Rangat
Forum Lieutenant
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So, I know you ppl have more air support than in South Africa, but how does your Criteria compare to ours?
Helicopter Dispatch Criteria
Criteria to exclude helicopter mobilization:
CPR in progress
The pt is less than twenty minutes road transport from and appropriate medical facility
Medical Criteria:
Head injuries where:
The GCS is no les than 6 and no more than 12
Clear focal neurological deficit exists regardless of GCS
Initial blood pressure of less than 75 mmHg systolic
Where signs and symptoms indicate spinal injury, or where there is documented neurological injury and road transport exceeds 20 minutes or where extreme terrain prevents safe ground transportation.
4. Patents with respiratory distress despite full supplemental oxygenation.
Amputations:
Above the knee or elbow
Where arterial vascular injury exist
Severe penetrating injury trauma to the head, neck, thorax and/or abdomen with possible involvement of the underlying organs or vascular structures.
Near Drowning
Electrocution with cardiac involvement
Hypothermia (<35 deg Celsius) or hyperthermia (>40 deg Celsius)
Burns:
In adults with 30-80% BSA involvement
In children with 20-80% BSA involvement
Burns to the face with airway involvement
Medical patients where the expertise of the crew is required: Examples include:
Myocardial infarction – Unstable, post resuscitation, life threatening arrhythmia
Refractory Anaphylaxis
Refractory Seizures
Logical Criteria
These are the discretion of the medical director.
Where specialized equipment or expertise (other than routine ALS) carried by the helicopter is required on scene.
Where ALS is required and can not be delivered by road \ in a reasonable period of time.
Where access to the scene is limited but a helicopter can be safely landed.
Mass casualty incidents where the local EMS recourses are greatly exceeded by the number of priority 1 and 2 patients.
Escalation
The helicopter service will escalate the decision to proceed on a primary response to the appropriate assistance company in the event that the distance by air exceeds 150km or the flying time exceeds 45 minutes.
In order to ensure a smooth operation the following Standard Operating Guideline needs to be adhered to.
Helicopter Dispatch Criteria
Criteria to exclude helicopter mobilization:
CPR in progress
The pt is less than twenty minutes road transport from and appropriate medical facility
Medical Criteria:
Head injuries where:
The GCS is no les than 6 and no more than 12
Clear focal neurological deficit exists regardless of GCS
Initial blood pressure of less than 75 mmHg systolic
Where signs and symptoms indicate spinal injury, or where there is documented neurological injury and road transport exceeds 20 minutes or where extreme terrain prevents safe ground transportation.
4. Patents with respiratory distress despite full supplemental oxygenation.
Amputations:
Above the knee or elbow
Where arterial vascular injury exist
Severe penetrating injury trauma to the head, neck, thorax and/or abdomen with possible involvement of the underlying organs or vascular structures.
Near Drowning
Electrocution with cardiac involvement
Hypothermia (<35 deg Celsius) or hyperthermia (>40 deg Celsius)
Burns:
In adults with 30-80% BSA involvement
In children with 20-80% BSA involvement
Burns to the face with airway involvement
Medical patients where the expertise of the crew is required: Examples include:
Myocardial infarction – Unstable, post resuscitation, life threatening arrhythmia
Refractory Anaphylaxis
Refractory Seizures
Logical Criteria
These are the discretion of the medical director.
Where specialized equipment or expertise (other than routine ALS) carried by the helicopter is required on scene.
Where ALS is required and can not be delivered by road \ in a reasonable period of time.
Where access to the scene is limited but a helicopter can be safely landed.
Mass casualty incidents where the local EMS recourses are greatly exceeded by the number of priority 1 and 2 patients.
Escalation
The helicopter service will escalate the decision to proceed on a primary response to the appropriate assistance company in the event that the distance by air exceeds 150km or the flying time exceeds 45 minutes.
In order to ensure a smooth operation the following Standard Operating Guideline needs to be adhered to.
