For us too. Generally civilian medevac companies get the first right of refusal. If we just happen to be near a life limb or eyesight incident we'd do it though.
(Warning: medevac doctrine neophyte here.)
Air ambulance, and the bill afterwards
- Thread starter MikeD
- Start date
For us too. Generally civilian medevac companies get the first right of refusal. If we just happen to be near a life limb or eyesight incident we'd do it though.
(Warning: medevac doctrine neophyte here.)
To clarify, we'll do the rescue with the BP helo, especially if hoist or short haul, because most civil EMS helos don't land in unprepared areas (and reasonably so), and have no rescue capability or responsibility. It's after we make a rescue, where we normally transload to either a civil helo or a ground ambo. However, if they're not immediately available, we're oftentimes expected to wait to transfer to them, rather than just take the patient to the hospital ourselves with our own medical crew.
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Do you have a medevac company in your state, and if so, do they have a MAST mission?
I have one that is about 3 minutes old. We're building one from scratch. I'm just beginning to learn about them.
For us, the reasons we don't transport patients to the hospital in normal circumstances, is threefold:
1. Our primary mission is as an LE helicopter, not a medical transport. So with our secondary mission of rescue/medical, we'll do a rescue with hoist or short haul to recover a patient and do initial care, but we don't normally transport. That is because with a patient onboard, we are dedicated to the patient care and out of service for any LE calls until we drop off the patient.
2. We're not a medevac helo, so we're not equipped for full ALS work onboard. If we have a patient code while enroute to the hospital, we don't have drug intervention onboard. Hence why we only transport critical patients in exigent circumstances.
3. Being that its not our job to transport patients, we don't in fact compete with civil air ambulances. The only government helo in the normal medical helo dispatch rotation for transport in AZ is the DPS Ranger helo, namely because they were first in the state in the early 70s. If, for example, we come across a vehicle accident in a remote area, we'll land and assist and if units on scene request us to transport and no one else is available, then we will.
1. Our primary mission is as an LE helicopter, not a medical transport. So with our secondary mission of rescue/medical, we'll do a rescue with hoist or short haul to recover a patient and do initial care, but we don't normally transport. That is because with a patient onboard, we are dedicated to the patient care and out of service for any LE calls until we drop off the patient.
2. We're not a medevac helo, so we're not equipped for full ALS work onboard. If we have a patient code while enroute to the hospital, we don't have drug intervention onboard. Hence why we only transport critical patients in exigent circumstances.
3. Being that its not our job to transport patients, we don't in fact compete with civil air ambulances. The only government helo in the normal medical helo dispatch rotation for transport in AZ is the DPS Ranger helo, namely because they were first in the state in the early 70s. If, for example, we come across a vehicle accident in a remote area, we'll land and assist and if units on scene request us to transport and no one else is available, then we will.
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scooter2525
Very well Member
Just using numbers from AZ,you can see there are some pretty big differences by company.
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A few of those are under one corporate umbrella.
NickH
Uber Driver
There are a couple of corporations represented several times there at very different rates, including several AMC brands.
gotWXdagain
Polished Member
I noticed 3 AMRG brands on there that each have a different rate schedule. Odd.
scooter2525
Very well Member
EAM operated c90s vs Gallup Med that had 414s.
NickH
Uber Driver
EAM, GMF and Aerocare are all AMRG brands, and all fly in the same aircraft with the same crew on the same operating certificate. It's all about getting facilities to call them more than the others. TSCF and Native Air are AMC brands.
There is, of course, far more to it than that, and the prices listed are marketing, designed for negotiating rates with IHS who make up 100% of AMRG's business in AZ.
deadstick
Well-Known Member
Here's a step in the right direction. I love the irony of the insurance company employee.
http://www.bizjournals.com/baltimor...air-ambulance-company-reach-agreement-on.html
http://www.bizjournals.com/baltimor...air-ambulance-company-reach-agreement-on.html
At that point, you make a mockery of the law, and wheel the patient across the street your damn self. Some laws deserve to be broken.
dustoff17
Still trying to reach the Top Shelf
The crew and I were fine with not violating OPSPEC and the contract with the hospital. And once the Doc showed up, he picked up the chain of care so we were bystanders.
I heard the hospital was going to get an ambulance because this has happened several times. But...who know?
jhugz
Well-Known Member
2 Highly trained medcrew flight members in the back (Both which are very experienced) or 1 Ground Medic (w/ a pulse because their company can't find quality people [which is the exact scenario in the valley]).
I know which one I'm taking or putting my family on.
In terms of safety:
Driving on an ambo vs. Flying on an Air Ambo
~Run the statistics for fatalities & injuries and then get back to me. (Hint: I'll be waiting)
I know which one I'm taking or putting my family on.
In terms of safety:
Driving on an ambo vs. Flying on an Air Ambo
~Run the statistics for fatalities & injuries and then get back to me. (Hint: I'll be waiting)
Where do you think those "highly trained" medics come from? (Hint: they come from the companies that hire people with pulses) if you want to talk about poor medics,id be more concerned about an encounter with the fire department medics than an aeromedical medic. Half of those guys can't properly interpret an EKG (I'm speaking from taking Recert classes with these guys)
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jhugz
Well-Known Member
Great and in 5 years they're qualified to apply for an air ambo job.
That's like asking if I want the 250 hour RJ FO or the Legacy Captain to fly me around...