Air ambulance evacuations can throw situations at crew members that they are not always prepared for. It is simply the nature of the job. It is impossible to imagine all kinds of situations one might encounter. It is therefore necessary to have a coordination mechanism in place where help can be sought with minimum wastage of time. The coordination could be between ground ambulances, treating or receiving facilities and even cross-nation institutions. At times, it becomes necessary to coordinate between legal teams when the evacuation involves getting a patient from overseas locations. It is vital that one chooses an air ambulance company that is well experienced, in the interest of fluidity in evacuation.
International Air Ambulance Repatriations are Especially Hard
Rules and legislations differ from country to country. You never know what bureaucratic red tape is flung at the crew without forewarning. In cases like these, it is vital that the air ambulance company has a lawyer handy. You would need someone who is well versed in local laws as well as international ones. Failure to procure help in time can lead to legal troubles and unnecessary delay which can prove to be detrimental t the health of the patient.
Coordination with Ground and Hospital Crews
The ground crew does not always belong to the same organization as the air ambulance. Also, the crew usually has to deal with a different ground ambulance organization with each evacuation. Many times, it is their first time dealing with a ground ambulance crew and their organizational rules might be different. The medical fight crew needs to understand their functioning well in advance for smooth transition.
The same goes with the hospital teams too. It is therefore advisable to establish common grounds in advance. It is because of situations like these that most well-organized medical flight companies employ a separate team to take care of these eventualities.
In light of the recent developments where medical flights around the world were disrupted due to illegally flying drones, there are a few questions that beg to be asked: “Is flying drones legal in the United States?”, “If so, what are the rules and legislations that govern flying of drones?”. Once you are aware of facts such as these, it helps flying them within the legal bounds making it easier for medical flights to ply. It must be noted in this context that flying drones is perfectly legal in the United States, subject to certain restrictions, so much so that even foreigners can bring them into the country and fly them. The Federal Aviation Authority as well as National Aviation Authority allow them.
Rules that Govern Drones in the United States
Rules for flying drones recreationally:
- The reason for flying must only be recreational and there must be no business angle to it.
- Hobbyists must visit https://faadronezone.faa.gov/#/ and register the drone with Federal Aviation Authority
- The drones must never escape your line of vision as you fly them
- Only those drones which are under 55 lbs are permitted
- One must never be close to any aircraft
- Only flying in Class G airspace is allowed
- It is strictly prohibited to fly close to emergency response vehicles such as medical flights
Rules for flying drones commercially:
- The operator must hold a FAA-issued Remote Pilot Certification
- The drones must be registered with FAA just like recreational ones
- It must weight under 55 lbs
- The flight must not cross the speed of 100 miles per hour
- The drone must always remain below 400 feet so that they do not disturb medical flights and other aircrafts
- Any manned aerial vehicle must be given the right to way
- Flying directly over people is prohibited
- Flying a drone from a vehicle is only allowed in thinly populated regions
If these simple rules are taken care of, drone flying becomes a safe activity.
Connected vehicles are making big waves these days, especially cars. Medical flight services can be enhanced by leveraging this technology. Wondering how? Read on. Connected vehicles are based on the fact that data can be transmitted from one vehicle to a dashboard where the relayed electrical impulses can be translated into a language that is intelligible to human beings. The purpose is to take appropriate action based on the insights received. This communication is enabled through a combination of satellite connectivity, mobile phone towers, SIM cards, and sensors. Let’s take a look at the ecosystem of these tiny devices before we get into how they facilitate quick medical flight response.
Understanding Connected Devices
The sensor fitted in the vehicle, for instance a car, takes into account factors such as the geographic location of the vehicle, the speed, the extent of impact (in case of accidents), occupant health such as vital signs (through connected wearable devices),as well as the vibration, temperature, and sound of the vehicle. It constantly monitors and analyses these parameters. If one of them is off beyond a certain limit that is considered unsafe, it sets off an alert by leveraging mobile connectivity and satellites to a predefined location – for instance the nearest emergency response team.
How Connected Vehicles Help Better Medical Flight Response
For one, the call for help is immediate. Second, the call for help is accompanied by a wealth of data pertaining to the distance and exact location of the accident along with the occupants’ health-related data. This can be of immense help to the medical flight that is responding to the emergency. It can get onboard appropriate healthcare equipment as well as experts. Since the location is precise, reaching it becomes that much easier. It also helps them prepare the receiving facility well in advance. The result is invariably a better chance of survival.
A medical flight paramedic is a part of the support team that acquires immense importance every time there is a medical emergency. They work in conjunction with physicians and nurses. Medical flight paramedics almost invariably fly to the scene of medical team in the air ambulance. It is a frenzy of activities once they reach the spot, where they are expected to diagnose the patient, evaluate the situation and deliver the best life-saving care possible so that the patient can be transported safely to the appropriate treating facility. The job demands keeping a cool head under pressure.
The Career Prospects of a Medical Flight Paramedic
It is believed that in 2011, there were about 2,000 flight paramedics in the United States. However, the numbers have steadily grown since then. The growth is expected to be at a rate of about 23% until 2022. According to statistics that date back to 2012, the median salary of a flight paramedic was slightly over $31,000 but it is safe to assume that the amount has gone up drastically owing to increased demand. Industry experts believe that the demand will go up further as rural American hospitals are closing down rapidly, in turn fuelling the need for air ambulances.
Requirements to become a Flight Paramedic
The candidate must be at least 18 years of age and be certified as an EMT or emergency medical technician. The course must be approved by NREMT. The person should have worked as a paramedic for at least three years already and have CPR as well as paddle training. Other factors such as physical fitness are also important.
Here is a list of certifications needed:
- Prehospital trauma life support
- Advanced pediatric life support
- Advanced cardiac life support
- Basic life support
- NREMT, ATLS-Audit, TNACT, and CCEMTP
Once these certifications are acquired, the candidate must pass FP-C exam to ultimately start career as a medical flight paramedic.
The Right Questions to Ask a Medical Flight Company
Medical flights become a necessity when ground ambulances are not a choice. However, when the need for transport is not urgent, you have the time to make a sound choice, but first, you must know what questions you must pose to the medical flight company. Here, we discuss a few pertinent ones.
Does the Medical Flight Service Come Under My Insurance Network?
Health is important but cost is a factor too. Medical flight services can be quite expensive. When given a choice, you must exercise it to know what you are getting into. Air ambulance transport bills can run into the tens of thousands and in the hundreds of thousands, if the destination is across borders.
What Mode of Medical Flight is Right for Me?
Fixed-wing air ambulances are slightly more expensive than helicopters. However, they are quick and much more comfortable. In fact, preference must be given to fixed-wing flights if the journey is long. One major limitation, however, is its ability to land. Unlike helicopters, they need extended landing grounds.
Is the Air Ambulance Equipped Enough?
Today, one can hire air ambulances that suit the prevailing medical condition of a patient. For instance, you can hire one that is a flying neonatal care unit, if the patient is a newborn. Mission critical equipment like ECG monitors and the like must be available if the situation demands it.
Will the Organization Coordinate Care Beyond the Flight?
Most medical flight companies will offer you services that go beyond simply taking you from one place to another. They coordinate care with the receiving facility and keep in touch with ground ambulances if their services are required. If it is a cross-border transfer, the service provider may help you with the necessary formalities too.
These are some of the vital questions that one must ask before opting for a medical flight service to avoid any nasty surprises later.
There’s a lot happening in the air medical transport industry currently. With the state lawmakers and the feds trying hard to end surprise air medical billing practices, there is a high degree of lobbying that is taking place both by insurance and air medical transport industry. There is a huge amount of blame game going on. Both parties are trying to pin the blame on each other. Often, you’ll find articles that highlight high bills that patients are compelled to foot and on the other hand, articles that detail the plight of the air ambulance industry and the rising costs it is grappling with.
What is a Surprise Air Medical Transport Bill?
In order to understand what surprise air medical transport bill is, we should adopt an industry agnostic perspective. The problem is not just with the air ambulance industry, it is rampant throughout the medical world. In the United States, unlike other parts of the world, insurance is a matter of network coverage. If a provider is not covered by the insurance company, it is likely that the reimbursement is going to be rejected. This compels the patients to foot the bill all by themselves. This phenomenon, where a person is compelled to pay a medical bill, in spite of having medical insurance, is known as surprise bill. This is what the polity of the nation is currently trying to eliminate.
Why is Tough to Eliminate Surprise Billing?
There are several facets to this. Some air ambulance companies, in the absence of fair reimbursement by insurance industry, simply do not want to come in network. The question arises, “Why?” The answer is obvious – this move paves the way for balance billing where the patient becomes responsible to foot that cost which is not covered by the insurance provider. Then who is to blame? Well, both insurance and air ambulance industries: the insurance industry because it refuses to reimburse a fair amount and the air medical transport industry because it refuses to come within insurance networks. It’s a Catch-22 situation.
Booking an international air ambulance sometimes becomes a necessity when you have to take your loved ones beyond the borders of the country you live in. In a country like the US or UK where the sector is heavily scrutinized and regulated, the chances of things going wrong is fairly small as long as you are financially sound enough to foot the bill. However, money is not the only criteria when you want to book an air ambulance in countries where regulations are slightly lax. In this context, one must understand that the industry is not that mature in most parts of the world, especially developing countries.
Fraud is a Possibility when You Book an Air Ambulance Across Borders
Take for instance, the case of an air ambulance company in the Indian capital of New Delhi. It is believed that an air ambulance company was booked by the authorities for purposely defrauding people after taking their money in advance and not offering medical flight services. The authorities only acted after the company had duped several people. One such person ended up losing his critically ill father owing to this fraud. He had paid the company in advance to transport his father from Johannesburg to India.
The Precautions One Must Take
- Accreditations are a good way to begin. Checkout whether the air ambulance company that you plan to hire is accredited by well known organizations. For instance, a company like REVA has multiple accreditations and is known to fly several patients internationally and has been doing so for quite some time.
- Another great way to check this out is by going through testimonials. Social medial channels like Facebook are a great start. See what other people are saying about the company to gain confidence.
- Referrals also matter. If you know someone who has used such a facility speak to them.
Finally, always keep in mind that internet should only be the first line of research. There is no substitute to speaking to air ambulance services first-hand.
The aviation sector – which air ambulance industry is a part of – is a huge contributor to CO2 emissions globally. In fact, about 2.5% of the global CO2 emission is attributed to the sector. Even more concerning is the fact that the impact of high-altitude emissions is twice as much when compared to ground-level emissions. Digital connectivity that provides an IP to each air ambulance can play a part in cutting down this carbon footprint. The technology, along with digital connectivity that generates and transmits data in real time, can make wonders. Let’s take a look how.
Better Air Ambulance Flight Planning
Turbulences owing to adverse weather conditions can cause a lot of fuel burn. They often necessitate emergency landings, change in altitudes, route deviations and so on. All of these actions cause fuel to burn at a higher rate. Imagine a situation where all this data is passed on to the air ambulance well in advance through a network of digital connections so that alternate flight routes can be mapped well in advance and seamlessly. It would also preclude the possibility of mid air mishaps and help in offering better service and comfort to patients onboard. Most importantly, it would bring down the costs related to fuel and also the associated CO2 emissions.
The Need to Carry Contingency Fuel
There is a direct correlation between the weight of an air ambulance and the fuel that is needed to carry it in the air. As a precautionary measure against unforeseen circumstances that can necessitate longer flight time, most air ambulance flights carry contingency fuel. This adds to the weight of the aircraft and in turn, burns more fuel. Data gleaned through connected devices and satellite imagery in real time can lift the veil off such uncertainties and lessen the need for contingency fuel.
Air ambulance services are usually viewed from a narrow lens. In other words, we associate medical flights with emergencies at a very granular level where individuals are rescued. We tend to ignore that they are a huge part of relief and rescue efforts at a government level across the globe. When natural calamities and manmade disasters are epic in proportion, air ambulances are the last hope for survival sometimes. Of course, they do not work in isolation and are a part of the bigger emergency response ecosystem. However, sharing of data, managing them securely and keeping the entire picture transparent and tamper-proof can be a challenge. This is something that blockchain technology can get right.
Blockchain Technology is More than Bitcoins
What most people fail to understand is that Bitcons or cryptocurrencies are just one application of blockchain technology. The real benefit is enablement of a system in which data flow is seamless, transparent and unchangeable. For large government organizations across the world, this is a huge plus because emergency situations are often soft targets for unscrupulous exploitation. Blockchain can keep make it virtually impossible for anyone to tamper with data and consequently the relief funds.
What is Blockchain Technology and How Can it Help Air Ambulance Services
We already know that blockchain brings to picture an immutable record of transactions. For air ambulance services, the biggest benefit is the trustworthy connection it brings to the emergency response ecosystem.
The answer to what the technology is all about: Blockchain is essentially a network that brings a large group together into a system where no change can be made in the dark. The only way to make a change is to make it apparent to the rest of the stakeholders in the network. Also, there is no going back to modify data. In all, this brings transparency to a group where the flow of information is truthful at all times.
Wearable technology can play a vital role in streamlining emergency services, especially when it comes to air ambulances. Imagine this situation: John is out on a mountaineering expedition with a small group of adventurers. Unfortunately for him, there is an avalanche and he is stuck neck deep under the snow. Injured, he is unable to move. The only thing that’s keeping him alive is the hope that air ambulances get to him soon, but he is not even in a position to make a call. Yet, it only takes 15 minutes for an air ambulance to be dispatched, and in the next 30, he is on an air ambulance. How was it all possible?
Wearable Devices Can Contact Air Ambulances
It sounds like science fiction that a simple watch or a device that you wear can actually call air ambulances during emergencies and that too without any intervention from you. How can a device so small be so intelligent? The answer: it is a mix of logic and technology. Here’s how it works – the wearable device continuously monitors the person wearing it. His vital signs such as his heart beat, breathing, temperature, etc, are monitored. When there is a drastic drop in any of the signs; for instance, heartbeat, the device requests the person wearing it to intervene. If he does not intervene, the device assumes that the person is in trouble and automatically sends a signal to emergency services for a response.
There is More to Wearable Technology
Let’s go back t John who is stuck under the snow. The biggest challenge facing air ambulances would be his location. Thanks to the device, it provides the precise location coordinates to the first responders. Not just that, it continuously sends across his vital signs so that they can gauge his health condition on an ongoing basis.
What makes the device so intelligent is a combination of sensors programmed to monitor the vital signs and its ability to communicate using mobile and cloud technology.