Inter-Facility Guidelines - A non-profit helicopter emergency medical service for south Texas.

When:

  1. Patient requires an RN / Paramedic Critical Care team and/or specialized equipment
  2. A decreased out-of-hospital time is necessary to optimize patient outcome
  3. The patient’s condition requires critical care life support (monitoring, personnel, medications or specific equipment) not otherwise available
  4. Patient requires rapid access to a tertiary and definitive care facility
  5. The potential for delays in transport (traffic, distance) may be associated with worsened patient outcome
  6. The use of a local ground transport team would leave the local area without adequate EMS coverage

Trauma:

  • Multiple system injury
  • Spinal cord injury or major vertebral injury
  • Acute Paralysis
  • Intracranial bleeds
  • Chest wall injury with known or possible development of respiratory/cardiac issues
  • Patient who require prolonged ventilation
  • Unstable pelvis or other unstable fractures that could be worsened by ground transport
  • Fractures/dislocations with the loss of distal pulses
  • Altered mental status secondary to trauma related incident
  • Near-drownings with respiratory or potential respiratory issues

Medical:

  • Respiratory failure or distress
  • Mechanical ventilation required
  • Sepsis
  • Single or multiple organ system failure
  • Cardiogenic shock
  • Cardiac arrhythmias
  • AMI requiring rapid transport
  • Aortic dissection
  • Stroke – with or without thrombolytic administration
  • Conditions requiring blood transfusion enroute
  • Overdose with an altered level of consciousness
  • Uncontrolled seizure activity
  • Patient’s requiring hyperbaric treatment
  • High risk obstetric patients (birth must not be imminent)
  • Meningitis
  • Acute renal failure
  • Hyperthermia/hypothermia
  • Patient’s requiring titrated vasoactive medications to maintain blood pressure
  • Anaphylaxis
  • Environmental emergencies (hypothermia, hyperthermia)

Pre-Hospital Guidelines

Bypass Protocols

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