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Medivac safety helecopter opperations
This document outlines procedures and recommendations for Yukon EMS helicopter operations. It reviews current practices and identifies risks. Key recommendations include developing standards for training, equipment, and decision-making processes around helicopter responses. A new decision matrix and forms are proposed to help assess safety factors like weather, landing zones, and weight capacities before helicopter missions. The goal is to ensure a risk mitigation strategy that allows YEMS to safely meet patient needs across the territory.
Medivac safety helecopter opperations
- 1. Yukon EMS Helicopter Operations Procedures Vibrant,Healthy & Sustainable Yukon Communities
- 2. Yukon EMS Project Overview Background •Whitehorse Medevac program • Community remote response current state Vibrant, Healthy & Sustainable Yukon Communities
- 3. Yukon EMS Objectives • Reviewcurrent practices, policies/procedures, guidelines • Review current training program (medevac/community) • Review current equipment listing • Identify industry best practice principles • Present specific deliverables Vibrant, Healthy & Sustainable Yukon Communities
- 4. Yukon EMS Deliverables • Recommendationsfor best practice principles to ensure a risk mitigation strategy that meets the service mandate of YEMS. • Recommendations for revised policies, procedures, guidelines, process flow • Recommendations for training for rotor wing operations • Recommendations for minimum equipment listings for rotor wing operations • Recommendations for a comprehensive program that integrates with all emergency services to meet the YEMS mandate of service delivery Vibrant, Healthy & Sustainable Yukon Communities
- 5. Yukon EMS Guiding Principles •When in Doubt … Drive! Vibrant, Healthy & Sustainable Yukon Communities
- 6. Yukon EMS Guiding Principles •When in Doubt … Drive! • YEMS is NOT a rescue organization Vibrant, Healthy & Sustainable Yukon Communities
- 7. Yukon EMS Guiding Principles •When in Doubt … Drive! • YEMS is NOT a rescue organization • YEMS is a basic life support provider Vibrant, Healthy & Sustainable Yukon Communities
- 8. Yukon EMS Guiding Principles •When in Doubt … Drive! • YEMS is NOT a rescue organization • YEMS is a basic life support provider • A helicopter response is NOT a Medevac Vibrant, Healthy & Sustainable Yukon Communities
- 9. Yukon EMS Risk Framework •Risk Management Theory • Risks and Hazards • Justified Risks • Procedures vs. Training Vibrant, Healthy & Sustainable Yukon Communities
- 10. Yukon EMS What AreThe Risks? Vibrant, Healthy & Sustainable Yukon Communities • February 8, 2008 2150 hours… – Ontario Air Ambulance Flight Operations Centre notified of a multi-system trauma patient in Temagami, Ontario. BLS on scene requests medevac to Level 1 Trauma Facility – Within 15 minutes 7798 departs Sudbury for a 28 minute flight to Snake Lake helipad, weather at the time clear skies, operating under VFR to an established helipad.
- 11. Yukon EMS What AreThe Risks? • At 2228 hours – 7798 advises Flight Operations Centre that they are on final for Snake Lake helipad and are in sight of the land ambulance • At 2231 hours – Ontario Air Ambulance Flight Operations Centre receives an emergency notification from the land ambulance that 7798 has crashed on approach to the helipad. Vibrant, Healthy & Sustainable Yukon Communities
- 12. Yukon EMS What AreThe Risks? Vibrant, Healthy & Sustainable Yukon Communities
- 13. Yukon EMS YEMS TrainingProblems • The BIG Training Problem • Realities of Remote Response • Training required for Helicopter Responder • Pro QA or not Pro QA • Pilot and YEMS Personnel Interaction Vibrant, Healthy & Sustainable Yukon Communities
- 14. Yukon EMS Situational Awareness “SituationalAwareness involves being aware of what is happening around you to understand how information, events, and your own actions will impact your goals and objectives. Lacking SA or having inadequate SA has been identified as one of the primary factors in accidents” Vibrant, Healthy & Sustainable Yukon Communities
- 15. Yukon EMS EMS Personnelon Helicopters without a patient Vibrant, Healthy & Sustainable Yukon Communities
- 16. Yukon EMS Risk reducingEMS Interaction with Flight Crew Vibrant, Healthy & Sustainable Yukon Communities
- 17. Yukon EMS Helicopter SpecificPPE Vibrant, Healthy & Sustainable Yukon Communities
- 18. Yukon EMS Hover Exitsand Entries Vibrant, Healthy & Sustainable Yukon Communities
- 19. Yukon EMS Insertion vs.Recovery Vibrant, Healthy & Sustainable Yukon Communities
- 20. Yukon EMS Transportation ofRemote Low Acuity patients Vibrant, Healthy & Sustainable Yukon Communities
- 21. Yukon EMS Scene SafetyEvaluation in Remote Operations Vibrant, Healthy & Sustainable Yukon Communities
- 22. Yukon EMS Verifying HelicopterSafety Margins Vibrant, Healthy & Sustainable Yukon Communities
- 23. Yukon EMS Weather Vibrant, Healthy& Sustainable Yukon Communities
- 24. Yukon EMS Weight andCentre of Gravity Vibrant, Healthy & Sustainable Yukon Communities
- 25. Yukon EMS Night Vibrant, Healthy& Sustainable Yukon Communities
- 26. Yukon EMS Transport ofOther Agencies Personnel Vibrant, Healthy & Sustainable Yukon Communities
- 27. Yukon EMS Single PractitionerMissions Vibrant, Healthy & Sustainable Yukon Communities
- 28. Yukon EMS One WayMissions Vibrant, Healthy & Sustainable Yukon Communities
- 29. Yukon EMS Communications inRemote Locations Vibrant, Healthy & Sustainable Yukon Communities
- 30. Yukon EMS The ERCOis the Risk Manager Vibrant, Healthy & Sustainable Yukon Communities
- 31. Yukon EMS Current DecisionFlow Vibrant, Healthy & Sustainable Yukon Communities
- 32. Yukon EMS Proposed DecisionFlow Vibrant, Healthy & Sustainable Yukon Communities
- 33. Yukon EMS Project RiskAssumptions/Constraints No. Risk Description Effect Probability Planned Mitigation 1 There are insufficient funds allocated for training crews to meet the HOP requirements Critical High Delay until funding available 2 There are insufficient funds allocated for equipment to meet the HOP requirements Critical Moderate Implement HOP to the maximum extent possible with the equipment available 3 There are insufficient funds allocated for implementing the HOP Critical Low Delay until funding available 4 The HOP is not approved by YEMS management Critical Moderate None 5 The HOP is not accepted and/or integrated by current crews Critical Moderate Develop a more robust training program 6 The training level required by the HOP is not sustained Critical Low Develop a more robust training program 7 Continuous improvement is not used to develop and refine the HOP Marginal Low Assign continuous improvement of HOP to one or more YEMS staff Vibrant, Healthy & Sustainable Yukon Communities
- 34. Yukon EMS Beta Testingand Continuous Improvement Vibrant, Healthy & Sustainable Yukon Communities
- 35. Yukon EMS Recommendations for Improvement •Standing Offer Agreements Vibrant, Healthy & Sustainable Yukon Communities
- 36. Yukon EMS Recommendations for Improvement •Standing Offer Agreements • Training Vibrant, Healthy & Sustainable Yukon Communities
- 37. Yukon EMS Recommendations for Improvement •Standing Offer Agreements • Training • Equipment Vibrant, Healthy & Sustainable Yukon Communities
- 38. Yukon EMS Implementation Strategy •Review and Beta Testing Vibrant, Healthy & Sustainable Yukon Communities
- 39. Yukon EMS Implementation Strategy •Review and Beta Testing • Staff Assignment Vibrant, Healthy & Sustainable Yukon Communities
- 40. Yukon EMS Implementation Strategy •Review and Beta Testing • Staff Assignment • Release and Roll-Out Vibrant, Healthy & Sustainable Yukon Communities
- 41. Yukon EMS The NewDecision Matrix Vibrant, Healthy & Sustainable Yukon Communities
- 42. Yukon EMS How toUse the Decision Matrix Vibrant, Healthy & Sustainable Yukon Communities
- 43. Yukon EMS How toUse the Decision Matrix • Safe Landing Zone Vibrant, Healthy & Sustainable Yukon Communities
- 44. Yukon EMS How toUse the Decision Matrix • Safe Landing Zone • Practicable Vibrant, Healthy & Sustainable Yukon Communities
- 45. Yukon EMS How toUse the Decision Matrix • Safe Landing Zone • Practicable • Patient Severity/Condition/Potential to Deterriorate Vibrant, Healthy & Sustainable Yukon Communities
- 46. Yukon EMS How toUse the Decision Matrix • Safe Landing Zone • Practicable • Patient Severity/Condition/Potential to Deterriorate • Closest crew vs. most appropriate crew Vibrant, Healthy & Sustainable Yukon Communities
- 47. Yukon EMS Flight PreparationForm Helicopter Registration: Type and Model Pilot in Command: YEMS Crew: YEMS Call Number: ERCO: Description Calculation Result A YEMS Maximum Gross Weight AFM Max Gross x .9 Lbs. B Crew, patient and all YEMS gear actual weight (do NOT estimate, use a scale) Lbs. C Gross Weight at Takeoff from origin Lbs. D Anticipated patient weight Lbs. E Gross Weight at takeoff from scene Lbs. F Hover in Ground Effect at origin Gross Weight per AFM Lbs. G Hover in Ground Effect at scene Gross Weight per AFM Lbs. H Worst weather forecast during flight (MVFR is less than 3000’ and 5sm) Circle yes or no. Ceiling = __________ Visibility = _________ MVFR: YES NO PiIot in Command Signature: YEMS ERCO or Crew Signature Vibrant, Healthy & Sustainable Yukon Communities
- 48. Yukon EMS Risk AssessmentTool (RAT) Vibrant, Healthy & Sustainable Yukon Communities
- 49. Yukon EMS Equipment • RotorResponse Bag • Overnight Survival Kit Vibrant, Healthy & Sustainable Yukon Communities
- 50. Yukon EMS Vibrant, Healthy& Sustainable Yukon Communities