Does the air ambulance service provide the required equipment and medications to conduct critical care transports?
Air ambulance aircraft shall have the following minimum equipment in addition to portable medical equipment carried:
For domestic, North American and Caribbean transports:
- One FAA approved stretcher and base for each patient
- A medical Oxygen system with the capacity to transport a ventilator dependent patient from the transport origin to the destination, including fuel stops, while maintaining a 25% reserve without service or refilling
- 2 – 115 vac/60hz electrical outlets
- 50 psi air compressor
- Vacuum pump with adequate suction for one suction canister
For South America, North Atlantic and Pacific transports:
- One FAA approved stretcher and base for each patient
- A medical Oxygen system with the capacity to transport a ventilator dependent patient from the transport origin to the destination, including fuel stops, while maintaining a 25% reserve without service or refilling
- Dual electrical inverters with 6-115 vac/60hz electrical outlets
- Dual 50 psi air compressor
- 2 Vacuum pumps with adequate suction for one suction canister
The medical oxygen range of the aircraft is especially important on long distance transports and the highest priority on over the ocean flights. Medical oxygen is not always available in foreign locations, or due to different standard connection fittings, may not be compatible with U.S. equipment.
International medical aircraft should have an un-replenished oxygen supply on board to safely transport a ventilator dependent patient the entire transport, including fuel stops, and have a 25% reserve in case of unexpected delays. This standard can require 40-60 hours of medical oxygen to be available on the aircraft. A suctioning device should be part of the aircraft medical equipment as well as a portable device for use during the ground ambulance portion of the transport.
All needed fluids and medications required by the patient during the transport should be provided, to include adequate surplus to accommodate potential flight delays. Fluids should be administered during the flight with the use of flight approved intravenous pumps to avoid fluid boluses that may result at altitude with physiological gas changes.
Programs should develop diversion plans and procedures to accommodate all patient care needs in the event of unplanned lengthy delays.