The Commission on Accreditation of Medical Transport Systems (CAMTS) is an independent non-profit corporation, comprised of representatives from twenty member organizations, each representing some component of air and ground medical transport. Representatives to the CAMTS Board of Directors bring with them a wealth of experience and knowledge in their field of expertise. The Board of Directors develops and approves standards for all levels of medical transport – both air and ground. As standards are revised, they are shared with the member organizations and medical transport professionals at large for their comments and suggestions.
Accreditation by CAMTS is granted to those programs that voluntarily apply and demonstrate substantial compliance with the CAMTS Accreditation Standards. This is done through submission of documentation as well as a site survey performed by trained CAMTS surveyors, who have a depth of medical transport knowledge and experience.
There is no single “governing body” over medEvac services. Each service is independent, or could be part of a group of similar programs. There are however, several agencies that may have licensing or over sight for medEvac services. For the aviation components, medEvac services must adhere to rules and regulations established by the Federal Aviation Administration (FAA). They are also subject to periodic inspections by the FAA.
Minimal standards for reimbursement and/or licensing could also be established by third party payers (Medicare, Medicaid, managed care organizations) or by local legislation (state, county or city laws). Most states have minimum licensing requirements for medEvac personnel and the service.
In addition, medEvac services may also follow national or regional standards. For those services that are hospital based, if the hospital is accredited by the Joint Commission on Accreditation of Health Care Organizations (JCAHCO) or other such organizations, such as the American College of Surgeons for trauma verification, the medEvac service must also meet those minimum standards.
Level 1 Trauma Centers, Tertiary Care Centers, and Specialty Hospitals.
Pilots are limited to 12 hour shifts and medical crews typically work either 12 or 24 hour shifts.
No. Pilots are charged with the safe and efficient transport of the crew and patient without regard to what is happening ” in the back”. By isolating pilots from patient involvement, they can make crucial flight decisions without influence.
Helicopters do respond to accident scene when the pre-hospital personnel’s evaluation of the patient/scene meets local air medical transport guidelines.
54% Inter-facility transports (hospital to hospital), 33% Scene response, and 13% Other (organ procurement/transport)
Trauma, medical (seizure, pulmonary, etc) spinal, burn, pediatric, replant, neonate, organ procurement, High risk OB, non-trauma neuro, and cardiac.
Physicians, Nurses, Pre-hospital personnel, Law Enforcement and any other personnel determined by state or local protocols.
There are many but some of the most common are: Nurse/Nurse, Nurse/Paramedic, Nurse/Respiratory Therapist, Nurse/Physician, Paramedic/Paramedic.