YTread Logo
YTread Logo

Medical Helicopter Tour ?911/CCT?

Jul 10, 2021
hi guys my name is sam and welcome to prepmedic in this week's video i'm giving you a full

tour

of our intensive care

helicopter

alright guys so a little background before i start the video i work for a transport service intensive care here in Colorado, so we actually operate three separate

helicopter

s and a multitude of ground units, we do the transfers between intensive care facilities, which means getting the really seriously ill patients from the ER to the ICU ICU to ICU and other specialties so we do a lot of balloon pump transports that we do drive some ecmos uh high theft so high risk ob transports where they need fetal monitoring all the time intubated patients uh who are on a ventilator or just patients who are very sick and have many medications running at the same time our cruise consists of a pilot, an in ICU nurse and an ICU paramedic so in this week's video I'm going to go through this whole helicopter, we're going to start with the main pilot g I'm going to do a quick rundown of this plane and some of its controls in the front end and then we're going to get into more of the patient care compartment along with all the exterior compartments of the helicopter so without further ado let's get into the video so we can let's look at the airframe that we flew this is the airbus as350 we also call it star aka the squirrel because it's a little hard to float it has a turbo mecha engine it's a three bladed helicopter it has about a thousand horsepower it's one of the best helicopters for high altitude ems work by the fact that it leaves a smaller footprint in the mountains many of the landing zones of our lz that we land on are squeezed into the mountains near rivers in a dirt road and we can't come there with a huge helicopter, plus it's a very light airframe on skids.
medical helicopter tour 911 cct
We have these things called bear paws and that allows us to land on the snow and keep our tails out of the snow. like this helicopter h as a world record for landing mount everest so the high altitude capabilities are phenomenal we were able to land in small areas and land in very high places many of the other helicopters that have dual motors are too heavy ​​and its power is actually more powerful limited in the mountains ok these are the gps modules this is the other gps on the other side they cross over fill each other engine gauges back up artificial horizon everything you need to know about the helicopter and the radio panel down here and these are the all the controls right guys so going into the patient care area of ​​this plane both sides have the same layout of door, although the patient is actually loaded from the left side, now this is a relatively small fuselage, so as you'll see, there's not a ton. of space for the patient or even for the assistants, but here we have this sliding door.
medical helicopter tour 911 cct

More Interesting Facts About,

medical helicopter tour 911 cct...

Now, the nice thing about this is that we can open the sliding door in flight, since we're coming to a LAN. ding if we're in an unsafe landing zone where we don't really know what the ground is below us both the nurse and the doctor can open their doors we can protect the tail rotor make sure it doesn't come into contact with anything and then we can also look down and make sure the skids are coming down on a level surface so nice we can do that now the second door here we can't open it in flight but this actually allows us to get the stretcher in and out of the helicopter it can be open while the rotors are spinning so we can do what's called a hot unload or a hot load if we want to bring the patient in or get the stretcher out while the rotors are still spinning we can do that and saying we can load the patient into what It just makes our scene a little faster if we don't have to shut down the whole plane, so the name of the game for this helicopter is d control. e weight, we want everything. as light as possible in fact for crew members we all have to keep weight under 230lbs with our helmet and whatever else we have with us so fully loaded more than that and we are actually grounded until we can fix that so here this cot is similar to a police ambulance but it doesn't have any wheels we can unlock it right here and pull it out to allow it to be pulled out of the aircraft and then we can separate the sled from this and you'll see that the sled is quite light.
medical helicopter tour 911 cct
I can lift this on my own if there's a patient on it we need a bed to slide this on or put it back on or we need a group of people to carry the sled and really lock it on the stand here we have what we call our first bag or our scene bag this bag is meant to hold a patient for the first five to ten minutes of any call uh and i have a video going through this in detail so i'm not going to spend a lot of time on that but i will very quick head over to the pockets uh this top pocket right here we have all our narcotics and our quick s equalize intubation meds so if a patient needs an airway if they need a breathing tube put in we can paralyze and sedate him and we can insert him on these meds he also has all our pain control meds so all our narcotics and benzodiazepines are up to par . here because these are things we use relatively regularly on the top lid of this one in this pocket here we have two cat

tour

niquets we have chest seals some minor bandages we also have a quick clot for our traumatic injuries that we need to stop bleeding quickly when entering the side pockets here on this side we have blood tubes so we carry blood products we have one unit of liquid plasma and then we have two units of packed red blood cells we're not transporting whole blood yet and those are for our trauma resuscitations if someone is bleeding externally or internally we can start giving them this and the blood tube is just a Y so the blood will go one way.
medical helicopter tour 911 cct
The saline will go through the other one and then once the blood gets in we can flush the line with the saline and start running another unit or start pushing medication through that line if needed here we have an IV kit that it's in a black Welsh Allen bag and that IV kit has everything we need so it has all the sizes of your IVS loops rinse stuff like that and then down here we just have half a bag of saline and a drip tube normal. the pouch and then on this side here we have our i o so i o is interosseous I also have a video on interosseous access it is a needle that goes directly into the bone that allows us to get vascular access in someone who is a very hard stick for ivs or not that responds or is in really deep shock we have a glucometer here and then here we just have O2 delivery stuff so we carry a nasal cannula and a non-rebreathing device on that side of the pocket that now goes into the main compartment here we have a number of different cells so these are not the cells from the stat pack and i should mention this bag is the backup of g3 statpack it's a pretty good pack the outside is really easy to clean and sanitize but here we have a bunch of these different cells these are made by quarry and this one has all our acls meds so epi atropine d50 narcan and amiodarone they're there and then in this guy we have our backup airways, our adult backup airways, our cricothyrotomy or eye gels for a supraglottic uh cricothyroidotomy is cutting someone's neck to establish that airway and then here we have our bvm with a sight valve and then our opas mpas things like that, we use a children's bvm because the tidal volume is still comparable to that of adults and we don't.
I don't want to over inflate somebody's lungs down here we have a video laryngoscope this is the glidescope it's a little bit older and I think we'll get a new one relatively soon and then these two packs are two glidescope covers and this the last one is g is going to be our backup pediatric airways so we have our eye gels and we also have needle pain stuff if we end up having to and last but not least down here is a quarry airway roll which has everything for direct laryngoscopy all right going down to the lid of the pack here we have a couple of mesh pockets so on top we have what we call a recess pouch so this basically has our push dose pressers we carry phenylephrine which is a premixed stick and then we carry everything to make a quick dose of epi uh for our patients who are really hypotensive and then here we have a chest pain kit so this one has our heparin our adenosine and then our aspirin and nitro live in that one.
The drugs we need at any time are going to be in this bag, but this is not the full amount of medicines that we carry in this helicopter, so when you get on the helicopter a little more you will notice that there is a left and a right seat. both the nurse and the paramedic will swap being on whichever one of them is sitting in the seat on the right, usually pulling out the meds, checking the control, watching the air vent, while the person sitting in the left seat will take care of the patient and make sure the meds are making sure they are ok and then whatever procedures need to be done the left seat will do it, plus the left seat also has most of the flight responsibilities to clear the queue and will usually be the ones under the night vision goggles. if you're doing a stage flight behind me we have our

medical

wall so this

medical

wall mounts a couple of pieces of our equipment the first one up here is our ventilator so patients who can't breathe on their own themselves or they have a breathing tube will connect them to this this is the ventilator revel we got the hamiltons uh we will be replacing uh relatively soon however we haven't been trained on them yet so we're holding uh this guy here allows us to select title volume So how many errors is anyone getting?
It allows us to change the respiratory rate, give them peep, which is the pressure in the lungs, change their fio2, which is the amount of O2 that we are giving them, and that has a lot of other features, like cpap and bipep, it's a pretty advanced machine , this guy has a wire here and you'll notice this oxygen tree to my, uh, sure, this guy can connect directly to that and that will power this O2 fan so we don't have to hook up a nasal cannula or anything. they will just get oxygen right into your tube they are all on aircraft rated mounts so if we were to have an accident these would not fly off hit us and cause us further injury so going down the medical wall a little further. we have two iv pumps now these iv pumps are the sapphire pumps if we are running a drip we don't want to guess what the rate is that is traditionally what ems has done so we will put this in a special drip tube which I will talk about in a moment and then this really does it. our medical math for us so i will say we are taking this drug that is listed in drug library dr. i will select the concentration it will calculate it and tell you exactly what i want your dose pretty slick pretty easy to use the only problem with these is they are single channel so i wish they had places for two because we will routinely be transporting patients with up to eight drops at a time and it gets pretty messy when each drop has its individual pump being used underneath there's a little bit of empty space down here when we transport patients on boosters or balloon pumps so a balloon pump is basically a balloon that goes up someone's femoral artery sits right above their heart and then inflates and deflates and helps pump blood around the rest of the body if they're in cardiogenic shock an impeller is basically a propeller near their heart which expels blood throughout the body we take both machines sit here and then strap them to the floor using an aircraft rated strap to make sure they stay on to as safe as possible for us so facing forward in the helicopter we have our zoll x-series monitor so this is a cardiac monitor you've seen on some of my other tours and basically this allows us to take blood pressure obviously we can't carry manuals on the helicopter we can do a doppler that plugs into the communication system but it doesn't work very well so we rely on this it takes our blood pressure it has a pulse oximeter it also has EKG capabilitiesfour-lead and 12-lead and then in the other compartment we have defibrillation pads that allow us to defibrillate a patient if they have a shockable heart rhythm. or we can cardiovert or stimulate them with this device.
The other cool thing about this particular x-series is that it has the ability to monitor invasive lines, so if someone is on a balloon pump, has an A-line, or has like a swan gun catheter all of this will be let us monitor. that actual time and change our treatment based on their hemo below that and I know it's a little hard to see we have a couple of things we have an O2 tree down here which is usually for the patient but we can also hook into the o2 pilot or o2 crew to this if we're flying above 14,000 feet which we do periodically here we need to connect to o2 to make sure we don't run out then we also have a suction module so if the patient has a blocked airway, he's vomited, he can't control his own airway, we'll put it in his mouth and that'll get whatever secretions are out of there and then behind that we've got our mouth warmer quinflo blood so coagulopathy so someone stops being able to clot at about 95 degrees with their body temperature so even on a hot day like today we always warm our blood products we always warm our fluids and that sits here it just has a drive that it plugs into and then we plug the iv line right into that so on the other side of the chopper we have a couple of things strapped to the side we have our transfer bag and once again i have a video that He takes a deep look at them, so I'm not going to spend a lot of time with them, but this guy is just our critical care bag, he's all we need. you need to manage the patient basically throughout the entire transport if you are really sick we have a liter of saline here for balloon pump transfers or A lines that need to be transduced in the main pocket here we have everything for nebulizers and then here we have our quinflo pack so this has the disc that really allows us to warm the blood and then on this side we have everything for our bipap or a cpap for severe chf patients anyone with a lot of pulmonary edema and then like your asthmatics things like that that connect to the ventilator and it allows us to give them ventilation without intubating them or putting a breathing tube on them and then down below we have a ventilation tube so this is the tube that connects the ventilator to the endotracheal to the breathing tube and allows us to breathe through them down below we have a cuff that it will show us the pressure of an endotracheal tube cuff in the esophagus you don't want it to be too high because actually ad will cause some necrosis and some other issues with blood flow and downstairs we have an O2 accessory kit that just has connectors if the facility we go to doesn't use the same type of O2 connections that we do this is the same kit of steps that the scene bag is the backing of stat pack g3 it's just black and then the side compartments so this side compartment has all of our half sets so if we continue to infuse a hospital we'll hook the patient to a mid game this just hicks at the end and then allows them to go to our pumps not many hospital systems are using the sapphires just because they are not hospital pumps they are transport pumps and then we also have a full set so if we were injecting our own medicine like leave a fed or something we're going to prick the levafed with this and flow to the patient the other side has all the tubes to transduce a line a, so we have our line tubing a here and then we have the cables to connect it to the monitor and allow us to monitor those advanced hemodynamics in the under seat ICU setup.
We have a red bag of Quintara meds, so once again, these aren't all of our meds, but these are everything that didn't fit in the scene bag originally. so you can see that we have a lot of things here, it's not all that's in the protocol, but I'll leave a list on the screen so you can see some of the things that we're doing and taking. we have a lot of pressers so your levafed dopamine epinephrine drips we carry our beta blockers along with a bunch of seizure meds whatever we carry a little bit of everything and its too much to go through in this video i will dedicate a whole video to our meds uh at a later time you can see if it's ok g in this seat this is the pilot's seat right here and here we have a bunch of different uh compartments with misc items and things we need in a hurry so here upstairs we have a bunch of duct tape a lot of us will take the three inch tape put it on our thighs of our flight suit and then we'll make notes during the call for drip titrations or whatever we're changing so we can document it in our reports later here we have all our cheat sheets so on the back these are all the plates for different to airports where we might have to land well in emergencies and which at unfamiliar airports kind of gives you how to enter the pattern how tall you need to be things like the medical team we're also part of the flight crew so we help the pilot navigate and do what he needs to do especially in emergencies and then here we have all our cheat sheets for which radio channels we might have to go to and different coordinates for landing zones that are p redesigned in the mountains so as you can see there are hundreds and hundreds of them so we can't memorize them we keep them here so it's behind that seat neater than me there uh in this top pocket that we have i have a radio for ground contact extra batteries for the zoll and the fan in case you run out of a thermometer in this pocket back here we have syringes and whatever we need We need for medical management down here we have restrictions so if a patient is in an altered mental state, we don't want to risk them getting off the stretcher and hitting the pilot or touching the controls or anything, so we'll put them on these soft medical restrictions just to keep them from hurting themselves. or us during the flight sharps container and then down here is everything we need for the o2 crew so if we are flying very high we need to throw oxygen on ourselves or the pilot more importantly we can do it there and then down here we have I have a satellite phone that only allows us to make contact with people if we are in the mountains uh we don't have cell service our radios don't work we can always talk about it and I say always but anyone who has used a satellite phone you know they do it doesn't work 100% of the time we have a bunch of glove sizes on there and last but not least we have everything we need for suction so we have the Ballard suction for the endotracheal tube, we also have hard tip suction in there for everyone else we have a fire extinguisher here in case the chopper caught fire that's highly unlikely that happens but a lot of the safety gear that we carry is actually required by the faa and other accreditation bodies so the last thing to talk about is going to be our radio system so we need to be able to talk to almost every hospital in the area, we talk to a lot of different ground units from a lot of different jurisdictions and then we need to talk to other aircraft, our dispatch and basically whoever we need to be able to talk to, so the radio team here has Kind of a learning curve, but we also have the ability for the pilot to dial a satellite phone if we have to contact certain hospitals that we don't.
We don't have your frequency we can do that too ok last but not least we have our outdoor stalls and this is the biggest one. We have all of our personal protective equipment for infectious disease patients aka our covid patients right now. we've got all our sanitizing gear for the helicopter and then we've got survival gear, so we've got flares, things to start a fire, water purification kit, and some food in case we're forced to make an emergency landing or Heaven forbid we crash into the mountains. we have stuff to sustain us for a couple of days while help arrives that's it for this cabinet it's a pretty shallow cabinet ok the last compartment on this plane that i'm going to show you is the aft compartment now this is like the In the helicopter trunk we keep a lot of our extra stuff in here, so here we have kind of an extra intensive care bag, it's got extra ventilation circuits, extra capnography, everything we need to run more than one call. if we use it up front and don't have time to go back to the hospital and restock we keep just an extra here so we have a life blanket which is a big warm blanket it's 95 degrees in here so we just put on the cot first few patients trauma right now a lot of patients are very uncomfortable in this so we keep it aft over the summer and then we have our extra trauma bag in there this blue bag has our c collars our sam splints vacuum splint also has a splint traction as well as extra tourniquets and packing pads for a potential mass casualty and last but not least in this adorable bag we have an obstetrics kit it's almost impossible to deliver a baby in front of a star so hopefully you don't have to use this in flight and that's why we keep it on the stern but it does have our OB kit and some extra supplies on top of everything Like these things when we take a flight, we actually pack our blood in a blood cooler and that usually comes back here unless we listen to it. as a trauma patient that requires blood, a lot of our patients don't need it so it's not something we routinely keep up front with us unless we absolutely need it and then again if we have our eden monitor, which is our fetal heart rate monitor we'll keep it here for the parts of the flight where we don't have a patient and then when we do have a patient we'll remove the ventilator and put it on the medical wall you saw earlier guys that's it what i have for this week's video, if you have any questions please leave them in the comments below and i'll see you next week.

If you have any copyright issue, please Contact