Medical flight professionals play an important role in offering life-saving services that range from triaging to offering emergency medical care on the spot and during transit. However, it must be observed that they perform these tasks in enclosed spaces with limited resources, both in terms of equipment and personnel. Rapid decisions and medical interventions are all a part of their daily routine. There is a constant need to keep in touch with medical experts on the ground. That’s not the end of it, the crew is expected to maintain a clear record of what has been done so that the transfer of care is smooth and seamless.
Best Practices for Medical Flight Professionals
The foremost thing to do is inform the receiving hospital about the status of the patient. If he or she is suspected of COVID-19 infection that must be made apparent. Even in the absence of a clear test report, if the patient is exhibiting symptoms of COVID-19, it is best to keep the receiving hospital informed. This is especially important as the protocol to receive a COVID-19 patient varies when compared to other health conditions. The practice can save several valuable minutes and appropriate care can be quickly provided upon landing.
Personal Care is Important
It is not possible to drastically modify most if the medical flight choppers to accommodate COVID-19 patients. Being in an enclosed space without a clear separation between the crew and the patient increases the risk of infection. However, PPE (personal protective equipment) offers an effective shield in this situation. It is reported that the PPE can be uncomfortable when worn for long periods of time, but it should not be a reason to compromise safety. Also, all mandated sanitization protocols laid down by the CDC and other government health agencies must be strictly adhered to.
If you are a patient who is in a medical serious condition and fighting for life, would you be okay with an air ambulance professional who is fatigued and has been working a shift of almost 24 hours? Would you perceive this condition to be grave for your life? Although air ambulance personnel these days are not expected to work abnormally long hours, this fact is something you should know about. In this context, one must note that 24-hour shifts were a practice, if not common practice, prior to 1997. We bring you a research conducted in this regard by the US National Library of Medicine National Institutes of Health, which is a part of National Center for Biotechnology Information, a US Government undertaking.
The Findings of the Report were Astounding and Contrary to Popular Belief
The primary objective of the research was to assess the psychomotor agility and skill performance of the air ambulance personnel when they worked 12-hour shifts versus 24-hour shifts. The data gathered pertaining to 24-hour shifts belongs to the pre-1997 era. The data collected was compared with times when the air ambulance industry was mandated to work for limited number of hours as against the time when shifts spanning 24 hours were not alien. Intubation – a critical task that is undertaken routinely – was used as a scale to measure the efficiency of the air ambulance professionals. Surprisingly enough, there was hardly a difference between ‘overworked’ professionals and the ones who worked reasonable hours.
How Do Air Ambulance Professional Manage to Work at Optimal Efficiencies?
The answer may lie in the fact that failure is not an option when lives are at stake. No matter what the level of fatigue, when people who are driven by passion and compassion are put in a situation where the outcome depends on how they perform, the chances are they will try their best and come out winners. The fact is also an ode to the dedication of the professionals belonging to the air ambulance industry.
As an air ambulance provider, it is your responsibility to ensure the safety of your staff. This is particularly important for your medical flight paramedics, because there is a high possibility of them getting injured. We’ve even highlighted some of the causes of injury in two of our previous posts. So in this post, we’re going to discuss some of the ways in which you can improve workplace safety and prevent injury among your staff.
Enhancing Equipment Safety
The first thing you need to look at is your equipment. If you went through the previous posts, you would have seen that medical flight paramedics are commonly injured while lifting patients. So the best thing to do to prevent such injuries is to replace your traditional manual cots with powered patient transport equipment.
These will significantly reduce the physical strain on your paramedics. In turn, this will reduce the likelihood of experiencing injury. You could install assisted loading systems that will support the cot and make it easier for paramedics to load and unload patients onto the aircraft.
You should also equip your aircrafts with safety equipment that your paramedics can easily access when needed. This would include safety masks, gloves, and gowns to protect them from exposure to harmful substances.
Enhancing Medical Flight Safety
In addition to enhancing the safety of your equipment, you should also consider the safety of your aircraft. Whether you’re operating fixed-wing aircrafts or helicopters, you should do a thorough maintenance that will ensure optimum safety for your crew.
Have proper storage systems installed for your equipment, so that paramedics can easily access them when needed while at the same time preventing the equipment from exposure. And make sure you have a routine check of your engines and inbuilt flight equipment.
RVSM is an abbreviation that stands for Reduced Vertical Separation Minimum. RVSM-approved medical flights must be fitted with certain gadgets such as autopilot and certified altimeter. These medical flights are allowed to fly 29,000 feet above the sea level.
RVSM allows aircrafts to fly maintaining reduced vertical distance between each other; thus, paving way for more medical flights to share airspace simultaneously and safely. While this may seem quite technical for a layman, there are other distinct advantages of flying above 29,000 feet. It brings speed, comfort and safety. Let’s discuss the importance of RVSM, especially with long-distance medical flights.
Safety of Medical Flights and RVSM
Safety is always the primary concern when you choose an air ambulance. Medical flights coursing at lower altitudes are more susceptible to turbulence. Such turbulences can cause unnecessary anxiety in the patient which is not advisable when the condition of the patient is critical or the patient is already anxious about his or her health.
Speed of Medical Flights and RVSM
Time is always of essence when choosing an air ambulance. Medical flights flying at higher altitudes fly quicker and burn lesser fuel. This means that the air ambulance does not have to stop frequently for fueling. Circling the airport, landing, fueling and resuming flight can be quite time consuming and RVSM approved medical flights avoid/ reduce such hassles greatly.
Comfort of Medical Flights and RVSM
The reduced chances of turbulence, when flying at higher altitudes, make travel comfortable for the patient. The difference in comfort level is not too great but for a patient who has a fragile health condition, the small difference can mean a lot. There is also the peace of mind that comes along when you know that the aircraft carrying you will take lesser time.
Cost is always a consideration when choosing medical flights. The fact that a RVSM approved aircraft burns less fuel could translate into lesser costs for you.