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3500 Series > 3517 - Requests For Air Transport > Flashcards

3517 - Requests For Air Transport Flashcards

1
Q

Who shall be responsible for maintaining this document.

A

The Assistant Chief of Emergency Medical Services

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2
Q

Who shall be responsible for:

  1. Determining need for air transport based on recommendation of most qualified on-scene paramedic
  2. Requesting Airlift NW standby and activation
  3. Establishing location and set-up of landing zone
  4. Ensuring TFD personnel act in accordance with the guidelines set forth in this document
A

The Incident Commander

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3
Q

Who shall be responsible for:

  1. Assessing need for air transport
  2. Informing Incident Commander of need for air transport
  3. Assuming charge of patient care until it is transferred to the helicopter medical crew
A

The most field-qualified on-scene paramedic

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4
Q

Who shall be responsible for:

  1. Contacting the receiving facility as requested by the helicopter crew
  2. Providing an appropriate and timely patient report to the receiving facility
A

The Lieutenant/Paramedic or In-charge Paramedic

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5
Q

Who shall be responsible for:

  1. Establishing and maintaining communication with the Fire Communications Center (FCC) and the Airlift NW helicopter until the operation is completed
  2. Set up the landing zone in accordance with the guidelines set forth in this document
  3. Assess and maintain the safety of the landing zone
A

The Landing Zone Supervisor

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6
Q

Who shall be responsible for ensuring that station personnel are familiar with:

  1. Location of landing zones in their district and adjacent districts
  2. Specific landing zone characteristics (e.g., access issues, hazards)
A

All TFD Station Captains

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7
Q

Who shall be responsible for:

  1. Contacting Airlift NW for helicopter standby and activation
  2. Notifying Airlift NW of the landing zone location and radio frequency
  3. Relaying estimated response time from Airlift NW to the Incident Commander and Landing Zone Supervisor
  4. Coordinating the establishment of air-to-ground communications
  5. Calling for additional resources as requested by the Incident Commander and/or the Landing Zone Supervisor
A

TFD Fire Communications Center (FCC) personnel

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8
Q

Who shall be responsible for:

  1. Performing patient assessment
  2. Informing the Incident Commander of the need for air transport
  3. Packaging and transporting the patient(s) to the landing zone
  4. Assisting with patient transfer to Airlift NW as needed
A

All TFD firefighter/paramedics and firefighter/EMTs

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9
Q

Air transport shall be considered for patients who:

A

a. Meet the medical criteria established by the Pierce County Medical Program Director and/or
b. Have medical needs that exceed the capability of local hospitals.

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10
Q

Airlift NW personnel will:

A

a. Transport patients with CPR in progress upon arrival at the landing zone
b. Perform CPR in flight

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11
Q

Airlift NW personnel will NOT:

A

a. Land the helicopter without first making positive contact with ground unit(s)
b. Take riders

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12
Q

The Incident Commander may request that Airlift NW be placed on “standby” if the initial assessment indicates a possible need for air transport.
a. Those requests shall be made through the TFD Fire Communications Center (FCC)
True or false?

A

True

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13
Q

Patient assessment for air transport also shall take the following into consideration:

A

a. Patient height and weight, particularly those who weigh more than 300 pounds and/or whose height is greater than 6 feet
b. Equipment used (e.g., traction splint)
c. Exposure to hazardous materials that could affect the pilot and crew

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14
Q

Air Transport Activation

  1. Once the need for air transport has been determined, the Incident Commander shall:
    a. Request activation of air transport through FCC
    i. In the event of more than one patient, s/he shall request:
    b. Determine the appropriate landing zone from the list of designated landing zones and designate a Landing Zone Supervisor as needed..
    i. S/he may select a non-designated landing zone as long as:
    c. Provide landing zone location information to FCC personnel.
    i. For non-designated landing zones provide:
A
  1. a. i. multiple helicopters in accordance with TFD Policy 3510: Mass Casualty Incident Response.
  2. b. i. it meets the criteria set forth in Section 5.5.3 of this document.
  3. c. i. GPS coordinates using GPS function on the rig’s cell phone, nearest intersection or Thomas Guide map grids.
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15
Q
  1. 4 Dispatch and Communications
  2. Upon the Incident Commander’s request for air transport activation, FCC personnel shall contact Airlift NW dispatch with the following information:
A

a. Landing zone location
i. GPS coordinates of designated or non-designated landing zone
ii. Conditions or hazards present
b. Ground contact
i. This shall be the Incident Commander or designated Landing Zone Supervisor who must be onsite at the landing zone.
ii. The designator shall be “LZ Supervisor”.
c. Frequency for communication with LZ Supervisor
d. Response Type
i. Priority status
ii. Adult or pediatric
iii. Age
iv. Sex
v. Procedures in progress
vi. Specialty equipment needed
e. Destination, if known
i. The receiving hospital to which the patient will be flown
f. Weather
i. If possible, provide verbal observation by any unit on-scene (e.g., fog, low ceiling visibility, high winds)

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16
Q
  1. Once the helicopter has been dispatched and if the Incident Commander is not on-scene at the landing zone, FCC personnel shall:
A

a. Dispatch an engine company to establish a landing zone
i. The officer of that engine company shall become the designated Landing Zone Supervisor.
b. Inform the Landing Zone Supervisor of the nature of the call
c. Call for additional assistance and/or law enforcement resources for traffic or crowd control as requested by the Landing Zone Supervisor

17
Q
  1. When the helicopter pilot advises FCC that s/he is ready to make contact with ground units, FCC personnel shall:
A

a. Assign a designated radio channel that is clear of any other traffic
b. Advise LZ Supervisor of the identity of the helicopter

18
Q
  1. LZ Supervisor shall notify FCC of the following actions:
A

a. Helicopter contact established
b. Helicopter touchdown
c. Patient transfer complete
d. Helicopter departure
e. Scene and landing zone secure

19
Q

If the Incident Commander chooses to use a non-designated landing zone it must meet the following criteria:

A

a. 15’ x 15’ landing gear touchdown area
b. 60’ x 60’ for daytime landing or 100’ x 100’ for nighttime landing
c. Clear of obstructions and overhead wires
d. Less than 10 degrees of slope
e. Free of loose debris, dust, sand, etc.

20
Q

In addition, the Incident Commander shall take the following into consideration when choosing to use a non-designated landing zone:

A

a. Weather
b. Activities (e.g., sports events)
c. Wind direction (helicopters take off and land into the wind)
d. Access (e.g., arterials, locked gates)

21
Q

Prior to Helicopter Arrival

1. Once the landing zone has been established LZ Supervisor shall:

A

a. Secure the area
b. Contact FCC to request law enforcement assistance if necessary
c. Maintain a 200’ perimeter for non-essential personnel
d. Maintain a 100’ perimeter for essential personnel
e. Mark the outer boundaries of the landing zone with orange cones
f. Inspect the landing zone for debris, unsecured materials and brush higher than a few inches, clearing as needed
g. Ensure there is a clear path for patient transfer from the medic unit to the helicopter
h. Have a fire engine standing by
i. Wet down the touchdown area if it is extremely dusty
j. Prepare a brief landing zone description for Airlift personnel, noting:
i. Overhead wires
ii. Light standards
iii. Radio towers
iv. Buildings or other hazards in relationship to compass bearings (N, S, E, W)
v. Surface winds
vi. Visibility (distance and ceiling)

22
Q

k. Ensure the landing zone is properly lighted.

A

i. Red rig lights adjacent to the landing zone to assist pilot in locating it
ii. Flashlights under cones at nights to illuminate four corners and wind direction
iii. All white lights (e.g., headlights) turned OFF during landing and takeoff
iv. No spotlights on overhead hazards
v. No white strobes lights or flashes

23
Q

Helicopter Arrival and Landing

1. LZ Supervisor shall:

A

a. Coordinate communication with the helicopter pilot using the “Airlift” channel when the helicopter is in sight
b. Brief the pilot on landing zone location and conditions prior to arrival per section 5.6.1 (j) of this document
c. Remain in two-way radio contact throughout landing
d. Ensure that a member of the LZ group stays on the assigned tactical channel of the original incident to monitor for radio traffic from the Incident Commander

24
Q

In the Landing Zone

TFD personnel shall:

A

a. Wait for rotor blades to stop
b. Wait for helicopter crew to signal for approach
c. If directed to approach, do so at a 45° angle from the nose of the helicopter while maintaining eye contact with the pilot
d. Approach and depart from the downhill side of the helicopter

25
Q

In the Landing Zone

TFD personnel shall NOT:

A

a. Approach the helicopter unless directed by the crew to do so
b. Perform patient loading while the helicopter is operating (also called “hot loading”)
c. Walk around the tail of the helicopter
d. Approach or depart from the uphill side of the helicopter
e. Secure any doors or hatches on the helicopter

26
Q

c. Maintain a ______ perimeter for bystanders from helicopter arrival through departure

A

200’

27
Q

Landing Zone Safety

TFD personnel shall:

A

a. Wear appropriate eye protection
b. Securely fasten chin straps on helmets
c. Always be aware of tail rotor location
d. Always walk around a helicopter
e. Carry long objects parallel to the ground

28
Q

Landing Zone Safety

TFD personnel shall NOT:

A

a. Run around the helicopter
b. Carry anything overhead, including IV fluids
c. Wear anything loose around the neck (e.g., a stethoscope)

29
Q

Patient Care and Transfer

When the pilot or flight nurse signals, TFD medic personnel shall:

A

a. Use a gurney without linen to roll the patient to the helicopter
b. Provide additional assistance to helicopter crew as requested

30
Q

Patient Care and Transfer

Once the patient is transferred, the Lieutenant/Paramedic or the In-charge Paramedic shall:

A

a. Ascertain if helicopter crew wants receiving facility to be contacted
b. If so, notify receiving facility that Airlift is enroute and provide the following information:
i. Patient report in accordance with Appendix A of the Pierce County Patient Care Protocols

31
Q

After the helicopter departs, LZ Supervisor shall:

A

a. Maintain a secure landing zone with all personnel and emergency equipment for five (5) minutes, if possible.
i. Stay on the designated radio frequency during this time.

3500 Series (8 decks)

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