Helicopter Safety for Field Operations A different approach Russell Wise 770-366-0282 ...
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- Slide 1
- Helicopter Safety for Field Operations A different approach
Russell Wise 770-366-0282 www.airmethods.com
rwise@airmethods.com
- Slide 2
- The History of Helicopters
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- Arriel Cutaway of a Turbomeca Arriel TypeTurboshaft National
originFrance ManufacturerTurbomeca First run1974 Major applications
Agusta A109 HH-65C Dolphin Sikorsky S-76 The Turbomeca Arriel is a
highly-successful series of French turboshaft engines that first
ran in 1974. 1 Weighing 109 kg (240 lb), the Arriel 1 has a power
output of 520 kW (700 hp). As of 2007, nearly 7,000 examples had
been produced.Turbomecaturboshaft1974 1 Data from: 2 2
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- Helicopter applications
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- Mount Everest
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- HEMS
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- Physics of Flight with Anti Torque Tail Rotor
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- Physics of Flight without Tail Rotor
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- Air Methods Who we are:
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- Founded in 1980 Roy Morgan First hospital program St. Marys,
Grand Junction, Colorado. Financial NASDAQ Ticker: AIRM Employees
4,000+ Headquarters - Englewood, Colorado.
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- Fortifying Our Market Presence 1997 - Mercy Air Service 2000 -
ARCH 2002 - Rocky Mountain Holdings 2007 - CJ Systems 2009 Omni
Flight North Georgia and Atlanta (Rescue Air 1, Life-Net, and Emory
Flight) 2011 Omni Flight Nation wide
- Slide 12
- History Began operations in June 1998 as Phoenix AirCare LLC
with one helicopter strategically located in Griffin. Have steadily
progressed to locations in Griffin, Gainesville, Newnan, Kennesaw,
Conyers Jasper, Augusta and Ft. Benning, Springfield and Vidalia.
Backed by a strong commitment from the largest Aero- medical
provider in the world, AirMethods Inc.
- Slide 13
- Air Methods who we are: Only air medical service provider with
a national presence under two service delivery models HBS CBS Offer
all key core competencies in-house: Aviation operations Aviation
completions Aviation innovations Billing and collections Dispatch
and communications Field maintenance Medical staffing and
training
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- Hospital-Based Flight Programs
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- Community-Based Flight Programs
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- Combined Flight Services
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- Core Values
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- Our Mission: Air Methods is uniquely positioned to serve as a
partner of choice to our customers and our employees by providing
safe, professional and quality services, while delivering
measurable benefits to our investors.
- Slide 19
- Guidelines for Aeromedical Transport American College Of
Surgeons Committee on Trauma
- Slide 20
- HEMS First Mission, Trauma The Golden Hour concept provides
that patients seen by a trauma surgeon in a trauma center within
that first hour of injury have higher survivability and a better
quality of life.
- Slide 21
- Where we transport patients to Certified Stroke Centers?
Cardiac Centers? Interventional Cardiac Centers? Pediatric
Specialty Centers Burn Centers?
- Slide 22
- Scene Call EMS / Fire Determines The Landing Zone Cardiac
Trauma Stroke Medical Emergency Adult and Pediatric
- Slide 23
- ADVANTAGES Speed (Time is human tissue) Death and disability
can be avoided if the right care can be provided quickly enough.
Access Minimize the time out of hospital, point to point capable,
avoid traffic delays. Higher level care The additional skills and
equipment of a tertiary hospital; more advanced drugs, RN and
Paramedic critical care capabilities.
- Slide 24
- Crew Capabilities Maintain a critical care environment
throughout transport. Provide medications and equipment not
commonly carried on ground units. Vaso-active medications
Analgesics Sedatives/Paralytics (RSI) Advanced Procedures and
Equipment
- Slide 25
- Medical Equipment Propaq EKG BP Pulse Oximetry ETCO2 Monitoring
of two invasive lines ICP Arterial Lines Swan/Ganz Cardiac
Monitor/Defibrillator LTV 1200 Transport Vent with adult /
pediatric capabilities C Pap Bi Pap IVAC Med-system III med pumps.
(six line capable) R.S.I. & Surgical Airway capable. PYNG and
EZ I.O. device
- Slide 26
- Weather and Visibility
- Slide 27
- Visibility At 1000 feet on a clear day you can see
approximately 200 square miles
- Slide 28
- Federal Aviation Regulations Part 91 Part 135 TFR Class B Air
Space
- Slide 29
- Request Crew is not given patient type info prior to go
decision. P.I.C. and the crew will either accept or decline the
flight based on scene location and weather on the initial call, we
would never want anyone to push the envelope on weather knowing a
child is in need of our help. Once the flight is accepted then
further information follows, such as age, weight or other variables
of condition.
- Slide 30
- Activating The System When requesting air transport the
following info should be given to the Comm Center: Name of calling
party, agency, and call back number. Location of incident. County,
City, Street and Cross-Street and GPS coordinates as available.
This is not mandatory information to start the process. Multiple
aircraft inbound to the scene Ground contact and frequency Patient
information Age (Adult or Pediatric) Approximate weight
- Slide 31
- Flight Com and the 911 Center Same type system Specialized Team
Approach Aviation Understanding (They are not dispatchers..only the
Pilot In Charge (P.I.C.) can dispatch a flight F.A.A. Rules Com
Specs handle the call and route to the closest station as you would
say or Aircraft Base
- Slide 32
- Weather Restrictions Go Flight / Air Alert based on 1.Weather
minimums at our base 2.Weather minimums at your scene 3.Weather
minimums at the receiving hospital 4.Weather minimums between each
point Call us ASAP so the pilot on duty can assure that all areas
in the flight path are safe to fly!
- Slide 33
- Slide 34
- Slide 35
- Commitment to Safety Investments in Safety Technologies Night
Vision Goggles (NVG) Helicopter Terrain Avoidance Systems (HTAWS)
Garmin GPS XM Satellite Weather Satellite Tracking Reinvestment of
revenues into safety
- Slide 36
- Pilots Our pilots average more than 20 years of flying
experience. All Pilots working on the Air Methods Georgia team have
the following: A minimum of 3000 helicopter flight hours.
Commercial instrument rating. A minimum of 500 hours night flying.
1000 hours of turbine time.
- Slide 37
- Alert Status Alert / Standby Request awaiting confirmation Crew
prepares for potential flight Air Stand Bys (Over 20 miles/10
minutes) or as requested by calling agency
- Slide 38
- Adult, Pediatric Male, Female If known, current condition Radio
communication Ground contact inbound Flight Crew Radio Information
Landing Zone Information / Hazards Pt. update if possible Any Other
Pertinent Changes
- Slide 39
- Estimated Time En-route Lift off time = 5 minutes day, and 7
minutes at night Distance from Helicopter Location to Incident
Scene = X miles X miles divided by 2 = Flight Time in minutes Lift
time + Flight time = ETE Ex. (24 miles) (24 / 2) + 7 = 19 min
Weather can affect Lift Off Times
- Slide 40
- GPS - Global Positioning System Computer aided Flight Following
systems is revolutionary for Air Medical organizations. Dispatch
can maintain contact with the flight crew at all times, even on the
ground. This reduces errors inherent in voice-based radio
communications and enhances safety.
- Slide 41
- Nurses A minimum of 3 years of Emergency Department and/or
critical care experience ACLS PLS, PALS, or ENPC BTLS, PHTLS, or
TNCC Former EMS experience, Instructor certifications, and teaching
experience is preferred.
- Slide 42
- Paramedics A minimum of 3 years of EMS experience in a high
volume EMS service. ACLS PLS or PALS BTLS or PHTLS Instructor
certifications and teaching experience is preferred.
- Slide 43
- Mechanics Minimum 10 years experience as a certified air-frame
and power plant mechanic. All mechanics have extensive experience
in maintenance of various rotor-wing aircraft. Qualified in
Euro-copter AS 350 and BK 117 Factory Training.
- Slide 44
- Communication Specialists NENA APCO NFPA NAACS (National
Association of Air Medical Communication Specialists)
- Slide 45
- ROTOR GEAR Type: AS 350 B2 A-STAR Speed: 120+ Knots (140+ MPH)
Cruise Distance: 300 miles Capability: One patient Weight of
patient dependant to location of LZ and fuel load.
- Slide 46
- BK 117 Cruise - 135 Knots or 155 MPH Range 300 Miles Capable of
2 patients or 1 500 pound patient
- Slide 47
- The Challenge is in getting the Right Patient, to the Right
Place, at the Right Time. We can help!
- Slide 48
- Communications Center NAACS (National Association of Air
Medical Communication Specialists) Computer Automated Flight
Following Radio Communications Delorme Mapping System GPS
- Slide 49
- A little different than a typical 911 Center Com Specs call you
back to update E.T.E.s and advise of potential destination. Com
Specs obtain acceptance for our patients on ALL scene flights at a
Level I or II Trauma Center, Cardiac/Stroke Center, Pediatric
Center, etc. Relay of patient report to receiving facility. Assist
in monitoring weather prior/during and after flight. Flight
following and position reports
- Slide 50
- Flight Tracking
- Slide 51
- When you consider using a helicopter, ask yourself. Do I have a
good landing zone, a designated landing zone coordinator and safety
officer? Do you have adequate crowd control police or fire? Do we
have good communications with the helicopter crew?
- Slide 52
- Helicopter Shopping Why we do it and what is the cost
- Slide 53
- Marking the Landing Zone Good communications! Emergency lights
are helpful (day and night). Strobes and/or dimmed headlights at
night. Consider parking Emergency vehicle under any nearby
obstructions.
- Slide 54
- Choosing a Landing Zone (LZ) Try to select an LZ that is
adjacent to the scene to avoid the need for ground transport that
could prolong a patients pre-hospital time. (However, when
necessary, a remote LZ is 100% appropriate.) Select a landing zone
that will allow for an angled approach from at least two
directions. This approach and departure path should be clear of
towers, poles, wires, trees, signs, and other obstructions
- Slide 55
- Hazards in or near the LZ Wires Electrical horizontal Wires Guy
wires vertical Unlit Towers Dust Smoke Chemical Exposure Crowd
Control
- Slide 56
- Landing Zone Select a LZ that is as level and firm as possible.
Parking lots, roads, sport fields, and other locations are most
desirable, free of debris The size of the landing zone during the
day must be at least 60 square. The size of the landing zone during
the night should be 100 X 100. Keep pedestrians and vehicles away
from the landing zone. The pilot has the final say on the selection
of the LZ. And the pilot may divert.
- Slide 57
- LZ Minimums
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- Dark or decreasing light operations LZ 100 ft x 100 ft
- Slide 59
- Night Vision Preservation Night vision is affected by white
light never point lights at the aircraft. Studies show a 2-3 hour
exposure during the day can increase the initial phase of dark
adaptation by 10 minutes.
- Slide 60
- The Landing Zone Officer Designate a landing officer ( Ground
Contact ) to communicate with the helicopter crew as soon as the
helicopter makes initial contact. Notify the emergency dispatch
center of the frequency you intend to communicate. Provide the
helicopter crew with a description of: The landing zone. Include
the size of the landing zone, how it is marked, a list of any
nearby obstructions. Any other air traffic in the area. Patient
report is actually a disruption to aircraft on approach. Notify the
helicopter crew when you have them in sight. (Arms straight up
overhead, with back to wind.) Immediately notify the crew if any
last minute hazards are detected or if an unsafe condition
develops. (Crossed arms back and forth overhead to alert an abort)
Please use plain language instead of 10 codes. Affirmative or
Negative is the preferred response to a yes or no question.
- Slide 61
- Highway Landing Zones When selecting the LZ on any Highway,
select the site that has the best approach and departure route.
Keep in mind Wires, Bridges, Adjacent Buildings etc. With a divided
highway, use best judgment when deciding to designate LZ on same
side vs. opposite direction of travel lanes. Stopping ALL traffic
may be the best option when dealing with the distractions of a Air
Medical Helicopter landing on your accident scene. Rubber Neckers
may create a much more hazardous situation than than what you are
already dealing with. (Avoiding Secondary Crashes)
- Slide 62
- Land on the Road ?
- Slide 63
- Never assume Land in front of the truck. Which Truck?
- Slide 64
- THE MOST APPROPRIATE COMMUNICATION MAY BE. AIR LIFE Helicopter
this is Hwy 316 Command Hwy 316 Command this is Air Life 6 Go Ahead
AIR LIFE 6 I have you in sight. Be on guard for News Helicopters in
the area. Were at your 3:00, and would like you to land at the
North end Of the Accident scene, South of the RED Fire truck that
is blocking the Roadway. Hwy 316 Command - I do have you in sight
sir. I understand The North end of the accident scene south of the
RED Fire Truck. Well Be on the ground in two minutes.
- Slide 65
- Be Ready for . AIR LIFE Helicopter this is Hwy 316 Command Hwy
316 Command this is Air Life 6 Go Ahead AIR LIFE 6 I have you in
sight. Were at your 3:00, and would like you to land at the North
end Of the Accident scene, South of the RED Fire truck that is
blocking the Roadway. Hwy 316 Command - I do have you in sight sir.
I see some high tension electrical wires in my approach path.
Please have Law enforcement block the South Bound traffic, and
secure a Landing zone there. Ill go around. Advise when the LZ is
secure.
- Slide 66
- Ground Personnel Safety It gets dusty when a helicopter
lands.
- Slide 67
- Communicating with the Aircraft When directing the Helicopter
to your location use the clock method based on the NOSE OF THE
AIRCRAFT Never base the clock designation on your position 12:00
3:00 9:00 6:00
- Slide 68
- Safe Approach Areas Approach aircraft onlyApproach aircraft
only when directed to do so by the crew. Secure any loose items
such as hats, stretchers and linens.Secure any loose items such as
hats, stretchers and linens. Enter and leave rotor disk area as
group at crew directionEnter and leave rotor disk area as group at
crew direction
- Slide 69
- If you have a helmet, secure the chin strap. No other hats
should be worn, and nothing loose on your body. Cover up, head to
toe. Wear full eye protection and gloves. Do not approach the
helicopter until asked to do so by a crewmember. Always walk, never
run, around a helicopter. If the landing zone is uneven, never
approach or depart from the uphill side. Always use the downhill
side where you are in the pilot's view. Do not touch anything on
the helicopter unless directed to do so by a crew member. Remain
clear of the tail rotor and main rotor at all times. At night. Do
not flash any bright lights at the aircraft. Headlights on low
beam, away from the LZ. Overall Safety
- Slide 70
- Helicopter Loading There is nothing more that can be said about
a Tail Rotor Strike other than it is a bad thing. Against wires, it
can bring the aircraft down. But most of all Will it just leave a
mark or will it kill you?
- Slide 71
- Helicopter Loading Only approach the helicopter, from the
front, when asked to do so by the pilot or crewmember Do not permit
anyone to approach the aircraft while rotors turn without the
flight crew. If possible, designate a person to Guard the tail
rotor. STAY CLEAR Area Danger
- Slide 72
- Lift-Off and Departure The LZ coordinator ( Ground Contact )
will notify the pilot when the landing zone is clear of all ground
personnel. Again check for other air traffic in the area and notify
the helicopter the area is clear. Maintain all protective devices
against flying debris. Notify your dispatch that the helicopter has
lifted off and if possible their destination. If at all possible,
try to maintain a secure landing zone with all personnel and
emergency equipment for a couple of minutes after the helicopter
departs. If an in-flight emergency develops, this will allow the
pilot to return safely to a secure landing zone.
- Slide 73
- Lift- Off and Departure
- Slide 74
- Slide 75
- Fire Ground Operations We are not here to write your
Departments Policy. We are here to share what we have learned and
discovered, and discuss ways in which we may improve what is
accepted as Best Practice. #1 Rule Do not allow your crew and
equipment to become a casualty. #2 Rule If we are not in it and it
is on fire protect property.
- Slide 76
- Fire Ground Operations
- Slide 77
- Slide 78
- Slide 79
- Air Methods Bases in Georgia AirLife 1 Griffin AirLife 2
Gainesville AirLife 3 Jasper AirLife 4 Newnan AirLife 5 Kennesaw
AirLife 6 Conyers LifeStar 1 Springfield LifeStar 2 Vidalia LifeNet
Augusta
- Slide 80
- Business Managers for Georgia Russell Wise rwise@airmethods.com
Jeff Wilson jwilson@airmethods.com Russell McDaniel
rmcdaniel@airmethods.com Chad Black cblack@airmethods.com David
Herrin david.herrin@airmethods.com
- Slide 81
- is a promise Air Methods & Air Life Georgia are obligated
to provide your patients and your public safety officers the safest
scene and the most experienced transport environment available. We
are dedicated to that purpose!
- Slide 82
- CEU Numbers GFSTC Approval # 1749-1007-01 EMS CEU#
10-2010-CE-011
- Slide 83