Life Flight Network Presentation to Latah County Emergency Management Dominic Pomponio RN, CCRN, CEN, CFRN, NREMT-I Base Manager, Life Flight 79 Lewiston, ID Agenda • Overview of Life Flight Network – Ownership and History – Service Area • • • • • • Crew Configuration Activation and Air Medical Necessity Time Sensitive Illness’ Membership Landing Zone Safety Outreach, Education, and Training Hospital Consortium History • Founded 1978 as Emanuel Life Flight • Became hospital/community hybrid in 2007 • Expansion to Eugene and Dallesport in Spring 2008 • Expansion to Longview in Fall 2008 • Merge with St. Alphonsus Life Flight in Fall 2009 • 2009 Air Medical Program of the Year Service Area Flight Crew Information Safety is our #1 priority! • Pilot • Flight Nurse – Certified – PALS, BLS, ACLS, NRP, PHTLS, TNATC – Advanced skills training – chest tubes, emergent cricothyrotomy • Flight Paramedic – Field EMS Training – NREMT-P – PALS, BLS, ACLS, NRP, PHTLS • BLOOD Clinical Operations We carry a full complement of Critical Care and Emergency medications Clinical Operations LTV 1200 Ventilator Clinical Operations 2 units of O-Negative PRBCs Activation Call Info Activation Completion •800-452-7434 • Who are you? • Where are you? • Where is the patient going? • Is the patient greater than 300lbs? • Off the ramp in less than 6 minutes • Flight crew will obtain all signatures and paperwork (no need for faxing). • Flight crew does NOT need an accepting MD or facility for activation, just prior to transport. • Flight crew will call back to sending facility and give updates. • Equipment return General Criteria Position Papers from AAMS and NAEMSP 1. 2. 3. 4. 5. Patient requires critical care life support Patient requires short out of hospital time High potential for delays with ground transport Remote area inaccessible to regular ground traffic Patient requires specific or timely treatment not available at the referring hospital or facility. 6. Patient’s clinical condition is familiar to receiving hospital’s physicians 7. Use of local ground transport team would leave the local area without adequate EMS coverage. Air Medical Necessity Guidelines TRAUMA • Head and/or spine injuries • Significant penetrating injury above mid-thigh, in torso, or head • Chest injuries • Unstable vital signs • Burns >10% BSA or major burns • Major electrical/chemical burns • Amputation or near-amputation • 2 or more long bone fractures or major pelvic fracture • Scalping or degloving injury • Significant mechanism of injury NON-TRAUMA • Any patient airway that cannot be maintained • Cardiac disease with progressive deterioration • Unstable cardiac patients • Severe or acute neurological illness • Toxic exposure or electrolyte disturbances • Unstable vascular emergency • Critically ill obstetric patients • Critically ill pediatric/neonatal patients • Transplant patients • SICK patient STEMI Transfer Coordination • Early Activation • Call Life Flight First • Medications/interventions may be started by Flight Crew if time does not allow • You may activate without accepting MD/Facility • Door to balloon in less than 90 minutes • Life Flight can be at your facility within minutes Membership Insurance • Membership – $60/year covers entire family – Guarantees patient will have no out of pocket expense if flown by Life Flight Network or one of our reciprocal partners (NW. Medstar or Airlift NW) – Life Flight Network has agreements with NW Medstar and others to honor memberships Landing Zone Education • • • • Life Flight Instructional DVD Selection and preparation Helicopter safety Preapproved landing zones Outreach, Education, and Training • ACLS, BLS, PHTLS classes • Mock MCI Drills and Mock STEMI Transports • Inservices • Conferences and Public Education events • Community Events • Ride-along program • Pediatric simulation event Aviation Services • Rotorcraft aviation services provided by Air Methods Corporation • AMC provides the aircraft, pilots, mechanics • AMC holds FAA Part 135 Certificate Aviation Services • Eurocopter A-Star AS350 B3 • Eurocopter EC135 Aviation Services • Fixed wing operations by Aero Air, LLC and Conyan Aviation, Inc. • Both operators supply aircraft, pilots, and mechanics • Both hold FAA Part 135 Certificates Aviation Services • Aero Air operates a twin- engine turbo prop Commander • Conyan Aviation operates a twin-engine turbo prop Cheyenne III Summary (or what I want you to remember) • Air medical transport can make a significant difference in out of hospital time. • Early activation and cut down on potential delays. • Helicopters are not just for traumas. • We love a good collaboration! • BLOOD! Questions?