client base. As a result of the American Care transaction, REVA now operates a fleet of more than 10 Medical Flights aircraft at 5 strategically positioned bases, with continued growth expected in new planes and markets. American Care founder Milan Floribus will continue as a valuable member of the REVA team and the American Care operations will benefit greatly from the increased scale and capabilities of the combined company.
“We are excited to have Milan and the American Care team join the REVA family and to expand REVA’s presence in a key region. This combination will allow us to better serve our existing clients and we look forward to working with new clients through our partnership with American Care” said Stuart Hayman, CEO of REVA. Milan Floribus added, “REVA was the right partner for us given their extraordinary professionalism, dedication to patient safety and impressive global alliances and capabilities.” Mr. Hayman added that REVA Air Ambulance remains interested in acquiring or partnering with additional fixed wing Medical Flights providers.
For Canadian air ambulance ratings please see AirAmbulanceRatings.com.
Yes, vehicles and aircraft must be permitted under your service license before operating them. Vehicles are permitted either at the Basic Life Support (BLS) or Advanced Life Support (ALS) level. Once permitted at that level, the vehicle must be operated at all times at that level with the required staffing and equipment.
Reference Section 401.26, Florida Statutes and Section 64J-1.007, Florida Administrative Code.
Every person, firm, corporation, association or governmental entity owning or acting as an agent for the owner of any business or service which furnishes, operates, conducts, maintains, advertises, engages in, proposes to engage in or professes to engage in the business or service of transporting by air ambulance, must be licensed as an air ambulance service, before offering such service to the public.
Reference Section 401.251, Florida Statutes and Section 64J-1.005, Florida Administrative Code.
Trauma Transport Protocols (TTP) describe the procedures used by the emergency medical services prehospital provider for dispatch of vehicles, assessment of the extent and severity of injuries of trauma patients and determination of the destination (facility) to which trauma alert patients are transported. TTP’s are a legal document that should outline, as accurately as possible, the actual procedures followed by the emergency medical service provider, written within the context of section 395.4045, Florida Statutes and Chapter 64J-2, Florida Administrative Code.
When to Submit TTP’s:
- Applying for initial licensure as an EMS provider.
- A change in medical directors for the EMS provider.
- A change in ownership of the EMS provider.
- A change in hospital destination for the routine transport of trauma alert patients. Any change in EMS providers or health care facilities that will impact transportation requirements.
- When the department requests a revision.
The approval period for TTPs is the same as the EMS provider’s two-year licensure period, unless revisions are made to department approved TTPs during that period.
Who Does Not Submit TTPs:
- A service that provides only inter-facility services and does not respond to the scene of an injury to provide stabilization of injured patients in prehospital settings. The EMS provider needs to submit to the Bureau of EMS either a copy of the Certificate of Public Convenience and Need or a letter from the director or chief of the service stating that it is an inter-facility service only.
The paper work requirements are listed on the application for AIR ambulance licensure, “Air Ambulance Service Provider Licensure Application”, DOH Form 1575. Click on the application and the application checklist to review most requirements. Other requirements will be found in Section 401, Florida Statutes, & Chapter 64J-1, Florida Administrative Code. The following is a partial list of the major requirement: Certificate of Public Convenience and Necessity (COPCN) from the county commission in the county you wish to operate your prehospital service, a medical director (licensed Florida physician) with a Department of Justice-Drug Enforcement Administration (DEA) registration (prehospital only), aircraft vehicle liability insurance, trauma transport protocols and an approved radio communication system. Approval of a radio communication system is completed by Department of Management Services-Information Technology Program. Contact DMS for more information on EMS radio communication systems.
Reference Section 401.251, Florida Statutes and Section 64J-1.005, Florida Administrative Code.
Every person, firm, corporation, association or governmental entity owning or acting as an agent for the owner of any business or service which furnishes, orperates, conducts, maintains, advertises, engages in, proposes to engage in or professes to engage in the business or service of providing prehospital or interfacility advanced life support services or basic life support transportation service must be licensed as a basic or advanced life support ambulance service, before offering such service to the public.
Reference Section 401.25, Florida Statutes & Section 64J-1.002, & 64J-1.003, Florida Administrative Code.
An ambulance driver must meet the following requirements:
- Is at least 18 years of age;
- certifies under oath that he or she is not addicted to alcohol or any controlled substance, and is free from any physical or mental defect or disease that might impair their ability to drive an ambulance;
- Upon initial designation as a driver, has not within the past 3 years, been convicted of reckless driving or driving under the influence of alcohol or controlled substance and has not had a driver’s license suspended under the point system provided for in Chapter 322, Florida Statutes;
- successfully completed a 16 hour course of instruction on driving an authorized emergency vehicle, which includes, at a minimum, classroom and behind the wheel training. Section 64J-1.013, Florida Administrative Code for details on the 16 hour course content;
- possess a valid American Red Cross or National Safety Council first aid course or its equivalent; and
- possess a valid American Red Cross or American Heart Association cardiopulmonary resuscitation card.
Reference Section 401.281, Florida Statutes and Chapter 64J-1.013, Florida Administrative Code.
BLS vehicles are required to have at a minimum an emergency medical technician (EMT) attending the patient and a driver meeting the requirements in Section 401.281, Florida Statutes.
ALS vehicles are required to have at a minimum a paramedic attending the patient and an EMT.
Aircraft-Prehospital air ambulances are required to have a minimum of one paramedic.
Interfacility air ambulance staffing is based on the patient’s condition as determined by the medical director.
Reference Section 401.25, Florida Statutes, Section 401.251, Florida Statutes, & Sections 64E-2.003; 64J-1.004; & 64J-1.005, Florida Administrative Code.