Safety/CAMTS Flashcards
CAMTS
Commission for the Accreditation of Medical Transport Systems
AMRM
Air Medical Resource Management
- Distributes workload
- Practice of involving ALL members of the flight team in the mission planning, decision making, mission safety
- Reffered to as CRM as well
Sterile Cockpit
Only essential communication during all phases of flight except straight and level flight. Critical phases - takeoff, landing (short final), refueling, and taxi
Flight Following
15 minutes flying, 45 minutes if sitting on the ground. Emergency action plan activated 15 minutes after failure to report in
Miscellaneous CAMTS Requirements
- 5 intubations prior to beginning missions, quarterly thereafter
- Flame retardant clothing, must be able to pull 0.25 inches away from body
- Safe aircraft is above patient care
- Long range flight = > 3 hours
- No Seat Belt - straight and level or when PIC directs
Rotor Wing PIC Requirements
- 2,000 hours total flight time
- 1,200 hours in a helicopter
- 1,000 hours as PIC
- 100 hours must be PIC at night
- Must be instrument rated
- Airline transport pilot certificate encouraged
- Area orientation - 5 hours total with 2 at night
Fixed Wing PIC Qualifications
- 2,000 hours total flight time
- 1,000 hours as PIC
- 100 hours night as PIC
- Must possess an ATP certificate
- Must be instrument rated
- Fixed wing must file VFR and IFR flight plans
FAR Part 91
- Applies to everyone - general FAA rules
- no duty day
- No weather minimums
FAR Part 135
- Flying passengers for money
- Max 14 hour duty day
- 8 hours total flying time
- 8 hours bottle to throttle
Marginal Weather
Weather that is very close to or at minimums. Can fly, but accepting risk.
Below Minimums
Weather that is UNDER weather minimums - can’t fly. Bad weather encountered enroute, divert to closest facility. #1 cause of crashes is weather.
Weather Minimums (Non-Mountainous)
- Day:
- Local - 800’ 2 miles
- Cross Country - 800’ 3 miles
- Night:
- Local - 800’ 3 miles
- Night - 1,000’ 3 miles
Weather Minimums (Mountainous)
- Day:
- Local - 800’ 3 miles
- Cross Country - 1,000’ 3 miles
- Night:
- Local - 1,000’ 3 miles
- Night - 1,000’ 5 miles
Visual Flight Rules (VFR)
- Can fly only in weather conditions that you can see where you are flying
- There is NO intended instrument flying under these rules
Instrument Flight Rules (IFR)
- The weather condition does not allow safe flight by sight alone, and the pilow must be able to use instruments to fly
Inadvertent Instrument Meterological Conditions (IIMC)
The pilot began flying in VFR weather and unexpectedly encountered weather that required flying by instruments.
Hasty or Unsecured LZ
- Must have ground communication
- Large enough to land - generally 100’x100’
- 1 approach and departure heading
- 2 passes required prior to landing - 1 high/1 low
Permanent Helipad
- Must have 2 approach and departure headings
- Perimeter lighting on the helipad
- Landing beacon
- Windsock
In-Flight Emergencies
- Land immediately - engine failure, fire, RPG in your tail boom
- Land as soon as possible - low transmittion pressure, chip light
- Land as soon as practical - go to closest convenient place to “check something non-emergent”
Pre-Crash Sequence
- Lay the patient flat
- Turn off any oxygen
- Assume crash position
- Arms crossed to chest
- Chin to chest
Crash Position
- Seat belt secured
- Sit up straight
- Helmet strap tight/visor down
- Knees together, feet 6” apart, flat on floor (not underneath seat)
- Arms crossed on chest
- Chin to chest
Post-Crash Sequence
- Turn off - Throttle –> Fuel –> Battery
- Exit the aircraft
- Assemble at 12 o’clock position
- Begin building a shelter, build a fire, gathering water, create a signal
Emergency Locator Transmitter (ELT)
- Self-activates during crash sequence at 4G’s
- Can be manually activated
- Transmits on 121.5MHz or 406MHz
- Generates a constant, repeating alarm over your headset when you get near a crash site to perform a rescue
EMTALA
Emergency Medical Treatment and Active Labor Act
- Must act if someone requires emergency care to sustain life or is actively giving birth
- 150 Yard rule - must be treated if injured within 150 yards of a hospital
- Sending physician is responsible for the patient until they arrive at the next facility
Standard of Care
Negligence
- Presence of duty
- Breach of duty
- Foreseeability
- Causation
- Injury
- Damages
Duty to Report
- Child Abuse
- Elder Abuse
- Violent Crime
