Air ambulance service, as a business, is not short of challenges, budget being the first concern but not the least of it. A good business plan that lays out the path to profitability can easily attract investors. However, there are other challenges that are seldom looked into by most entrepreneurs. Here, we discuss some of those road blocks in some detail.
Understanding the Legislations Across the World
The air ambulance industry in the US, as most experts opine, is pretty saturated. It is, therefore, recommended that entrepreneurs target the global market. This necessitates looking into legislations that govern the land. While the norms in most developed, capitalistic countries are similar, they can vary a lot when it comes to developing countries and socialistic policies too can pose some government roadblocks. It is wise to employ an array of consultants to overcome this hurdle.
Provision of Round the Clock Air Ambulance Services
Failure to respond to emergencies can leave your organization with negative public perception problem. To ensure that air ambulance services are always available throughout the year, it is necessary to make arrangements to be available throughout all weather conditions. Also, medical staff needs to be on standby at all times, even though this means additional overheads. Most air ambulance companies overcome this problem by transferring this overhead costs to the end consumer. However, the wisest thing to do is introduce memberships for nominal fees. Efforts must be made to remain ‘in coverage’ of insurance networks so that reimbursements are seamless.
Acquiring Air Ambulance Fleet and Keeping the Staff Well Trained
Air ambulance industry demands seasoned, qualified professionals and it’s hard to find people who fit this criterion. Plus, there is the issue of ongoing training to the staff. Accredited training organizations must be looped in to meet this challenge. Lack of ongoing training can impact the quality of services immensely.
Now, that’s a scary situation isn’t it? Imagine that you’re in an air ambulance and it crashes in the wilderness. What would be your first reaction if you know that you’re going to be stranded for at least a couple of days? Search for food, correct? In reality, that’s the worst mistake that you can make. A typical human being can survive up to 3 weeks with no food at all but can only last up to 3 days without any water. We bring you several survival tips in this guide.
Staying Close to the Crashed Air Ambulance Vehicle is Vital
Wandering off in the wilderness in search of help is not wise. The rescue personnel are, obviously, going to look for the crash site and not wandering survivors. If you’ve moved too far away from the crash site, you might not even be found. So, it’s wise to stay close to the air ambulance and wait for help.
Protect Yourself from Harsh Weather Conditions
If the air ambulance is still in a condition where it can provide you shelter, use it. If not, try to erect a simple tent with sticks that can protect you from the sunlight. It must be noted that aircrafts are not the ideal shelters in extreme weather conditions. Seeking other forms of shelter is advised. The survivor, in this case, needs to be innovative.
Lighting a Fire and Hunting for Water is Important for Survival
Fire not only keeps the survivor warm, but also acts as a signal for rescuers. Keep the fire lit at all times as much as possible; however, beware of the dangers that a fire poses. Don’t get it too big. Also, your air ambulance might still have some water reserves left; use it judiciously. If you find a water source nearby, use purifying tablets before consuming it. If you do not have these, simply boil it for about 5 minutes.
The last thing that comes to mind during emergencies is money. Staying alive takes priority over everything else and naturally so. It is after the emergency and when you are inadequately covered by insurance that air ambulance cost finally comes into picture. There are several factors on which medical flight costs depend on. In this guide, we briefly discuss the important cost factors.
The Distance that Air Ambulance Needs to Cover
Unlike a cab that usually considers the distance from the point that you occupy it, air ambulance charges go beyond this point. You might be expected to cover the cost from the air ambulance base to your location and also for the journey undertaken by the air ambulance to get back to its base. Opting for the nearest air ambulance might make more sense in situations like these.
The Type of Air Ambulance Vehicle
For longer distances, an air ambulance with a jet engine might be more suited. Of course, this might translate into higher costs. At the same time, helicopters are ideal for emergencies that occur on busy streets. While one cannot exactly choose which vehicle to hire, it must be understood that aircraft type and costs are directly related to each other.
The Extent of Care the Health Condition Demands
There are two components to medical care: personnel and equipment. If the condition demands that the air ambulance be loaded with advanced life support and monitoring systems, the costs will shoot up. Also, there might be a requirement for specialized human care that only highly skilled professionals can provide. And such care usually comes at a premium.
Air Ambulance Landing Fees and Logistical Charges
When an air ambulance lands on an airport or helipad, it is usually charged a fee for it. Also there might be other charges such as visa, hospital booking, ground ambulance charges, etc. Your air ambulance service provider is obviously going to factor all that in while drawing the bill.
Travel insurance is the safety net that you need when travelling abroad, especially in countries where the quality of health care is not the same as the one you enjoy in your home country. In such situations, air ambulance can become an absolute necessity. Most people assume that travel insurances automatically ensure an air ambulance to their home countries if they felt there is a necessity and that it is the patients’ choice to get the treatment wherever they desire; however, these beliefs are far from true. The insurance company can actually deny a claim and for the patient to get treatment in the visiting country. The company would weigh the cost advantage in situations like these.
Checks Air Ambulance Cover Before Purchasing the Travel Insurance
Explore as many travel insurance options as you can before zeroing down on a specific one. Reveal upfront the kind of activities you plan to indulge in and check out the premiums. If you have any pre-existing illness, make that known clearly and check out the premiums. The fear of higher premiums must not deter you from making this revelation as you can get into a huge financial mess owing to this mistake later.
Know Your Coverage Well
Also, some activities are considered very high risk and certain travel insurance policies might not cover them. If you’re going to be a part of some extreme adventure event, check out the facilities that the organizers offer and also whether the insurance company is willing to cover the mishaps that occur during such activities.
There have been several instances in the recent past where the travelers have not bothered to look closely enough whether the insurance company covers air ambulance services and later have had to resort to crowd funding to afford international air ambulance services. A little homework can avoid such issues and make your travel more secure and safe.
We have mentioned in our guides earlier that the best thing to do is leave patient care to the paramedics or emergency medical professionals before the air ambulance arrives. However, there can be times when such help is not available on time. It is in instances like these that the knowledge of some basic facts and maneuvers come handy. We discuss such minimum interventions below.
Pre Air Ambulance Arrival First Aid starts with Calling 911
It is only prudent to first seek professional help and then proceed to offer help. Most times, our foremost instinct is to jump into helping the victim physically, but in the process that precious and live-saving call to 911 emergency services might be delayed significantly. If you strongly feel the need to intervene directly, ensure that you have someone nearby call 911 immediately. Your presence of mind in this matter is vital.
After You Call the Emergency Number
What you do after the emergency call, is entirely situational. Let’s explore some scenarios here:
- Commence cardiopulmonary resuscitation or CPR if you see that the patient is not breathing.
- If the patient is bleeding profusely, apply pressure to stop it. You can prepare a tourniquet by tying a rope to restrict the flow of blood towards the wound.
- If the patient has any amount of food, vomit or blood in the mouth, place the patient on his side with his arm or a pillow-like material under the head.
- If you see that the victim is unconscious while lying face down, turn him over so that he rests on his back.
If the victim is conscious, calm him down by reassuring that help is on the way. Remember, your reassurance to the patient is vital to eliminate anxiety. Bring in some positivity into the situation. Even simply holding the patient’s hand would suffice.
While an air ambulance is extremely important to get the patient the care that he or she deserves right when it is needed, it is the paramedics who make sure that the patient gets adequate care in the interim. The situations that paramedics find themselves in are invariably stressful. What makes a great paramedic is the ability to function intelligently under stress. If you are mulling a career as an air ambulance paramedic, you need to do some amount of introspection before you get into it.
The Personality Prerequisites of an Air Ambulance Paramedic
- Begin by asking yourself the following questions:
- Am I usually calm and contained when faced with stressful situations?
- Am I a quick thinker?
- How is my level of physical fitness?
- How good are my problem-solving and analytical skills?
- Am I a team player?
- How good am I at remembering guidelines and protocols?
- Do I communicate effectively enough?
- Do I judge people? Am I a tolerant person?
- Do I enjoy working with people who have diverse backgrounds?
- Can I commit myself to a life of continuous learning?
The Pay is Good and the Work is Challenging
Touching human lives on a daily basis is something that drives certain individuals. However, one needs to take into consideration other factors like qualifications. It is also a lot of hard physical work at times. Once you take into considerations these factors, if you still feel that you have it in you to become an air ambulance paramedic, you should definitely go for it. Keep in mind that the wages you earn will be in tune with your qualification and your experience. So, patience is a virtue that you must possess. Finally, always choose qualifications that are internationally recognized.
When you’re a medical care provider, there’s no knowing when your help might suddenly be required even on your off day. And your intervention can make all the difference for someone who needs immediate medical care. That’s why medical flight paramedics, doctors, nurses, and EMS paramedics alike should take it upon themselves to carry individual first aid kits.
What Medical Flight Paramedics Need in a Personal First Aid Kit
Before you prepare your individual first aid kit, you need to be sure about what you should expect out of the kit. Of course you can’t carry around every type of medical equipment that you normally work on. But the kit should contain some basic items that can help you provide care in common emergency situations.
Your personal first aid kit should be easy to carry around inside your bag or pockets. You should be able to access it easily but make sure you keep it protected from the elements. Although there may be several pre-stocked personal first aid kits available at your local pharmacy, it doesn’t hurt to prepare one on your own.
Content Ideas for Personal First Aid Kits
When considering which items to include in the kit, think of what you would normally use to treat minor injuries or aches. Band aids, cotton balls, and over-the-counter pain meds are a few examples. In addition to this, medical flight paramedics can include items like bandages, antibiotic ointments, gauze pads, etc. in their personal first aid kits.
You can customize the contents as needed. Every once in a while, you might even want to revise what you include in the kit. If you hardly need a certain item, for instance, you could switch it out with something else that you normally need but hadn’t included yet.
As a medical flight paramedic, you might have encountered a few sepsis patients on your missions. But have you had to deal with kids suffering from this problem? Sepsis treatment is already complicated and can be much more complicated in children. They can easily develop sepsis after developing an infection from a traumatic injury or an illness.
Pediatric Sepsis Assessment Tips for Medical Flight Paramedics
When you encounter a kid suspected of having sepsis, you can make use of the following tips to provide timely and accurate treatment:
- Assess complaints carefully – As you well know, there’s no test or clinical indicator for sepsis. So you need to carefully assess the various symptoms in your young patient to determine whether they’re suffering from the condition.
Fever, rash, vomiting, diarrhea, discharge or pus, foul-smelling urine, and runny nose are some of the common symptoms to look out for. If the patient is shivering, pale, sleepy, and suffering from shortness of breath and extreme discomfort, there’s a chance they have sepsis.
- Determine the patient’s medical history – In most cases, a patient’s medical history may make them more susceptible to sepsis. Try to determine if the patient has gone through anything that might decrease their immunity. For example, immunotherapy and chemotherapy as well as HIV/AIDS and regular steroid use can negatively affect the immune system.
You can also try to determine whether the patient suffers from any comorbidities that might leave them susceptible to infections and cardiovascular collapse. Cancer, sickle cell disease, cystic fibrosis, poor cardiac/respiratory reserves, and liver/splenic dysfunction are some conditions to look out for.
In addition to this, see if the patient has had any recent surgery, traumatic injury, indwelling devices, or organ transplants. Medical flight paramedics should also note that children who depend on mechanical ventilation may also be more susceptible to sepsis.
You’re a supervisor for an air ambulance and you have to improve how you communicate to your employees. Maybe you’re making a small policy shift or you’re implementing a major change to your operations; better communication is crucial. It will ensure that everyone in your medical flight team is on the same page and there’s no one left behind.
Steps to Communicate Better to Your Medical Flight Team
Whether you’re making some changes to the deployment strategies or simply shifting schedules, effective communication is crucial for effective implementation of your plan. Here’s what you need to do:
- Write it out – To better understand how you can communicate to your team, you should clearly lay out your plan in writing. This plan will detail the various teams and audiences you will be addressing as well as the specific messages you should relay to those groups.
- Embrace transparency – If you’re implementing a change – no matter how big or small – it’s crucial that you’re honest and transparent with team members. For them to better understand your vision, you need to address their concerns and let them in on why the change was needed.
- Encourage questions – Your communication with your medical flight team shouldn’t be a one-way communication. Encourage team members to ask their questions so there’s an opportunity to address their doubts and concerns. Make them feel like they can ask you any questions or give you difficult feedback without a negative reprimand.
- Consider adjustments – If team members give you any feedback about what you’re doing, carefully consider them and see if there’s an opportunity for you to make adjustments. Or if you feel like your message isn’t effectively communicated, adjust the way in which you’re approaching the topic and relaying your message.
The recent despicable act of terrorism in Paris recently has got the world together in solidarity with the French. However, it can’t be denied that there is an air of insecurity that is lingering in the air. The attacks have made air ambulance coverage all the more important in a new world where violence seems to make its way in ways that one can’t imagine.
It has been seen that there is a spike in demand for air ambulance coverage off late. So, the vital question is “what kind of air ambulance coverage do I need when travelling abroad?” Your visit could be for business or recreation, you need to clarify certain things with your insurance carrier and also look for additional coverage.
Does Your Travel Insurance Provide Air Ambulance Cover?
It is likely that it doesn’t. Most travel insurances do not cover air ambulance evacuations at all. You don’t want to be stuck in a foreign country in case you’re caught in an unfortunate incident, amid all the chaos. The first thing that would linger in your mind is being with your family and loved ones. So, specifically look for an insurance that brings you air ambulance evacuation.
You’re Better off with Additional Air Ambulance Coverage
There are specific air ambulance coverage plans available to you today. While the maximum that insurance can offer you is air ambulance transfer to the nearest facility in your home country or abroad, you can get a better deal than this through additional cover.
There are air ambulance plans today that promise to bring you back to a medical facility that is close to your home. Some even offer to transport you to a facility of your choice. If you’re thinking that the whole affair is going to be expensive, think again. There are plans that cover you both domestically and internationally for a few hundred dollars each year. All you need to do is look for a plan that suits you best.