Life Flight Network

Report
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?

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