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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.
Lessons in Transport - Avoiding Medication Errors
It takes an estimated 80-200 correctly executed tasks to successfully administer a single dose of a medication to a critically ill patient...
Our reality in transport medicine... We routinely work in an environment that is prone to medical error. An environment that is...
- Dynamic and potentially dangerous
- Fast paced... where speed is perceived as excellence
- Limited in space, resources, and personnel
- Built on inferred indications with little access to confirmatory tests
- Frequent patient care hand offs of high acuity patients
- Defined by actions and inaction that have immediate consequences with little recovery time to stop sequential errors
- Not reproducible... No mission is ever the same
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.