The Challenges faced by Air Ambulances

As the military usage of air ambulances became more available for civilians things started getting difficult the number of air ambulances crashes in the United States, mostly involving helicopters, began to climb. By 2005, this number had reached a record high. Crash rates from 2000 to 2005 more than doubled the previous five year's rates. To some extent, these numbers had been deemed acceptable, as it was understood that the very nature of air ambulance operations meant that, because a life was at stake, air ambulances would often operate on the very edge of their safety, going on missions in conditions where no other civilian pilot would. As a result, nearly fifty percent of all EMS personnel deaths in the United States occur in air ambulance crashes. In 2006, the United States National Transportation Safety Board concluded that many air ambulances crashes were avoidable, eventually leading to the improvement of government standards and certification.

Yet, there are quite a few challenges faced and they are as follows:

Cost-effectiveness

While most air ambulances do have effective methods of funding and remain almost entirely charity funded, as improved cost-benefit ratios are generally achieved with land based attendance and transfers. Health outcomes, for example from London's Helicopter Emergency Medical Service, remain largely the same for both air and ground based services.

Personnel

The medical personnel of a helicopter ambulance has historically been a Physician, a Nurse combination, or a Paramedic. The need for a Physician/Nurse combination has diminished with more protocol and evidence-based applications for care by Paramedics and other clinicians and so the inclusion of respiratory therapists in all modes of air transport is becoming more prominent.

Retrieval Doctor

The criteria for working as a medical doctor also known as physician, in aeromedical services depends on the jurisdiction. Aeromedical retrieval medicine is a well-established in the medical field, retrieval doctors must be experienced in a critical care specialty i.e. anaesthesia, emergency medicine, intensive care medicine as fully qualified specialists. Specialty registrars in advanced stages of training; or general practitioner’s i.e. family physicians with broad experience in critical care and obstetrics.

Flight Paramedic

A licensed paramedic with additional training as a certified flight paramedic. The flight paramedic is usually highly trained with at least 5 years of autonomous clinical experience in high acuity environments of both pre-hospital emergency medicine and critical care transport. Flight paramedics may be certified as a FP-C or a CCEMT-P. Some hold certificates as instructors in various fields and educational topics.

Flight Nurse

A nurse specialized in patient transport in the aviation environment. The flight nurse is a member of an aeromedical evacuation crew on helicopters and airplanes, providing in-flight management and care for all types of patients. Other responsibilities may also include planning and preparing for aeromedical evacuation missions and preparing a patient care plan to facilitate patient care, comfort and safety. Flight nurses may obtain certification in Emergency Nursing (CEN), Flight Nursing (CFRN) or Critical Care (CCRN).

Civilian Flight Nurses

Civilian flight nurses may work for hospitals, federal, state, and local governments, private medical evacuation firms, fire departments or other agencies. They have training and medical direction that allows them to operate with a broader scope of practice and more autonomy than many other nurses. Some states require that flight nurses must also have paramedic or EMT certification to respond to pre-hospital scenes.

Military Flight Nurses

The military flight nurse performs as a member of the aeromedical evacuation crew, and functions as the senior medical member of the aeromedical evacuation team on Continental United States, intra-theatre and inter-theatre flights - providing for in-flight management and nursing care for all types of patients. Other responsibilities include planning and preparing for aeromedical evacuation missions and preparing a patient positioning plan to facilitate patient care, comfort and safety. Flight nurses evaluate individual patient's in-flight needs and request appropriate medications, supplies and equipment, providing continuing nursing care from originating to destination facility. They act as liaison between medical and operational aircrews and support personnel in order to promote patient comfort and to expedite the mission, and also initiate emergency treatment for in-flight medical emergencies.

Transport Respiratory Practitioner

A highly trained respiratory practitioner also called a respiratory therapist, typically utilized in long-distance transport situations, though able to provide care during shorter transfer. Transport Therapists may obtain Adult Critical Care Specialist (ACCS), Neonatal Transport Specialist (NPT) and Neonatal Paediatric Specialist (NPS) certifications from the National Board for Respiratory Care.

However, despite the challenges one hero has risen. Book Air Ambulance is a critical care service for all your medical emergency needs that has prevailed in India. We aim at providing the quickest possible healthcare, especially during emergencies. We make every minute count during our patients golden hour. Our prices are reasonable and we make sure that we have top level security. We also make sure to take on board the best paramedics after they have passed various tests so that errors by staff are eliminated.

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