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					Department of Emergency Medicine



Memo
     To:     ALL ED STAFF, SERVICES AND EMS AGENICES WITH MEDICAL CONTROL
             THROUGH DAY KIMBALL HOSPITAL
     From:   DR. STEVEN WEXLER, MEDICAL DIRECTOR, ED
             ROBERT BARDEN, EMS COORDINATOR
     Date:   JUNE 30, 2006
     Re:     APPROPRIATE USE OF AEROMEDICAL SERVICES



     Date Effective: July15, 2006
     Supersedes: October 1, 1995

     Purpose

     To ensure appropriate utilization of aeromedical services, to optimize patient care
     pending arrival of aircraft, and utilization of the safest landing zone.

     Potential indications for the use of aeromedical services are:


                    -   Gunshot wound to chest, head, neck, abdomen or groin.
                    -   Major burns > 15 percent (full thickness) of the total body surface
                        area, face or airway involvement.
                    -   Evidence of spinal cord damage, involving partial or total paralysis.
                    -   Amputation other than digits.
                    -   Penetrating injury to thorax, abdomen, neck, or groin other than
                        gun shot wound.
                    -   Any significant blunt force trauma with unstable vital signs.
                    -   Patient in locations remote from roadways or who will require more
                        than 15 minutes to extricate from adverse terrain.


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              -   Conditions making road travel too hazardous yet do not preclude
                  aircraft operations.

Procedure


Contact Medical Control to obtain authorization for aeromedical transport from the
scene.
Once authorization has been obtained, secure a safe landing zone, following the
requirements for a scene landing.

Effective July 15, 2006, Day Kimball Hospital will no longer be utilizing the Modified
Scene protocol. This policy will supercede all past Medical Control guidelines
pertaining to pre-hospital use of aeromedical services.

This policy covers all agencies, services, ambulances, and first responders
with Medical Control through Day Kimball Hospital.




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