Flight for Life

Last updated

Flight for Life is a prehospital care service with many bases of operation across the United States. [1] Flight for Life is primarily known for its emergency medical helicopter transport, but also operates a fleet of land vehicles and fixed-wing aircraft for the transport of critically ill patients to specialized medical care. [2] Helicopter transport is normally reserved for the most critically injured patients or patients who cannot be reached by traditional means of Emergency medical services. [3] Helicopter transport is also especially useful for the transport of critically wounded patients to specialty medical facilities, such as burn, pediatric, or advanced trauma centers, that may be further away from the location of injury. [3] Many rural communities rely on the speed of the helicopter to reach and evacuate their most serious patients to an available medical center. [3] The helicopter may also be used for search and rescue operations in conjunction with ground units or alone. [4]

Contents

History

Flight For Life began in 1972 with a single Alouette III helicopter, based at St. Anthony Central Hospital in Denver, Colorado. It was the first civilian, hospital-based medical helicopter program in the U.S. It has grown to be a regional program responding to nine states.

The idea was generated from St. Anthony administrator E. V. Kuhlman, who wanted to improve medical transport of patients from the mountains and rural areas.

People teased him that he'd seen too many episodes of MASH, and one of his board members called him a “lunatic”. But he persisted with Drs. Dan Dracon and Henry Cleveland, and Asst. Admin. Jack Goetzinger. When the “bird went up” and became successful and copied, Kuhlman found his cynical Franciscan nun board member and told her, “Sister, every now and then the lunatic fringe becomes the cutting edge.”

Recruitment of helicopter pilots was not difficult given the Vietnam War and helicopter pilots returning to the US and looking for challenging jobs. Likewise nurses and techs were lined up to be a part of the Flight For Life team.

The choice for an Alouette helicopter came simply because of the need to reach high altitudes in the Rockies and Alouettes were the best. Kuhlman also had the idea to paint the helicopter orange, so that it would be easily seen; he never admitted that it would become the marketing tool that it became.

The Flight program itself was never a profitable venture, but it was Kuhlman's mantra of “the right thing to do” — and it brought in an increased number of referrals and recognition of St. Anthony

On June 1, 2004, St. Anthony Flight For Life and Penrose-St. Francis Flight For Life in Colorado Springs, Colorado consolidated under a single administrative structure based at St. Anthony Hospital and became Flight For Life Colorado. The following November, operations expanded to Pueblo, Colorado with a fourth helicopter.

In August 2011, a fifth helicopter and second fixed-wing base were added in Durango, Colorado.

Training

The Flight For Life organization comprises many teams, made up of Nurses, Paramedics, EMT-Bs, Respiratory therapists, Pilots, and Mechanics.

Traditionally the helicopter is staffed by a flight crew composed of an experienced pilot, critical care nurse, and critical care paramedic. If advanced knowledge of the patient's condition is known before takeoff, the crew may also include a respiratory therapist, medical doctor or other specialized medical personnel.

Because of the training and medical equipment available on the helicopter a higher level of care can normally be provided by the crew on the scene of the accident and in-transit to an appropriate medical facility. The flight nurse and paramedic can usually perform more advanced acts and procedure needed for critical patients than the traditional Paramedic on-scene. This includes the placement and monitoring of chest-tubes, certain surgical procedures, an aortic balloon-pump and all of the acts allowed by EMTs and Paramedics.

The pilot's chief responsibility is the safe operation of the aircraft. Any crew member (pilot, nurse, or paramedic) may turn down a trip if they are not comfortable. All helicopter operations are under “visual flight rules” (VFR), so weather factors will significantly affect a pilot's decision.

Equipment

Helicopters

Currently Flight for Life Colorado operates distinctively painted orange Eurocopter Ecureuil AS 350 “AStar” helicopters. Chosen for its high altitude capability and economy of operation, the AStar is a perfect fit for Colorado's mountain communities and terrain. The helicopters are based at St. Anthony Hospital in Lakewood (Lifeguard 1), St. Anthony's Summit Medical Center in Frisco (Lifeguard 2), Penrose-St. Francis Hospital in Colorado Springs (Lifeguard 3), St. Mary- Corwin Medical Center in Pueblo (Lifeguard 4). As of January 3, 2010 all four are in service twenty-four hours a day, seven days a week. They have a service radius of approximately one hundred and twenty miles (190 km) from their bases. As of August 15, 2011 operations will expand with a new base at Mercy Regional Medical Center in Durango (Lifeguard 5). All helicopters are leased from Air Methods Corporation in Englewood, Colorado. Pilots and mechanics are employees of Air Methods Corp.

Airplanes

When the transport is beyond the range of the helicopter, or when weather precludes flight to a location, a fixed-wing aircraft is called into service. Flight For Life partners with Mayo Aviation, LLC. at Centennial Airport in Englewood, Colorado for a dedicated Beechcraft Super King Air 200. This pressurized, twin turboprop aircraft is capable of instrument flight (IFR) at a speed of 265 nautical miles (491 km) per hour (knots), and is used for flights of up to approximately 800 miles (1,290 km) round trip distance. The pilots are all proficient in multi-engine and instrument flight. Outfitted in a dedicated air medical configuration, the KingAir is capable of transporting any combination of two adult patients, one adult and an isolette, or two isolettes. On most flights, at least one family member is also able to fly along. The bases in Colorado Springs and Pueblo, Colorado do not have dedicated fixed-wing aircraft. When the weather makes helicopter flight impossible, the aircraft from Mayo Aviation may be sent to them to help move a critical patient.

Ground

In some cases, patients may need transport from one ICU to another, for specialized care. Flight For Life's Critical Care Transport (CCT), known as “Terra One”, is a specially outfitted ambulance, staffed by one of the adult team flight nurses and a paramedic. Ground transport is performed roughly within a two-hour drive radius of Denver; Cheyenne to the north, Limon to the east, Pueblo to the south, and Vail to the west.

Based at St. Anthony's Central, Terra One is capable of moving patients while maintaining the highest levels of care. Some examples of patients that are transported include cardiac patients receiving vasoactive, anticoagulant, or fibrinolytic infusions, mechanically ventilated patients, patients undergoing IABP therapy, or for any patient that needs continuous ICU level care en route.

Terra Two, is a CCT ambulance based at Summit Medical Center in Frisco, and is in service when Lifeguard Two is grounded by weather, and at night. This provides the mountain communities with round the clock access to critical care transport, regardless of weather conditions. Terra Two is operated in partnership with Summit County Ambulance, which provides the EMT and a paramedic to assist with patient care.

The Newborn/Young Child Team travels via its own dedicated CCT ambulance, (Terra Three), and fixed-wing aircraft, and helicopter, twenty-four hours a day. When circumstances demand, the helicopter may be used to transport the Newborn/Young Child Team to a referring facility to attend a pending delivery or provide emergency assistance, while the ground ambulance proceeds toward that location for the trip back. A neonate may also be safely transported aboard the helicopter in a specially equipped isolette.

In certain circumstances, several transport resources may be needed to transport a patient to an appropriate destination. Weather conditions may prevent a helicopter from reaching the scene or referring facility, or a mass casualty incident may tax all other resources. In these situations, the flight crews will do whatever is appropriate to safely accomplish the transport.

General sources

Citations

  1. "Pedestrian struck by car, facing life-threatening injuries after Kenosha County accident". FOX6Now.com. May 2, 2020. Retrieved May 20, 2020.
  2. "A higher level of service". myracinecounty. May 8, 2020. Retrieved May 20, 2020.
  3. 1 2 3 McCoy, Cory. "Christus Flight for Life makes first landings atop Bradley-Thompson Tower, set to open May 30". TylerPaper.com. Retrieved May 20, 2020.
  4. Mimiaga, Jim (April 20, 2020). "Two-way radios key to Rico avalanche rescue". The Journal. Retrieved May 20, 2020.

Related Research Articles

<span class="mw-page-title-main">Emergency medical services</span> Services providing acute medical care

Emergency medical services (EMS), also known as ambulance services or paramedic services, are emergency services that provide urgent pre-hospital treatment and stabilisation for serious illness and injuries and transport to definitive care. They may also be known as a first aid squad, FAST squad, emergency squad, ambulance squad, ambulance corps, life squad or by other initialisms such as EMAS or EMARS.

<span class="mw-page-title-main">Emergency medical technician</span> Health care provider of emergency medical services

An emergency medical technician is a medical professional that provides emergency medical services. EMTs are most commonly found serving on ambulances and in fire departments in the US and Canada, as full-time and some part-time departments require their firefighters to be EMT certified.

ARCH Air Medical Service is an emergency medical service (EMS) that provides critical care air ambulance service in Missouri, Illinois, and the surrounding regions. Air ambulance programs offer transport by helicopter (rotor-wing) or fixed-wing aircraft. ARCH Air was the twelfth program in the U.S. to offer such services when it began operating in March 1979. Transporting approximately 4,200 patients per year by helicopter, ARCH aircraft are staffed by a pilot, nurse and paramedic. Flights are 80% inter-facility and 20% scene.

<span class="mw-page-title-main">Paramedics in the United States</span> Overview of paramedics in the United States of America

In the United States, the paramedic is a allied health professional whose primary focus is to provide advanced emergency medical care for patients who access Emergency Medical Services (EMS). This individual possesses the complex knowledge and skills necessary to provide patient care and transportation. Paramedics function as part of a comprehensive EMS response under physician medical direction. Paramedics often serve in a prehospital role, responding to Public safety answering point (9-1-1) calls in an ambulance. The paramedic serves as the initial entry point into the health care system. A standard requirement for state licensure involves successful completion of a nationally accredited Paramedic program at the certificate or associate degree level.

<span class="mw-page-title-main">Shock Trauma Air Rescue Service</span> Canadian air ambulance service

The Shock Trauma Air Rescue Service is a Canadian non-profit helicopter air ambulance organization funded by individual donors, service groups, corporate donors and government contributions. STARS provides rapid and specialized emergency care and transportation for critically ill and injured patients. STARS operates from bases in Calgary, Edmonton, Grande Prairie, Regina, Saskatoon, Winnipeg and formerly Halifax.

Acadian Ambulance is an employee-owner private ambulance service that covers most of the state of Louisiana, a large portion of Texas, two counties in Tennessee, and one county in Mississippi. In 1995 it was recognized as the largest privately owned ambulance service in the United States. Today the company responds to emergency and non-emergency calls in Louisiana; Southeast, Central, and North Texas; Jackson County, Mississippi; Nashville and Memphis, Tennessee.

<span class="mw-page-title-main">Boston MedFlight</span> Emergency response organization in Massachusetts

Boston MedFlight (BMF) is a non-profit organization that provides emergency scene response and emergency interfacility transfer in Eastern Massachusetts at the Critical Care level, which is higher than a paramedic-level ambulance crew's certification, using both aircraft and ground ambulances.

<span class="mw-page-title-main">Emergency medical services in the United States</span>

In the United States, emergency medical services (EMS) provide out-of-hospital acute medical care and/or transport to definitive care for those in need. They are regulated at the most basic level by the National Highway Traffic Safety Administration, which sets the minimum standards that all states' EMS providers must meet, and regulated more strictly by individual state governments, which often require higher standards from the services they oversee.

Air Methods Corporation is an American privately owned helicopter operator. The air medical division provides emergency medical services to over 100,000 patients every year. It operates in 48 states with air medical as its primary business focus. Its corporate headquarters are located in the Denver Technological Center, Greenwood Village, Colorado, in the Denver metropolitan area.

<span class="mw-page-title-main">Safety of emergency medical services flights</span>

The safety of emergency medical services flights has become a topic of public interest in the United States, with the expansion of emergency medical services aviation operations, such as air ambulance and MEDEVAC, and the increasing frequency of related accidents.

<span class="mw-page-title-main">Flight nurse</span> Specialist in rescue/evacuation patient care

A flight nurse is a registered nurse who specialises in the field of providing comprehensive pre-hospital, emergency critical care, and hospital care to a vast scope of patients. The care of these patients is generally during aeromedical evacuation or rescue operations aboard helicopters, propeller aircraft or jet aircraft. On board a rescue aircraft you would find a flight nurse accompanied by flight medics and respiratory practitioners, as well as the option of a flight physician for comprehensive emergency and critical transport teams. The inclusion of a flight physician is more commonly seen in pediatric and neonatal transport teams. A critical care flight nurse must be able to deal with all age groups with broad critical emergencies. With no physicians on site the nurses scope of practice is expanded. The critical care experience is transferred over to a flight nurse with impacting factors such as altitude and changes in pressure, gravitational forces, and weather. Some patients may experience exacerbation because of factors related to the cabin environment including hypoxia, limited mobility, gas expansion, and risk of injury related to turbulence and resources with definitive care are limited. Aeromedical evacuation crews coordinate with other organizations to plan for the safe and timely care and evacuation of patients. Crews must be prepared for patients with trauma and mental health illnesses.

<span class="mw-page-title-main">Emergency medical responder</span> Person who provides out-of-hospital care in medical emergencies

Emergency medical responders are people who are specially trained to provide out-of-hospital care in medical emergencies, typically before the arrival of an ambulance. Specifically used, an Emergency Medical Responder is an EMS certification level used to describe a level of EMS provider below that of an emergency medical technician and paramedic. However, the EMR is not intended to replace the roles of such providers and their wide range of specialties.

<span class="mw-page-title-main">Emergency medical services in Poland</span> Overview of emergency medical services in Poland

State Medical Rescue in Poland is a system of free public emergency healthcare established by Ustawa o Państwowym Ratownictwie Medycznym, including ambulance service and Emergency Departments (EDs). While in Polish public hospitals and clinics NFZ common public insurance is required, PRM medical services in ambulances and EDs are completely free for everyone. Since 2018 emergency ambulances that operates in PRM, that is Polish 112 and 999 emergency numbers, are operated by public entities only.

<span class="mw-page-title-main">Queensland Ambulance Service</span> State ambulance service in Queensland, Australia

The Queensland Ambulance Service (QAS) is the state emergency ambulance and patient transport provider in Queensland, Australia. QAS is part of the Queensland Government under the Queensland Health portfolio and is one of the largest ambulance services in the world.

Air Evac EMS, Inc., operating as Air Evac Lifeteam and sometimes called simply Air Evac, is an American helicopter emergency medical service (HEMS) or air ambulance provider headquartered in O'Fallon, Missouri. It is the largest subsidiary of Global Medical Response, though still considered an independent provider. It is also the largest membership-supported air ambulance service in the US operating helicopters from 140 bases in 15 states, mostly in the central and southern regions of the country. While primarily a HEMS provider, it also operates 2 fixed-wing aircraft in Missouri and Kentucky.

<span class="mw-page-title-main">LifeFlight (Nova Scotia)</span> Aeromedical organisation in Canada

LifeFlight is an air ambulance critical care transport service that operates in the Canadian provinces of Nova Scotia, New Brunswick and Prince Edward Island.

<span class="mw-page-title-main">EastCare</span>

ECU Health EastCare is the critical care mobile air and ground transport of ECU Health at ECU Health Medical Center. It serves 31 counties in Eastern North Carolina. It is sponsored by ECU Health Medical Center and The Brody School of Medicine at East Carolina University. ECU Medical Center is the only level 1 trauma center east of Raleigh. EastCare's five full-time air ambulances constitute the largest air medical program in North Carolina and can serve a radius of 230 nautical miles around Greenville without refueling.

<span class="mw-page-title-main">Air medical services</span> Use of air vehicles to transport patients

Air medical services are the use of aircraft, including both fixed-wing aircraft and helicopters to provide various kinds of medical care, especially prehospital, emergency and critical care to patients during aeromedical evacuation and rescue operations.

Saskatchewan Air Ambulance is the air ambulance service for the province of Saskatchewan and for the Ministry of Health (Saskatchewan).

Life Flight Network is a non profit air and ground critical care transport service based in Aurora, Oregon, in the northern Willamette Valley, with services in Oregon, Washington, Idaho, and Montana in the United States.