Objective To ensure safe operations around the helicopter on scene responses Scene Activation Criteria based on the NAEMSP (National Association for Emergency Physicians) Guidelines

Discussion topics Locations and Aircraft When and how to call for a helicopter What information is necessary What information is helpful Choose and preparing a landing area Landing aircraft, loading patients Membership Program

Aircraft Crews Pilots Highly trained experienced professionals Exceed minimum hour requirements (most former military) Currently conducting NVG OPS Nurse/Paramedics Staff Certified ACLS, PALS, NALS (NRP), TNATC/ATLS, FPC, CCEMTP, CEN, CFRN, CCRN Critical care trained Minimum five years field/ER/ICU experience

Aircraft Locations Clovis NM-Rotor Lubbock, TX-Rotor Lubbock, TX-Fixed Wing Seminole, TX-Rotor Odessa, TX-Rotor Fort Stockton, TX-Rotor

AeroCare’s Fleet

When and How to Call Always Call 911 Early Activation…Sooner is Better Any public service/safety person can call EMS/Fire personnel Law enforcement Safety officers

Indications Medical Emergencies Heart Attack Stroke Diabetic Emergencies Time-Distance factors Transport to trauma center greater than 15 minutes Transport time to local hospital by ground greater than transport time to trauma center by helicopter.

Indications Trauma Burns Paralysis Partial or total amputation of any extremity (including digits). Penetrating or Crushing injuries to head, chest or abdomen. Heat Related Emergencies Snake Bite Mechanism of Injury Unrestrained rollover Vehicle vs. pedestrian Falls > 15 feet Vehicle ejection > 20 mph Multiple trauma victims

Dispatch Information Name and return contact information of caller Scene type Medical or trauma Motor Vehicle Collision, fire, hazmat, etc Where scene is located (GPS Coordinates)

Helpful Information Landmarks close to scene Any medical information available Number of patients on scene Injuries Treatment provided Preferred facility (on arrival)

Choose a Landing Zone 100x100ft for daytime/nighttime No trees or tall grasses Downwind of scene Hard and flat Concrete Asphalt Gravel Grass Dirt Brush

Preparing a Landing Zone Walk the area and clear any loose debris Make note of possible hazards: Power poles/lines Fences Guide Wires Remain a sufficient distance from the patient area… feet is recommended. Make note of wind direction Helicopters like their nose into the wind DO NOT APPROACH THE AIRCRAFT

Preparing a Landing Zone 100 x 100 WIND

Preparing a Landing Zone WIND

Landing Aircraft Be aware of brown out and white out situations.

Approach Set up LZ at a distance 2X the tallest obstacle

ALL WEATHER OPERATOR Helicopter operates in Visual Flight Rules NVG Equipped (100% of RW fleet) Airplane operates in Visual and Instrument Flight Rules All aircraft operate 24/ days/year

Image as seen through NVG’s

Loading the Patient NEVER go past the side doors towards the rear TAIL ROTOR IS DEADLY Assist the medical crew as directed to load the patient When the patient is loaded move toward the front of the aircraft and wait for the medical crew to escort you away from the aircraft

Patient Transport Transport to most appropriate facility Patient request depends on necessity Can provide update upon arrival

Membership Program

AeroCare Membership Program As a member of AeroCare, you are automatically a member of the The largest membership network of its kind in the USA

Peace of Mind. Members enjoy the security of No-out-of-pocket expenses for medically necessary air transport by AeroCare or any one of our AMCN service partners. Covers all members of Household AeroCare household memberships cover everyone residing in home. And Kids away at college! No Health Insurance required! AeroCare does not ask for insurance or health information. No pre-existing condition exclusion

Largest Air Medical Network in the US 200+ bases 30 states 1,400,000+ members and growing Medical Helicopters and Airplanes Modern fleet and state of art equipment

Membership Availability Households covered for only $65 a YEAR Group Discounts are available for employers, associations, and affinity groups Discounts increase as enrollment increases Low cost employee benefit Event/Ranch/Workplace/Etc. Site plans Fundraisers MUNICIPAL SITE PLANS

Municipal Site Plans Texas Counties: Andrews, Crane, Crockett, Lipscomb, McMullen, Kennedy, Kinney, Pecos, Reagan, Schleicher, Throckmorton, Upton, Ward, Yoakum. Texas Cities: Farwell New Mexico Cities: Jal, Eunice North Dakota County: Billings In Progress: West Virginia, Tennessee, Kentucky, Georgia, California

REMEMBER…AS A PATIENT, YOU HAVE THE RIGHT TO CHOOSE YOUR PROVIDERS!!!!

Thank You! A big Thank You to everyone for their help and safety awareness None of this would be possible without you We appreciate your continued support throughout the region! Everyone Be Safe Out There!