EMS Pilots

If it is actually true that 2 people were still alive trapped in the wreckage I'm furious. Lack of discipline and urgency on the part of the Fire Department. If I was a relative of one of the victims that perished in the crash, I would not stop until I had everyone's testicles; (cut off with a knife) that responded to the scene in my hand before I rest.

Yes, two survived the crash and were pulled out, albeit badly burned, and later succumbed. I knew one of the members of the crew, and knew who the other two were.

I'm suprised that fire suppression was slow to get going. I assume these guys knew that it was a med flight crash, huh? I guess rescue of the crew wasn't a option because the cabin area was in flames, or did it get consumed by fire spread, minutes later?

It was initially reported as a military helicopter, but the wreckage (sitting to the right of the fire) should've been apparent it wasn't fairly immediately. The cabin was partially involved at first, then got consumed by spread.

Here's an excerpt of news commentary regarding the crash and the fire deparment response to it, and my counter-comments I wrote in:

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I hate to Monday morning QB anything, but with this accident, there has been complaints and rumblings I've been hearing from some in the EMS community about the slow fire response to this accident. One crewmwmber was killed on impact. Two others survived the accident, but died either enroute or at the hospital.

As an ARFF-trained firefighter, and one who currently does contract firefighting operations in both ARFF, wildland and structural, I'm well aware of the operational aspects of aircraft crash/fire/rescue operations as well as operations involving Class B/D fire classes (flammable liquids/metals), and know that time is of the essence regards survivalibility in these type of fires (and of course, in any fire), as well issues surrounding extrication involved/needed.

Here is a video of the immediate post-accident, and selected commentary that was posted with it, which I'll comment to. Watching it is tough, seeing as how there seems to be much time being taken to size-up, versus commencing firefighting operations. Yes, a proper size-up is important, and that's usually done approaching the scene initially. But commencing suppression operations ASAP is equally important, if only to enhance the survivability aspects of any potential live victims. In this case, there were two still alive in the wreckage.

The footage reveals a post crash fire. The survival probabilty of post crash fires involving helicopters is low. With that said and viewing the footage the crew and passengers of this aircraft were probably dead indicating the fire departments response was of no consequnce. From a tactical standpoint the IC would have been justified in treating this a exposure protection, extinguishment and recovery incident. In should be noted that firefighter safety ranks above the safety of potential victims.

Yes, a post crash fire. Yes, survivability is generally low. But "probably dead" isn't good enough, and further treating this as an exposure protection and recovery based on "probably" also isn't good enough. Firefighter safety always ranks above the safety of potential victims, yes, (ie- don't make yourself a victim too) but there's a fine line between your safety as a firefighter and taking the risks you get paid to take.

and by the way - remember that there just aren't hoses connected around the neighborhood, just waiting for things to catch on fire. the firefighters must get their orders, unload the line, hook it up to a water source, start the flow, build the pressure...this could account for a good minute after the team arrived for things to start happening.

Um, wrong. There's a reason fire trucks carry a water tank, so they can begin initial attack on a fire immediately, while other crew or the second-due engine takes the reponsibility of supplying them; either by laying them back to a hydrant, laying from a hydrant forward to them, or supplying them with their own truck if a hydrant isn't available. Either way, quick initial attack on something like this is paramount. And this isn't an ARFF specific idea, it's something all firefighters should at least know.

These engines are not equipped with dealing aircraft. These engines are designed to fight mainly structure fires or cars. In any situation you access your scene and make sure its safe. What good is it for a first responder to try to do a rescue mission and die in the process of doing so. If you are not certified by your state for Structural Firefighter or AFFF please don't comment.

Since I'm certed and current as both in your last sentence here, I will comment. Yes, the average structure engine (regular fire truck) isn't specifically equipped for aircraft fires. But that doesn't mean they don't do anything on scene, as they still possess the ability to fight aircraft or fuel fires. Yes, in any situation scene safety is very important, but equally important is commencing suppression operations.

I love the people that are commenting as if this video is telling the whole story. As a fireman, and one that has aircraft disaster response training, these units that responded DO NOT carry AFFF....a foam product designed to extinguish petroleum fires - aircraft fires. Secondly - these firemen did exactly what their training taught them...determine what is burning first - before you attempt to extinguish. In my area a volunteer fireman was just killed by an explosive reaction of water put on an aluminum fueled fire.....he was killed instantly. Speak from a place of intelligence - Oh, lastly, having been sent to the scene with information that this was a bell helicopter, seeing the scene in the state it was in when they rolled, survivors werent going to be found....

Never say never. DO NOT carry AFFF (a Class B foam for fuel fires)? It depends. Some do, some don't. Most all engines carry Class A foam, which can be used on a Class B fire, but isn't optimal due to its inability to secure explosive vapors due to some chemical incompatibility; but it will extinguish the fire, which is the important thing. Secondarily, all engine trucks carry limited stocks of dry chemical, normally in an extinguisher...also useful. Sure, it's important to determine what's burning before you start extinguishing it, but you also would know that prior to arriving on scene, and a simple 10 second size-up would also give you most of what you need to know in a situation like this.

And lastly: "Survivors weren't going to be found?" Really? Guess what, they were found, and later succumbed. Could've/should've/would've.....but what if, they had been extricated even 1 minute earlier? You cannot go by that instant assumption.
 
Nice reply, Mike. You are right, most rigs carry foam. Like you stated, we have Class A foam. 50 gal in a seperate tank that we can dump in to our 500 gal tank to mix so that we can get foam ops up and running in a matter of a few seconds. And you are completely right about Class A and B fires and the use of foam on them. We got to have it because of the fuels that Tanker trucks haul up and down our interstates. Whether it's Gas, Diesel, or Jet Fuel, we use what we can to suppress fire. Vapor suppression is a issue always, but trying to achieve extinguishment is number 1. And, if the fire load is far to much, we protect exposures! Fortunate for us, (Shreveport Fire), since Shreveport Regional Airport, (KSHV) doesn't have a heavy traffic load, the airport authority has given the ok for us to use 1 of the 3 ARFF trucks station at KSHV. Also, same consideration has been given by Barksdale (KBAD) if there is a incident within the city limits of Shreveport/Bossier to utilize a ARFF truck from them. No matter what, if it's to big, getting foam is never a issue. Automatic mutal aid is a great thing, esp when it comes to having a ARFF truck outside of airport ops. And, it looks sorta cool to see that massive, yellow/green ARFF truck moving down a city street!

Glad you are a brother, Mike!

:)
 
Nice reply, Mike. You are right, most rigs carry foam. Like you stated, we have Class A foam. 50 gal in a seperate tank that we can dump in to our 500 gal tank to mix so that we can get foam ops up and running in a matter of a few seconds. And you are completely right about Class A and B fires and the use of foam on them. We got to have it because of the fuels that Tanker trucks haul up and down our interstates. Whether it's Gas, Diesel, or Jet Fuel, we use what we can to suppress fire. Vapor suppression is a issue always, but trying to achieve extinguishment is number 1. And, if the fire load is far to much, we protect exposures! Fortunate for us, (Shreveport Fire), since Shreveport Regional Airport, (KSHV) doesn't have a heavy traffic load, the airport authority has given the ok for us to use 1 of the 3 ARFF trucks station at KSHV. Also, same consideration has been given by Barksdale (KBAD) if there is a incident within the city limits of Shreveport/Bossier to utilize a ARFF truck from them. No matter what, if it's to big, getting foam is never a issue. Automatic mutal aid is a great thing, esp when it comes to having a ARFF truck outside of airport ops. And, it looks sorta cool to see that massive, yellow/green ARFF truck moving down a city street!

Glad you are a brother, Mike!

:)

Agree. Even my own Type 6 engine I run with my contract company, I mix and match loadouts based on what my contract assignment is. I always have the standard 250 gals water, 15 gals Class A foam at all times for the standard wildland assignments with one 1.5" attack line and one 1.5" trunk line, and one 1" discharge on a live reel, plus 2 x PW cans. On ARFF assignments, I add 2 x 5 gallon tubs of Class B foam to inject at the nozzle (don't want to accidently mix the A/B foams, or I'll have hell to pay cleanup-wise), and 3 x 30lb PKP extinguishers and 2 x 30lb CO2 extinguishers and 2 x 30lb Copper Powder (Class D) extinguishers. For the limited structural I can do, I reduce the amount of 1" line, and upload more 1.5" attack and 2.5" supply line, with the aforementioned chemicals. Fully A/B/C/D suppression capable, as well as fully BLS meds capable.

But back on subject though, it was a very poor showing by TFD on this helo accident, and there has been many angry people over it; especially since they finally managed to pull two people alive (albeit severely burned) from the wreck who never should've had to have been in there as long as they were.
 
I'm sorry to hear about those people that you knew MikeD.

Appreciate the sentiment. Unfortunately, it only adds to the other 6 hands-worth of people in aviation I've known who have perished since my career started long ago. And these won't be the last.

Back to the subject at hand, EMS is an interesting career field with many challenges as well as rewards.
 
MikeD said:
Appreciate the sentiment. Unfortunately, it only adds to the other 6 hands-worth of people in aviation I've known who have perished since my career started long ago. And these won't be the last.

Back to the subject at hand, EMS is an interesting career field with many challenges as well as rewards.

Damn, that's a lot of people, but I'm not surprised at all. I'm glad I can't claim those type of stats. I've only had 3 friends taken away far to young because of Fire/EMS service. But, in your aviation career I can only imagine this happens to all who fly.

EMS is awesome! Is it for everyone, nope! Sort of like becoming a pilot, some aren't cut out for it. Just like I'm not cut out to work in the yard! Lol
 
It's possible. When we recieve a call, our dispatchers have a program that give locations, Lat/Long numbers to the area that we are going. If it is a area that we are familar with, we know where our LZ will be, etc. Most of the time, prior to lift off, the pilot doesn't know any of the patient info. His only concern is whether or not we meet the criteria to fly, that's it. If we do go, we all discuss what it is we are picking up and what our plan of action is as to treatment of the patient. Enroute, we are usually busy prepairing our work area, getting equipment on and ready and being the, "Other eyes" for the pilot during our flight. So, yeah, the pilot does know about the patient once we are up and flying. Trust me, we do not let emotions get in the way of a flight. Because, in the end, it's about our safety first!

The pilot has all the checks and balances on weight issues and what he needs to do to make the flight safe and a success. They know their limits and we know ours, but it is always something we discuss no matter what and it starts when we get the call. Our dispatchers get a wealth of information prior to us leaving. That info is giving to all of us to build on, but as I stated, the Pilot has the final word, ALWAYS!!!

I used to fly both FW and RW for the same company. It's almost impossible to not get a little emotional (esp. with children and being a parent). I approached each flight with one thing in mind: Self-Preservation.

I made EVERY flight decision based on ME getting to the scene, ME getting to the hospital, and ME getting home at night. If the patient, nurse, and paramedic got where they needed to be, that was just a bonus to the goal of the day!
 
Patients: We get no info, but sometimes we need more. If the med crew will need 3 hrs to get the patient back to the airport, then that makes a HUGE difference for duty and wx. I've tried, but they will not give us more. We have repo'd 91 to swap pilots, but we've also checked into a hotel.
Kids: My first three flights were neonatal missions. Soon after that, I had a little girl who was right between the ages of my little girls. After these trips and flying 121/exec-style 135, I knew that this was the sector I wanted to stick with.
Self-preservation: THE rule. 1 patient is enough...don't need 3 more, ya know?
Flightsuits: Just call me CPT America!!
 
Do most of you live near your base, or is commuting an option for most companies?

Thanks for the info.
 
Do most of you live near your base, or is commuting an option for most companies?

Thanks for the info.

Base, as in hospital? If so, I live about 15 miles away.

But, I'm not understanding your, " is commuting an option for most companies", comment! I just drive to work!
 
Depends on the operation. Some do. Some don't. It can be a choice. With 7/7 or 14/14 schedules, some do commute. Some companies do have off-duty lodging, but some don't.
 
I used to fly both FW and RW for the same company. It's almost impossible to not get a little emotional (esp. with children and being a parent). I approached each flight with one thing in mind: Self-Preservation.

I made EVERY flight decision based on ME getting to the scene, ME getting to the hospital, and ME getting home at night. If the patient, nurse, and paramedic got where they needed to be, that was just a bonus to the goal of the day!

That's true. If a incident involving a child, happens, sure..... in the back of your mind you get involved. You have to, it's human nature to do so, but you have to have that limit within yourself, that line.... that you just don't cross. If you get to a point that you are overcome with emotions, or so involved over a particular traumatic situation with a child, you run a high risk of making mistakes, as far as medical interventions. On a scene or in the cabin of your helicopter is not the place to, "Lose It". If you do, you are no good to the patient, your flight partners, this kids parents, or the EMS/Fire Paramedics that started treatment way before, "We landed" and took control of patient care. And trust me, I know that line can be very easy to cross. It's a bad situation that is thrown in your face, and people hand you this and say, "Hey, fix this". But, that is where knowledge and trainning come in. It is what we do and we have to be able to separate ourselves from all of it, on a personal level.

Me personally, I detach myself from age groups. It's something I've done since joining the Shreveport Fire Dept back in 95. It's something I needed to learn from my peers and they taught me very quick. Infant, Children, Teens, Young Adults, and Geriatric's are all humans and that's it. Bad things are going to happen to all of them, make their situation better at all cost. Worry about the ages after the incident, because at that moment, age doesn't matter. And, I was told that if you couldn't cope or I wasn't able to handle the blood and guts and to focus on the job at hand, I was in the wrong business. My ego, my judgement, my thought process have been tested ever since and I have passed. In 16 years, I've made a difference in peoples lives, other times, I haven't. It's a crap shoot. But, whether it's anyone's child on this forum, my kids, your grandparents, my parents, I don't care, the age or size doesn't matter to me when the seconds click away. I'll care and shead tears afterwards with you!

That's how I deal with it! But, that's just me and might not be a correct way for others. Just giving a peep into my thought process!
 
I guess I'm confused on what, "TYPE" of operations AG89 is inquiring about. Most Medical Helicopter programs are stationed at a local hospital in whatever city. I assume you would live in that particular city if you were working with that local med program, as pilot or flight crew.

Now, when we are are on shift, we work 12 hours. Either 6a to 6p, or 6p to 6a. Most hospitals have crew areas, either near the dispatch office or a short walking distant to the pad itself. In the crew quarters, there are TV's, a kitchen area, bunks, shower/bathroom...etc. The pilots have their own little crew areas as well. It's our home for 12 hours.

Fixed wing ops are a little different I'm sure, but I don't know how that side operates. But the commuting back and forth to the job has me a little perplexed. I could understand this if you are a Pilot working for a Oil Co. , flying crews out to oil rigs..etc. I'm sure flight crews are housed in hotels while they are working their shifts, but most Air Medical Ops are local.
 
I guess I'm confused on what, "TYPE" of operations AG89 is inquiring about. Most Medical Helicopter programs are stationed at a local hospital in whatever city. I assume you would live in that particular city if you were working with that local med program, as pilot or flight crew.

Now, when we are are on shift, we work 12 hours. Either 6a to 6p, or 6p to 6a. Most hospitals have crew areas, either near the dispatch office or a short walking distant to the pad itself. In the crew quarters, there are TV's, a kitchen area, bunks, shower/bathroom...etc. The pilots have their own little crew areas as well. It's our home for 12 hours.

Fixed wing ops are a little different I'm sure, but I don't know how that side operates. But the commuting back and forth to the job has me a little perplexed. I could understand this if you are a Pilot working for a Oil Co. , flying crews out to oil rigs..etc. I'm sure flight crews are housed in hotels while they are working their shifts, but most Air Medical Ops are local.

Area5150, from what i understand there are two types of HEMS programs, hospital based and community based ( I think these are the right terms ) for example a small community may have have a helicopter stationed there, but not necessarily affiliated with the hospital. It may be dispatched to rural areas in its AOR, and then deliver these patients to the nearest suitable hospital. In these cases the helicopter and crew are owned by the HEMS company, in a hospital based program the Hospital may own the helicopter and med crew, while the HEMS company supplies the pilot under contract. Again I am not completely familiar so take my description with a grain of salt. I am just starting to try and educate myself about these programs as I believe it to be an interersting career and something I may want to move into in a few years.

Commuting is done a lot flying offshore. Some companies will provide quarters for their flight crew to stay during their twelve hours off each day. This way a pilot could live somewhere other than his workplace, and then commute in to do his 7 or 14 day "hitch" on duty. It is my understanding that some HEMS companies do this, not sure if it is common or not.
 
As a pilot. Specifically how is NVS (the FLIR sensor on the Apache) considered for such a job.

Our pilots come from many different backgrounds. Some are ex-military, private sector, Oil Companies, etc. They have logged 1,000's of hours and our program, thru Metro Aviation is very, very pickey. They want the best of the best. But, since I'm not a pilot, I'm only stating what I know from what I've been told. I know they continue to go through monthly trainning, class room, check rides, but I assume that is normal for any pilot that flies helicopters. So, what I can tell you is the hiring process is in-depth!

Has far a NVS, we got them a little over a year ago. I believe they are becoming a industry standard for all Air Med flight crews. We'll wear them to assist in landing, esp in dark, rurial areas. I love em. Having never had them, then getting them to use, it's made things a lot easier on us, and esp the pilot in night ops.
 
Area5150, from what i understand there are two types of HEMS programs, hospital based and community based ( I think these are the right terms ) for example a small community may have have a helicopter stationed there, but not necessarily affiliated with the hospital. It may be dispatched to rural areas in its AOR, and then deliver these patients to the nearest suitable hospital. In these cases the helicopter and crew are owned by the HEMS company, in a hospital based program the Hospital may own the helicopter and med crew, while the HEMS company supplies the pilot under contract. Again I am not completely familiar so take my description with a grain of salt. I am just starting to try and educate myself about these programs as I believe it to be an interersting career and something I may want to move into in a few years.

Commuting is done a lot flying offshore. Some companies will provide quarters for their flight crew to stay during their twelve hours off each day. This way a pilot could live somewhere other than his workplace, and then commute in to do his 7 or 14 day "hitch" on duty. It is my understanding that some HEMS companies do this, not sure if it is common or not.

Got ya, you are correct. Most of the programs are hospital based. But, there are a few programs that I know of that have operations based out of a small airport, or near a Vol. F.D, in a rural area. Such as Pafford's Air One. Those guys are based about 70 miles east of Shreveport, but most of the crews live and work in Shreveport/Bossier. Those guys just drive back and forth. I know there is a med flight program that has a base, pretty much in the middle of no where along I-45 south, between Dallas and Houston. But, again, I can't honestly say how those schedules work, or what accommodations they have set up for those crews, but some rural areas do have a fixed base outside of the hospital settings. And I'm sure that applies to a lot of rural areas across the country. I'm just not familiar with them.
 
Got ya, you are correct. Most of the programs are hospital based. But, there are a few programs that I know of that have operations based out of a small airport, or near a Vol. F.D, in a rural area. Such as Pafford's Air One. Those guys are based about 70 miles east of Shreveport, but most of the crews live and work in Shreveport/Bossier. Those guys just drive back and forth. I know there is a med flight program that has a base, pretty much in the middle of no where along I-45 south, between Dallas and Houston. But, again, I can't honestly say how those schedules work, or what accommodations they have set up for those crews, but some rural areas do have a fixed base outside of the hospital settings. And I'm sure that applies to a lot of rural areas across the country. I'm just not familiar with them.

Ok, thanks for the info and keep up the good work. I've had two family members and one of my friends kids that had to be medevac at different time in the last 6 years or so, all three survived the incidents likely due to the quick action and care by the HEMS crew. Kudos
 
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