Module Four Unit Six Flashcards

1
Q

Describe some issues encountered in long haul retrievals.(5)

A

Lack of resources at referring facility - sicker pt
Staff fatigue
Resource issues - oxygen, battery, drugs
Prolonged immobilisation - DVT
Logistics - assistance and insurance systems, customs, refuelling

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2
Q

Why do civilian international AME occur?

A

Transfer pt to higher level of clinical care
Repatriation

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3
Q

What aircraft are used for international retrieval?

A

Turboprop or jet (pressurised)

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4
Q

List the characteristics of a Turboprop

A

Short field take-off and landing capable
Unsealed airstrip capable
Range 1500 nm

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5
Q

List the characteristics of a jet

A

High speed 450 knots
High altitude 41,000 ft
Range 2000-4000 nm

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6
Q

What are the minimum requirements of medical coordinators in international AME?

A

Specialist in critical care discipline
AME experience

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7
Q

What are medical coordinators responsible for? (5)

A

Assessing pt’s clinical requirements
Communicating with OMF and DMF
Briefing medical teams
Providing on-mission clinical management advice.
+/- providing clinical situational awareness

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7
Q

What are medical coordinators responsible for?

A

Assessing pt’s clinical requirements
Communicating with OMF and DMF
Briefing medical teams
Providing on-mission clinical management advice.
+/- providing clinical situational awareness

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8
Q

What does non-clinical mission support to international AME include? (12)

A

Flight planners
Aircraft availability
Aircrew duty hour planning
Fuel planning
Airspace clearance
Customs and immigration clearance for everyone
Ground handling
Passenger manifests
Contingency planning
Security support
Remote engineering support
Comms support

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9
Q

What are specific equipment considerations for international AME? (11)

A

Adequate electrical power
Multiple batteries
Battery charging abilities on-board
115/240V AC aircraft power supply
O2 storage and use
Large volume cylinder storage
Liquid O2 systems
O2 concentrator
Turbine electrically powered ventilators
Pharmaceutical supply - authority to export/import
Follow cabin safety regulations and get permission for all equipment in commercial aircraft

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10
Q

Specific patient care considerations in long haul flights? (2)

A

Pressure injury care - enhanced comfort mattress, frequent repositioning
Bowel and bladder care

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11
Q

List the main stakeholders involved in international AME. (5)

A

International Assist Companies (client)
Mission Tasking Officer for air ambulance
Air ambulance provider
Pilot in command
Duty medical consultant

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12
Q

What is the role of the international assist company?

A

~4 in Aus.
All comms and liaison with air ambo providers.
Act on behalf of international insurance companies.
24/7.

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13
Q

What is the role of the international mission tasking officer? (4)

A

24/7 single central point for all comms.
Info integration and distribution.
Time management and mission scheduling efficiency.
Manage financial and legal risks.

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14
Q

What is the role of the international air ambulance provider?

A

Supply air ambo and crew.

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15
Q

What is the role of the international PIC?

A

Overall op management, planning, and execution of aircraft and crew, supported by First Officer.
Final authority on all aircraft op decisions.

16
Q

What is the role of the international duty medical consultant?

A

On call 24/7.
Clinical governance of case.
Specialist counsel for Duty Flight Physician.

17
Q

What info is critical to the international quote request? (7)

A

Referring and receiving facility/location
Task reference number
Pt name and diagnosis
Cabin sea level pressure requirements
Pt wt and height
Accompanying passenger requirements
Departure time

18
Q

What info is critical to the quote calculation? (4)

A

Liaise with aircrew to confirm flight hours, airstrip access, weather
Notify DMC of potential pt
Investigate if visas required
Obtain contact details for OMF

19
Q

What info is critical to the quote acceptance? (4)

A

Reconfirm mission acceptance with PIC - activate flight plan, establish base arrival time and ETD
Confirm DMC’s acceptance
DMC liaise with appropriate crew composition and notify base arrival time
TO check and confirm all details and ensure guarantee/confirmation of payment

20
Q

Who do the aircraft crew communicate with during the international mission?

A

TO

21
Q

Who do the clinical crew communicate with during the international mission?

A

DMC

22
Q

When does the TO update the assist company? (5)

A

Initial departure
On arrival to pt
After pt is loaded and updated ETA advised
On arrival into receiving port
If any changes occur

23
Q

What are the risks associated with long haul retrievals? (6)

A

No paper trail
No confirmation of payment
Getting destination wrong
No visas
No passports
Insurance coverage

24
Q

What are some things that can go wrong during international retrievals? (5)

A

No/inadequate ground transport
No comms.
Accompanying passengers and luggage
Dangerous places
Weather

25
Q

List some tricks of the trade for international retrievals. (6)

A

Call DMC once you have assessed pt
Change of clothes
Go to the bathroom before you leave
Be ready for anything
Charge your phone
Take a personal credit card

26
Q

What are the required characteristics for an international air ambulance? (7)

A

> 40,000 ft cruise
400 knots
Endurance 4-10 hrs
Range 1600 - 4000nm
Sea level cabin pressure capable
Door access
Stretcher landing ramp/lift

27
Q

What characteristics does the stretcher need? (6)

A

Integrated litter/base
Aircraft certified
Adjustable recline
Harness
Power/suction/medical air/lighting/O2
Litter bridge - certified