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ID
3-508-1026
Name
Air Ambulance Fixed-Wing (Non-Critical Care Transport)
Status
Published
Updated
9/28/2018 5:08:22 PM
Released
03/01/2009
Description
An Air Ambulance Fixed-Wing (Non-Critical Care Transport) is a single resource that includes a single or twin-engine, jet or propeller airplane, pilot, and crew. This resource provides non-critical care and rapid transportation of patients from scenes, established pick-up sites, or medical facilities to medical facilities (typically located within 150 miles of the disaster area). It does not transport critical care patients unless the Aeromedical Transport Manager determines it to be necessary. Factors such as capabilities and configuration of the individual aircraft, capabilities of the pilot, qualifications of the medical crew, and weather conditions determine the range of transport.
Resource Category
Emergency Medical Services
Primary Core Capability
Public Health, Healthcare, and Emergency Medical Services
Secondary Core Capability
Critical Transportation
Resource Kind
Aircraft/Team
Overall Function
The Air Ambulance Fixed-Wing (Non-Critical Care Transport): 1. Provides transportation, evacuation, and emergency medical care for patients via fixed-wing aircraft from scene, established pick-up site, or medical facility to medical facilities 2. May also transport medical personnel, equipment, supplies, and blood and fluid products into the area of need 3. May also transport critical care patients from disaster sites to medical facilities when necessary, as the Aeromedical Transport Manager determines
Composition and Ordering Specifications
1. Discuss logistics for deploying this resource, such as security, lodging, resupply of medical services, transportation, and meals prior to deployment 2. This team typically works 12 hours per shift, is self-sustainable for 72 hours, and is deployable for up to 14 days; discuss self-sufficiency prior to deployment 3. The Federal Aviation Administration places restrictions on crew duty in 14 Code of Federal Regulations (CFR) Part 117 4. Requestor will provide transportation (including for patient care personnel to and from the airhead for the sending and receiving medical facilities), food, and rest facilities, unless other arrangements exist 5. Provider confirms the maximum distance the Air Ambulance Fixed-Wing will transport the patient to ensure the ordering of the appropriate aircraft 6. Provider confirms an appropriate length runway is available for takeoff and landing 7. Provider confirms the appropriate fuel (jet fuel vs. aviation gas) and oil is available for the requested aircraft 8. Provider determines any maintenance limitations (such as number of hours the aircraft can fly before removal for routine maintenance) 9. Requestor should identify Fixed Operating Base (FOB) facilities to support air mission logistics 10. Requestor may order backup supplies and equipment, depending on number of patients and type of event 11. Requestor should specify needed specialty care services, as number of personnel will vary with capacity of aircraft and mission 12. Requestor can order an Aeromedical Transport Manager for administrative and logistics support 13. Requestor should specify personnel required to transport patient based on patient acuity 14. Requestor must notify provider if family member(s) will accompany patient to ensure sufficient space in aircraft 15. Requestor should specify advanced life support (ALS)-level or basic life support (BLS)-level of care 16. This team does not provide transport of patients with infectious diseases as it requires specialized teams and equipment compliant with Centers for Disease Control and Prevention (CDC) guidance
Supporting Core Capabilities
None
Components
Component Notes  
Capacity Per Team Patient LoadTypes 4 and 5 may include employment of all nationwide Civil Air Patrol aircraft (ambulatory only or for blood, medical personnel, or organ transports).
Component Types
Type Attribute
Type 19 or more litter patients
Type 2Up to 8 litter patients
Type 3Up to 2 litter patients
Type 4Same as Type 5
Type 5No litter patients, any number of ambulatory patients
Type 6Not Applicable
Type 7Not Applicable
Equipment Per Team Member Personal Protective EquipmentThe following standards address PPE: Occupational Safety and Health Administration (OSHA) 29 CFR Part 1910.134: Respiratory Protection and Part 1910.1030: Bloodborne Pathogens.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3Same as Type 4
Type 4Same as Type 5
Type 5PPE is mission-specific and may include: 1. Protective footwear 2. Protective clothing 3. Gloves 4. Masks 5. Respirators 6. Hearing Protection
Type 6Not Applicable
Type 7Not Applicable
Equipment Per Team Patient Care and Medical Level1. ALS Equipment for high-acuity patients is mission-specific and may include: IV pumps, invasive monitoring, pressure support devices, isolettes, heart-lung bypass support, specialized medications, and fetal monitoring. 2. Unless provided from another source, or accompanying the patient (like oxygen), Type 5 aircraft have no medical equipment and supplies. 3. A Type 4 Aircraft may upgrade to Type 3 with fully equipped and certified ALS provider (non-crew member). 4. May require separate aircraft equipment/supply aeromedical evacuation treatment kit.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3Same as Type 4, PLUS: ALS supplies and equipment
Type 41. Non-critical care supplies and equipment 2. Onboard power inverter capable of converting aircraft current for use with specialized medical equipment (such as intra-aortic balloon pump or neonatal isolette)
Type 5No medical supplies or equipment
Type 6Not Applicable
Type 7Not Applicable
Personnel Per Team Management and OversightNIMS Type 2 Aeromedical Transport Officer should be physically present or in direct radio or phone communication for medical direction.
Component Types
Type Attribute
Type 1Same as Type 2
Type 2Same as Type 3
Type 3Same as Type 4
Type 41 – National Incident Management System (NIMS) Type 2 Aeromedical Transport Officer
Type 5Not Specified
Type 6Not Applicable
Type 7Not Applicable
Personnel Per Team MinimumNIMS Type 2 Aeromedical Transport Officer should be physically present or in direct radio or phone communication for medical direction.
Component Types
Type Attribute
Type 19
Type 27
Type 35
Type 44
Type 51
Type 6Not Applicable
Type 7Not Applicable
Personnel Per Team Support1. All types capable of transporting patients. Requestor should communicate needs in advance regarding special patient populations with high-acuity needs, such as neonatal and pediatric transfers, heart-lung bypass support, invasive monitoring, and high-risk obstetrics, to ensure that the equipment and crew are mission-capable. 2. Critical Care, Neonatal, or Burn Transport Team(s)/personnel are a single resource to support any mix of critical/non-critical care patients. 3. NIMS Type 2 Registered Nurse has specialty in flight nursing. 4. Requestor, provider, or Authority Having Jurisdiction (AHJ) may increase pilots based on mission needs, aircraft type, and flying conditions. 5. Additional aircrew may include non-medical personnel for flight assistance and aircraft maintenance purposes. 6. The pilot is not a NIMS typed position.
Component Types
Type Attribute
Type 1Same as Type 2, PLUS: 2 – NIMS Type 2 Nurse, NIMS Type 1 Aeromedical Transport Paramedic, or NIMS Type 1, 2, or 3 Aeromedical Transport Officer
Type 2Same as Type 3, PLUS: 2 – NIMS Type 2 Registered Nurse, NIMS Type 1 Aeromedical Transport Paramedic, or NIMS Type 1, 2, or 3 Aeromedical Transport Officer
Type 3Same as Type 4, PLUS: 1– Pilot
Type 4Same as Type 5, PLUS: 2 – NIMS Type 2 Registered Nurse, NIMS Type 1 or 2 Aeromedical Transport Paramedic, or NIMS Type 1, 2, or 3 Aeromedical Transport Officer
Type 51 – Pilot
Type 6Not Applicable
Type 7Not Applicable
557
Notes
References
Reference
FEMA, NIMS 509: Aeromedical Transport Manager
FEMA, NIMS 509: Aeromedical Transport Officer
FEMA, NIMS 509: Aeromedical Transport Paramedic
FEMA, NIMS 509: Registered Nurse
American College of Surgeons Committee on Trauma (ACS-COT), National Association of EMS Physicians (NAEMSP), American College of Emergency Physicians, EMSC Partnership for Children, and the American Academy of Pediatrics. Equipment for Ambulances. (Revised 2013)
Federal Aviation Administration (FAA) 14 Code of Federal Regulations (CFR) Part 117: Flight and Duty Limitations and Rest Requirements: Flight Crew Members, latest edition adopted
Occupational Safety and Health Administration (OSHA) 29 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