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Air Ambulance Service — Survey And History Of Air Evacuation 1

Air ambulance service specializes in air medical transportation.

That sounds pretty simple, doesn’t it?  Wikipedia’s definition of air ambulance service is here and provides a little food for thought.  A true air ambulance service is a bit more than some helicopter or fixed wing air craft showing up, bundling in a patient and taking off for the closest hospital.

image An air ambulance is an aircraft used for emergency medical assistance in situations where either a traditional ambulance cannot easily or quickly reach the scene or the patient needs to be repositioned at a distance where air transportation is most practical. Air ambulance crews are supplied with equipment that enables them to provide medical treatment to a critically injured or ill patient. Common equipment for air ambulances includes ventilators, medication, an ECG and monitoring unit, CPR equipment, and stretchers.

 

 

Here are a few of the topics I plan to cover in this series:

  • History of air ambulance services
  • Survey of availability of medevac, air evacuation and similar services today
  • How to select an air ambulance service
  • How to find a career in the air ambulance industry
  • Where the air ambulance industry should be in the future.

I have quite an interest in this area as I come from a background that involved quite a bit of the history of medical evacuations and air ambulance work in the North America scheme of things.  I was born in 1945 and the world was still young enough when I grew up to be able to appreciate aviation.

One of my influential tutors/mentors was a fellow named Eddie Gorski who was first soloed by another pilot name of Joe Crosson, a true Alaskan pioneer in air ambulance and mercy mission work.  So as far as I am concerned, time’s a wasting, let’s get flying or air ambulancing if necessary.

Popularity: 44% [?]

It’s the Runways, Stupid

It’s been along time since I have been motivated to write here, but my blogging friend  Don Brown along with my former brothers and sisters in arms at Air Mobility Command (I was there when it was MAC, hey I was even there when it was MATS) have prompted me to get into this Next Gen fray a little bit.  Actually, the picture Don published a few days ago pretty much says it all.

AMC KC-10's Elephant Walk

For those new to the NextGen term, I’ll be posting a few things to help you understand it and help you make your own decisions here.

Let me give you just a snapshot view right now in order to get the stage set.

Everybody (except perhaps the airlines themselves .. more on that later) claims to hate airline delays, but for years the impression was, no one was doing anything about it.

So some ‘legends’ in their own mind in Washington (actually, if you peel away all the layers you are probably going to find some Beltway Bandit or another expects to reap big profits from this) has deiced that if they “change the face” of air transportation in this country we will magically remove |airline delays| from out vocabulary.

Let me give you just one example of how this is going to work.  Let’s imagine for a moment there are just two airports in the US … LAX and JFK.  Even though these are inconveniently located for some folks, they are certainly located ideally for many, and if they are the only choices, a lot of people are going to fly between them every day.

So the airlines are going to sell a lot of tickets, buy a lot of planes and schedule them at the most convenient times to travel between those two important airports.

nearly_straight flight LAX JFK

Seems to be going in almost a straight line, doesn’t it?  Even if you don’t now an airfoil from as fence post you are sure to figure that even if the airplanes all follow the shortest possible path between the airports, sooner or later they are going to bunch up waiting for takeoff or waiting to land.

Enter NextGen.  By using GPS and other “magic” future technologies, NextGen is going to let those planes follow any route they chose so as to get to the other end of their flight faster.

Hmm, but won’t the pilots just all chose the shortest path?  And isn’t the real problem the waiting time to take off and/or land, you ask?

Ah, clearly you have missed the point and failed to grasp the advanced technical superiority of the NextGen idea.  Or else, NextGen supporters are blowing smoke up someone’s ass.

Tune in next time to help yourself decide which explanation is true.

Popularity: 60% [?]

How Could This happen in 2009? Part 1

Well I can’t remain silent on this issue any longer.  Looks like I will have to start working on this blog actively for a change.  Air France 447 has opened up several cans of worms that I just can not let pass any longer.  To begin with, take a look at this excellent overview from AvWeb.com, easily the best general interest aviation resource on the Net.  If only a few reporters and particularly some responsible government officials would take the time to tread this, instead of updating their FaceBook pages or playing with Twitter or whatever else they are doing with their time.

Air France 447 Investigation Interim Report

Air France A-330The BEA Interim Report (PDF) released Thursday covering the crash of Air France Flight 447 shows a span of more than nine hours between the last message received from the flight’s crew and the launch of a first rescue aircraft. Though communications on oversea flights can be sparse, the rescue launch order was still a full eight hours from the interval at which time the aircraft sent 24 messages showing onboard faults and system failures. When debris was found, it consisted mainly of light items from all areas of the plane. No evidence of fire or explosion has yet been discovered. Distortions in the metal vertical reinforcements of specific debris "showed evidence of great compressive forces" with crumpled walls and ceilings that were deformed downward while the floor "was curved under the effect of a strong upward pressure from below." This suggests, and investigators have publicly stated, that the aircraft hit hard in a rather level attitude. The translated report summarizes it less obviously stating, "Visual examination showed that the airplane was not destroyed in flight; it appears to have struck the surface of the sea in a straight line with high vertical acceleration." (There is some speculation as to the exact meaning of "in a straight line," which may have translated directly to "in the line of flight," but may have been intended to mean "in a level attitude," or simply that the aircraft had negligible yaw at impact.)

Weather at the time of the accident as depicted by infrared images seven minutes before and after the last ACARS message show "the general conditions and the position of Inter-tropical Convergence Zone over the Atlantic were normal for the month of June." However, investigators publicly announced that experienced teams working in simulators struggled to maintain control of the aircraft at cruise in turbulence with faulty air data. Messages sent automatically by the Airbus A330 accident aircraft show the aircraft was providing unreliable or conflicting air data to the pilots. The pilots were operating the aircraft at high altitude in turbulent conditions with forecast temperatures that were higher than normal (standard plus 13 degrees Celsius) making the thin air thinner and trimming controllability margins for the two co-pilots. Normal procedures suggest the captain may have been in the crew rest quarters at the onset of system failures. Without voice and data recorders, we may never know.

In keeping with the title I chose, indeed, we may never know, and I ask why.  There is no excuse except or willingness to accept mediocrity.  We don’t need bushels of money nor advances in thecholgy beyound what we already have to avoid another case like this, where we may never know.  We do, though, need pilots, airline executives, national and international government and NGO officials to actually give some thought to doing their jobs better instead of using money as a lame excuse and waiting out their retirement pensions.  Here’s what we could do, right now in the year 2009, to virtually eliminate this type of tragedy:

  • Track all commercial aircraft take off to landing, with emphasis on flights going over ocean. 
  • Monitor manually (as a backup to the suggestion above) all flights over ocean, using nothing but existing resources
  • Design an install (at minimal cost) digital replacements for today’s archaic crash recorder boxes
  • Using existing communication links, off load the data from those boxes in flight
  • Use simple, dirt cheap video/audio cockpit monitoring to insure aircrews and ground controllers follow procedures
  • Using this recording technology hold pilots, airline management and ground services to the standards they already are paid to uphold.

Read on and I will tell you how I feel this can be accomplished sooner, rather than later.

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