Medevac safety.helicopter.5jun11

Annual Rotary Wing Operations Training

Helicopter Safety

YEMS – Medevac Helicopter Safety Training

April 8, 2023

Yukon Emergency Yukon Emergency Medical ServicesMedical Services

Medevac OperationsMedevac Operations

Helicopter Safety TrainingHelicopter Safety Training


Helicopter Safety


April 8, 2023

ObjectiObjectiveveAll YEMS personnel who work around

helicopters must be trained annually in the procedures required to operate safely

around rotary aircraft.


Helicopter Safety


April 8, 2023

OutlineOutlineDanger ZonesDanger Zones

Approaching and Departing the Approaching and Departing the AircraftAircraft

Crew Co-operation / Safety BriefingCrew Co-operation / Safety BriefingSafety and Survival EquipmentSafety and Survival Equipment

Loading and Unloading EquipmentLoading and Unloading EquipmentProhibited OperationsProhibited OperationsPatient ManagementPatient Management


Helicopter Safety


April 8, 2023


Helicopter Safety


April 8, 2023

Helicopter Danger ZonesHelicopter Danger Zones

CAUTIONCAUTIONCAUTIONCAUTION CAUTIONCAUTIONCAUTIONCAUTION

DANGERDANGERDANGERDANGER

SAFESTSAFEST


Helicopter Safety


April 8, 2023

Approach and deplane using the safe Approach and deplane using the safe corridors to the front and side of the corridors to the front and side of the aircraft as directed by the pilot.aircraft as directed by the pilot.

Avoid traveling upslope until clear of Avoid traveling upslope until clear of the rotor arc.the rotor arc.

Crouch slightly and employ Personal Crouch slightly and employ Personal Protective Equipment to protect Protective Equipment to protect your eyes and unprotected skin.your eyes and unprotected skin.


Helicopter Safety


April 8, 2023

Whenever possible wait for the rotors to Whenever possible wait for the rotors to stop turning before approaching or stop turning before approaching or departing a rotary aircraft.departing a rotary aircraft.

Wait for confirmation from the pilot - Wait for confirmation from the pilot - either visual or audible (radio either visual or audible (radio transmission) before emplaning or transmission) before emplaning or deplaning.deplaning.

While under a helicopter that is under While under a helicopter that is under power you may feel the urge to rush - power you may feel the urge to rush - DON’T - Use slow, methodical and DON’T - Use slow, methodical and deliberate motions.deliberate motions.


Helicopter Safety


April 8, 2023

Even a slowly rotating or Even a slowly rotating or drooping rotor blade has drooping rotor blade has

the power to injure or kill!the power to injure or kill!Do not become complacent.Do not become complacent.

Remain aware of potential Remain aware of potential hazards and changing hazards and changing

situations.situations.


Helicopter Safety


April 8, 2023

Crew CooperationCrew Cooperation

YEMS Medevac personnel are YEMS Medevac personnel are not helicopter passengers – not helicopter passengers –

they are aircraft crew they are aircraft crew members engaged in members engaged in helicopter operations.helicopter operations.


Helicopter Safety


April 8, 2023

Crew Resource ManagementCrew Resource Management Before engaging in helicopter operations Before engaging in helicopter operations

ask the pilot for an aircraft ask the pilot for an aircraft familiarization and safety briefing. familiarization and safety briefing.

While the pilot is responsible for the safe While the pilot is responsible for the safe operation of the aircraft, passenger and operation of the aircraft, passenger and patient safety is the responsibility of all patient safety is the responsibility of all crew members.crew members.


Helicopter Safety


April 8, 2023

A safety briefing must A safety briefing must includeinclude::

An overview of main and tail rotor hazardsAn overview of main and tail rotor hazards Emplaning and deplaning procedures Emplaning and deplaning procedures The location of first aid kit and survival gearThe location of first aid kit and survival gear ELT/Fire extinguisher location and operationELT/Fire extinguisher location and operation Door and seat belt operation Door and seat belt operation Equipment storage and stretcher operationsEquipment storage and stretcher operations


Helicopter Safety


April 8, 2023

First Aid KitFirst Aid Kit


Helicopter Safety


April 8, 2023

Survival EquipmentSurvival Equipment


Helicopter Safety


April 8, 2023

Emergency Locator TransmitterEmergency Locator Transmitter(ELT)(ELT)


Helicopter Safety


April 8, 2023

Fire ExtinguisherFire Extinguisher


Helicopter Safety


April 8, 2023

Seat Belts

http://www.flickr.com/photos/irishflyguy/2425021379/

http://www.ecrater.com/p/6222639/airline-airplane-seat-belt-seatbelt

http://www.aircraftpartslist.com/listing_detail.php?id=220408872984&title=PIPER+PA23+INERTIA+REEL+AIRPLANE+AIRCRAFT+SEAT+BELT+STC


Helicopter Safety


April 8, 2023

Always get a safety briefing from Always get a safety briefing from the pilot. This must be done for the pilot. This must be done for all aircraft even similar makes and all aircraft even similar makes and models. Some features that may models. Some features that may be different on similar aircraft are:be different on similar aircraft are:

High/low skid gearHigh/low skid gearSlam/no slam doorsSlam/no slam doors

Bear paws/no bear pawsBear paws/no bear pawsHead sets (push to talk vs. hot)Head sets (push to talk vs. hot)

Stretcher types / Patient loadingStretcher types / Patient loading


Helicopter Safety


April 8, 2023

DURING FLIGHTDURING FLIGHT Whenever patient care permits, remain seated

with your seat belt attached. Attendants MUST be seated and equipment secured for both take-off and landing.

If you are in the front seat – keep hands and equipment clear of all controls and switches.

While en-route discuss mission requirements such as weather concerns, time constraints, ground time required for patient care and anticipated weight/space restrictions.


Helicopter Safety


April 8, 2023

LOADING CARGOLOADING CARGO Equipment must be loaded in the cabin and

tail boom compartments in accordance with the pilot’s instructions.

Ensure that weight is distributed evenly – both laterally and fore / aft.

If there is a mixed load of cargo and passengers, the cargo must be loaded so all

exits are accessible to passengers.


Helicopter Safety


April 8, 2023

CARGO IN THE TAIL BOOMCARGO IN THE TAIL BOOM Secure light or potentially hazardous items

in the tail boom with the permission of the pilot.

Unload the tail boom before the forward compartments to ensure Centre of Gravity is maintained.

If unloading items while the rotors are turning, maintain control of doors and any light articles that may be drawn into the rotors.


Helicopter Safety


April 8, 2023

INTERNAL LOADINGINTERNAL LOADING Flammable or dangerous goods (Oxygen

and some medications such as Entonox) should be stored outside the crew cabin when not in use.

Heavy items such as defibrillators should be carried as close to the center of the cabin as possible.

Ensure cabin cargo is secured to prevent shifting during flight.

Never obstruct flight controls.


Helicopter Safety


April 8, 2023

UPON LANDING Do not undo your seat belt or attempt to

exit the helicopter until the landing gear is on the ground and the pilot has given approval.

Obtain a signal or verbal instruction from the pilot before approaching or exiting the aircraft.

Discuss and agree with the pilot what your intentions are after you have exited the aircraft.


Helicopter Safety


April 8, 2023

- If it is not possible for the pilot to shut the - If it is not possible for the pilot to shut the rotors down to remain at the helipad, discuss rotors down to remain at the helipad, discuss leaving the aircraft with the rotors turning.leaving the aircraft with the rotors turning.

- Gather equipment and walk clear of the rotor - Gather equipment and walk clear of the rotor arc in clear view of the pilot. Crouch down in arc in clear view of the pilot. Crouch down in a group until the aircraft has flown away.a group until the aircraft has flown away.

Remember to make a plan for ongoing Remember to make a plan for ongoing communication and pick-up BEFORE the communication and pick-up BEFORE the

pilot flies away.pilot flies away.


Helicopter Safety


April 8, 2023

If it is unsafe for you to move If it is unsafe for you to move outside the rotor arc, crouch outside the rotor arc, crouch

in view of the pilot to the in view of the pilot to the front of the aircraft until the front of the aircraft until the helicopter has lifted off and helicopter has lifted off and

flown away.flown away.


Helicopter Safety


April 8, 2023

NEVER walk upslope NEVER walk upslope away from a helicopter away from a helicopter whose rotors are still whose rotors are still

turning.turning.


Helicopter Safety


April 8, 2023

Hover Entrance Hover Entrance and Hover Exit and Hover Exit

are the practices are the practices of entering or of entering or

leaving a leaving a helicopter while helicopter while the skids are not the skids are not

touching the touching the ground. ground.

Hover Entrance/ExitHover Entrance/Exit


Helicopter Safety


April 8, 2023

Hover Entrance/ExitHover Entrance/Exit

are specialty operations requiring are specialty operations requiring specific training and safety specific training and safety

procedures.procedures.

There is There is no operational no operational requirementrequirement for YEMS personnel for YEMS personnel

to ever be involved in hover to ever be involved in hover entrance/exit operations.entrance/exit operations.


Helicopter Safety


April 8, 2023

Refueling will be carried Refueling will be carried out by the pilots or flight out by the pilots or flight engineers. YEMS staff engineers. YEMS staff will will NOT refuel aircraft.. refuel aircraft..

Hot fueling is at the Hot fueling is at the discretion of the pilot. discretion of the pilot. YEMS staff and patients YEMS staff and patients WILL NOT be on board be on board during refueling.during refueling.

NO SMOKING

AT OR NEAR

FUELING SITES

Helicopter Refueling


Helicopter Safety


April 8, 2023

Patient ManagementPatient Management The cabin of a helicopter is both The cabin of a helicopter is both cramped and noisy – a difficult place cramped and noisy – a difficult place

to provide patient care in flight. to provide patient care in flight. However the noise, unregulated air However the noise, unregulated air temperature, altitude and vibration temperature, altitude and vibration

associated with rotary aircraft associated with rotary aircraft operations will adversely affect operations will adversely affect

patient condition unless the patient condition unless the attendant anticipates and prepares attendant anticipates and prepares

for this environment.for this environment.


Helicopter Safety


April 8, 2023

Patient Management Patient Management ConsiderationsConsiderations1 vs 2 attendants?1 vs 2 attendants?

Positioning of equipment.Positioning of equipment.

Initiation of intravenous access?Initiation of intravenous access?

Extra batteries, oxygen and blankets.Extra batteries, oxygen and blankets.

Positioning of patient to optimize access.Positioning of patient to optimize access.

Need for airway protection and Need for airway protection and ventilation?ventilation?


Helicopter Safety


April 8, 2023

Bell 206 (Jet Ranger or Long RangerThe Jet Ranger and Long Ranger both have

stretcher mounts that can be attached to the left side of the aircraft. Most 206 stretchers are

unpadded and can not elevate the head or be used to provide SMR. However, this assembly can hold

the Ferno # 9 Stretcher or a backboard.

http://www.colacambulance.com/HEMS%202.htm


Helicopter Safety


April 8, 2023

AS350 – A-StarThe A-Star also has a left-mounted stretcher option that can be put in place by the pilot on

request. Some of these stretchers have padding and may be used to elevate the head of the

patient. They are also able to hold the Ferno # 9 Stretcher and/or a back board.

http://www.aero.pub.ro/wp-content/themes/aero.pub.ro/uploads/JANE_S_ALL_THE_WORLD_S_AIRCRAFT/JANE_S_AIRCRAFT_UPGRADES/jau_0552.htm


Helicopter Safety


April 8, 2023 http://www.airambulancetechnology.com/he_bell%20205.htm

Bell 205/212 The Bell 205 and 212 are much larger

helicopters more commonly employed locally during Wildland Fire Season. The # 9 stretcher, backboard or rolling stock cot (i.e., the 35P) can

be secured to the floor in a number of configurations allowing attendants to sit/operate

on both sides of the patient.


Helicopter Safety


April 8, 2023

Patient ManagementPatient ManagementYEMS has no dedicated air carrier for YEMS has no dedicated air carrier for

rotary operations. This means that rotary operations. This means that attendants will be working with a attendants will be working with a

variety of different helicopters, pilots variety of different helicopters, pilots and companies.and companies.

Familiarize yourself with the aircraft Familiarize yourself with the aircraft layout and discuss patient care layout and discuss patient care

requirements with the flight crew requirements with the flight crew before you fly.before you fly.


Helicopter Safety


April 8, 2023

Do not assume:That the pilot knows what you will need to carry the patient

appropriately.

Discuss the options for positioning a stretcher-bound patient before you leave the

Helipad and make sure you have all the necessary equipment.


Helicopter Safety


April 8, 2023

A FINAL CONSIDERATION:A FINAL CONSIDERATION:

If you are boarding a helicopter to If you are boarding a helicopter to participate in a Medevac, you are participate in a Medevac, you are likely going into a remote area.likely going into a remote area.

Are you clothed and equipped Are you clothed and equipped appropriately?appropriately?


Helicopter Safety


April 8, 2023

SummaryHelicopters allow YEMS personnel to access remote areas but present significant risks to crew members

and patients.

Knowledge of and adherence to safe work practices are the only way to work safely around these

useful but potentially deadly machines.


Helicopter Safety


April 8, 2023

Questions?


Helicopter Safety


April 8, 2023

Thank You

Medevac safety.helicopter.5jun11

Healthcare

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