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Reconfiguring the EC145 for Two Patients
Air Care Orientation Curriculum, Prehospital Medicine Bill Hinckley, MD Air Care Orientation Curriculum, Prehospital Medicine Bill Hinckley, MD

Reconfiguring the EC145 for Two Patients

Our EC145 aircraft have the capability to fly two patients.  However, doing this is never our preference.  Those of us who have had the chance to fly two patients can attest that it’s quite challenging, especially if one or both are truly critically injured.  Your crew:patient ratio is halved.  And if you’ve ever thought that ergonomically your space was limited in the helicopter with only one patient, it’s much worse when there are two.  Therefore, we always teach our EMS colleagues: if you’ve got two patients you need to fly, ask for two helicopters.

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Multiple Helicopter Scenes
Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed

Multiple Helicopter Scenes

It is not uncommon for multiple helicopters to land on the scene of a multi-car accident or a single vehicle accident with multiple seriously injured victims.  Assessing, caring for, and transporting multiple victims adds a significant amount of complexity to these scene flights.  With multiple helicopters flying in, it is especially crucial that we heed all the lessons of crew resource management.  Situational awareness both in the air and on the ground is key.  But the challenges of multiple helicopter scenes are not limited only to safety considerations.

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Survival and the Rule of 3's
Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed Air Care Orientation Curriculum, Prehospital Medicine Jeffery Hill, MD M.Ed

Survival and the Rule of 3's

Thankfully survival situations are uncommon.  Because these situations are so uncommon, however, when confronted with a survival situation, we often find ourselves woefully unprepared.  Some of us have had formal survival training through Boy Scouts/Girl Scouts/military/Wilderness Medicine courses.  Many of us, however, have had to rely on the Air Care & Mobile Care training sessions or maybe even what we see on Survivorman or other such TV shows.  Some of us may hope just being near Dr. Mel Otten has allowed us to glean the crucial bits of knowledge we may need.

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