Tag Archives: Airambulance

Airambulance Guide: Altitude Decompression Sickness

Altitude decompression sickness is not unique to airambulance flights or to patients alone. It is a condition that is generally associated with high altitudes. It was only in the 1930s that this phenomenon was recognized by the medical community. The problem was observed in aircrafts as well as high-altitude hot-air balloons. Today, we have a better understanding of altitude decompression sickness, but still, we are not insulated from the dangers of this medical condition. It is a must that medical crews aboard airambulance flights are well aware of this. Here, we explain this condition in simpler terms.

This is What Airambulance Crew Members Need to be Aware of

The basis for understanding altitude decompression sickness is Henry’s Law, which says, “When the pressure of a gas over a liquid is decreased, the amount of gas dissolved in that liquid will also decrease.”

The concept is best explained with the example of soda. What do you observe when the bottle is opened? The formerly ‘calm’ liquid suddenly sees a flurry of activities. The air bubbles that previously were nonexistent suddenly show an insane urgency to escape the bottle, pushing their way through the liquid. Why does this happen? The answer is Henry’s Law.

When the bottle is sealed, the pressure inside is at a constant high, but when it is opened, the liquid is exposed to pressure in the atmosphere outside the bottle, which is comparatively much lower, so much of the gas escapes the liquid.

How Does Henry’s Law Relate to Human Body?

Human beings have high amounts of nitrogen gas throughout the body. When the airambulance is flying at high altitudes, if the cabin is not pressurized, the possibility is that nitrogen will escape the body, owing to the decreased atmospheric pressure that prevails at high altitudes. Of course, modern airambulance vehicles are well insulated from such dangers and can safely travel at high altitudes.

Airambulance Coverage Myths

People fly across borders frequently for purposes ranging from recreation to business. One concern that bothers most of these travellers is reaching home safely in case there is a health eventuality. It must be noted that airambulance services can be quite expensive and cost more than $100,000 if you do not have adequate coverage. Yet, people tend to ignore medical flight cost coverage. This happens mainly due to misinformation. Here, we burst a few of such myths.

Airambulance Coverage Comes with Health Insurance Policy

This is the biggest myth that costs most people dearly. While some insurance companies cover a few air ambulance service providers, not all are covered. It is vital that you discuss the kind of coverage that your health insurance policy covers. Look at the coverage both domestically as well as internationally. Also, there is hardly any insurance policy that transfers patients to the hospital of their choice.

Travel Insurance and Air Ambulance Coverage are the Same

There can be nothing which is further from the truth. Travel insurance, unless specifically stated, does not cover air ambulance costs. You might be left to fend for yourself in foreign land where healthcare facilities are not up to your satisfaction. If your travel insurance brings you additional cover for medical flights, go for it. Otherwise, go for an additional cover through another agency.

Coverage for International Air Ambulance is Expensive

There is no truth in this statement. Coverage is often surprisingly cheap and does not cost more than $100-150. You can even get your entire family covered for an amount like that. Memberships are usually annual which means you’ll have to keep renewing it – a small price to pay if you fly frequently. Note that such coverage is available for both national and international travel.

Coverage through Credit Cards is Enough

Does your credit card take you to the nearest appropriate facility only or does it take you to the facility of your choice? Are you expected to make the arrangement for air ambulance? What distance is covered? These are just a few of the questions that you need to ask before solely relying on credit card air evacuation coverage.

If you have more questions regarding airambulance coverage, feel free to ask your questions in the comment section below. We’d love to allay your concerns.

How to Become an Airambulance Physician?

Airambulance industry is growing at a rapid pace today and is a great career option for those who are in the medical profession. Doctors who have great problem-solving skills and quick wits are considered ideal for the job. Of course, there is also a sense of adventure involved in rescuing people stranded in tough conditions. The basic aspects such as being licensed and authorized in the state where the doctor practices are a must. Apart from that, there are certain other aspects that are vital to be an airambulance physician.

Being Within Reach during Airambulance Emergency

The job of an airambulance physician knows no time. Although most doctors are accustomed to emergencies, being constantly on call is not everyone’s cup of tea. Most airambulance companies demand that the flight physician stays within a radius of 2 hours from the base.

The job also requires dedication as the physician may have to attend periodic educational sessions and also constantly demonstrate expertise and experience pertaining to modern prehospital care as well as hospital care. The airambulance doctor might also be asked to take responsibility of quality maintenance.

Necessary Qualifications to be an Airambulance Physician

The physician must attend aviation physiology course in accordance to the Department of Transportation standards. This also mandates attendance once every three years. Most companies demand that the following certifications must be valid at all times.

Then there are optional ones such as:

However, it should be noted that the requirements may wary from one airambulance service provider to another. Also, there are separate set of certifications for pediatric doctors and neonatal doctors who wish to be airambulance physicians. While some companies might ask for prior experience, it’s not hard to find an airambulance company that hires experienced and certified doctors who have no prior experience as airambulance doctors.

The word, "INSURANCE"

Airambulance Insurance Legal Again in Alaska

Alaska, the biggest state in the US is also one of the most thinly populated areas, apart from its rough terrains. Airambulance is often the only reasonable means of transport during emergencies. Most citizens of Alaska always opt for adequate cover through private insurance providers to cover any eventualities that may demand airambulance services. Airlift Northwest’s AirCare insurance program is one of them.

The Airambulance Insurance was Deemed Illegal Earlier

Late last year, AirCare was deemed illegal by the state due to a technicality. The problem arose when there was a change in the insurance company’s ownership. Thanks to Gov. Sean Parnell, the changes have now been made, so that the residents of Alaska can continue to enjoy the security of having airambulance coverage. The Governor had passed the bill specifically to accommodate insurance programs that reduce the “out of pocket” payment burden that people have to face. It was a part of the Affordable Care Act.

What does Airambulance Insurance mean for Alaskans?

Take the example of Lubins family. Their daughter, Ella, 13, had fallen off a horse and suffered life-threatening injuries including a skull fracture. She was immediately taken to Harborview Medical Center in Seattle via airambulance, as the local hospital was not equipped to handle the extent of her injuries. Ella was fortunate to get treatment on time and is now recovering. However, the cost had come up to $82,000. Thanks to the family’s insurance, they only had to pay about $9000.

In essence, airambulance insurance means the difference between bankruptcy and a normal life. The family only pays about $99 for this coverage. More than 3000 people in Alaska have so far opted for AirCare insurance coverage.

Airambulance insurance providers in Alaska also offer coverage to visitors. The coverage costs as little as $80 and runs for about 3 consecutive months.

Airambulance cabin filled with Medical Equipment

Structural Guidelines for Fixed Wing Airambulance Transport

All most all states in the United States have laid down certain minimum requirements that a fixed wing airambulance must satisfy. The guidelines given below have been issued by the state of Tennessee but the structural guidelines are, in general, similar in other states too.

Airambulance Doors

The doors of the airambulance must be wide enough that a stretcher can be passed through it without tilting it more than 30 degrees. This guideline ensures that the transit of the patient into the airambulance is safely done.

Vertical Height of the Airambulance

It is vital that there is enough headspace so that the medical personnel can function optimally and provide adequate care for the patient. For this reason, all airambulance vehicles must have a minimum vertical height of 30 inches.

The lighting of the Aircraft

The electrical capacity of the airambulance must be equipped to provide “sufficient” light inside, such that medical care is not hindered due to lack of it. The service providers are allowed to make use of portable lamps to achieve this.

Guidelines for Airambulance Equipments

To ensure stability of the patient while entering the aircraft and during the transport, the stretchers must be fitted with at least two restraining straps to keep the patient in place.

The suction devices must have a capacity to produce suction of at least 12 inches of mercury.

Oxygen bags or masks must be available within the airambulance. There must be enough stock so that 95% fraction inspired oxygen is available at all times. The equipment must be capable of adjusting flow between 2 to 5 liters of oxygen per minute.

Adequate sanitary supplies like trash disposal bags, emesis bags, urinal, bedpan, towels, etc, must be available.

Basic tools like stethoscope, blood pressure cuff, dressing materials, and flashlights must be kept handy.

As a patient and a customer availing airambulance services, it is your right to have these facilities and being aware of such basic things about air ambulances can help.

Picture of Sikorsky S-76 chopper

Airambulance and Your Safety – Know a Little About the Choppers

It is remarkable to know that airambulance services or Helicopter Emergency Medical Services ferry over 400,000 people safely each year in the US. Most of these rescues are usually conducted in tough weather conditions and poor visibility. Landing is another concern as pilots have to land the airambulance in unfamiliar terrains.

The fact remains that airambulance services today are increasingly turning commercial and safety is sometimes put on the backburner. The FAA has been extremely active in regulating the airambulance market in recent times, laying down new rules for safety. In this realm, we look at certain facts. However, a good chopper can cut the risks to a huge extent. Here, we discuss a few of those briefly.

The Various Airambulance Choppers and their Capabilities

There are several airambulance helicopters that are used in emergency situations these days. As a person who might potentially be in need of these at some point, you must know a little about the popular helicopters out there.

Bell 206: The cost varies from $800 thousand to $3 million. It is a single engine airambulance that can host only one pilot. It has only limited weather capability. It also has limits when it comes to carrying load such as fuel and medical equipment.

Eurocopter EC135: The cost varies from $4 million to $6 million. It sports a twin engine and can host 2 pilots simultaneously. It has excellent weather capability and can run on autopilot. It can fly for longer distances. This airambulance can carry equipments such as balloon pumps and ventilators.

Sikorsky S76: The cost of this chopper varies between $7 and $12 million. It is a twin engine helicopter that can host two pilots at a time. It has instrument weather capability and can also run on autopilot. It has specialty transport capabilities such as onboard pediatric care. This airambulance has the highest distance range.

Considering the fact that helicopter airambulance operations accounted for the second highest commercial accidents in 2014 as reported by FAA, it becomes vital that you know a bit about these helicopters.