ID
3-509-1003
Name
Aeromedical Transport Paramedic
Status
Published
Version
1.7
Updated
11/14/2019 9:16:37 AM
Original Release
03/01/2009
Last Major Release
11/14/2019
NQS Position
Resource Category
Emergency Medical Services
Primary Core Capability
Public Health, Healthcare, and Emergency Medical Services
Secondary Core Capability
Critical Transportation
Resource Kind
Personnel
Overall Function
The Aeromedical Transport Paramedic assesses the nature and extent of illness and injury to establish and prioritize care for safe air transport of the critical patient to the appropriate facility
Single resource
In conjunction with a NIMS typed team
NIMS Typed Team
see note below
In conjunction with a NIMS typed unit
NIMS Typed Unit
 
Description Notes
Not Specified
Supporting Core Capabilities
None
Types
Type Description
Type 1Same as Type 2, PLUS: Provides a high-acuity patient with unique, specialized care during transport, such as: 1. Heart-lung bypass support 2. Ventricular assist devices 3. Management of arterial lines/pulmonary artery catheters 4. Central venous monitoring 5. Transfusion and volume expansion 6. Vasopressors 7. Extracorporeal membrane oxygenation 8. Fetal monitoring 9. Ventilator management 10. High-risk obstetrics
Type 2The Aeromedical Transport Paramedic: 1. Provides pre-hospital advanced life support (ALS) care from initial pick up to destination, such as: Triage; giving oxygen; and cardiac defibrillation 2. Assists in pre-mission liftoff checklist and assists pilot as necessary, such as radio, navigational, and visual observation activities
Components
Component Notes  
EducationExceptions apply for individuals who graduated from a paramedic program prior to January 1, 2013 (the date the National Emergency Medical Services (EMS) program accreditation became a requirement for National registry certification).
Component Types
Type Criteria
Type 1Same as Type 2, PLUS: Training, certification or daily practice in critical care, OR specialty certification commensurate with the mission
Type 21. Graduate of a nationally accredited paramedic program 2. Graduate of aeromedical technician certification course
TrainingIdentified equivalent trainings should meet or exceed course learning objectives.
Component Types
Type Criteria
Type 1Same as Type 2
Type 2Completion of the following: 1. IS-100: Introduction to the Incident Command System ICS-100 2. IS-200: Basic Incident Command System for Initial Response, ICS-200 3. IS-700: National Incident Management System, An Introduction 4. IS-800: National Response Framework, An Introduction 5. Air Medical Resource Management or equivalent 6. Training in accordance with Occupational Safety and Health Administration (OSHA) 29 Code of Federal Regulations (CFR) Part 1910.120: Hazardous Materials Awareness 7. Training in accordance with OSHA 29 CFR Part 1910.134: Respiratory Protection 8. Training in accordance with OSHA 29 CFR Part 1910.1030: Bloodborne Pathogens
ExperienceNot Specified
Component Types
Type Criteria
Type 1Same as Type 2, PLUS: Two years of critical care paramedic experience
Type 2Knowledge, Skills, and Abilities: 1. Knowledge of state and local scope of practice parameters and skill sets 2. Knowledge of the management and care of patients involved in a Mass Casualty Incident (MCI) 3. Knowledge of crew resource management Experience: One year of flight paramedic experience
Physical/Medical Fitness1. This position may work near moving mechanical parts of an aircraft and face exposure to airborne particles including fumes, chemical hazards, and vibrations/turbulence. PPE is mission-specific and will depend on the patient and patient condition. 2. NIMS Guideline for the National Qualification System (NQS) defines Physical/Medical Fitness levels for NIMS positions.
Component Types
Type Criteria
Type 1Same as Type 2
Type 21. Moderate 2. Maintains immunizations in accordance with the U.S. Department of Health and Human Services Centers for Disease Control and Prevention’s immunization recommendations for emergency responders 3. Ability to work wearing appropriate personal protective equipment (PPE)
CurrencyProvider must carry out and use any background checks as applicable law specifies. This may include a background check completed within past 12 months; sex-offender registry check; and a local, state, and a local, state, and national criminal history.
Component Types
Type Criteria
Type 1Same as Type 2
Type 21. Functions in this position during an operational incident, planned event, exercise, drill, or simulation at least once every two years 2. Active member of an EMS-providing entity, organization, or agency 3. Active participation with an air medical transport service 4. Immunizations up-to-date and commensurate with mission assignment 5. Background checks as applicable law permits or requires
Professional and Technical Licenses and CertificationsCritical Care certifications are not available in every state.
Component Types
Type Criteria
Type 1Active Critical Care Paramedic certification, or equivalent
Type 21. State, District of Columbia, or US territory-granted active status of legal authority to function as a Paramedic without restriction 2. Flight Paramedic Certification (FP-C)
Composition and Ordering Specifications
Specification
This resource can be ordered in conjunction with other NIMS typed teams, including: Air Ambulance Fixed-Wing (Critical Care Transport), Air Ambulance Fixed-Wing (Non-Critical Care Transport), Air Ambulance Rotary-Wing (Critical Care Transport) or Air Ambulance Rotary-Wing (Non-Critical Care Transport)
Discuss logistics for deploying this position, such as working conditions, length of deployment, security, lodging, transportation, and meals, prior to deployment
This position deploys with all necessary PPE, including flight and medical gear, based on the mission assignment
Requestor should specify specialties necessary such as heart-lung bypass support, ventricular assist devices, management of arterial lines/pulmonary artery catheters, central venous monitoring, transfusion and volume expansion, vasopressors, extracorporeal membrane oxygenation, fetal monitoring, ventilator
1020
Notes
References
Reference
FEMA, NIMS 508: Air Ambulance Fixed-Wing (Critical Care Transport)
FEMA, NIMS 508: Air Ambulance Fixed-Wing (Non-Critical Care Transport)
FEMA, NIMS 508: Air Ambulance Rotary-Wing (Critical Care Transport)
FEMA, NIMS 508: Air Ambulance Rotary-Wing (Non-Critical Care Transport)
FEMA, NIMS Guideline for the National Qualification System, November 2017
Centers for Disease Control and Prevention (CDC), Immunization Recommendations for Disaster Responders
National Highway Traffic Safety Administration (NHTSA), Emergency Medical Services Education Agenda for the Future: A Systems Approach. Washington, DC: US Department of Transportation/National Highway Traffic Safety Administration (DOT/NHTSA) DOT HS 809 042, June 2000
NHTSA, The National EMS Education Standards. Washington, DC: US DOT/NHTSA, DOT HS 811 077A, January 2009
NHTSA, The National EMS Scope of Practice Model. Washington, DC: US DOT/NHTSA, DOT HS 810 657, February 2007
Occupational Safety and Health Administration (OSHA) 29 Code of Federal Regulation (CFR) Part 1910.120: Hazardous Materials Awareness, latest edition adopted
OSHA 29 CFR Part 1910.134: Respiratory Protection, latest edition adopted
OSHA 29 CFR Part 1910.1030: Bloodborne Pathogens, latest edition adopted