Module Four Unit Six Flashcards
Describe some issues encountered in long haul retrievals.(5)
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
Why do civilian international AME occur?
Transfer pt to higher level of clinical care
Repatriation
What aircraft are used for international retrieval?
Turboprop or jet (pressurised)
List the characteristics of a Turboprop
Short field take-off and landing capable
Unsealed airstrip capable
Range 1500 nm
List the characteristics of a jet
High speed 450 knots
High altitude 41,000 ft
Range 2000-4000 nm
What are the minimum requirements of medical coordinators in international AME?
Specialist in critical care discipline
AME experience
What are medical coordinators responsible for? (5)
Assessing pt’s clinical requirements
Communicating with OMF and DMF
Briefing medical teams
Providing on-mission clinical management advice.
+/- providing clinical situational awareness
What are medical coordinators responsible for?
Assessing pt’s clinical requirements
Communicating with OMF and DMF
Briefing medical teams
Providing on-mission clinical management advice.
+/- providing clinical situational awareness
What does non-clinical mission support to international AME include? (12)
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
What are specific equipment considerations for international AME? (11)
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
Specific patient care considerations in long haul flights? (2)
Pressure injury care - enhanced comfort mattress, frequent repositioning
Bowel and bladder care
List the main stakeholders involved in international AME. (5)
International Assist Companies (client)
Mission Tasking Officer for air ambulance
Air ambulance provider
Pilot in command
Duty medical consultant
What is the role of the international assist company?
~4 in Aus.
All comms and liaison with air ambo providers.
Act on behalf of international insurance companies.
24/7.
What is the role of the international mission tasking officer? (4)
24/7 single central point for all comms.
Info integration and distribution.
Time management and mission scheduling efficiency.
Manage financial and legal risks.
What is the role of the international air ambulance provider?
Supply air ambo and crew.