Sample records for air ambulance helicopter

  1. 75 FR 62639 - Air Ambulance and Commercial Helicopter Operations, Part 91 Helicopter Operations, and Part 135...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-12

    ...This proposed rule addresses air ambulance and commercial helicopter operations, part 91 helicopter operations, and load manifest requirements for all part 135 aircraft. From 2002 to 2008, there has been an increase in fatal helicopter air ambulance accidents. To address these safety concerns, the FAA is proposing to implement operational procedures and require additional equipment on board helicopter air ambulances. Many of these proposed requirements currently are found in agency guidance publications and would address National Transportation Safety Board (NTSB) safety recommendations. Some of these safety concerns are not unique to the helicopter air ambulance industry and affect all commercial helicopter operations. Accordingly, the FAA also is proposing to amend regulations pertaining to all commercial helicopter operations conducted under part 135 to include equipment requirements, pilot training, and alternate airport weather minima. The changes are intended to provide certificate holders and pilots with additional tools and procedures that will aid in preventing accidents.

  2. [An ambulance helicopter in Jamtland. A survival necessity in a county of tourism].

    PubMed

    Ek, B; Zetterström, H

    2000-03-22

    The county of Jämtland is a sparsely populated area in which an ambulance-helicopter has been in use since the middle of the 1970's. A prospective study was undertaken during a six month period with the aim of evaluating the benefits of the helicopter as compared with the use of road-ambulance transport alone. Total number of patients involved was n = 249. Both flight nurses and receiving doctors found that in most cases, patients transported by helicopter manned with a flight nurse were given higher quality care. A follow-up study by specialists from the receiving departments confirmed that for 3% (n = 8), transport by ambulance-helicopter resulted in "probably better prognosis", and that for 2% (n = 6) the result was "lifesaving".

  3. [Rescue operations with helicopter ambulances in the Barents sea].

    PubMed

    Haagensen, R; Sjøborg, K A; Rossing, A; Ingilae, H; Markengbakken, L; Steen, P A

    2001-03-30

    Search and rescue helicopters from the Royal Norwegian Air Force conduct ambulance and search and rescue missions in the Barents Sea. The team on board includes an anaesthesiologist and a paramedic. Operations in this area are challenging due to long distances, severe weather conditions and winter darkness. 147 ambulance and 29 search and rescue missions in the Barents Sea during 1994-99 were studied retrospectively with special emphasis on operative conditions and medical results. 35% of the missions were carried out in darkness. Median time from alarm to first patient contact was 3.3 hours and median duration of the missions was 7.3 hours. 48% of the missions involved ships of foreign nationality. About half of the patients had acute illness, dominated by gastrointestinal and heart diseases. Most of the injuries resulted from on-board accidents; open or closed fractures, amputations, and soft tissue damage. 90% of the patients were hospitalised; 7.5% would probably not have survived without early medical treatment and rapid transportation to hospital.

  4. [Risk assessment of rescue helicopter or ambulance transport of patients ingesting hazardous volatile materials].

    PubMed

    Takegawa, Ryosuke; Ohnishi, Mitsuo; Hirose, Tomoya; Hatano, Yayoi; Imada, Yuko; Endo, Yoko; Shimazu, Takeshi

    2016-03-01

    In cases of transport by rescue helicopter or ambulance of patients having ingested hazardous substances, medical personnel may be at a certain risk of inhaling the substances. However, few reports have addressed such risk of causing secondary casualties. This simulation study aimed to assess the risk of inhalation of hydrogen sulfide and chlo-opicrin in the cabin of a helicopter or an ambulance transporting a patient who has ingested calcium polysulfide or chloropicrin, which were previously reported to cause secondary casualties. Concentrations of hydrogen sulfide and chloropicrin were assessed on the following as-umptions :The patient ingested 100 mL of the causative or original chemical. All chemical substances reacted with the gastric juice or were thoroughly vomited and evaporated uniformly within the cabin space of the helicopter or ambulance. Environmental conditions were 20 *degrees at 1 atmosphere of pres-ure in a 5 m3 cabin volume in the helicopter and a 13.5 m3 cabin volume in the ambulance. In the case of calcium polysulfide ingestion which produced hydrogen sulfide, its concen-ration reached 774 ppm in the helicopter and 287 ppm in the ambulance. For chloropicrin ingestion, the concentrations were 4,824 ppm and 1,787 ppm, respectively. The simulated concentration of hydrogen sulfide was more than 500 ppm in the heli-opter, which may lead to respiratory paralysis and death. The simulated concentration of chloropicrin was more than 300 ppm, which has a risk of death within 10 minutes. Currently, as far as Japanese laws are concerned, there are no restrictions requiring pretransport assessment or setting criteria for transporting patients who might have ingested hazardous substances that could cause secondary casu-lties when vomited. When patients who might have ingested hazardous chemicals are transported, it is important to recognize the risk of causing secondary casualties by vomiting the chemicals.

  5. Air ambulance tasking: mechanism of injury, telephone interrogation or ambulance crew assessment?

    PubMed

    Wilmer, Ian; Chalk, Graham; Davies, Gareth Edward; Weaver, Anne Elizabeth; Lockey, David John

    2015-10-01

    The identification of serious injury is critical to the tasking of air ambulances. London's Air Ambulance (LAA) is dispatched by a flight paramedic based on mechanism of injury (MOI), paramedical interrogation of caller (INT) or land ambulance crew request (REQ).This study aimed to demonstrate which of the dispatch methods was most effective (in accuracy and time) in identifying patients with serious injury. A retrospective review of 3 years of data (to December 2010) was undertaken. Appropriate dispatch was defined as the requirement for LAA to escort the patient to hospital or for resuscitation on-scene. Inaccurate dispatch was where LAA was cancelled or left the patient in the care of the land ambulance crew. The χ(2) test was used to calculate p values; with significance adjusted to account for multiple testing. There were 2203 helicopter activations analysed: MOI 18.9% (n=417), INT 62.4% (n=1375) and REQ 18.7% (n=411). Appropriate dispatch rates were MOI 58.7% (245/417), INT 69.7% (959/1375) and REQ 72.2% (297/411). INT and REQ were both significantly more accurate than MOI (p<0.0001). There was no significant difference in accuracy between INT and REQ (p=0.36). Combining MOI and INT remotely identified 80.2% of patients, with an overtriage rate of 32.8%. Mean time to dispatch (in minutes) was MOI 4, INT 8 and REQ 21. Telephone interrogation of the caller by a flight paramedic is as accurate as ground ambulance crew requests, and both are significantly better than MOI in identifying serious injury. Overtriage remains an issue with all methods. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  6. Call selection for the Helicopter Emergency Medical Service: implications for ambulance control.

    PubMed Central

    Coats, T J; Newton, A

    1994-01-01

    The increasing sophistication of pre-hospital care, with paramedics and many types of 'rapid response' units, requires the use of advanced systems of ambulance control. The introduction of call selection by a paramedic in the ambulance control room significantly improved the tasking of the Helicopter Emergency Medical Service. This paper illustrates the need for a system to grade 999 calls, so that the appropriate pre-hospital response can be directed to each patient. PMID:8182675

  7. Prehospital airway management on rescue helicopters in the United Kingdom.

    PubMed

    Schmid, M; Mang, H; Ey, K; Schüttler, J

    2009-06-01

    Adequate equipment is one prerequisite for advanced, out of hospital, airway management. There are no data on current availability of airway equipment on UK rescue helicopters. An internet search revealed all UK rescue helicopters, and a questionnaire was sent to the bases asking for available airway management items. We identified 27 helicopter bases and 26 (96%) sent the questionnaire back. Twenty-four bases (92%) had at least one supraglottic airway device; 16 (62%) helicopters had material for establishing a surgical airway (e.g. a cricothyroidotomy set); 88% of the helicopters had CO(2) detection; 25 (96%) helicopters carried automatic ventilators; among these, four (15%) had sophisticated ventilators and seven (27%) helicopters carried special face masks suitable for non-invasive ventilation. We found a wide variation in the advanced airway management equipment that was carried routinely on air ambulances. Current guidelines for airway management are not met by all UK air ambulances.

  8. Air ambulance medical transport advertising and marketing.

    PubMed

    2011-01-01

    The National Association of EMS Physicians (NAEMSP), the American College of Emergency Physicians (ACEP), the Air Medical Physician Association (AMPA), the Association of Air Medical Services (AAMS), and the National Association of State EMS Officials (NASEMSO) believe that patient care and outcomes are optimized by using air medical transport services that are licensed air ambulance providers with robust physician medical director oversight and ongoing quality assessment and review. Only air ambulance medical transport services with these credentials should advertise/market themselves as air ambulance services.

  9. Army Air Ambulance Blood Product Program in the Combat Zone and Challenges to Best Practices.

    PubMed

    Powell-Dunford, Nicole; Quesada, Jose F; Gross, Kirby R; Shackelford, Stacy A

    2016-08-01

    Identify challenges and best practices in the development of an austere air ambulance transfusion program. A search of PubMed using combinations of the key terms 'prehospital,' 'blood product,' 'red blood cells,' 'damage control resuscitation,' 'transfusion,' 'air ambulance,' 'medical evacuation,' and 'medevac' yielded 196 articles for further analysis, with 14 articles suitable for addressing the background of prehospital transfusion within a helicopter. Retrospective analysis of unclassified briefs, after action reports, and procedures was also undertaken along with interview of subject matter experts. The initial series of 15 transfusions were discussed telephonically among flight crew, trauma surgeons, and lab specialists. Review of Joint Theater System data was readily available for 84 U.S. Army air ambulance transfusions between May-December 2012, with December marking the redeployment of the 25(th) Combat Aviation Brigade. Standardized implementation enabled safe blood product administration for 84 causalities from May-December 2012 without blood product shortage, expiration, or transfusion reaction. Challenges included developing transfusion competency, achieving high quality blood support, countering the potential for anti-U.S. sentiment, and diversity in coalition transfusion practices. Blood product administration aboard the air ambulance is logistically complex, requiring blood bank integration. Repetitive training enabled emergency medical technicians (EMTs) with basic medical training to safely perform transfusion in accordance with clinical operating guidelines. In the austere environment, logistic factors are significant challenges and political sensitivities are important considerations. Best practices may facilitate new en route transfusion programs. Powell-Dunford N, Quesada JF, Gross KR, Shackelford SA. Army air ambulance blood product program in the combat zone and challenges to best practices. Aerosp Med Hum Perform. 2016; 87(8):728-734.

  10. Ambulance helicopter contribution to search and rescue in North Norway.

    PubMed

    Glomseth, Ragnar; Gulbrandsen, Fritz I; Fredriksen, Knut

    2016-09-13

    Search and rescue (SAR) operations constitute a significant proportion of Norwegian ambulance helicopter missions, and they may limit the service's capacity for medical operations. We compared the relative contribution of the different helicopter resources using a common definition of SAR-operation in order to investigate how the SAR workload had changed over the last years. We searched the mission databases at the relevant SAR and helicopter emergency medical service (HEMS) bases and the Joint Rescue Coordination Centre (North) for helicopter-supported SAR operations within the potential operation area of the Tromsø HEMS base in 2000-2010. We defined SAR operations as missions over land or sea within 10 nautical miles from the coast with an initial search phase, missions with use of rescue hoist or static rope, and avalanche operations. There were 769 requests in 639 different SAR operations, and 600 missions were completed. The number increased during the study period, from 46 in 2000 to 77 in 2010. The Tromsø HEMS contributed with the highest number of missions and experienced the largest increase, from 10 % of the operations in 2000 to 50 % in 2010. Simple terrain and sea operations dominated, and avalanches accounted for as many as 12 % of all missions. The helicopter crews used static rope or rescue hoist in 141 operations. We have described all helicopter supported SAR operations in our area by combining databases. The Tromsø HEMS service had taken over one half of the missions by 2010. Increased availability for SAR work is one potential explanation. The number of SAR missions increased during 2000-2010, and the Tromsø HEMS experienced the greatest increase in workload.

  11. Comparing population and incident data for optimal air ambulance base locations in Norway.

    PubMed

    Røislien, Jo; van den Berg, Pieter L; Lindner, Thomas; Zakariassen, Erik; Uleberg, Oddvar; Aardal, Karen; van Essen, J Theresia

    2018-05-24

    Helicopter emergency medical services are important in many health care systems. Norway has a nationwide physician manned air ambulance service servicing a country with large geographical variations in population density and incident frequencies. The aim of the study was to compare optimal air ambulance base locations using both population and incident data. We used municipality population and incident data for Norway from 2015. The 428 municipalities had a median (5-95 percentile) of 4675 (940-36,264) inhabitants and 10 (2-38) incidents. Optimal helicopter base locations were estimated using the Maximal Covering Location Problem (MCLP) optimization model, exploring the number and location of bases needed to cover various fractions of the population for time thresholds 30 and 45 min, in green field scenarios and conditioned on the existing base structure. The existing bases covered 96.90% of the population and 91.86% of the incidents for time threshold 45 min. Correlation between municipality population and incident frequencies was -0.0027, and optimal base locations varied markedly between the two data types, particularly when lowering the target time. The optimal solution using population density data put focus on the greater Oslo area, where one third of Norwegians live, while using incident data put focus on low population high incident areas, such as northern Norway and winter sport resorts. Using population density data as a proxy for incident frequency is not recommended, as the two data types lead to different optimal base locations. Lowering the target time increases the sensitivity to choice of data.

  12. Quality of closed chest compression on a manikin in ambulance vehicles and flying helicopters with a real time automated feedback.

    PubMed

    Havel, Christof; Schreiber, Wolfgang; Trimmel, Helmut; Malzer, Reinhard; Haugk, Moritz; Richling, Nina; Riedmüller, Eva; Sterz, Fritz; Herkner, Harald

    2010-01-01

    Automated verbal and visual feedback improves quality of resuscitation in out-of-hospital cardiac arrest and was proven to increase short-term survival. Quality of resuscitation may be hampered in more difficult situations like emergency transportation. Currently there is no evidence if feedback devices can improve resuscitation quality during different modes of transportation. To assess the effect of real time automated feedback on the quality of resuscitation in an emergency transportation setting. Randomised cross-over trial. Medical University of Vienna, Vienna Municipal Ambulance Service and Helicopter Emergency Medical Service Unit (Christophorus Flugrettungsverein) in September 2007. European Resuscitation Council (ERC) certified health care professionals performing CPR in a flying helicopter and in a moving ambulance vehicle on a manikin with human-like chest properties. CPR sessions, with real time automated feedback as the intervention and standard CPR without feedback as control. Quality of chest compression during resuscitation. Feedback resulted in less deviation from ideal compression rate 100 min(-1) (9+/-9 min(-1), p<0.0001) with this effect becoming steadily larger over time. Applied work was less in the feedback group compared to controls (373+/-448 cm x compression; p<0.001). Feedback did not influence ideal compression depth significantly. There was some indication of a learning effect of the feedback device. Real time automated feedback improves certain aspects of CPR quality in flying helicopters and moving ambulance vehicles. The effect of feedback guidance was most pronounced for chest compression rate. Copyright 2009 Elsevier Ireland Ltd. All rights reserved.

  13. Air ambulance nurses as expert supplement to local emergency services.

    PubMed

    Wisborg, Torben; Bjerkan, Bjørn

    2014-01-01

    Flight nurses in the Norwegian National Air Ambulance Service are specialist nurse anesthetists or intensive care nursing specialists. For air ambulance bases far from hospitals, these nurses present otherwise unavailable competencies. This study reports a 6-year experience with flight nurse participation in local emergencies beyond the transportation phase. The fixed-wing air ambulance base in Alta, Northern Norway (20,000 inhabitants), with 2 aircraft and 2 on-call teams is 150 km by road from the nearest hospital. We did a prospective registration of all emergency nonflight missions near the air ambulance base from January 1, 2005, to December 31, 2010. The 217 completed missions corresponded to 3 missions per month, half during daytime. Twenty-three percent of patients were under age 18, injury rate was high (36%), 63% had potentially or manifest life-threatening conditions, and 11% died during treatment. One third of all missions (67/217) resulted in an air ambulance flight to the hospital. Mission frequency did not significantly reduce flight availability, and precision in case selection for this special service was good. The use of flight nurses in the local community promotes equal access to advanced medical services for populations far from hospitals. Copyright © 2014 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  14. Air ambulance services--integrated emergency care.

    PubMed

    Ferdinand, M

    1994-10-01

    In the name of cost-conscious care, air ambulance program directors and service contractors are seeing the dawn of integrated networks as a boon to their business. As integrated networks form, facilities will become increasingly specialized in the types of services they provide. Patients will need to be moved around the system, resulting in more frequent patient transport and more points of transfer. Many programs are considering aircraft replacement and additions, rather than leasing. Financial benefits could come on depreciation and the high resale value of aircraft. Unless reimbursement levels increase, more program mergers and affiliations may take place to spread and reduce cost. Air ambulance services will increasingly become part of a facility's strategic plan.

  15. Microbial Air Quality and Bacterial Surface Contamination in Ambulances During Patient Services

    PubMed Central

    Luksamijarulkul, Pipat; Pipitsangjan, Sirikun

    2015-01-01

    Objectives We sought to assess microbial air quality and bacterial surface contamination on medical instruments and the surrounding areas among 30 ambulance runs during service. Methods We performed a cross-sectional study of 106 air samples collected from 30 ambulances before patient services and 212 air samples collected during patient services to assess the bacterial and fungal counts at the two time points. Additionally, 226 surface swab samples were collected from medical instrument surfaces and the surrounding areas before and after ambulance runs. Groups or genus of isolated bacteria and fungi were preliminarily identified by Gram’s stain and lactophenol cotton blue. Data were analyzed using descriptive statistics, t-test, and Pearson’s correlation coefficient with a p-value of less than 0.050 considered significant. Results The mean and standard deviation of bacterial and fungal counts at the start of ambulance runs were 318±485cfu/m3 and 522±581cfu/m3, respectively. Bacterial counts during patient services were 468±607cfu/m3 and fungal counts were 656±612cfu/m3. Mean bacterial and fungal counts during patient services were significantly higher than those at the start of ambulance runs, p=0.005 and p=0.030, respectively. For surface contamination, the overall bacterial counts before and after patient services were 0.8±0.7cfu/cm2 and 1.3±1.1cfu/cm2, respectively (p<0.001). The predominant isolated bacteria and fungi were Staphylococcus spp. and Aspergillus spp., respectively. Additionally, there was a significantly positive correlation between bacterial (r=0.3, p<0.010) and fungal counts (r=0.2, p=0.020) in air samples and bacterial counts on medical instruments and allocated areas. Conclusions This study revealed high microbial contamination (bacterial and fungal) in ambulance air during services and higher bacterial contamination on medical instrument surfaces and allocated areas after ambulance services compared to the start of ambulance runs

  16. Microbial air quality and bacterial surface contamination in ambulances during patient services.

    PubMed

    Luksamijarulkul, Pipat; Pipitsangjan, Sirikun

    2015-03-01

    We sought to assess microbial air quality and bacterial surface contamination on medical instruments and the surrounding areas among 30 ambulance runs during service. We performed a cross-sectional study of 106 air samples collected from 30 ambulances before patient services and 212 air samples collected during patient services to assess the bacterial and fungal counts at the two time points. Additionally, 226 surface swab samples were collected from medical instrument surfaces and the surrounding areas before and after ambulance runs. Groups or genus of isolated bacteria and fungi were preliminarily identified by Gram's stain and lactophenol cotton blue. Data were analyzed using descriptive statistics, t-test, and Pearson's correlation coefficient with a p-value of less than 0.050 considered significant. The mean and standard deviation of bacterial and fungal counts at the start of ambulance runs were 318±485cfu/m(3) and 522±581cfu/m(3), respectively. Bacterial counts during patient services were 468±607cfu/m(3) and fungal counts were 656±612cfu/m(3). Mean bacterial and fungal counts during patient services were significantly higher than those at the start of ambulance runs, p=0.005 and p=0.030, respectively. For surface contamination, the overall bacterial counts before and after patient services were 0.8±0.7cfu/cm(2) and 1.3±1.1cfu/cm(2), respectively (p<0.001). The predominant isolated bacteria and fungi were Staphylococcus spp. and Aspergillus spp., respectively. Additionally, there was a significantly positive correlation between bacterial (r=0.3, p<0.010) and fungal counts (r=0.2, p=0.020) in air samples and bacterial counts on medical instruments and allocated areas. This study revealed high microbial contamination (bacterial and fungal) in ambulance air during services and higher bacterial contamination on medical instrument surfaces and allocated areas after ambulance services compared to the start of ambulance runs. Additionally, bacterial and

  17. Resilience of urban ambulance services under future climate, meteorology and air pollution scenarios

    NASA Astrophysics Data System (ADS)

    Pope, Francis; Chapman, Lee; Fisher, Paul; Mahmood, Marliyyah; Sangkharat, Kamolrat; Thomas, Neil; Thornes, John

    2017-04-01

    Ambulances are an integral part of a country's infrastructure ensuring its citizens and visitors are kept healthy. The impact of weather, climate and climate change on ambulance services around the world has received increasing attention in recent years but most studies have been area specific and there is a need to establish basic relationships between ambulance data (both response and illness data) and meteorological parameters. In this presentation, the effects of temperature, other meteorological and air pollution variables on ambulance call out rates for different medical categories will be investigated. We use ambulance call out obtained from various ambulance services worldwide which have significantly different meteorologies, climatologies and pollution conditions. A time-series analysis is utilized to understand the relation between meteorological conditions, air pollutants and different call out categories. We will present findings that support the opinion that ambulance attendance call outs records are an effective and well-timed source of data and can be used for health early warning systems. Furthermore the presented results can much improve our understanding of the relationships between meteorology, climate, air pollution and human health thereby allowing for better prediction of ambulance use through the application of long and short-term weather, climate and pollution forecasts.

  18. Which groups of patients benefit from helicopter evacuation?

    PubMed

    Hotvedt, R; Kristiansen, I S; Førde, O H; Thoner, J; Almdahl, S M; Bjørsvik, G; Berge, L; Magnus, A C; Mamen, K; Sparr, T; Ytre-Arne, K

    1996-05-18

    The evacuation of emergency cases by air, usually by helicopter, is controversial because of the cost of the programme, the possibility of an accident (especially in an urban area), and unproven benefit. But such evacuations cannot be studied by a random intervention (eg, air versus ground ambulance). We used an expert-panel approach to estimate the health outcome for patients transferred by emergency helicopter compared with the potential outcome if they had gone by surface ambulance. The helicopter programme is based at the University Hospital of Tromsø in northern Norway. 370 case-reports of helicopter evacuation from rural areas were screened by anaesthetists for routine and case-specific data. Two expert panels assessed the cases for potential additional health benefit arising from the fact of helicopter evacuation. The panels used a modified Delphi technique to reach consensus in life-years gained. One panel met for cases aged under 15 and pregnant women, the other for older cases. 240 of the 370 cases were male (65%); the age range for both sexes was 0-86 years. The most common diagnosis for the 55 cases aged under 15 was infection (49%); in older patients, cardiovascular disease dominated (50%). Trauma accounted for just under a fifth of cases in both groups. On average, the patients arrived 69 min (range 0-615) earlier in hospital than if they had gone by ground transport. For 283 cases, the initial screening by the anaesthetists indicated no additional benefit compared with that obtainable by ground-ambulance transport. The main reason was that no treatment was given during the flight or early on in hospital that could not have been given otherwise. 90 cases entered the expert panel system. Of these 90, 49 cases were judged to have received no additional benefit. This left 41 (11% of the total of 370 evacuated) who were judged to have benefited, gaining 290.6 life-years. 96% of the total number of life-years gained was achieved in nine patients, six of

  19. Cost-benefit analysis of ambulance and rescue helicopters in Norway: reflections on assigning a monetary value to saving a human life.

    PubMed

    Elvik, Rune

    2002-01-01

    This paper reports the results of a cost-benefit analysis undertaken in 1996 for a public commission set up to plan the future operation of state-owned ambulance and rescue helicopters in Norway. The analysis indicates that the benefits of ambulance missions flown by helicopters exceeds the costs by a factor of almost six. To do this analysis it was necessary to assign a monetary value to human life. Traditionally this has not been done in medicine, and may be widely regarded as inconsistent with medical ethics. The results of the cost-benefit analysis serve as the starting point to a more general discussion surrounding the economic value of activities designed to reduce human mortality. It is concluded that human preferences for the provision of health care or other life-saving interventions are probably too complex to be adequately represented by means of a single monetary value expressing the benefits of life-saving. The task of developing an inclusive framework for a normative approach to priority setting in injury prevention is daunting, and may be insoluble. It is important to assess the extent to which current value-of-life estimates depend on study methods and social context.

  20. The Effectiveness Evaluation of Helicopter Ambulance Transport among Neurotrauma Patients in Korea.

    PubMed

    Park, Kyoung Duck; Seo, Sook Jin; Oh, Chang Hyun; Kim, Se Hyuk; Cho, Jin Mo

    2014-07-01

    Helicopter ambulance transport (HAT) is a highly resource-intensive facility that is a well-established part of the trauma transport system in many developed countries. Here, we review the benefit of HAT for neurosurgical patients in Korea. This retrospective study followed neurotrauma patients who were transferred by HAT to a single emergency trauma center over a period of 2 years. The clinical benefits of HAT were measured according to the necessity of emergency surgical intervention and the differences in the time taken to transport patients by ground ambulance transport (GAT) and HAT. Ninety-nine patients were transferred to a single university hospital using HAT, of whom 32 were taken to the neurosurgery department. Of these 32 patients, 10 (31.3%) needed neurosurgical intervention, 14 (43.8%) needed non-neurosurgical intervention, 3 (9.4%) required both, and 11 (34.4%) did not require any intervention. The transfer time was faster using HAT than the estimated time needed for GAT, although for a relatively close distance (<50 km) without ground obstacles (mountain or sea) HAT did not improve transfer time. The cost comparison showed that HAT was more expensive than GAT (3,292,000 vs. 84,000 KRW, p<0.001). In this Korean-based study, we found that HAT has a clinical benefit for neurotrauma cases involving a transfer from a distant site or an isolated area. A more precise triage for using HAT should be considered to prevent overuse of this expensive transport method.

  1. Helicopter use in rural trauma.

    PubMed

    Shepherd, Matthew Vincent; Trethewy, Christopher Ernest; Kennedy, John; Davis, Lin

    2008-12-01

    To profile a helicopter emergency medical service in rural Australia. To assess patient injury severities and outcomes. To compare missions involving ambulance officers with physicians. To determine any time advantage of the aircraft over ground transfer. Intention-to-treat analysis using retrospective case note review of all helicopter emergency medical service trauma patients from January 2004 to November 2006. Global positioning system mapping technology was used to compare one-way road transfer times with two-way helicopter retrieval. Two hundred and twenty-two missions were identified from the helicopter log. Forty missions were aborted in flight. Of 182 patients transported, 11 records were incomplete, leaving 171 for analysis. Fifty (29%) patients transported had an Injury Severity Score (ISS) > 15; the average ISS was 12.30 (standard error of the mean 0.82). The average calculated distance flown was 160.4 nautical miles (standard error of the mean 5.29; range 28-360 nautical miles). There was no significant difference in ISS between ambulance officers and physician groups (t = -1.17, P = 0.25, 95% CI -7.37-1.91). There was no difference in the incidence of severe injury (ISS > 15, P = 0.39) or mortality (P = 0.33) when the groups were compared. Air transport was significantly faster beyond 100 km, with a mean difference of 48 min (P = 0.00). We could not identify a significant survival benefit attributable to the addition of a doctor, although numbers for this comparison were small. Predicting missions where flight physicians might provide benefit remain imprecise and should be a priority area for prospective evaluation. We have demonstrated that in the absence of special circumstances, a helicopter response within 100 km from base does not improve time to definitive care.

  2. 77 FR 73265 - Airworthiness Directives; Erickson Air-Crane Incorporated Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-10

    ... Airworthiness Directives; Erickson Air-Crane Incorporated Helicopters AGENCY: Federal Aviation Administration... Erickson Air-Crane Incorporated (Erickson) Model S-64F helicopters. This AD requires inspecting for... service information identified in this AD, contact Erickson Air-Crane Incorporated, ATTN: Chris Erickson...

  3. The Effectiveness Evaluation of Helicopter Ambulance Transport among Neurotrauma Patients in Korea

    PubMed Central

    Park, Kyoung Duck; Seo, Sook Jin; Oh, Chang Hyun; Kim, Se Hyuk

    2014-01-01

    Objective Helicopter ambulance transport (HAT) is a highly resource-intensive facility that is a well-established part of the trauma transport system in many developed countries. Here, we review the benefit of HAT for neurosurgical patients in Korea. Methods This retrospective study followed neurotrauma patients who were transferred by HAT to a single emergency trauma center over a period of 2 years. The clinical benefits of HAT were measured according to the necessity of emergency surgical intervention and the differences in the time taken to transport patients by ground ambulance transport (GAT) and HAT. Results Ninety-nine patients were transferred to a single university hospital using HAT, of whom 32 were taken to the neurosurgery department. Of these 32 patients, 10 (31.3%) needed neurosurgical intervention, 14 (43.8%) needed non-neurosurgical intervention, 3 (9.4%) required both, and 11 (34.4%) did not require any intervention. The transfer time was faster using HAT than the estimated time needed for GAT, although for a relatively close distance (<50 km) without ground obstacles (mountain or sea) HAT did not improve transfer time. The cost comparison showed that HAT was more expensive than GAT (3,292,000 vs. 84,000 KRW, p<0.001). Conclusion In this Korean-based study, we found that HAT has a clinical benefit for neurotrauma cases involving a transfer from a distant site or an isolated area. A more precise triage for using HAT should be considered to prevent overuse of this expensive transport method. PMID:25289124

  4. Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre.

    PubMed

    Hannay, R Scott; Wyrzykowski, Amy D; Ball, Chad G; Laupland, Kevin; Feliciano, David V

    2014-02-01

    Air ambulance transport for injured patients is vitally important given increasing patient volumes, the limited number of trauma centres and inadequate subspecialty coverage in nontrauma hospitals. Air ambulance services have been shown to improve patient outcomes compared with ground transport in select circumstances. Our primary goal was to compare injuries, interventions and outcomes in patients transported by helicopter versus nonhelicopter transport. We performed a retrospective 10-year review of 14 440 patients transported to an urban Level 1 trauma centre by helicopter or by other means. We compared injury severity, interventions and mortality between the groups. Patients transported by helicopter had higher median injury severity scores (ISS), regardless of penetrating or blunt injury, and were more likely to have Glasgow Coma Scale scores less than 8, require airway control, receive blood transfusions and require admission to the intensive care unit or operating room than patients transported by other means. Helicopter transport was associated with reduced overall mortality (odds ratio 0.41, 95% confidence interval 0.33-0.39). Patients transported by other methods were more likely to die in the emergency department. The mean ISS, regardless of transport method, rose from 12.3 to 15.1 (p = 0.011) during our study period. Patients transported by helicopter to an urban trauma centre were more severely injured, required more interventions and had improved survival than those arriving by other means of transport.

  5. Use of an ambulance-based helicopter retrieval service.

    PubMed

    Wills, V L; Eno, L; Walker, C; Gani, J S

    2000-07-01

    John Hunter Hospital is the major trauma centre for a region covering more than 25,000 square kilometres. The helicopter primary retrieval service for trauma is paramedic staffed and protocol driven. The aim of the present study was to assess the overtriage rate created by such protocols, and to assess the benefit to patient outcomes that may be attributable to the service. The John Hunter Hospital trauma database was used to identify all cases arriving by helicopter in 1996, as well as their demographic details, injury severity score, details of the accident and outcome. An expert panel reviewed the medical records for the 184 primary retrievals. Using a consensus model, estimates of time delay or saving were calculated and likelihood of benefit, no benefit or harm was assessed. A total of 3087 trauma patients were assessed at John Hunter Hospital in 1996, of which 8% arrived by helicopter. Of the primary retrievals, 67.6% had an injury severity score of 9 or less, with only 17.9% having a score of 16 or greater. Twelve patients were discharged from Emergency and 36% were discharged within 48 h. The overall mortality was 5.0%. Twenty-five per cent of patients were retrieved within 35 km of John Hunter Hospital with minimal attributable benefit. Overall 1.7% of patients were felt to have been potentially harmed, 17.3% to have benefited and 81.0% to have had no attributable benefit related to the helicopter use. Although the majority of retrievals are for minor injuries, the service provides benefit for the region. There is potential for harm, however, where base hospitals are overflown in situations where patients have airway compromise, and where patient transfer is delayed due to helicopter activation. Primary helicopter tasking to trauma cases within 35 km of the major trauma centre is seldom beneficial.

  6. Understanding the prehospital physician controversy. Step 2: analysis of on-scene treatment by ambulance nurses and helicopter emergency medical service physicians.

    PubMed

    van Schuppen, Hans; Bierens, Joost

    2015-12-01

    In our previous study, we identified the similarities and differences in competencies of ambulance nurses and helicopter emergency medical service (HEMS) physicians in the Netherlands. This ensuing study aims to quantify the frequency with which the additional therapeutic competencies of the HEMS physician are utilized and to determine whether this is the main reason for usefulness as perceived by ambulance nurses and HEMS physicians. A prospective observational study was carried out over a 2-month period, with one HEMS station covering six ambulance regions. Provider registration was recorded, supplemented by interviews of ambulance nurses and HEMS physicians. Competencies were categorized depending on whether the competency was specific for the nurse or physician, mutual or mutual with a qualitative difference. A total of 225 HEMS dispatches resulted in 117 cases with HEMS on-scene in the study region and 78 patients were included. In 35 (45%) patients, the HEMS physician provided additional treatment: in 19 (24%) patients, a physician-specific therapeutic competency, in nine (12%) patients, a mutual competency with a qualitative difference and in seven (9%) patients, both categories. The presence of the HEMS physician was considered more useful by both ambulance nurses (89 vs. 60%) and HEMS physicians (97 vs. 81%) when additional treatment was provided by the HEMS physician. HEMS physicians provide additional treatment in 45% of patients. The additional treatment increases the perceived usefulness of the HEMS physician. The presence of the HEMS physician was also considered useful when the physician did not provide any additional treatment, possibly because of diagnostic competence and clinical decision-making.

  7. 78 FR 46405 - Agency Information Collection Activities: Requests for Comments; Clearance of a New Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-31

    ... comments about our intention to request the Office of Management and Budget (OMB) approval for a new... operational data from Air Ambulance operators. FAA is to summarize the data and report to Congress no later... certificate holder were providing helicopter air ambulance services. The helicopter air ambulance operational...

  8. Changes in air temperature and its relation to ambulance transports due to heat stroke in all 47 prefectures of Japan.

    PubMed

    Murakami, Shoko; Miyatake, Nobuyuki; Sakano, Noriko

    2012-09-01

    Changes in air temperature and its relation to ambulance transports due to heat stroke in all 47 prefectures, in Japan were evaluated. Data on air temperature were obtained from the Japanese Meteorological Agency. Data on ambulance transports due to heat stroke was directly obtained from the Fire and Disaster Management Agency, Japan. We also used the number of deaths due to heat stroke from the Ministry of Health, Labour and Welfare, Japan, and population data from the Ministry of Internal Affairs and Communications. Chronological changes in parameters of air temperature were analyzed. In addition, the relation between air temperature and ambulance transports due to heat stroke in August 2010 was also evaluated by using an ecological study. Positive and significant changes in the parameters of air temperature that is, the mean air temperature, mean of the highest air temperature, and mean of the lowest air temperature were noted in all 47 prefectures. In addition, changes in air temperature were accelerated when adjusted for observation years. Ambulance transports due to heat stroke was significantly correlated with air temperature in the ecological study. The highest air temperature was significantly linked to ambulance transports due to heat stroke, especially in elderly subjects. Global warming was demonstrated in all 47 prefectures in Japan. In addition, the higher air temperature was closely associated with higher ambulance transports due to heat stroke in Japan.

  9. Retrospective review of injury severity, interventions and outcomes among helicopter and nonhelicopter transport patients at a Level 1 urban trauma centre

    PubMed Central

    Hannay, R. Scott; Wyrzykowski, Amy D.; Ball, Chad G.; Laupland, Kevin; Feliciano, David V.

    2014-01-01

    Background Air ambulance transport for injured patients is vitally important given increasing patient volumes, the limited number of trauma centres and inadequate subspecialty coverage in nontrauma hospitals. Air ambulance services have been shown to improve patient outcomes compared with ground transport in select circumstances. Our primary goal was to compare injuries, interventions and outcomes in patients transported by helicopter versus nonhelicopter transport. Methods We performed a retrospective 10-year review of 14 440 patients transported to an urban Level 1 trauma centre by helicopter or by other means. We compared injury severity, interventions and mortality between the groups. Results Patients transported by helicopter had higher median injury severity scores (ISS), regardless of penetrating or blunt injury, and were more likely to have Glasgow Coma Scale scores less than 8, require airway control, receive blood transfusions and require admission to the intensive care unit or operating room than patients transported by other means. Helicopter transport was associated with reduced overall mortality (odds ratio 0.41, 95% confidence interval 0.33–0.39). Patients transported by other methods were more likely to die in the emergency department. The mean ISS, regardless of transport method, rose from 12.3 to 15.1 (p = 0.011) during our study period. Conclusion Patients transported by helicopter to an urban trauma centre were more severely injured, required more interventions and had improved survival than those arriving by other means of transport. PMID:24461227

  10. Long-range rescue helicopter missions in the Arctic.

    PubMed

    Haagensen, Rolf; Sjøborg, Karl-Ake; Rossing, Anders; Ingilae, Henry; Markengbakken, Lars; Steen, Peter-Andreas

    2004-01-01

    Search and rescue helicopters from the Royal Norwegian Air Force conduct ambulance and search and rescue missions in the Barents Sea. The team on-board includes an anesthesiologist and a paramedic. Operations in this area are challenging due to long distances, severe weather conditions, and arctic winter darkness. One-hundred, forty-seven ambulance and 29 search and rescue missions in the Barents Sea during 1994-1999 were studied retrospectively with special emphasis on operative conditions and medical results. Thirty-five percent of the missions were carried out in darkness. The median time from the alarm to first patient contact was 3.3 hours and the median duration of the missions was 7.3 hours. Forty-eight percent of the missions involved ships of foreign origin. Half the patients had acute illnesses, dominated by gastrointestinal and heart diseases. Most of the injuries resulted from industrial accidents with open and closed fractures, amputations, and soft tissue damage. Ninety percent of the patients were hospitalized; 7.5% probably would not have survived without early medical treatment and rapid transportation to a hospital. Using a heavy search and rescue helicopter in the Barents Sea was the right decision in terms of medical gain and operative risk.

  11. 76 FR 66617 - Airworthiness Directives; Erickson Air-Crane Incorporated Model S-64F Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-27

    ... Airworthiness Directives; Erickson Air-Crane Incorporated Model S-64F Helicopters AGENCY: Federal Aviation... the Erickson Air-Crane (Erickson Air-Crane) Model S-64F helicopters. The amendment requires, at..., contact Erickson Air-Crane Incorporated, 3100 Willow Springs Road, P.O. Box 3247, Central Point, OR 97502...

  12. Integrated locating of helicopter stations and helipads for wounded transfer under demand location uncertainty.

    PubMed

    Bozorgi-Amiri, Ali; Tavakoli, Shayan; Mirzaeipour, Hossein; Rabbani, Masoud

    2017-03-01

    Health emergency medical service (HEMS) plays an important role in reducing injuries by providing advanced medical care in the shortest time and reducing the transfer time to advanced treatment centers. In the regions without ground relief coverage, it would be faster to transfer emergency patients to the hospital by a helicopter. In this paper, an integer nonlinear programming model is presented for the integrated locating of helicopter stations and helipads by considering uncertainty in demand points. We assume three transfer modes: (1) direct transfer by an ambulance, (2) transfer by an ambulance to a helicopter station and then to the hospital by a helicopter, (3) transfer by an ambulance to a predetermined point and then to the hospital by a helicopter. We also assume that demands occur in a square-shaped area, in which each side follows a uniform distribution. It is also assumed that demands in an area decrease errors in the distances between each two cities. The purpose of this model is to minimize the transfer time from demand points to the hospital by considering different modes. The proposed model is examined in terms of validity and applicability in Lorestan Province and a sensitivity analysis is also conducted on the total allocated budget. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. The carbon footprint of Australian ambulance operations.

    PubMed

    Brown, Lawrence H; Canyon, Deon V; Buettner, Petra G; Crawford, J Mac; Judd, Jenni

    2012-12-01

    To determine the greenhouse gas emissions associated with the energy consumption of Australian ambulance operations, and to identify the predominant energy sources that contribute to those emissions. A two-phase study of operational and financial data from a convenience sample of Australian ambulance operations to inventory their energy consumption and greenhouse gas emissions for 1 year. State- and territory-based ambulance systems serving 58% of Australia's population and performing 59% of Australia's ambulance responses provided data for the study. Emissions for the participating systems totalled 67 390 metric tons of carbon dioxide equivalents. For ground ambulance operations, emissions averaged 22 kg of carbon dioxide equivalents per ambulance response, 30 kg of carbon dioxide equivalents per patient transport and 3 kg of carbon dioxide equivalents per capita. Vehicle fuels accounted for 58% of the emissions from ground ambulance operations, with the remainder primarily attributable to electricity consumption. Emissions from air ambulance transport were nearly 200 times those for ground ambulance transport. On a national level, emissions from Australian ambulance operations are estimated to be between 110 000 and 120 000 tons of carbon dioxide equivalents each year. Vehicle fuels are the primary source of emissions for ground ambulance operations. Emissions from air ambulance transport are substantially higher than those for ground ambulance transport. © 2012 The Authors. EMA © 2012 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  14. Non-technical skills evaluation in the critical care air ambulance environment: introduction of an adapted rating instrument--an observational study.

    PubMed

    Myers, Julia A; Powell, David M C; Psirides, Alex; Hathaway, Karyn; Aldington, Sarah; Haney, Michael F

    2016-03-08

    In the isolated and dynamic health-care setting of critical care air ambulance transport, the quality of clinical care is strongly influenced by non-technical skills such as anticipating, recognising and understanding, decision making, and teamwork. However there are no published reports identifying or applying a non-technical skills framework specific to an intensive care air ambulance setting. The objective of this study was to adapt and evaluate a non-technical skills rating framework for the air ambulance clinical environment. In the first phase of the project the anaesthetists' non-technical skills (ANTS) framework was adapted to the air ambulance setting, using data collected directly from clinician groups, published literature, and field observation. In the second phase experienced and inexperienced inter-hospital transport clinicians completed a simulated critical care air transport scenario, and their non-technical skills performance was independently rated by two blinded assessors. Observed and self-rated general clinical performance ratings were also collected. Rank-based statistical tests were used to examine differences in the performance of experienced and inexperienced clinicians, and relationships between different assessment approaches and assessors. The framework developed during phase one was referred to as an aeromedical non-technical skills framework, or AeroNOTS. During phase two 16 physicians from speciality training programmes in intensive care, emergency medicine and anaesthesia took part in the clinical simulation study. Clinicians with inter-hospital transport experience performed more highly than those without experience, according to both AeroNOTS non-technical skills ratings (p = 0.001) and general performance ratings (p = 0.003). Self-ratings did not distinguish experienced from inexperienced transport clinicians (p = 0.32) and were not strongly associated with either observed general performance (r(s) = 0.4, p = 0

  15. [Examination of work-related stress and coping strategies among ambulance- and air-ambulance workers].

    PubMed

    Schiszler, Bence; Karamánné Pakai, Annamária; Szabó, Zoltán; Raposa, László Bence; Pónusz, Róbert; Radnai, Balázs; Endrei, Dóra

    2016-11-01

    Among Hungary's health sector workers the presence of a high level of stress is known, which can affect the individual. The aim of the authors was to uncover major risk factors causing work-related stress, as well as its extent, and positive and negative coping strategies among ground and aerial rescue workers. From June until October 2015, a national survey was conducted among Hungarian rescue workers. An own questionnaire and Rahe Stress and coping validated short questionnaire online form were used. A total of 141 persons took part in the survey. As compared to air-ambulance workers, ground rescue workers were exposed to higher work-related stress effects (p<0.01), resulting in a much larger variety of physical and psychological symptoms (p<0.05). Based on Global Stress and Coping Index effective coping mechanisms were observed among air rescue workers (p<0.01). It is important to perform regular professional theoretical and practical training. Human resource management should pay attention on occupational stress reduction. Orv. Hetil., 2016, 157(45), 1802-1808.

  16. 78 FR 23114 - Airworthiness Directives; Bell Helicopter Textron Canada (Bell) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-18

    ...) and in the AFCS [Automatic Flight Control System] Air Data Computer.'' TCAA issued AD CF-2005-30 to... Bell Model 430 helicopters, which requires replacing certain components of the air data system. This AD... helicopters. That NPRM proposed to require replacing certain components of the air data system. The proposed...

  17. Factors related to pilot survival in helicopter commuter and air taxi crashes.

    PubMed

    Krebs, M B; Li, G; Baker, S P

    1995-02-01

    We examined factors related to pilot survival in 167 consecutive helicopter commuter and air taxi crashes that occurred during 1983-88. Case fatality rates and adjusted odds ratios from multivariate logistic regression models were determined using data from the National Transportation Safety Board (NTSB). During this 6-year period, 29 pilots-in-command died in 167 helicopter commuter and air taxi crashes, a case fatality rate of 17.4%. Factors significantly associated with increased risk of pilot fatality were aircraft fire [odds ratio (OR) 20.0, 95% confidence interval (CI) 4.6-86.8], not using shoulder harnesses (OR 9.2, 95% CI 2.2-37.3), and aircraft with two engines (OR 4.8, 95% CI 1.3-17.4). In addition, we present data regarding success and failure of emergency flotation devices. The results suggest that the likelihood of pilot survival in helicopter crashes could be greatly improved by preventing crash associated fires and promoting the usage of shoulder restraints.

  18. 78 FR 48925 - Agency Information Collection Activities: Requests for Comments; Clearance of a New Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-12

    ... Reduction Act of 1995, FAA invites public comments about our intention to request the Office of Management... included a mandate to begin collection of operational data from Air Ambulance operators. FAA is to... ambulance services. See 49 U.S.C. 44731. The helicopter air ambulance operational data provided to the FAA...

  19. Open and Closed Loop Stability of Hingeless Rotor Helicopter Air and Ground Resonance

    NASA Technical Reports Server (NTRS)

    Young, M. I.; Bailey, D. J.; Hirschbein, M. S.

    1974-01-01

    The air and ground resonance instabilities of hingeless rotor helicopters are examined on a relatively broad parametric basis including the effects of blade tuning, virtual hinge locations, and blade hysteresis damping, as well as size and scale effects in the gross weight range from 5,000 to 48,000 pounds. A special case of a 72,000 pound helicopter air resonance instability is also included. The study shows that nominal to moderate and readily achieved levels of blade inertial hysteresis damping in conjunction with a variety of tuning and/or feedback conditions are highly effective in dealing with these instabilities. Tip weights and reductions in pre-coning angles are also shown to be effective means for improving the air resonance instability.

  20. 77 FR 44434 - Airworthiness Directives; Various Restricted Category Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-30

    ... Erickson Air-Crane Co.); California Department of Forestry; Garlick Helicopters, Inc.; Global Helicopter... Helicopter Services (previously Erickson Air-Crane Co.); California Department of Forestry; Garlick... Helicopter Services (previously Erickson Air-Crane Co.); California Department of Forestry; Garlick...

  1. Cardiovascular disease (CVD) in the Norwegian Arctic. Air ambulance operations 1999-2009 and future challenges in the region.

    PubMed

    Norum, Jan

    2010-01-01

    Air ambulance operations in the Arctic have to deal with remote locations, long distances, rough weather conditions, seasonable darkness, and almost no alternative for landing. Despite these challenges, people expect high quality, specialist health care. This study aimed to analyse air ambulance operations due to cardiovascular disease (CVD) in the Arctic and employ the result as an instrument for future suggestions. Melting ice in the Arctic Sea opens new prospects for shipping, adventures, and oil/gas industry. In February 2010 all air ambulance operations performed in the Arctic during the period 1999 to 2009 were analysed. The population of this study covered patients with CVD. The state of emergency, state of seriousness (the National Advisory Committee on Aeronautics (NACA) scale was used), flight time, destination, and flying time were the main outcome measures. A total of 45 patients (myocardial infarction 31, angina pectoris 11, and heart failure 4 patients) were identified. There were 39 Norwegians and 6 people of other nationalities. The mean age was 57 years (range 43-83 years) Thirteen cardiac incidents occurred in June and July. Most cases (26 patients) were considered urgent or emergent, and the mean NACA score was 4 (range 3-6). The adjusted female/male ratio was 0.222, and the median flying time (one way) was 3 h 25 min (range 1 h-6 h 40 min). Four flights were delayed, and one fifth of patients were transported during the night (midnight to 8.00 AM). Air ambulance operations in the Arctic experience significant challenges. In the near future more shipping and polar adventure operations together with new oil and gas installations will increase the demand for health care support. Telemedical installations onboard vessels and rigs will be important for remote consultation and treatment.

  2. Oil-air mist lubrication for helicopter gearing

    NASA Technical Reports Server (NTRS)

    Mcgrogan, F.

    1976-01-01

    The applicability of a once-through oil mist system to the lubrication of helicopter spur gears was investigated and compared to conventional jet spray lubrication. In the mist lubrication mode, cooling air was supplied at 366K (200 F) to the out of mesh location of the gear sets. The mist air was also supplied at 366K (200 F) to the radial position mist nozzle at a constant rate of 0.0632 mol/s (3 SCFM) per nozzle. The lubricant contained in the mist air varied between 32 - 44 cc/hour. In the recirculating jet spray mode, the flow rate was varied between 1893 - 2650 cc/hour. Visual inspection revealed the jet spray mode produced a superior surface finish on the gear teeth but a thermal energy survey showed a 15 - 20% increase in heat generated. The gear tooth condition in the mist lubrication mode system could be improved if the cooling air and lubricant/air flow ratio were increased. The test gearbox and the procedure used are described.

  3. 75 FR 56487 - Airworthiness Directives; Erickson Air-Crane Incorporated Model S-64F Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-16

    ...-0909; Directorate Identifier 2010-SW-026-AD] RIN 2120-AA64 Airworthiness Directives; Erickson Air-Crane... rulemaking (NPRM). SUMMARY: This document proposes adopting a new airworthiness directive (AD) for Erickson Air-Crane Incorporated (Erickson Air-Crane) Model S- 64F helicopters. The AD would require, at...

  4. [Helicopters and medical first aid units. Role of Medical First Aid Unit 94].

    PubMed

    Huguenard, P; Hanote, P; Metrot, J

    1975-10-01

    For the transport of injured and sick patients, the helicopter (even the mono-turbine type) offers greater advantages when compared to land vehicles: - more comfort (less vibrations, accelerations and decelerations); - a greater speed, that is to say a 61 p. 100 gain of time upon the distance and a gain from 29 up to 44 p. 100 upon the total amount of time taken up by each transport. This gain in time enables valuable specialised medical teams to be more available: - more precise time-tables than by land which namely makes it easier to receive the patients. The drawbacks are linked with the risks which are not nonexistent but rather less serious than by land. The drawbacks also depend upon the weather-conditions (although this factor does not matter much in our area), upon nuisances such as the noise (which is more important but far more transitory than by ambulance) and chiefly upon the cost of air-transport. In fact, the mean cost of a medical land transport amounts roughly to one thousand Francs, a quarter of which only does represent the actual cost of medical aid. For a similar transport, the helicopter comes to a 47 mns flight. There are several ways of making good use of a helicopter. Practical problems have been solved. The "SAMU 94" experience goes back to 1973 and includes over 500 transports by helicopter essentially with the help of the teams and the helicopters belonging to the Paris Base (Civil Protection and the Fire-Brigade). For flights over urban areas, it is to be desired in the future that only twin-turbine helicopters should be used.

  5. Comparison of helicopter and ground emergency medical service: a retrospective analysis of a German rescue helicopter base.

    PubMed

    Mommsen, Philipp; Bradt, Nikolas; Zeckey, Christian; Andruszkow, Hagen; Petri, Max; Frink, Michael; Hildebrand, Frank; Krettek, Christian; Probst, Christian

    2012-01-01

    In consideration of rising cost pressure in the German health care system, the usefulness of helicopter emergency medical service (HEMS) in terms of time- and cost-effectiveness is controversially discussed. The aim of the present study was to investigate whether HEMS is associated with significantly decreased arrival and transportation times compared to ground EMS. In a retrospective study, we evaluated 1,548 primary emergency missions for time sensitive diagnoses (multiple trauma, traumatic brain and burn injury, heart-attack, stroke, and pediatric emergency) performed by a German HEMS using the medical database, NADIN, of the German Air Rescue Service. Arrival and transportation times were compared to calculated ground EMS times. HEMS showed significantly reduced arrival times at the scene in case of heart-attack, stroke and pediatric emergencies. In contrast, HEMS and ground EMS showed comparable arrival times in patients with multiple trauma, traumatic brain and burn injury due to an increased flight distance. HEMS showed a significantly decreased transportation time to the closest centre capable of specialist care in all diagnosis groups (p<0.001). The results of the present study indicate the time-effectiveness of German air ambulance services with significantly decreased transportation times.

  6. Outcome, transport times, and costs of patients evacuated by helicopter versus fixed-wing aircraft.

    PubMed Central

    Thomas, F.; Wisham, J.; Clemmer, T. P.; Orme, J. F.; Larsen, K. G.

    1990-01-01

    We determined the differences in transport times and costs for patients transported by fixed-wing aircraft versus helicopter at ranges of 101 to 150 radial miles, where fixed-wing and helicopter in-hospital transports commonly overlap. Statistical analysis failed to show a significant difference between the trauma-care patients transported by helicopter (n = 109) and those transported by fixed-wing (n = 86) for age, injury severity score, hospital length of stay, hospital mortality, or discharge disability score. The times in returning patients to the receiving hospital by helicopter (n = 104) versus fixed-wing (n = 509) did not differ significantly. Helicopter transport costs per mile ($24), however, were 400% higher than those of fixed-wing aircraft with its associated ground ambulance transport costs ($6). Thus, helicopter transport is economically unjustified for interhospital transports exceeding 100 radial miles when an efficient fixed-wing service exists. PMID:2389575

  7. Bi-objective approach for placing ground and air ambulance base and helipad locations in order to optimize EMS response.

    PubMed

    Shahriari, Milad; Bozorgi-Amiri, Ali; Tavakoli, Shayan; Yousefi-Babadi, Abolghasem

    2017-12-01

    Shortening the travel time of patient transfer has clinical implications for many conditions such as cardiac arrest, trauma, stroke and STEMI. As resources are often limited precise calculations are needed. In this paper we consider the location problem for both ground and aerial emergency medical services. Given the uncertainty of when patients are in need of prompt medical attention we consider these demand points to be uncertain. We consider various ways in which ground and helicopter ambulances can work together to make the whole process go faster. We develop a mathematical model that minimizes travel time and maximizes service level. We use a compromising programming method to solve this bi-objective mathematical model. For numerical experiments we apply our model to a case study in Lorestan, Iran, using geographical and population data, and the location of the actual hospital based in the capital of the province. Results show that low-accessibility locations are the main focus of the proposed problem and with mathematical modeling access to a hospital is vastly improved. We also found out that once the budget reaches a certain point which suffices for building certain ambulance bases more investments does not necessarily result in less travel time. Copyright © 2017 Elsevier Inc. All rights reserved.

  8. [New possibilities in emergency medical transportation and emergency services of Polish Medical Air Rescue].

    PubMed

    Gałazkowski, Robert

    2010-01-01

    In Poland, two types of medical services are accomplished by the Medical Air Rescue (MAR) operating all over the country: emergency transport from the incident scene to hospital and inter-hospital transport. Helicopters or planes are used for this purpose. In 2009, helicopters performed 4359 flights to incidents and 1537 inter-hospital transports whereas planes performed 589 inter-hospital ambulance and 196 rescue flights. MAR operates from 17 bases of the Helicopter Emergency Medical Service (HEMS) and one airbase. Helicopters are mainly used when medical transport is emergent, within the operational region of a given base whereas planes when the distance between the present and target airports exceeds 250 km. In 2008, new modern aircraft were introduced to HEMS-helicopters EC 135. They fulfil all requirements of air transport regulations and are adjusted to visual (VFR) and instrumental (IFR) flights rules, at day and night. The medical cabin of EC 135 is ergonomic and functional considering the majority of rescue activities under life-saving circumstances. It is equipped with ventilator, defibrillator, infusion pumps etc. Defibrillators have 12-lead ECG, E(T)CO2, SpO2, NIBP, and IBP modules. Transport ventilators can work in a variety of ventilation modes including CMV, SIMV, SVV, BILEVEL, PCV, ASB, PPV and CPAP. The purchase of helicopters with modern avionic and medical configuration ensures high quality services of MAR for many years to come.

  9. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline must...

  10. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline must...

  11. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline must...

  12. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Helicopter floats for over water. 136.11... TOURS AND NATIONAL PARKS AIR TOUR MANAGEMENT National Air Tour Safety Standards § 136.11 Helicopter floats for over water. (a) A helicopter used in commercial air tours over water beyond the shoreline must...

  13. Enhanced care team response to incidents involving major trauma at night: are helicopters the answer?

    PubMed

    McQueen, Carl; Nutbeam, Tim; Crombie, Nick; Lecky, Fiona; Lawrence, Thomas; Hathaway, Karen; Wheaton, Steve

    2015-07-01

    Challenges exist in how to deliver enhanced care to patients suffering severe injury in geographically remote areas within regionalised trauma networks at night. The physician led Enhanced Care Teams (ECTs) in the West Midlands region of England do not currently utilise helicopters to respond to incidents at night. This study describes this remote trauma workload at night within the regional network in terms of incident location; injury profile and patient care needs and discusses various solutions to the delivery of ECTs to such incidents, including the need for helicopter based platforms. We present a retrospective analysis of incidents involving Major Trauma occurring in the West Midlands Regional Trauma Network in England over a one year period (1st April 2012 until the 31st March 2013). Anonymised patient records from the Trauma Audit and Research Network (TARN) for patients that had been conveyed to hospital by ambulance/air ambulance were cross-referenced with the West Midlands Ambulance Service NHS Foundation Trust (WMAS) Computer Assisted Dispatch (CAD) archive for the same period. Data were abstracted from the combined dataset relating to injury severity (ISS/ICU admission/death at scene or as inpatient); ECT resource activations/scene attendances; incident location and the need for enhanced level care. A total of 603 incidents involving Major Trauma were identified during night time hours. Enhanced Care Team resources attended scene in 167 cases (27.7%). Of the incidents not attended by an ECT 179 (41.1%) were due to falls and 91 (20.9%) involved a 'Road Traffic Collision'. A total of 36 incidents (6.0% of total at night) occurred in locations identified as being greater than 45min by road from the nearest major trauma centre. In these cases 13 patients had enhanced care needs that could not be addressed at scene by the attending ambulance service personnel. There is limited evidence to support the need for night HEMS operations in the West Midlands

  14. Hourly associations between heat and ambulance calls.

    PubMed

    Guo, Yuming

    2017-01-01

    The response speed of ambulance calls is very crucial to rescue patients suffering immediately life threatening conditions. The serious health outcomes might be caused by exposing to extreme heat only several hours before. However, limited evidence is available on this topic. This study aims to examine the hourly association between heat and ambulance calls, to improve the ambulance services and to better protect health. Hourly data on ambulance calls for non-accidental causes, temperature and air pollutants (PM 10 , NO 2 , and O 3 ) were collected from Brisbane, Australia, during 2001 and 2007. A time-stratified case-crossover design was used to examine the associations between hourly ambulance calls and temperature during warm season (Nov, Dec, Jan, Feb, and Mar), while adjusting for potential confounders. Stratified analyses were performed for sex and age groups. Ambulance calls peaked at 10am for all groups, except those aged <15 years at 19pm, while temperature was hottest at 13pm. The hourly heat-ambulance calls relationships were non-linear for all groups, with thresholds between 27 °C and 31 °C. The associations appeared immediately, and lasted for about 24 h. There were no significant modification effect by sex and age. The findings suggest that hot hourly temperatures (>27 °C) increase the demands of ambulance. This information is helpful to increase the efficiency of ambulance service then save lives, for example, preparing more ambulance before appearance of extremely hot temperature in combination with weather forecast. Also, people should better arrange their time for outdoor activities to avoid exposing to extreme hot temperatures. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. A piloted simulation of helicopter air combat to investigate effects of variations in selected performance and control response characteristics

    NASA Technical Reports Server (NTRS)

    Lewis, Michael S.; Mansur, M. Hossein; Chen, Robert T. N.

    1987-01-01

    A piloted simulation study investigating handling qualities and flight characteristics required for helicopter air to air combat is presented. The Helicopter Air Combat system was used to investigate this role for Army rotorcraft. Experimental variables were the maneuver envelope size (load factor and sideslip), directional axis handling qualities, and pitch and roll control-response type. Over 450 simulated, low altitude, one-on-one engagements were conducted. Results from the experiment indicate that a well damped directional response, low sideforce caused by sideslip, and some effective dihedral are all desirable for weapon system performance, good handling qualities, and low pilot workload. An angular rate command system was favored over the attitude type pitch and roll response for most applications, and an enhanced maneuver envelope size over that of current generation aircraft was found to be advantageous. Pilot technique, background, and experience are additional factors which had a significant effect on performance in the air combat tasks investigated. The implication of these results on design requirements for future helicopters is presented.

  16. Postoperative ambulation in thoracic surgery patients: standard versus modern ambulation methods.

    PubMed

    Nesbitt, Jonathan C; Deppen, Stephen; Corcoran, Richard; Cogdill, Shari; Huckabay, Sarah; McKnight, Drew; Osborne, Breanne F; Werking, Kristin; Gardner, Megan; Perrigo, Laurel

    2012-01-01

    A single-subject study of two methods of postoperative ambulation of patients recovering from thoracic surgery. During the postoperative setting, patients are often burdened by their condition that reduces their ability to ambulate. This problem is compounded by the addition of devices that make walking more cumbersome. To simplify the process of ambulation during the postoperative period, an intravenous pole/walker (IVPW) was specifically designed to allow all patient devices and attachments to accompany the patient during ambulation, without the need for supplemental caregiver assistance. The IVPW method of ambulation was compared with standard method of ambulation (SMA) in a single-subject clinical trial. Thirty-nine consecutive thoracic surgery patients with at least an IV and chest tube were ambulated using alternatively either the IVPW or the SMA. Immediately following the ambulation periods, the patient and patient's health care worker assessed both methods using satisfaction surveys consisting of several questions about the episodes of ambulation and the number of health care workers needed to assist during ambulation. Patient satisfaction was significantly higher in the ability of the IVPW to provide support and assist in ambulation in comparison with the SMA (p < 0·001). Nurses felt the IVPW both facilitated and provided a safer method for ambulation compared with the SMA (p < 0·001). On average, one less employee was required during ambulation with the IVPW (p < 0·001). The IVPW provided better support and was perceived as a safer method for ambulation compared with the SMA. The IVPW also required one less person to assist with ambulation. Facilitation of ambulation in the postoperative setting can impact nursing care and patient satisfaction. © 2012 The Authors. Nursing in Critical Care © 2012 British Association of Critical Care Nurses.

  17. The Integration of all Fleet Air Arm Helicopters into Joint Helicopter Command

    DTIC Science & Technology

    2008-04-04

    Defence Comptroller and Auditor General, Helicopter Logistics HC 840 Session 2001 – 2002, 23 May 2002, 1. 4 The Army currently operate Apache AH1...and Auditor report into MOD 5 Major General Gary Coward discussion with Jane’s correspondent, Tim...janes.com.ezproxy6.ndu.edu, 1. 6 Ministry of Defence Comptroller and Auditor General: Battlefield Helicopters HC 486 Session 2003 – 2004, 7 April 2004

  18. Preliminary study of the pilot's workload during emergency procedures in helicopters air operations.

    PubMed

    Bezerra, Flávio G V; Ribeiro, Selma L O

    2012-01-01

    Military air operations and law enforcement operations in helicopters are examples of activities that require high performance of the operator. This article aimed at presenting a preliminary analysis of data obtained in the initial study in order to validate the instruments and the research protocol that focuses on the analysis of the workload imposed on helicopter pilots in emergency situations. The research was conducted in an environment of real flight training and used the NASA-TLX Scale to assess the workload and an interview guide to obtain reports on the main tasks performed. Preliminary data obtained is related to the participation of 10 (ten) volunteer pilots with experience in different types of helicopters. Four scenarios involving helicopter emergency procedures of HB-350 "Squirrel" were outlined. For this article, the analysis used only the data regarding the Physical and Mental Demands of the NASA-TLX Scale. Preliminarily, the results indicate that the "time pressure" as a factor contributing to increase mental requirement in emergency situations in flight, and that this increase was reflected in the request of mental processes such as: identification of the breakdown, attention and monitoring parameters. Future steps include extending the sample and adding physiological tools to better understand the effects of these types of emergencies on pilot performance and flight safety.

  19. Impact of helicopter transport and hospital level on mortality of polytrauma patients.

    PubMed

    Biewener, Achim; Aschenbrenner, Ulf; Rammelt, Stefan; Grass, René; Zwipp, Hans

    2004-01-01

    Despite numerous studies analyzing this topic, specific advantages of helicopter transport of blunt polytrauma patients as compared with ground ambulances have not yet been identified unequivocally. Four possible pathways in 403 polytrauma patients (Injury Severity Score [ISS] > 16) who were in reach of the helicopter emergency medical service (HEMS) Dresden were analyzed as follows: HEMS-UNI group (n = 140), transfer by HEMS into a university hospital; AMB-REG group (n = 102), transfer by ground ambulance into a regional (Level II or III) hospital; AMB-UNI group (n = 70), transfer by ground ambulance into the university hospital; and INTER group (n = 91), transfer by ground ambulance into a regional hospital, followed by transfer to the university hospital. Scores used were the ISS and the TRISS. Tests used for statistical analysis included chi2 and Fisher's tests. Statistical significance was set at p > 0.05. Age, gender, and mean ISS (range, 33.3-35.6) revealed extensive homogeneity of the groups. Mortality of the AMB-REG group was almost doubled (41.2%) compared with HEMS-UNI (22.1%) patients (p = 0.002). The AMB-UNI group displayed the lowest mortality (15.7%, p = not significant). TRISS analysis (PRE-Chart) revealed identical outcome for AMB-UNI and HEMS-UNI patients. Rescue time averaged 90 +/- 29 minutes for HEMS-UNI patients, 68 +/- 25 minutes for AMB-UNI patients, and 69 +/- 26 minutes for the AMB-REG group. Primary transfer by HEMS into a Level I trauma center reduces mortality markedly. In principle, this benefit can be attributed to superior preclinical therapy, primary admission to a Level I trauma center, or both. However, the identical probability of survival of the AMB-UNI and HEMS-UNI groups in this and comparable studies does not confirm generally better survival rates on account of a more aggressive on-site approach.

  20. Trauma operating room in conjunction with an air ambulance system: indications, interventions, and outcomes.

    PubMed

    Law, D K; Law, J K; Brennan, R; Cleveland, H C

    1982-09-01

    We report a retrospective study of 198 trauma patients brought directly to a trauma operating room by an air ambulance system. Despite rapid transport, expert prehospital resuscitation, and the capability of early surgical intervention, the overall mortality was high (57%). There was no significant salvage of patients arriving without pulse, blood pressure or cardiac activity. Optimal trauma care failed to show encouraging results in this preselected group of patients with predominantly blunt and multisystem injury. The justification and cost effectiveness of this system of trauma care is discussed.

  1. Helicopter Operations and Personnel Safety (Helirescue Manual). Fourth Edition.

    ERIC Educational Resources Information Center

    Dalle-Molle, John

    The illustrated manual includes information on various aspects of helicopter rescue missions, including mission management roles for key personnel, safety rules around helicopters, requests for helicopter support, sample military air support forms, selection of landing zones, helicopter evacuations, rescuer delivery, passenger unloading, crash…

  2. The role of physician staffing of helicopter emergency medical services in prehospital trauma response.

    PubMed

    Garner, Alan A

    2004-08-01

    The crewing of Helicopter Emergency Medical Service (HEMS) for scene response to trauma patients is generally considered to be controversial, particularly regarding the role of physicians. This is reflected in HEMS in Australia with some services utilizing physician crewing for all prehospital missions. Others however, use physicians for selected missions only whilst others do not use physicians at all. This review seeks to determine whether the literature supports using physicians in addition to paramedics in HEMS teams for prehospital trauma care. Studies were excluded if they compared physician teams with basic life support teams (BLS) teams rather than paramedics. Ambulance officers were considered to be paramedics where they were able to administer intravenous fluids and use a method of airway management beyond bag-valve-mask ventilation. Studies were excluded if the skill set of the ambulance team was not defined, the level of staffing of the helicopter service was not stated, team composition varied without reporting outcomes for each team type, patient outcome data were not reported, or the majority of the transports were interhospital rather than prehospital transports.

  3. [Ambulance in emergency medicine].

    PubMed

    Aksoy, Fikret; Ergun, Alper

    2002-07-01

    The ambulance service is very important in emergency medicine. The aim of this study was to investigate the new governing statuate of private ambulance service and to propose some new ideas. We examinated the new governing statuate of private ambulance service, rules of patient transporte between the hospitals and reports written by SSK Goztepe Educational Hospital ambulance drivers. We concluded that SSK Goztepe Educational Hospital ambulance drivers have a iot of problems especially at the rules of patient transport between the hospitals and there are some defiencies at the new governing statuate of private ambulance service. We concluded that it is necesssary to manage all the ambulance services in one center; all the private ambulance services have to have a specialist and all these must be determinated by the special rules. Key words: Regulation ofprivate ambulance, emergency head maintanence, ambulance services

  4. A model for active control of helicopter air resonance in hover and forward flight

    NASA Technical Reports Server (NTRS)

    Takahashi, M. D.; Friedmann, P. P.

    1988-01-01

    A coupled rotor/fuselage helicopter analysis is presented. The accuracy of the model is verified by comparing it with the experimental data. The sensitivity of the open loop damping of the unstable air resonance mode to such modeling effects as blade torsional flexibility, unsteady aerodynamics, forward flight, periodic terms, and trim solution is illustrated by numerous examples. Subsequently, the model is used in conjunction with linear optimal control theory to stabilize the air resonance mode. The influence of the modeling effects mentioned before on active air resonance control is then investigated.

  5. The role of the payment vehicle in non-market valuations of a health care service: willingness-to-pay for an ambulance helicopter service.

    PubMed

    Gyrd-Hansen, Dorte

    2016-01-01

    This study analyses the role of the payment vehicle when conducting non-market valuations of health care services using stated preference methods. Based on a contingent valuation study conducted in Denmark encompassing more than 3400 respondents three important conclusions are drawn. Firstly, it is found that the valuation of a publicly financed ambulance helicopter service is higher than for an identical privately financed service. Secondly, the results suggest that the public premium is likely to be partly driven by altruistic preferences, and that some citizens value access to this type of service for all. An important driver is also perceptions of quality of services across the private and public sector. Finally, it is shown that exclusion of protest bidders is problematic and may bias welfare estimates. The take home message is that it is difficult to isolate the value of a good per se, and that analysts should take care in applying the payment vehicle that is likely to be applied in real life when valuing non-market goods. There has been little awareness of the importance of choice of payment vehicle in the literature to date.

  6. Thrombolysis in the air. Air-ambulance paramedics flying to remote communities treat patients before hospitalization.

    PubMed Central

    Kapasi, H.; Kelly, L.; Morgan, J.

    2000-01-01

    PROBLEM ADDRESSED: First Nations* communities in the North have a high prevalence of coronary artery disease and type 2 diabetes and face an increasing incidence of myocardial infarction (MI). Many conditions delay timely administration of thrombolysis, including long times between when patients first experience symptoms and when they present to community nursing stations, delays in air transfers to treating hospitals, uncertainty about when planes are available, and poor flying conditions. OBJECTIVE OF PROGRAM: To develop a program for administration of thrombolysis on the way to hospital by air ambulance paramedics flying to remote communities to provide more rapid thrombolytic therapy to northern patients experiencing acute MIs. COMPONENTS OF PROGRAM: Critical care flight paramedics fly to northern communities from Sioux Lookout, Ont; assess patients; communicate with base hospital physicians; review an exclusion criteria checklist; and administer thrombolytics according to the Sioux Lookout District Health Centre/Base Hospital Policy and Procedure Manual. Patients are then flown to hospitals in Sioux Lookout; Winnipeg, Man; or Thunder Bay, Ont. CONCLUSION: This thrombolysis program is being pilot tested, and further evaluation and development is anticipated. Images p1316-a p1317-a p1317-b PMID:10907571

  7. The energy expenditure of helicopter pilots.

    PubMed

    Thornton, R; Brown, G A; Higenbottam, C

    1984-08-01

    The energy expenditure of Army Air Corps and Royal Air Force pilots has been measured during flight in Gazelle and Puma helicopters respectively. Heart rates were also recorded. The results were compared with resting values obtained in the crewroom before flight, and confirmed the findings of other authors that the energy cost of flying helicopters in level flight is about 50% higher than that of sitting at rest.

  8. The impact of fatigue on the non-technical skills performance of critical care air ambulance clinicians.

    PubMed

    Myers, J A; Powell, D M C; Aldington, S; Sim, D; Psirides, A; Hathaway, K; Haney, M F

    2017-11-01

    The relationship between fatigue-related risk and impaired clinical performance is not entirely clear. Non-technical factors represent an important component of clinical performance and may be sensitive to the effects of fatigue. The hypothesis was that the sum score of overall non-technical performance is degraded by fatigue. Nineteen physicians undertook two different simulated air ambulance missions, once when rested, and once when fatigued (randomised crossover design). Trained assessors blinded to participants' fatigue status performed detailed structured assessments based on expected behaviours in four non-technical skills domains: teamwork, situational awareness, task management, and decision making. Participants also provided self-ratings of their performance. The primary endpoint was the sum score of overall non-technical performance. The main finding, the overall non-technical skills performance rating of the clinicians, was better in rested than fatigued states (mean difference with 95% CI, 2.8 [2.2-3.4]). The findings remained consistent across individual non-technical skills domains; also when controlling for an order effect and examining the impact of a number of possible covariates. There was no difference in self-ratings of clinical performance between rested and fatigued states. Non-technical performance of critical care air transfer clinicians is degraded when they are fatigued. Fatigued clinicians may fail to recognise the degree to which their performance is compromised. These findings represent risk to clinical care quality and patient safety in the dynamic and isolated environment of air ambulance transfer. © 2017 The Acta Anaesthesiologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  9. Calculating Flow Through A Helicopter Rotor

    NASA Technical Reports Server (NTRS)

    Kunz, Donald L.; Hodges, Dewey H.

    1991-01-01

    New method for calculating flow of air through and around helicopter rotor incorporated into General Rotorcraft Aeromechanical Stability Program (GRASP) (computer program for aeroelastic analysis). Flow about helicopter rotor represented by axisymmetric flow field in cylindrical region with actuator disk as source of flow.

  10. Mortality following helicopter versus ground transport of injured children.

    PubMed

    Polites, Stephanie F; Zielinski, Martin D; Fahy, Aodhnait S; Wagie, Amy E; Moir, Christopher R; Jenkins, Donald H; Zietlow, Scott P; Habermann, Elizabeth B

    2017-05-01

    Injured children may be transported to trauma centers by helicopter air ambulance (HAA); however, a benefit in outcomes to this expensive resource has not been consistently shown in the literature and there is concern that HAA is over-utilized. A study that adequately controls for selection biases in transport mode is needed to determine which injured children benefit from HAA. The purpose of this study was to determine if HAA impacts mortality differently in minimally and severely injured children and if there are predictors of over-triage of HAA in children that can be identified. Children ≤18 years of age transported by HAA or ground ambulance (GA) from scene to a trauma center were identified from the 2010-2011 National Trauma Data Bank. Analysis was stratified by Injury Severity Score (ISS) into low ISS (≤15) and high ISS (>15) groups. Following propensity score matching of HAA to GA patients, conditional multivariable logistic regression was performed to determine if transport mode independently impacted mortality in each stratum. Rates and predictors of over-triage of HAA were also determined. Transport by HAA occurred in 8218 children (5574 low ISS, 2644 high ISS) and by GA in 35305 (30506 low ISS, 4799 high ISS). Overall mortality was greater in HAA patients (4.0 vs 1.4%, p<0.001). After propensity score matching, mortality was equivalent between HAA and GA for low ISS patients (0.2 vs 0.2%, p=0.82) but, for high ISS patients, mortality was lower in HAA (9.0 vs 11.1% p=0.014). On multivariable analysis, HAA was associated with decreased mortality in high ISS patients (OR=0.66, p=0.017) but not in low ISS patients (OR=1.13, p=0.73). Discharge within 24h of HAA transport occurred in 36.5% of low ISS patients versus 7.4% high ISS patients (p<0.001). Based on a national cohort adjusted for nonrandom assignment of transport mode, a survival benefit to HAA transport exists only for severely injured children with ISS >15. Many children with minor injuries are

  11. Active control of helicopter air resonance in hover and forward flight

    NASA Technical Reports Server (NTRS)

    Takahashi, M. D.; Friedman, P. P.

    1988-01-01

    A coupled rotor/fuselage helicopter analysis is presented. The accuracy of the model is illustrated by comparing it with experimental data. The sensitivity of the open loop damping of the unstable resonance mode to such modeling effects as blade torsional flexibility, unsteady aerodynamics, forward flight, periodic terms, and trim solution is illustrated by numerous examples. Subsequently, the model is used in conjunction with linear optimal control theory to stabilize the air resonance mode. The influence of the modeling effects mentioned before on active resonance control is then investigated.

  12. A piloted simulation investigation of yaw dynamics requirements for turreted gun use in low-level helicopter air combat

    NASA Technical Reports Server (NTRS)

    Decker, William A.; Morris, Patrick M.; Williams, Jeffrey N.

    1988-01-01

    A piloted, fixed-base simulation study was conducted to investigate the handling qualities requirements for helicopter air-to-air combat using turreted guns in the near-terrain environment. The study used a version of the helicopter air combat system developed at NASA Ames Research Center for one-on-one air combat. The study focused on the potential trade-off between gun angular movement capability and required yaw axis response. Experimental variables included yaw axis response frequency and damping and the size of the gun-movement envelope. A helmet position and sighting system was used for pilot control of gun aim. Approximately 340 simulated air combat engagements were evaluated by pilots from the Army and industry. Results from the experiment indicate that a highly-damped, high frequency yaw response was desired for Level I handling qualities. Pilot preference for those characteristics became more pronounced as gun turret movement was restricted; however, a stable, slow-reacting platform could be used with a large turret envelope. Most pilots preferred to engage with the opponent near the own-ship centerline. Turret elevation restriction affected the engagement more than azimuth restrictions.

  13. Hemodynamics during an ambulance flight.

    PubMed

    Ehlers, Ulrike Elisabeth; Seiler, Olivier

    2012-01-01

    Transportation of patients may present challenges, especially if they need intensive care, require mechanical ventilation, or are hemodynamically unstable. In the reported case study, Picco-based measurements were used to track hemodynamic changes in a patient throughout the duration of a transfer, which included an air ambulance transport. If air medical transport is indicated, several additional physical and chemical considerations require awareness during the trip, planning, and pretransport patient preparation: first, that decreasing atmospheric pressure leads to reduced blood oxygenation, and second, that intracorporeal volume shifts may occur during takeoff and landing. To our knowledge, our findings represent the first measurements with a Picco system during interhospital patient transport that included an air medical flight. Copyright © 2012 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  14. 14 CFR 136.13 - Helicopter performance plan and operations.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Helicopter performance plan and operations... Helicopter performance plan and operations. (a) Each operator must complete a performance plan before each helicopter commercial air tour, or flight operated under 14 CFR 91.146 or 91.147. The pilot in command must...

  15. 14 CFR 136.13 - Helicopter performance plan and operations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Helicopter performance plan and operations... Helicopter performance plan and operations. (a) Each operator must complete a performance plan before each helicopter commercial air tour, or flight operated under 14 CFR 91.146 or 91.147. The pilot in command must...

  16. 14 CFR 136.13 - Helicopter performance plan and operations.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Helicopter performance plan and operations... Helicopter performance plan and operations. (a) Each operator must complete a performance plan before each helicopter commercial air tour, or flight operated under 14 CFR 91.146 or 91.147. The pilot in command must...

  17. An evaluation of the Royal Air Force helicopter search and rescue services in Britain with reference to Royal Air Force Valley 1980-1989.

    PubMed Central

    Liskiewicz, W J

    1992-01-01

    The Royal Air Force (RAF) operates a helicopter Search and Rescue (SAR) service in the United Kingdom and territorial waters; it also provides a similar service in several locations abroad. A 10-year retrospective study of the SAR helicopter service operating from the RAF base at Valley on the island of Anglesey in North Wales is presented, with national SAR statistics over a similar period provided for comparison. Analysis of records kept by SAR aircrew at RAF Valley shows that their assistance had been requested on 1490 occasions during the 10-year period studied; most of these requests were the result of incidents involving holidaymakers, particularly in the mountains or along the coast. The results illustrate the versatility and life-saving potential of a highly skilled and motivated service able to work in adverse weather and dangerous locations. In the light of current debate, the value of aeromedical evacuation of seriously ill patients using helicopters is discussed. PMID:1494160

  18. Maryland's Helicopter Emergency Medical Services Experience From 2001 to 2011: System Improvements and Patients' Outcomes.

    PubMed

    Hirshon, Jon Mark; Galvagno, Samuel M; Comer, Angela; Millin, Michael G; Floccare, Douglas J; Alcorta, Richard L; Lawner, Benjamin J; Margolis, Asa M; Nable, Jose V; Bass, Robert R

    2016-03-01

    Helicopter emergency medical services (EMS) has become a well-established component of modern trauma systems. It is an expensive, limited resource with potential safety concerns. Helicopter EMS activation criteria intended to increase efficiency and reduce inappropriate use remain elusive and difficult to measure. This study evaluates the effect of statewide field trauma triage changes on helicopter EMS use and patient outcomes. Data were extracted from the helicopter EMS computer-aided dispatch database for in-state scene flights and from the state Trauma Registry for all trauma patients directly admitted from the scene or transferred to trauma centers from July 1, 2000, to June 30, 2011. Computer-aided dispatch flights were analyzed for periods corresponding to field triage protocol modifications intended to improve system efficiency. Outcomes were separately analyzed for trauma registry patients by mode of transport. The helicopter EMS computer-aided dispatch data set included 44,073 transports. There was a statewide decrease in helicopter EMS usage for trauma patients of 55.9%, differentially affecting counties closer to trauma centers. The Trauma Registry data set included 182,809 patients (37,407 helicopter transports, 128,129 ambulance transports, and 17,273 transfers). There was an increase of 21% in overall annual EMS scene trauma patients transported; ground transports increased by 33%, whereas helicopter EMS transports decreased by 49%. Helicopter EMS patient acuity increased, with an attendant increase in patient mortality. However, when standardized with W statistics, both helicopter EMS- and ground-transported trauma patients showed sustained improvement in mortality. Modifications to state protocols were associated with decreased helicopter EMS use and overall improved trauma patient outcomes. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

  19. Factors influencing the successful integration of ambulance volunteers and first responders into ambulance services.

    PubMed

    O'Meara, Peter; Tourle, Vianne; Rae, John

    2012-09-01

    This study identifies the factors associated with the successful integration of ambulance volunteers and first responders into major ambulance services in Australia and New Zealand and then proposes a model of volunteer management for ambulance services. All ten members of the Australasian Council of Ambulance Authorities completed a questionnaire describing their volunteer and first-responder staff, their numbers and deployment, and the management and integration of volunteers within their respective organisations. Eight senior managers responsible for ambulance volunteers and first responders from six States of Australia and one region of New Zealand subsequently participated in semistructured interviews. Analysis of interview transcripts and publicly available data revealed facilitative factors associated with strong, vibrant ambulance volunteer systems. These facilitative factors are commitment to volunteer models of service delivery; a degree of management decentralisation and volunteer input into decision-making; commitment of resources towards the volunteer model; and the organisational integration of volunteers into the ambulance service. The proposed facilitative model of volunteer management developed aims to encourage the adoption of positive and innovative strategies to improve the integration of ambulance volunteers and first responders in ambulance services. The model consists of four components: leadership; integrative processes; resource commitment; and relative autonomy. The first three of these relate directly to the organisation, while the fourth concerns the volunteers themselves. If these approaches were replicated more widely, a viable and effective volunteer emergency health response system could be established in those areas where it is uneconomic or impractical to provide a salaried ambulance service staffed with professionally qualified paramedics. © 2012 Blackwell Publishing Ltd.

  20. A NASA helicopter arrives at KSC for painting

    NASA Technical Reports Server (NTRS)

    2000-01-01

    A NASA helicopter lands on S.R. 3 for transfer to Patrick Air Force Base. It is one of four UH-1H helicopters that will have its blades painted, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  1. 78 FR 31863 - Airworthiness Directives; Sikorsky Aircraft Corporation-Manufactured (Sikorsky) Model Helicopters...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-28

    ... Corporation- Manufactured (Sikorsky) Model Helicopters (type certificate currently held by Erickson Air-Crane... Corporation-manufactured Model S-64E helicopters (type certificate currently held by Erickson Air-Crane Incorporated (Erickson)). That AD currently requires inspecting and reworking the main gearbox (MGB) assembly...

  2. Air and ground resonance of helicopters with elastically tailored composite rotor blades

    NASA Technical Reports Server (NTRS)

    Smith, Edward C.; Chopra, Inderjit

    1993-01-01

    The aeromechanical stability, including air resonance in hover, air resonance in forward flight, and ground resonance, of a helicopter with elastically tailored composite rotor blades is investigated. Five soft-inplane hingeless rotor configurations, featuring elastic pitch-lag, pitch-flap and extension-torsion couplings, are analyzed. Elastic couplings introduced through tailored composite blade spars can have a powerful effect on both air and ground resonance behavior. Elastic pitch-flap couplings (positive and negative) strongly affect body, rotor and dynamic inflow modes. Air resonance stability is diminished by elastic pitch-flap couplings in hover and forwrad flight. Negative pitch-lag elastic coupling has a stabilizing effect on the regressive lag mode in hover and forward flight. The negative pitch-lag coupling has a detrimental effect on ground resonance stability. Extension-torsion elastic coupling (blade pitch decreases due to tension) decreases regressive lag mode stability in both airborne and ground contact conditions. Increasing thrust levels has a beneficial influence on ground resonance stability for rotors with pitch-flap and extension-torsion coupling and is only marginally effective in improving stability of rotors with pitch-lag coupling.

  3. Patients' experiences of cold exposure during ambulance care.

    PubMed

    Aléx, Jonas; Karlsson, Stig; Saveman, Britt-Inger

    2013-06-06

    Exposure to cold temperatures is often a neglected problem in prehospital care. Cold exposure increase thermal discomfort and, if untreated causes disturbances of vital body functions until ultimately reaching hypothermia. It may also impair cognitive function, increase pain and contribute to fear and an overall sense of dissatisfaction. The aim of this study was to investigate injured and ill patients' experiences of cold exposure and to identify related factors. During January to March 2011, 62 consecutively selected patients were observed when they were cared for by ambulance nursing staff in prehospital care in the north of Sweden. The field study was based on observations, questions about thermal discomfort and temperature measurements (mattress air and patients' finger temperature). Based on the observation protocol the participants were divided into two groups, one group that stated it was cold in the patient compartment in the ambulance and another group that did not. Continuous variables were analyzed with independent sample t-test, paired sample t-test and dichotomous variables with cross tabulation. In the ambulance 85% of the patients had a finger temperature below comfort zone and 44% experienced the ambient temperature in the patient compartment in the ambulance to be cold. There was a significant decrease in finger temperature from the first measurement indoor compared to measurement in the ambulance. The mattress temperature at the ambulance ranged from -22.3°C to 8.4°C. Cold exposure in winter time is common in prehospital care. Sick and injured patients immediately react to cold exposure with decreasing finger temperature and experience of discomfort from cold. Keeping the patient in the comfort zone is of great importance. Further studies are needed to increase knowledge which can be a base for implications in prehospital care for patients who probably already suffer for other reasons.

  4. Patients’ experiences of cold exposure during ambulance care

    PubMed Central

    2013-01-01

    Background Exposure to cold temperatures is often a neglected problem in prehospital care. Cold exposure increase thermal discomfort and, if untreated causes disturbances of vital body functions until ultimately reaching hypothermia. It may also impair cognitive function, increase pain and contribute to fear and an overall sense of dissatisfaction. The aim of this study was to investigate injured and ill patients’ experiences of cold exposure and to identify related factors. Method During January to March 2011, 62 consecutively selected patients were observed when they were cared for by ambulance nursing staff in prehospital care in the north of Sweden. The field study was based on observations, questions about thermal discomfort and temperature measurements (mattress air and patients’ finger temperature). Based on the observation protocol the participants were divided into two groups, one group that stated it was cold in the patient compartment in the ambulance and another group that did not. Continuous variables were analyzed with independent sample t-test, paired sample t-test and dichotomous variables with cross tabulation. Results In the ambulance 85% of the patients had a finger temperature below comfort zone and 44% experienced the ambient temperature in the patient compartment in the ambulance to be cold. There was a significant decrease in finger temperature from the first measurement indoor compared to measurement in the ambulance. The mattress temperature at the ambulance ranged from −22.3°C to 8.4°C. Conclusion Cold exposure in winter time is common in prehospital care. Sick and injured patients immediately react to cold exposure with decreasing finger temperature and experience of discomfort from cold. Keeping the patient in the comfort zone is of great importance. Further studies are needed to increase knowledge which can be a base for implications in prehospital care for patients who probably already suffer for other reasons. PMID:23742143

  5. ATC simulation of helicopter IFR approaches into major terminal areas using RNAV, MLS, and CDTI

    NASA Technical Reports Server (NTRS)

    Tobias, L.; Lee, H. Q.; Peach, L. L.; Willett, F. M., Jr.; Obrien, P. J.

    1981-01-01

    The introduction of independent helicopter IFR routes at hub airports was investigated in a real time air traffic control system simulation involving a piloted helicopter simulator, computer generated air traffic, and air traffic controllers. The helicopter simulator was equipped to fly area navigation (RNAV) routes and microwave landing system approaches. Problems studied included: (1) pilot acceptance of the approach procedure and tracking accuracy; (2) ATC procedures for handling a mix of helicopter and fixed wing traffic; and (3) utility of the cockpit display of traffic information (CDTI) for the helicopter in the hub airport environment. Results indicate that the helicopter routes were acceptable to the subject pilots and were noninterfering with fixed wing traffic. Merging and spacing maneuvers using CDTI were successfully carried out by the pilots, but controllers had some reservations concerning the acceptability of the CDTI procedures.

  6. A NASA helicopter returns to PAFB after being painted

    NASA Technical Reports Server (NTRS)

    2000-01-01

    At S.R. 3 a NASA helicopter returns to Patrick Air Force Base. The helicopter is one of four UH-1H helicopters that have had its blades painted, changing the previous black color to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  7. A NASA helicopter arrives at KSC for painting

    NASA Technical Reports Server (NTRS)

    2000-01-01

    A NASA helicopter from Patrick Air Force Base is about to land on S.R. 3. It is one of four UH-1H helicopters that will have its blades painted, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  8. Oil-air mist lubrication as an emergency system and as a primary lubrication system. [for helicopter engines

    NASA Technical Reports Server (NTRS)

    Loomis, W. R.

    1976-01-01

    The feasibility of an emergency aspirator once-through lubrication system was demonstrated as a viable survivability concept for Army helicopter mainshaft engine bearings for periods as long as 30 minutes. It was also shown in an experimental study using a 46-mm bore bearing test machine that an oil-air mist once-through system with auxiliary air cooling is an effective primary lubrication system at speeds up to 2,500,000 DN for extended operating periods of at least 50 hours.

  9. NASA helicopter blades get new paint job for safety

    NASA Technical Reports Server (NTRS)

    2000-01-01

    A NASA UH-1H helicopter is prepared for transfer back to Patrick Air Force Base after being painted. The blades of four NASA UH-1H helicopters were repainted, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  10. Universal access to ambulance does not increase overall demand for ambulance services in Queensland, Australia.

    PubMed

    Tippett, Vivienne C; Toloo, Ghasem Sam; Eeles, David; Ting, Joseph Y S; Aitken, Peter J; Fitzgerald, Gerard J

    2013-02-01

    To determine the impact of the introduction of universal access to ambulance services via the implementation of the Community Ambulance Cover (CAC) program in Queensland in 2003-04. The study involved a 10-year (2000-01 to 2009-10) retrospective analysis of routinely collected data reported by the Queensland Ambulance Service (QAS) and by the Council of Ambulance Authorities. The data were analysed for the impact of policy changes that resulted in universal access to ambulance services in Queensland. QAS is a statewide, publically funded ambulance service. In Queensland, ambulance utilisation rate (AUR) per 1000 persons grew by 41% over the decade or 3.9% per annum (10-year mean=149.8, 95% CI: 137.3-162.3). The AUR mean after CAC was significantly higher for urgent incidents than for non-urgent ones. However projection modelling demonstrates that URs after the introduction of CAC were significantly lower than the projected utilisation for the same period. The introduction of universal access under the Community Ambulance Cover program in Queensland has not had any significant independent long-term impact on demand overall. There has been a reduction in the long-term growth rate, which may have been contributed to by an 'appropriate use' public awareness program.

  11. Risk for intracranial pressure increase related to enclosed air in post-craniotomy patients during air ambulance transport: a retrospective cohort study with simulation.

    PubMed

    Brändström, Helge; Sundelin, Anna; Hoseason, Daniela; Sundström, Nina; Birgander, Richard; Johansson, Göran; Winsö, Ola; Koskinen, Lars-Owe; Haney, Michael

    2017-05-12

    Post-craniotomy intracranial air can be present in patients scheduled for air ambulance transport to their home hospital. We aimed to assess risk for in-flight intracranial pressure (ICP) increases related to observed intracranial air volumes, hypothetical sea level pre-transport ICP, and different potential flight levels and cabin pressures. A cohort of consecutive subdural hematoma evacuation patients from one University Medical Centre was assessed with post-operative intracranial air volume measurements by computed tomography. Intracranial pressure changes related to estimated intracranial air volume effects of changing atmospheric pressure (simulating flight and cabin pressure changes up to 8000 ft) were simulated using an established model for intracranial pressure and volume relations. Approximately one third of the cohort had post-operative intracranial air. Of these, approximately one third had intracranial air volumes less than 11 ml. The simulation estimated that the expected changes in intracranial pressure during 'flight' would not result in intracranial hypertension. For intracranial air volumes above 11 ml, the simulation suggested that it was possible that intracranial hypertension could develop 'inflight' related to cabin pressure drop. Depending on the pre-flight intracranial pressure and air volume, this could occur quite early during the assent phase in the flight profile. DISCUSSION: These findings support the idea that there should be radiographic verification of the presence or absence of intracranial air after craniotomy for patients planned for long distance air transport. Very small amounts of air are clinically inconsequential. Otherwise, air transport with maintained ground-level cabin pressure should be a priority for these patients.

  12. The Lancashire telemedicine ambulance.

    PubMed

    Curry, G R; Harrop, N

    1998-01-01

    An emergency ambulance was equipped with three video-cameras and a system for transmitting slow-scan video-pictures through a cellular telephone link to a hospital accident and emergency department. Video-pictures were trasmitted at a resolution of 320 x 240 pixels and a frame rate of 15 pictures/min. In addition, a helmet-mounted camera was used with a wireless transmission link to the ambulance and thence the hospital. Speech was transmitted by a second hand-held cellular telephone. The equipment was installed in 1996-7 and video-recordings of actual ambulance journeys were made in July 1997. The technical feasibility of the telemedicine ambulance has been demonstrated and further clinical assessment is now in progress.

  13. Ambulance snatching: how vulnerable are we?

    PubMed

    Alves, Donald W; Bissell, Richard A

    2003-08-01

    Out of concern that ambulances might be targeted for hijack for terrorism purposes, we observed security-related behaviors of a cross-section of ambulance crews and their vehicles in Emergency Department ambulance bays. We sent observers to a convenience sample of trauma and suburban Emergency Department ambulance entrances in several states. We observed 151 total ambulance arrivals. Overall, the average time present was 21.5 min, 23.2% of units were left with the engine running, 26.5% were left open, 90.1% were left unattended, 84.1% were unlocked, and 16.6% had a non-crew visitor in the ambulance bay. Several issues were identified demonstrating potential "attractiveness" to individuals who may wish to disrupt Emergency Medical Services or steal an emergency vehicle. We are concerned that this is the case at the majority of ambulance bays in our country. Emergency services agencies should take steps to train their personnel to secure the ambulance.

  14. Impact of flying qualities on mission effectiveness for helicopter air combat

    NASA Technical Reports Server (NTRS)

    Harris, T. M.; Beerman, D. A.; Bivens, C. C.

    1984-01-01

    Battlefield nap-of-the-earth (NOE) helicopter operations are vital for a use of the helicopter in a high-threat environment. As the pilot's workload in this flight regime is very high, the helicopter's handling qualities become an important factor. The present investigation is concerned with overall mission effectiveness, flying qualities, and their interaction with other parameters. A description is presented of a study which generated a significant amount of date relating the importance of flying qualities to the ability to perform several specific mission tasks. It was found that flying qualities do have a major impact on the ability to perform a specific mission. The impact of flying qualities on Scout helicopter mission effectiveness is mainly related to the probability of being detected. The flying qualities effect most critical to the Scout mission was found to be precision of hover control.

  15. A NASA helicopter lifts off from KSC after being painted

    NASA Technical Reports Server (NTRS)

    2000-01-01

    At S.R. 3 a NASA helicopter lifts off to return to Patrick Air Force Base. The helicopter is one of four UH-1H helicopters that have had its blades painted, changing the previous black color to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  16. 78 FR 51127 - Airworthiness Directives; Various Restricted Category Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-20

    ... Heavylift Helo, Inc.; Robinson Air Crane, Inc.; Rotorcraft Development Corporation; San Joaquin Helicopters... Rotorcraft, LLC; OAS Parts LLC; Richards Heavylift Helo, Inc.; Robinson Air Crane, Inc.; Rotorcraft...

  17. Impact of canine-assisted ambulation on hospitalized chronic heart failure patients' ambulation outcomes and satisfaction: a pilot study.

    PubMed

    Abate, Samantha V; Zucconi, Michele; Boxer, Bruce Alan

    2011-01-01

    Chronic heart failure (HF) is a prevalent and costly disease process. Early ambulation has been shown to have a positive impact on patient outcomes and length of stay. Animal-assisted therapy is a novel modality that has shown to be a safe and effective adjunct to a number of traditional treatment plans. This study sought to synergistically combine ambulation and animal-assisted therapy by using canine-assisted ambulation (CAA) to improve the ambulation outcomes of HF patients. Sixty-nine hospitalized patients with a primary diagnosis of HF were approached to ambulate with a restorative aide. After recording their initial response, they were given the opportunity to participate in CAA (walking with a therapy dog). Initial ambulation refusal rate was compared with a historical population of 537 HF patients. Distance ambulated was recorded using a pedometer and compared with a randomly selected, 64-patient sample from the historical HF patient population, stratified by day of hospital stay. Patient satisfaction was assessed through a 5-item Likert scale survey. The 537-patient historical HF population had an ambulation refusal rate of 28%. When offered the chance to participate in CAA, only 7.2% of the study population refused ambulation (P = .0002). Of the 69-patient study sample, 13 initially refused ambulation then agreed when offered CAA (P = .0009). Distance ambulated increased from 120.2 steps in a randomly selected, stratified historical sample to 235.07 in the CAA study sample (P < .0001). Patients unanimously agreed that they enjoyed CAA and would like to participate in CAA again. Canine-assisted ambulation is a safe and effective adjunct to an early ambulation program for HF patients. Canine-assisted ambulation may decrease hospital length of stay and thereby decrease the costs of HF care. Additional research involving CAA's application to other disease processes in various settings is warranted.

  18. Orion Launch from Helicopter - Aerials

    NASA Image and Video Library

    2014-12-05

    This helicopter view of the NASA Causeway connecting NASA's Kennedy Space Center with Cape Canaveral Air Force Staton shows the thousands of vehicles parked where guests gather to see the launch of the Orion Flight Test.

  19. The Potential for Helicopter Passenger Service in Major Urban Areas. [cost analysis

    NASA Technical Reports Server (NTRS)

    Dajani, J. S.; Stortstrom, R. G.; Warner, D. B.

    1977-01-01

    An interurban helicopter cost model having the capability of selecting an efficient helicopter network for a given city in terms of service and total operating costs was developed. This model which is based upon the relationship between total and direct operating costs and the number of block hours of helicopter operation is compiled in terms of a computer program which simulates the operation of an intracity helicopter fleet over a given network. When applied to specific urban areas, the model produces results in terms of a break-even air passenger market penetration rate, which is the percent of the air travelers in each of those areas that must patronize the helicopter network to make it break even commercially. A total of twenty major metropolitan areas are analyzed and are ranked initially according to cost per seat mile and then according to break-even penetration rate.

  20. Reduction in STEMI transfer times utilizing a municipal "911" ambulance service.

    PubMed

    Tennyson, Joseph C; Quale, Mark R

    2014-02-01

    The time interval from diagnosis to reperfusion therapy for patients experiencing ST-segment elevation myocardial infarction (STEMI) has a significant impact on morbidity and mortality. It is hypothesized that the time required for interfacility patient transfers from a community hospital to a regional percutaneous coronary intervention (PCI) center using an Advanced Life Support (ALS) transfer ambulance service is no different than utilizing the "911" ALS ambulance. Quality assurance data collected by a tertiary care center cardiac catheterization program were reviewed retrospectively. Data were collected on all patients with STEMI requiring interfacility transfer from a local community hospital to the tertiary care center's PCI suite, approximately 16 miles away by ground, 12 miles by air. In 2009, transfers of patients with STEMI were redirected to the municipal ALS ambulance service, instead of the hospital's contracted ALS transfer service. Data were collected from January 2007 through May 2013. Temporal data were compared between transports initiated through the contracted ALS ambulance service and the municipal ALS service. Data points included time of initial transport request and time of ambulance arrival to the sending facility and the receiving PCI suite. During the 4-year study period, 63 patients diagnosed with STEMI and transferred to the receiving hospital's PCI suite were included in this study. Mean times from the transport request to arrival of the ambulance at the sending hospital's emergency department were six minutes (95% CI, 4-7 minutes) via municipal ALS and 13 minutes (95% CI, 9-16 minutes) for the ALS transfer service. The mean times from the ground transport request to arrival at the receiving hospital's PCI suite when utilizing the municipal ALS ambulance and hospital contracted ALS ambulance services were 48 minutes (95% CI, 33-64 minutes) and 56 minutes (95% CI 52-59 minutes), respectively. This eight-minute period represented a 14% (P

  1. CH-53K Heavy Lift Replacement Helicopter (CH-53K)

    DTIC Science & Technology

    2015-12-01

    Selected Acquisition Report (SAR) RCS: DD-A&T(Q&A)823-390 CH-53K Heavy Lift Replacement Helicopter (CH-53K) As of FY 2017 President’s Budget...December 2015 SAR March 4, 2016 10:04:18 UNCLASSIFIED 4 Col Henry Vanderborght PMA-261 Heavy Lift Helicopters Program Executive Office - Air, Anti...Replacement Helicopter (CH-53K) DoD Component Navy Responsible Office References SAR Baseline (Development Estimate) Defense Acquisition Executive (DAE

  2. Dropping fire retardants by helicopter: tests of three new helitanks

    Treesearch

    James B. Davis

    1963-01-01

    Late model helicopters equipped with new helitanks and adequately supplied can accurately deliver as much fire retardant as most fixed-wing air tankers at a potentially lower cost. Viscous water dropped from helicopters clung to fuel surfaces and was concentrated in a narrower pattern than plain water.

  3. Helicopter pilots' views of air traffic controller responsibilities: a mismatch.

    PubMed

    Martin, Daniel; Nixon, Jim

    2018-02-21

    Controllers and pilots must work together to ensure safe and efficient helicopter flight within the London control zone. Subjective ratings of pilot perception of controller responsibility for five key flight tasks were obtained from thirty helicopter pilots. Three types of airspace were investigated. Results indicate that there is variation in pilot understanding of controller responsibility compared to the formal regulations that define controller responsibility. Significant differences in the perception of controller responsibility were found for the task of aircraft separation in class D airspace and along helicopter routes. Analysis of the patterns of response suggests that task type rather than the airspace type may be the key factor. Results are framed using the concept of a shared mental model. This research demonstrates that pilots flying in complex London airspace have an expectation of controller responsibility for certain flight tasks, in certain airspace types that is not supported by aviation regulation. Practitioner Summary: The responsibility for tasks during flight varies according to the flight rules used and airspace type. Helicopter pilots may attribute responsibility to controllers for tasks when controllers have no responsibility as defined by regulation. This variation between pilot perceptions of controller responsibility could affect safety within the London control zone.

  4. Medical aspects of ambulance design.

    PubMed

    Snook, R

    1972-09-02

    Various observations have shown that the interior layout of many ambulances leaves much to be desired. The lighting levels are inadequate, heat loss could be prevented, vehicle identification and passage through traffic could be improved, and measurable differences exist between the ride characteristics of commercially available ambulances, a prototype purpose-built ambulance, and a private car. Moreover the condition of some patients may be affected by the motion of the vehicle either directly or indirectly. Even though they form a small percentage of the total number carried, they represent a very considerable financial risk. A personally conducted survey of ambulance chief officers showed a deep interest and involvement in the upgrading of the service with a general dissatisfaction with many of the vehicles currently available. Hence there is a market for the purpose-built ambulance, which would benefit the patient and the ambulanceman alike.The inadequacies of many vehicles currently in use as ambulances have been shown to work against the interests of the patient requiring life support treatment, and it is suggested that this warrants urgent attention and action. A more extensive research project involving medical observations on the supine sick and injured, attendant task performance, and instrumentation analysis of linear and angular vehicle motions should enable the harmful effects of ride motion to be identified.None of these investigations, however, will be of any value unless they are used in developing future ambulances. Such development must also parallel an increase in the awareness of the importance of ambulance design and its relation to the increased comfort and chance of survival of the patients carried.

  5. Medical Aspects of Ambulance Design

    PubMed Central

    Snook, Roger

    1972-01-01

    Various observations have shown that the interior layout of many ambulances leaves much to be desired. The lighting levels are inadequate, heat loss could be prevented, vehicle identification and passage through traffic could be improved, and measurable differences exist between the ride characteristics of commercially available ambulances, a prototype purpose-built ambulance, and a private car. Moreover the condition of some patients may be affected by the motion of the vehicle either directly or indirectly. Even though they form a small percentage of the total number carried, they represent a very considerable financial risk. A personally conducted survey of ambulance chief officers showed a deep interest and involvement in the upgrading of the service with a general dissatisfaction with many of the vehicles currently available. Hence there is a market for the purpose-built ambulance, which would benefit the patient and the ambulanceman alike. The inadequacies of many vehicles currently in use as ambulances have been shown to work against the interests of the patient requiring life support treatment, and it is suggested that this warrants urgent attention and action. A more extensive research project involving medical observations on the supine sick and injured, attendant task performance, and instrumentation analysis of linear and angular vehicle motions should enable the harmful effects of ride motion to be identified. None of these investigations, however, will be of any value unless they are used in developing future ambulances. Such development must also parallel an increase in the awareness of the importance of ambulance design and its relation to the increased comfort and chance of survival of the patients carried. ImagesFIG. 2FIG. 4 PMID:5069643

  6. Orion Launch from Helicopter - Aerials

    NASA Image and Video Library

    2014-12-05

    This helicopter view of Space Launch Complex 37 at Cape Canaveral Air Force Station in Florida shows the United Launch Alliance Delta IV Heavy rocket as it stands ready to boost NASA's Orion spacecraft on a 4.5-hour mission.

  7. Tests with an integrated helmet system for the TIGER helicopter

    NASA Astrophysics Data System (ADS)

    Boehm, Hans-Dieter V.; Evers, Carl; Stenner, K.-H.

    1998-08-01

    The TIGER helicopter is under development by the MODs of France and Germany for their armies. The initial German requirement was for anti-tank missions only. This task has been extended to support missions which resulted in an upgrade to the German 'UH-TIGER' variant. German MOD is planning to procure 212 UH-TIGER helicopters armed with TRIGAT-, HOT anti-tank missiles, STINGER air-to-air missiles, 68 mm rockets and a gun pod with a 12.7 mm gun.

  8. Mars Helicopter (Artist's Concept)

    NASA Image and Video Library

    2018-05-25

    This artist concept shows the Mars Helicopter, a small, autonomous rotorcraft, which will travel with NASA's Mars 2020 rover mission, currently scheduled to launch in July 2020, to demonstrate the viability and potential of heavier-than-air vehicles on the Red Planet. https://photojournal.jpl.nasa.gov/catalog/PIA22460

  9. Performance of regional oxygen saturation monitoring by near-infrared spectroscopy (NIRS) in pediatric inter-hospital transports with special reference to air ambulance transports: a methodological study.

    PubMed

    Hamrin, Tova Hannegård; Radell, Peter J; Fläring, Urban; Berner, Jonas; Eksborg, Staffan

    2017-12-28

    The aim of the present study was to evaluate the performance of regional oxygen saturation (rSO 2 ) monitoring with near infrared spectroscopy (NIRS) during pediatric inter-hospital transports and to optimize processing of the electronically stored data. Cerebral (rSO 2 -C) and abdominal (rSO 2 -A) NIRS sensors were used during transport in air ambulance and connecting ground ambulance. Data were electronically stored by the monitor during transport, extracted and analyzed off-line after the transport. After removal of all zero and floor effect values, the Savitzky-Golay algorithm of data smoothing was applied on the NIRS-signal. The second order of smoothing polynomial was used and the optimal number of neighboring points for the smoothing procedure was evaluated. NIRS-data from 38 pediatric patients was examined. Reliability, defined as measurements without values of 0 or 15%, was acceptable during transport (> 90% of all measurements). There were, however, individual patients with < 90% reliable measurements during transport, while no patient was found to have < 90% reliable measurements in hospital. Satisfactory noise reduction of the signal, without distortion of the underlying information, was achieved when 20-50 neighbors ("window-size") were used. The use of NIRS for measuring rSO 2 in clinical studies during pediatric transport in ground and air-ambulance is feasible but hampered by unreliable values and signal interference. By applying the Savitzky-Golay algorithm, the signal-to-noise ratio was improved and enabled better post-hoc signal evaluation.

  10. 3D-LZ helicopter ladar imaging system

    NASA Astrophysics Data System (ADS)

    Savage, James; Harrington, Walter; McKinley, R. Andrew; Burns, H. N.; Braddom, Steven; Szoboszlay, Zoltan

    2010-04-01

    A joint-service team led by the Air Force Research Laboratory's Munitions and Sensors Directorates completed a successful flight test demonstration of the 3D-LZ Helicopter LADAR Imaging System. This was a milestone demonstration in the development of technology solutions for a problem known as "helicopter brownout", the loss of situational awareness caused by swirling sand during approach and landing. The 3D-LZ LADAR was developed by H.N. Burns Engineering and integrated with the US Army Aeroflightdynamics Directorate's Brown-Out Symbology System aircraft state symbology aboard a US Army EH-60 Black Hawk helicopter. The combination of these systems provided an integrated degraded visual environment landing solution with landing zone situational awareness as well as aircraft guidance and obstacle avoidance information. Pilots from the U.S. Army, Air Force, Navy, and Marine Corps achieved a 77% landing rate in full brownout conditions at a test range at Yuma Proving Ground, Arizona. This paper will focus on the LADAR technology used in 3D-LZ and the results of this milestone demonstration.

  11. Flicker illness: an underrecognized but preventable complication of helicopter transport.

    PubMed

    Cushman, Jeremy T; Floccare, Douglas J

    2007-01-01

    A case report of seizure due to photic stimulation from sunlight shining through spinning helicopter rotor blades is discussed. A review of photosensitive epilepsy is provided with particular emphasis on the effects and frequencies of photic stimulation required to induce symptoms. The frequencies of flashing light produced by spinning helicopter rotor blades commonly used in air medical transport range from 24 to 27 flashes per second. These frequencies are well within the range reported in the literature to produce symptoms in the laboratory setting. The literature provides only a few case reports of individuals sustaining a seizure after photic stimulation from spinning turboprop or helicopter blades. Symptoms range from mild discomfort and headache to profound spatial disorientation and seizures and may be an underrecognized but preventable complication of air medical transport.

  12. A NASA helicopter is prepared for return to PAFB after being painted

    NASA Technical Reports Server (NTRS)

    2000-01-01

    At S.R. 3 a pilot prepares a NASA helicopter for a return flight to Patrick Air Force Base. The helicopter is one of four UH-1H helicopters that have had its blades painted, changing the previous black color to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  13. Dynamic ambulance reallocation for the reduction of ambulance response times using system status management.

    PubMed

    Lam, Sean Shao Wei; Zhang, Ji; Zhang, Zhong Cheng; Oh, Hong Choon; Overton, Jerry; Ng, Yih Yng; Ong, Marcus Eng Hock

    2015-02-01

    Dynamically reassigning ambulance deployment locations throughout a day to balance ambulance availability and demands can be effective in reducing response times. The objectives of this study were to model dynamic ambulance allocation plans in Singapore based on the system status management (SSM) strategy and to evaluate the dynamic deployment plans using a discrete event simulation (DES) model. The geographical information system-based analysis and mathematical programming were used to develop the dynamic ambulance deployment plans for SSM based on ambulance calls data from January 1, 2011, to June 30, 2011. A DES model that incorporated these plans was used to compare the performance of the dynamic SSM strategy against static reallocation policies under various demands and travel time uncertainties. When the deployment plans based on the SSM strategy were followed strictly, the DES model showed that the geographical information system-based plans resulted in approximately 13-second reduction in the median response times compared to the static reallocation policy, whereas the mathematical programming-based plans resulted in approximately a 44-second reduction. The response times and coverage performances were still better than the static policy when reallocations happened for only 60% of all the recommended moves. Dynamically reassigning ambulance deployment locations based on the SSM strategy can result in superior response times and coverage performance compared to static reallocation policies even when the dynamic plans were not followed strictly. Copyright © 2014 Elsevier Inc. All rights reserved.

  14. Development in helicopter tail boom strake applications in the US

    NASA Technical Reports Server (NTRS)

    Wilson, John C.; Kelley, Henry L.; Donahue, Cynthia C.; Yenni, Kenneth R.

    1988-01-01

    The use of a strake or spoiler on a helicopter tail boom to beneficially change helicopter tail boom air loads was suggested in the United States in 1975. The anticipated benefits were a change of tail boom loads to reduce required tail rotor thrust and power and improve directional control. High tail boom air loads experienced by the YAH-64 and described in 1978 led to a wind tunnel investigation of the usefullness of strakes in altering such loads on the AH-64, UH-60, and UH-1 helicopters. The wind tunnel tests of 2-D cross sections of the tail boom of each demonstrated that a strake or strakes would be effective. Several limited test programs with the U.S. Army's OH-58A, AH-64, and UH-60A were conducted which showed the effects of strakes were modest for those helicopters. The most recent flight test program, with a Bell 204B, disclosed that for the 204B the tail boom strake or strakes would provide more than a modest improvement in directional control and reduction in tail rotor power.

  15. KSC-2009-5285

    NASA Image and Video Library

    2009-10-01

    CAPE CANAVERAL, Fla. – At NASA's Kennedy Space Center in Florida, volunteers portraying astronauts are transported to ambulances as part of a Mode II-IV exercise that allows teams to practice an emergency response at Launch Pad 39A, including helicopter evacuation to local hospitals. The exercise involves NASA fire rescue personnel, volunteers portraying astronauts with simulated injuries, helicopters and personnel from the Air Force’s 920th Rescue Wing and medical trauma teams at three central Florida hospitals. The Space Shuttle Program and U.S. Air Force are conducting the emergency simulation. Photo credit: NASA/Jack Pfaller

  16. 14 CFR Appendix F to Part 91 - Helicopter Flight Recorder Specifications

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 2 2012-01-01 2012-01-01 false Helicopter Flight Recorder Specifications F... (CONTINUED) AIR TRAFFIC AND GENERAL OPERATING RULES GENERAL OPERATING AND FLIGHT RULES Pt. 91, App. F Appendix F to Part 91—Helicopter Flight Recorder Specifications Parameters Range Installed system 1 minimum...

  17. Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care - an intervention study.

    PubMed

    Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

    2015-01-01

    Background The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care. Methods A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Results Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. Conclusions The use of active heat from underneath increases the patients' thermal comfort and may prevent the negative consequences of cold stress.

  18. Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients' temperatures in prehospital emergency care--an intervention study.

    PubMed

    Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

    2015-01-01

    The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients' exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients' temperatures in the prehospital emergency care. A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. The use of active heat from underneath increases the patients' thermal comfort and may prevent the negative consequences of cold stress.

  19. Main rotor free wake geometry effects on blade air loads and response for helicopters in steady maneuvers. Volume 2: Program listings

    NASA Technical Reports Server (NTRS)

    Sadler, S. G.

    1972-01-01

    A mathematical model and computer program was implemented to study the main rotor free wake geometry effects on helicopter rotor blade air loads and response in steady maneuvers. Volume 1 (NASA CR-2110) contains the theoretical formulation and analysis of results. Volume 2 contains the computer program listing.

  20. 78 FR 40063 - Airworthiness Directives; Erickson Air-Crane Incorporated Helicopters (Type Certificate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    ... Sikorsky Model S-64E helicopters. The AD requires repetitive checks of the Blade Inspection Method (BIM... and check procedures for BIM blades installed on the Model S-64F helicopters. Several blade spars with a crack emanating from corrosion pits and other damage have been found because of BIM pressure...

  1. Selected topics on the active control of helicopter aeromechanical and vibration problems

    NASA Technical Reports Server (NTRS)

    Friedmann, Peretz P.

    1994-01-01

    This paper describes in a concise manner three selected topics on the active control of helicopter aeromechanical and vibration problems. The three topics are as follows: (1) the active control of helicopter air-resonance using an LQG/LTR approach; (2) simulation of higher harmonic control (HHC) applied to a four bladed hingeless helicopter rotor in forward flight; and (3) vibration suppression in forward flight on a hingeless helicopter rotor using an actively controlled, partial span, trailing edge flap, which is mounted on the blade. Only a few selected illustrative results are presented. The results obtained clearly indicate that the partial span, actively controlled flap has considerable potential for vibration reduction in helicopter rotors.

  2. Identification and characteristics of biological agents in work environment of medical emergency services in selected ambulances.

    PubMed

    Bielawska-Drózd, Agata; Cieślik, Piotr; Wlizło-Skowronek, Bożena; Winnicka, Izabela; Kubiak, Leszek; Jaroszuk-Ściseł, Jolanta; Depczyńska, Daria; Bohacz, Justyna; Korniłłowicz-Kowalska, Teresa; Skopińska-Różewska, Ewa; Kocik, Janusz

    2017-06-19

    Assessment of microbial air quality and surface contamination in ambulances and administration offices as a control place without occupational exposure to biological agents; based on quantitative and qualitative analysis of bacteria, yeasts and filamentous fungi found in collected samples. The sampling was done by wet cyclone technology using the Coriolis recon apparatus, imprint and swab methods, respectively. In total, 280 samples from 28 ambulances and 10 offices in Warszawa were tested. Data was analyzed using Shapiro-Wilk normality test, Kruskal-Wallis test with α = 0.05. P value ≤ 0.05 was considered as significant. The levels of air contamination were from 0 to 2.3×101 colony-forming unit (CFU)/m3 for bacteria and for yeast and filamentous fungi were from 0 to 1.8×101 CFU/m3. The assessment of office space air samples has shown the following numbers of microorganisms: bacteria from 3.0×101 to 4.2×101 CFU/m3 and yeast and filamentous fungi from 0 to 1.9×101 CFU/m3. For surface contamination the mean bacterial count in ambulances has been between 1.0×101 and 1.3×102 CFU/25 cm2 and in offices - between 1.1×101 and 8.5×101 CFU/25 cm2. Mean fungal count has reached the level from 2.8×100 to 4.2×101 CFU/25 cm2 in ambulances and 1.3×101 to 5.8×101 CFU/25 cm2 in offices. The qualitative analysis has revealed the presence of Acinetobacter spp. (surfaces), coagulase - negative Staphylococci (air and surfaces), Aspergillus and Penicillium genera (air and surfaces). The study has revealed a satisfactory microbiological quantity of analyzed air and surface samples in both study and control environments. However, the presence of potentially pathogenic microorganisms in the air and on surfaces in ambulances may endanger the

  3. Five-year Retrospective Review of Physician and Non-physician Performed Ultrasound in a Canadian Critical Care Helicopter Emergency Medical Service.

    PubMed

    O'Dochartaigh, Domhnall; Douma, Matthew; MacKenzie, Mark

    2017-01-01

    To describe the use of prehospital ultrasonography (PHUS) to support interventions, when used by physician and non-physician air medical crew (AMC), in a Canadian helicopter emergency medical service (HEMS). A retrospective review was conducted of consecutive patients who underwent ultrasound examination during HEMS care from January 1, 2009 through March 10, 2014. An a priori created data form was used to record patient demographics, type of ultrasound scan performed, ultrasound findings, location of scan, type of interventions supported by PHUS, factors that affected PHUS completion, and quality indicator(s). Data analysis was performed through descriptive statistics, Student's t-test for continuous variables, Z-test for proportions, and Mann-Whitney U Test for nonparametric data. Outcomes included interventions supported by PHUS, factors associated with incomplete scans, and quality indicators associated with PHUS use. Differences between physician and AMC groups were also assessed. PHUS was used in 455 missions, 318 by AMC and 137 by physicians. In combined trauma and medical patients, in the AMC group interventions were supported by PHUS in 26% of cases (95% CI 18-34). For transport physicians the percentage support was found to be significantly greater at 45% of cases (95% CI 34-56) p = < 0.006. Incomplete PHUS scans were common and reasons included patient obesity, lack of time, patient access, and clinical reasons. Quality indicators associated with PHUS were rarely identified. The use of PHUS by both physicians and non-physicians was found to support interventions in select trauma and medical patients. Key words: emergency medical services; aircraft; helicopter; air ambulance; ultrasonography; emergency care, prehospital; prehospital emergency care.

  4. 14 CFR 136.11 - Helicopter floats for over water.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Helicopter floats for over water. 136.11 Section 136.11 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) AIR CARRIERS AND OPERATORS FOR COMPENSATION OR HIRE: CERTIFICATION AND OPERATIONS COMMERCIAL AIR TOURS AND NATIONAL PARKS AIR TOUR MANAGEMEN...

  5. Estimated Metabolic Heat Production of Helicopter Aircrew Members during Operations in Iraq and Afghanistan

    DTIC Science & Technology

    2012-04-01

    3.1 % RH. The microclimate within helicopters can be extreme, with elevated air temperatures, relative humidity, and solar load, with the greenhouse...experienced by helicopter pilots. Katz et al. (11) reported that an Air Warrior Chemical Protective ensemble with microclimate cooling was effective...study showed that a microclimate cooling system worn next to the skin could alleviate some of the thermal burden experienced (10). Banta and Braun

  6. LUCAS(™)2 in Danish Search and Rescue Helicopters.

    PubMed

    Winther, Kasper; Bleeg, René Christian

    2016-01-01

    Prehospital resuscitation is often challenging. Giving uninterrupted and effective compressions is relatively impossible during transportation. In 2012, The Royal Danish Air Force received a donation of 8 mechanical chest compression devices (LUCAS(™)2; Physio-Control/Jolife AB, Lund, Sweden) to be used onboard the Danish search and rescue (SAR) helicopters. The scope of this investigation was to establish whether or not mechanical chest compression devices should be considered a necessity onboard the Danish SAR helicopters. Data were compiled from SAR medical journals. From the data collected, observations were made as to when LUCAS(™)2 was used and what diagnosis the SAR physician made. One thousand ninety missions were registered in the 24-month research period, and LUCAS(™)2 was used in 25 missions. Cardiac emergencies amounted for 25% of the missions. The Danish SAR helicopters retrieved 33 drowned/hypothermic patients during the research period, and the LUCAS(™)2 was used in 11 of the patients requiring resuscitation. The LUCAS(™)2 was frequently used during other emergencies like sudden cardiac arrest. Cardiac emergencies were the predominant type of mission. LUCAS(™)2 is now considered mandatory on Danish SAR helicopters. Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  7. Numerical simulation of helicopter engine plume in forward flight

    NASA Technical Reports Server (NTRS)

    Dimanlig, Arsenio C. B.; Vandam, Cornelis P.; Duque, Earl P. N.

    1994-01-01

    Flowfields around helicopters contain complex flow features such as large separated flow regions, vortices, shear layers, blown and suction surfaces and an inherently unsteady flow imposed by the rotor system. Another complicated feature of helicopters is their infrared signature. Typically, the aircraft's exhaust plume interacts with the rotor downwash, the fuselage's complicated flowfield, and the fuselage itself giving each aircraft a unique IR signature at given flight conditions. The goal of this project was to compute the flow about a realistic helicopter fuselage including the interaction of the engine air intakes and exhaust plume. The computations solve the Think-Layer Navier Stokes equations using overset type grids and in particular use the OVERFLOW code by Buning of NASA Ames. During this three month effort, an existing grid system of the Comanche Helicopter was to be modified to include the engine inlet and the hot engine exhaust. The engine exhaust was to be modeled as hot air exhaust. However, considerable changes in the fuselage geometry required a complete regriding of the surface and volume grids. The engine plume computations have been delayed to future efforts. The results of the current work consists of a complete regeneration of the surface and volume grids of the most recent Comanche fuselage along with a flowfield computation.

  8. Geographic-time distribution of ambulance calls in Singapore: utility of geographic information system in ambulance deployment (CARE 3).

    PubMed

    Ong, Marcus E H; Ng, Faith S P; Overton, Jerry; Yap, Susan; Andresen, Derek; Yong, David K L; Lim, Swee Han; Anantharaman, V

    2009-03-01

    Pre-hospital ambulance calls are not random events, but occur in patterns and trends that are related to movement patterns of people, as well as the geographical epidemiology of the population. This study describes the geographic-time epidemiology of ambulance calls in a large urban city and conducts a time demand analysis. This will facilitate a Systems Status Plan for the deployment of ambulances based on the most cost effective deployment strategy. An observational prospective study looking at the geographic-time epidemiology of all ambulance calls in Singapore. Locations of ambulance calls were spot mapped using Geographic Information Systems (GIS) technology. Ambulance response times were mapped and a demand analysis conducted by postal districts. Between 1 January 2006 and 31 May 2006, 31,896 patients were enrolled into the study. Mean age of patients was 51.6 years (S.D. 23.0) with 60.0% male. Race distribution was 62.5% Chinese, 19.4% Malay, 12.9% Indian and 5.2% others. Trauma consisted 31.2% of calls and medical 68.8%. 9.7% of cases were priority 1 (most severe) and 70.1% priority 2 (moderate severity). Mean call receipt to arrival at scene was 8.0 min (S.D. 4.8). Call volumes in the day were almost twice those at night, with the most calls on Mondays. We found a definite geographical distribution pattern with heavier call volumes in the suburban town centres in the Eastern and Southern part of the country. We characterised the top 35 districts with the highest call volumes by time periods, which will form the basis for ambulance deployment plans. We found a definite geographical distribution pattern of ambulance calls. This study demonstrates the utility of GIS with despatch demand analysis and has implications for maximising the effectiveness of ambulance deployment.

  9. Should Helicopters Transport Patients Who Become Sick After a Chemical, Biological, Radiological, Nuclear, and Explosive Attack?

    PubMed

    Yanagawa, Youichi; Ishikawa, Kouhei; Takeuchi, Ikuto; Nagasawa, Hiroki; Jitsuiki, Kei; Ohsaka, Hiromichi; Omori, Kazuhiko

    The local fire department executed a training simulation for chemical and explosive incidents at a large sports facility. In this training simulation, a physician-staffed helicopter arrived at the request of the fire department and landed just outside the cold zone in the parking area. The doctor and nurse of the helicopter were escorted to a red area in the cold zone, which was selected based on the results of postdecontamination triage. After the patients had been treated, they were air medically evacuated to the base hospital. In the Tokyo subway sarin attack in 1995, St Luke's International Hospital admitted over 600 victims. During this incident, 23.2% of medical staff suffered secondary injury from sarin exposure. If air medial crews respond with subsequent postexposure effects during flight, an affected pilot could lose control of the helicopter, resulting in a fatal crash. Based on potential safety concerns for air medical and ground personnel, our recommendation would be that air medical helicopters not be dispatched to sites of chemical, biological, radiological, nuclear, and explosive incidents. Copyright © 2018 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  10. 77 FR 12991 - Airworthiness Directives; Robinson Helicopter Company Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-05

    ... Airworthiness Directives; Robinson Helicopter Company Helicopters AGENCY: Federal Aviation Administration (FAA...) that was published in the Federal Register. That AD applies to Robinson Helicopter Company (Robinson...

  11. Extending access to specialist services: the impact of an onsite helipad and analysis of the first 100 flights.

    PubMed

    Freshwater, Eleanor S; Dickinson, Phillip; Crouch, Robert; Deakin, Charles D; Eynon, C Andy

    2014-02-01

    In November 2011, University Hospital Southampton (UHS), now a major trauma centre, opened its onsite helipad, allowing patients to be brought to the emergency department (ED) directly by air ambulance. Prior to this, helicopters were required to land at a local playing field and the patient had to be transferred by land ambulance. This study aims to investigate the impact this change in practice has had on the flow of patients to the ED. The authors completed a retrospective case analysis of the first 100 patients brought directly to UHS by helicopter. Data were obtained from ED notes and helicopter provider databases. Analysis was conducted on the type of incident and appropriateness of referral. Incident locations were plotted geographically. 100 patients arrived at UHS ED by helicopter between 17 November 2011 and 31 March 2012. Of these, 79 were primary helicopter emergency medical service (HEMS) missions and 21 were secondary transfers from other hospitals. Of the HEMS patients, 38 were likely to have been transported to another hospital, had there not been an onsite helipad at UHS. 29 passed another suitable receiving hospital en route and therefore may have come to UHS for speciality services. The provision of an onsite, 24 h helipad facility at UHS has resulted in a significant number of patients being transported to the hospital by helicopter who might otherwise have attended an alternative hospital.

  12. Effect evaluation of a heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in prehospital emergency care – an intervention study

    PubMed Central

    Aléx, Jonas; Karlsson, Stig; Björnstig, Ulf; Saveman, Britt-Inger

    2015-01-01

    Background The ambulance milieu does not offer good thermal comfort to patients during the cold Swedish winters. Patients’ exposure to cold temperatures combined with a cold ambulance mattress seems to be the major factor leading to an overall sensation of discomfort. There is little research on the effect of active heat delivered from underneath in ambulance care. Therefore, the aim of this study was to evaluate the effect of an electrically heated ambulance mattress-prototype on thermal comfort and patients’ temperatures in the prehospital emergency care. Methods A quantitative intervention study on ambulance care was conducted in the north of Sweden. The ambulance used for the intervention group (n=30) was equipped with an electrically heated mattress on the regular ambulance stretcher whereas for the control group (n=30) no active heat was provided on the stretcher. Outcome variables were measured as thermal comfort on the Cold Discomfort Scale (CDS), subjective comments on cold experiences, and finger, ear and air temperatures. Results Thermal comfort, measured by CDS, improved during the ambulance transport to the emergency department in the intervention group (p=0.001) but decreased in the control group (p=0.014). A significant higher proportion (57%) of the control group rated the stretcher as cold to lie down compared to the intervention group (3%, p<0.001). At arrival, finger, ear and compartment air temperature showed no statistical significant difference between groups. Mean transport time was approximately 15 minutes. Conclusions The use of active heat from underneath increases the patients’ thermal comfort and may prevent the negative consequences of cold stress. PMID:26374468

  13. Main rotor free wake geometry effects on blade air loads and response for helicopters in steady maneuvers. Volume 1: Theoretical formulation and analysis of results

    NASA Technical Reports Server (NTRS)

    Sadler, S. G.

    1972-01-01

    A mathematical model and computer program were implemented to study the main rotor free wake geometry effects on helicopter rotor blade air loads and response in steady maneuvers. The theoretical formulation and analysis of results are presented.

  14. Piloted simulation of one-on-one helicopter air combat at NOE flight levels

    NASA Technical Reports Server (NTRS)

    Lewis, M. S.; Aiken, E. W.

    1985-01-01

    A piloted simulation designed to examine the effects of terrain proximity and control system design on helicopter performance during one-on-one air combat maneuvering (ACM) is discussed. The NASA Ames vertical motion simulator (VMS) and the computer generated imagery (CGI) systems were modified to allow two aircraft to be independently piloted on a single CGI data base. Engagements were begun with the blue aircraft already in a tail-chase position behind the red, and also with the two aircraft originating from positions unknown to each other. Maneuvering was very aggressive and safety requirements for minimum altitude, separation, and maximum bank angles typical of flight test were not used. Results indicate that the presence of terrain features adds an order of complexiaty to the task performed over clear air ACM and that mix of attitude and rate command-type stability and control augmentation system (SCAS) design may be desirable. The simulation system design, the flight paths flown, and the tactics used were compared favorably by the evaluation pilots to actual flight test experiments.

  15. Flight crew fatigue III: North Sea helicopter air transport operations.

    PubMed

    Gander, P H; Barnes, R M; Gregory, K B; Graeber, R C; Connell, L J; Rosekind, M R

    1998-09-01

    We studied 32 helicopter pilots before, during, and after 4-5 d trips from Aberdeen, Scotland, to service North Sea oil rigs. On duty days, subjects awoke 1.5 h earlier than pretrip or posttrip, after having slept nearly an hour less. Subjective fatigue was greater posttrip than pretrip. By the end of trip days, fatigue was greater and mood more negative than by the end of pretrip days. During trips, daily caffeine consumption increased 42%, reports of headache doubled, reports of back pain increased 12-fold, and reports of burning eyes quadrupled. In the cockpits studied, thermal discomfort and high vibration levels were common. Subjective workload during preflight, taxi, climb, and cruise was related to the crewmembers' ratings of the quality of the aircraft systems. During descent and approach, workload was affected by weather at the landing site. During landing, it was influenced by the quality of the landing site and air traffic control. Beginning duty later, and greater attention to aircraft comfort and maintenance, should reduce fatigue in these operations.

  16. A critical care helicopter system in trauma.

    PubMed Central

    Jacobs, L. M.; Bennett, B.

    1989-01-01

    Civilian helicopters and emergency medical services in the United States have been in existence for approximately 15 years. The rapid growth of this type of health care delivery coupled with an increasing number of accidents has prompted professional and lay scrutiny of these programs. Although they have a demonstrated history of benefit to patients, the type and severity of injuries to patients who are eligible for helicopter transportation need further definition. The composition of the medical crews and the benefits that particular crew members bring to the patients require ongoing evaluation. Significant questions regarding the number of pilots in a helicopter and in a program remain to be answered. This article reviews the role of emergency medical air transport services in providing care to trauma patients, staff training and evaluation, and safety criteria and offers recommendations to minimize risks to patients and crews. PMID:2695653

  17. 77 FR 30232 - Airworthiness Directives; Bell Helicopter Textron Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-22

    ...-0530; Directorate Identifier 2011-SW-075-AD] RIN 2120-AA64 Airworthiness Directives; Bell Helicopter Textron Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of proposed rulemaking (NPRM). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Bell Helicopter...

  18. Managing acute coronary syndrome during medical air evacuation from a remote location at sea.

    PubMed

    Westmoreland, Andrew H

    2014-01-01

    Coronary emergencies at sea requiring air evacuation are not uncommon. On board a Nimitz-class aircraft carrier while in a remote location, an active duty sailor suffered a myocardial infarction. A medical evacuation by helicopter was necessary. Transfer proved difficult due to the ship's location, poor flying conditions, and the patient's deteriorating condition. This case stresses the importance of expeditious diagnosis, treatment, and air transfer to shore-based facilities capable of providing definitive coronary care. A 33-yr-old man recently started on trazodone due to depression complained of chest pain. The patient was hemodynamically unstable and electrocardiogram showed ST segment elevation and Q waves in the anterior, inferior, and lateral leads. He was air-lifted to the nearest accepting facility with cardiac catheterization capabilities, which was over 300 miles away. Poor weather conditions hindered the pilot's ability to fly the original course. The patient remained critical and medication choices were limited. Even with all of these obstacles, everyone involved performed his or her duties admirably. The patient's condition improved by the time the helicopter landed. He was then rushed by ambulance to the hospital's coronary care unit, where he was successfully treated. This case highlights the need to keep a high index of suspicion when patients complain of chest pain, regardless of age. It is of the utmost importance that individuals capable of thinking and acting quickly are assigned to medical evacuation teams, and that they continue to train regularly, as coronary events at sea are not uncommon.

  19. Reducing ambulance response times using discrete event simulation.

    PubMed

    Wei Lam, Sean Shao; Zhang, Zhong Cheng; Oh, Hong Choon; Ng, Yih Ying; Wah, Win; Hock Ong, Marcus Eng

    2014-01-01

    The objectives of this study are to develop a discrete-event simulation (DES) model for the Singapore Emergency Medical Services (EMS), and to demonstrate the utility of this DES model for the evaluation of different policy alternatives to improve ambulance response times. A DES model was developed based on retrospective emergency call data over a continuous 6-month period in Singapore. The main outcome measure is the distribution of response times. The secondary outcome measure is ambulance utilization levels based on unit hour utilization (UHU) ratios. The DES model was used to evaluate different policy options in order to improve the response times, while maintaining reasonable fleet utilization. Three policy alternatives looking at the reallocation of ambulances, the addition of new ambulances, and alternative dispatch policies were evaluated. Modifications of dispatch policy combined with the reallocation of existing ambulances were able to achieve response time performance equivalent to that of adding 10 ambulances. The median (90th percentile) response time was 7.08 minutes (12.69 minutes). Overall, this combined strategy managed to narrow the gap between the ideal and existing response time distribution by 11-13%. Furthermore, the median UHU under this combined strategy was 0.324 with an interquartile range (IQR) of 0.047 versus a median utilization of 0.285 (IQR of 0.051) resulting from the introduction of additional ambulances. Response times were shown to be improved via a more effective reallocation of ambulances and dispatch policy. More importantly, the response time improvements were achieved without a reduction in the utilization levels and additional costs associated with the addition of ambulances. We demonstrated the effective use of DES as a versatile platform to model the dynamic system complexities of Singapore's national EMS systems for the evaluation of operational strategies to improve ambulance response times.

  20. Helicopter support of North Sea oil exploration.

    PubMed

    Preston, F S

    1978-04-01

    Exploration for oil beneath the North Sea started in the early 1960's with the discovery of natural gas and oil in the southern part between the coasts of East Anglia and the Netherlands. Since then oil exploration has built up considerably, the main effort moving northwards between the Shetland Islands and the Norwegian coasts. The helicopter offered the most direct and rapid contact with off-shore oil rigs and since these early days and immense helicopter operation has been built up round the borders of the North Sea by all the nations involved. Flying conditions in this area, particularly in winter, are at times difficult if not to say hazardous. Nevertheless, a sophisticated helicopter support service has been built up using modern aircraft and equipment which is unique in aviation history. This paper attempts to trace the history of the service, the operational problems involved and the special needs such as survival equipment and clothing. In addition, a co-ordinated air/sea rescue service largely based on helicopters has been built up and provides not only rescue facilities for possible rig disasters but also for shipping emergencies in the area.

  1. 10. Helicopter pad, fire extinguisher at center, looking southwest ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    10. Helicopter pad, fire extinguisher at center, looking southwest - Ellsworth Air Force Base, Delta Flight, Launch Control Facility, County Road CS23A, North of Exit 127, Interior, Jackson County, SD

  2. 77 FR 23388 - Airworthiness Directives; Bell Helicopter Textron Canada Limited Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-19

    ... Airworthiness Directives; Bell Helicopter Textron Canada Limited Helicopters AGENCY: Federal Aviation... are publishing a new airworthiness directive (AD) for Bell Helicopter Textron Canada Limited (Bell..., contact Bell Helicopter Textron Canada Limited, 12,800 Rue de l'Avenir, Mirabel, Quebec J7J1R4, telephone...

  3. KSC-2011-6644

    NASA Image and Video Library

    2011-08-31

    CAPE CANAVERAL, Fla. -- An ambulance and several NASA Fire Rescue Services vehicles arrive to assist a Huey II helicopter participating in the aviation safety exercise during Emergency Response Safety Training at the Shuttle Landing Facility, Runway 33, at NASA’s Kennedy Space Center in Florida. The simulated helicopter mishap exercise was conducted to evaluate emergency response and mishap investigations of aircraft at Kennedy. Participants included Air Rescue Fire Fighters, Flight Operations, Disaster Preparedness, Security, and Safety. NASA mandates simulated aviation safety training take place every two years. Photo credit: NASA/Kim Shiflett

  4. KSC-2011-6636

    NASA Image and Video Library

    2011-08-31

    CAPE CANAVERAL, Fla. -- A NASA Fire Rescue Services vehicle, ambulance and Huey II helicopter take part in the aviation safety exercise during Emergency Response Safety Training at the Shuttle Landing Facility, Runway 33, at NASA’s Kennedy Space Center in Florida. The simulated helicopter mishap exercise was conducted to evaluate emergency response and mishap investigations of aircraft at Kennedy. Participants included Air Rescue Fire Fighters, Flight Operations, Disaster Preparedness, Security, and Safety. NASA mandates simulated aviation safety training take place every two years. Photo credit: NASA/Kim Shiflett

  5. 78 FR 56592 - Airworthiness Directives; Bell Helicopter Textron, Inc. (Bell) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-13

    ... Airworthiness Directives; Bell Helicopter Textron, Inc. (Bell) Helicopters AGENCY: Federal Aviation...) 76-12- 07 for all Bell Model 204B and certain serial-numbered Model 205A-1 helicopters with a certain... detect a crack in the link segments and, for affected Model 205A-1 helicopters, replacing the chain and...

  6. Ambulance Design Survey 2011: A Summary Report

    PubMed Central

    Lee, Y Tina; Kibira, Deogratias; Feeney, Allison Barnard; Marshall, Jennifer

    2013-01-01

    Current ambulance designs are ergonomically inefficient and often times unsafe for practical treatment response to medical emergencies. Thus, the patient compartment of a moving ambulance is a hazardous working environment. As a consequence, emergency medical services (EMS) workers suffer fatalities and injuries that far exceed those of the average work place in the United States. To reduce injury and mortality rates in ambulances, the Department of Homeland Security Science and Technology Directorate has teamed with the National Institute of Standards and Technology, the National Institute for Occupational Safety and Health, and BMT Designers & Planners in a joint project to produce science-based ambulance patient compartment design standards. This project will develop new crash-safety design standards and improved user-design interface guidance for patient compartments that are safer for EMS personnel and patients, and facilitate improved patient care. The project team has been working with practitioners, EMS workers’ organizations, and manufacturers to solicit needs and requirements to address related issues. This paper presents an analysis of practitioners’ concerns, needs, and requirements for improved designs elicited through the web-based survey of ambulance design, held by the National Institute of Standards and Technology. This paper also introduces the survey, analyzes the survey results, and discusses recommendations for future ambulance patient compartments design. PMID:26401439

  7. 78 FR 60182 - Airworthiness Directives; Bell Helicopter Textron, Inc., Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-01

    ... Helicopter Textron, Inc. (Bell), Model 214B, 214B-1, and 214ST helicopters. This AD requires creating a... and 214B-1 helicopters with a certain spindle installed. The NPRM proposed to require creating a...

  8. The design, construction and operation of the helicopter underwater escape trainer

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Urguhart, A.E.

    1983-09-01

    Civil helicopters hopefully are not likely to be subjected to the possibility of being shot from the skies and descending in an uncontrolled manner. Should a civil helicopter have to ditch, due to some mechanical or electrical failure, it is reasonable to predict that it may do so in a controlled manner, with the pilot either taking the positive decision to ditch the helicopter, or being forced to do so. It is for such controlled or nearly controlled ditchings that training of personnel should be considered. The air-crews involved in flying civil helicopters are not dissimilar to military service personnel,more » in that they are a disciplined group of professionals qualified and experienced in their business of flying and ditching. However, the offshore worker, being ferried to his place of work, is, in essence, the human cargo forced by necessity to be transported by helicopter. Many offshore employees may not wish to be, or particularly enjoy, being transported over the North Sea by helicopter nevertheless, it is the only viable mode of transport and, with the number of helicopter flights which are currently being undertaken to and from the North Sea installations, it is not being over-pessimistic to foresee the likelihood of a civil helicopter with passengers having to ditch in the sea.« less

  9. Helicopter emergency medical services response to equestrian accidents.

    PubMed

    Lyon, Richard M; Macauley, Ben; Richardson, Sarah; de Coverly, Richard; Russell, Malcolm

    2015-04-01

    Horse riding is a common leisure activity associated with a significant rate of injury. Helicopter emergency medical services (HEMS) may be called to equestrian accidents. Accurate HEMS tasking is important to ensure appropriate use of this valuable medical resource. We sought to review HEMS response to equestrian accidents and identify factors associated with the need for HEMS intervention or transport of the patient to a major trauma centre. Retrospective case review of all missions flown by Kent, Surrey & Sussex Air Ambulance Trust over a 1-year period (1 July 2011 to 1 July 2012). All missions were screened for accidents involving a horse. Call details, patient demographics, suspected injuries, clinical interventions and patient disposition were all analysed. In the 12-month data collection period there were 47 equestrian accidents, representing ∼3% of the total annual missions. Of the 42 cases HEMS attended, one patient was pronounced life extinct at the scene. In 15 (36%) cases the patient was airlifted to hospital. In four (10%) cases, the patient underwent prehospital anaesthesia. There were no specific predictors of HEMS intervention. Admission to a major trauma centre was associated with the rider not wearing a helmet, a fall onto their head or the horse falling onto the rider. Equestrian accidents represent a significant proportion of HEMS missions. The majority of patients injured in equestrian accidents do not require HEMS intervention, however, a small proportion have life-threatening injuries, requiring immediate critical intervention. Further research is warranted, particularly regarding HEMS dispatch, to further improve accuracy of tasking to equestrian accidents.

  10. Air versus ground transport of the major trauma patient: a natural experiment.

    PubMed

    McVey, Jennifer; Petrie, David A; Tallon, John M

    2010-01-01

    1) To compare the outcomes of adult trauma patients transported to a level I trauma center by helicopter vs. ground ambulance. 2) To determine whether using a unique "natural experiment" design to obtain the ground comparison group will reduce potential confounders. Outcomes in adult trauma patients transported to a tertiary care trauma center by air were compared with outcomes in a group of patients who were accepted by the online medical control physician for air transport, but whose air missions were aborted for aviation reasons (weather, maintenance, out on a mission); these patients were subsequently transported by ground ambulance instead. Outcomes were also analyzed for a third ground control group composed of all other adult trauma patients transported by ground during this time period. Data were collected by retrospective database review of trauma patients transferred between July 1, 1997, and June 30, 2003. Outcomes were measured by Trauma Injury Severity Score (TRISS) analysis. Z and W scores were calculated. Three hundred ninety-seven missions were flown by LifeFlight during the study period vs. 57 in the clinical accept-aviation abort ground transport group. The mean ages, gender distributions, mechanisms of injury, and Injury Severity Scores (ISSs) were similar in the two groups. Per 100 patients transported, 5.61 more lives were saved in the air group vs. the clinical accept-aviation abort ground transport group (Z = 3.37). As per TRISS analysis, this is relative to the expected mortality seen with a similar group in the Major Trauma Outcomes Study (MTOS). The Z score for the clinical accept-aviation abort ground transport group was 0.4. The 1,195 patients in the third all-other ground control group had a higher mean age, lower mean ISS, and worse outcomes according to TRISS analysis (W = -2.02). This unique natural experiment led to better matched air vs. ground cohorts for comparison. As per TRISS analysis, air transport of the adult major trauma

  11. Attributing the responsibility for ambulating patients: a qualitative study.

    PubMed

    Doherty-King, Barbara; Bowers, Barbara J

    2013-09-01

    Functional decline has been identified as a leading negative outcome of hospitalization for older person. Functional decline is defined as a loss in ability to perform activities of daily living including a loss of independent ambulation. In the hospital literature, a patient's loss in ability to independently ambulate during the hospital stay varies between 15 and 59%. Lack of ambulation and deconditioning effects of bed rest are one of the most predictable causes of loss of independent ambulation in hospitalized older persons. Nurses have been identified as the professional most capable of promoting walking independence in the hospital setting. However, nurses do not routinely walk patients. The purpose of this study was to explore the relationship between nurses' attributions of responsibility for ambulating hospitalized patients and their decisions about whether to ambulate. A descriptive, secondary analysis of data gathered for a parent study was conducted. Grounded dimensional analysis was used to analyze the data. Participants consisted of 25 registered nurses employed on medical or surgical units from two urban hospitals in the United States. Nurses fell into two groups: those who claimed ambulation of patients within their responsibility of practice and those who attributed the responsibility to another discipline. Nurses who claimed responsibility for ambulation focused on patient independence and psychosocial well-being. This resulted in actions related to collaborating with physical therapy, determining the appropriateness of activity orders, diminishing the risk and adjusting to resource availability. Nurses who attributed the responsibility deferred decisions about initiating ambulation to either physical therapy or medicine. This resulted in actions related to waiting, which involved, waiting for physical therapy clearance, physician orders, risks to decrease, and resources to improve before ambulating. Nurses who claimed responsibility for

  12. Oregon Air Ambulance Services.

    DTIC Science & Technology

    1986-01-01

    Bleiler, 1982) highlights the ....~ ~ ~- - ... ._.. 15 results of non-regulation. A 42-year old woman, hospitalized with cardiovascular disease in...Humidity. Air at altitude is cold, possessing little moisture. Patients with respiratory problems can experience severe respiratory distress...services. Respiratory therapists and, consequently, specialized respiratory therapy forms were rarely used. Again, six agencies did not retain copies of the

  13. Impact of flying qualities on mission effectiveness for helicopter air combat, volume 1

    NASA Technical Reports Server (NTRS)

    Harris, T. M.; Beerman, D. A.

    1983-01-01

    A computer simulation to investigate the impact of flying qualities on mission effectiveness is described. The objective of the study was to relate the effects of flying qualities, such as precision of flight path control and pilot workload, to the ability of a single Scout helicopter, or helicopter team, to accomplish a specified anti-armor mission successfully. The model of the actual engagement is a Monte Carlo simulation that has the capability to assess the effects of helicopter characteristics, numbers, tactics and weaponization on the force's ability to accomplish a specific mission against a specified threat as a function of realistic tactical factors. A key feature of this program is a simulation of micro-terrain features and their effects on detection, exposure, and masking for nap-of-the-earth (NOE) flight.

  14. Helicopter-based emergency medical services for a sparsely populated region: A study of 42,500 dispatches.

    PubMed

    Østerås, Ø; Brattebø, G; Heltne, J-K

    2016-05-01

    The Helicopter Emergency Medical Service (HEMS) in Norway is operated day and night, despite challenging geography and weather. In Western Norway, three ambulance helicopters, with a rapid response car as an alternative, cover close to 1 million inhabitants in an area of 45,000 km(2) . Our objective was to assess patterns of emergency medical problems and treatments in HEMS in a geographically large, but sparsely populated region. Data from all HEMS dispatches during 2004-2013 were assessed retrospectively. Information was analyzed with respect to patient treatment and characteristics, in addition to variations in services use during the day, week, and seasons. A total of 42,456 dispatches were analyzed. One third of the patients encountered were severely ill or injured, and two thirds of these received advanced treatment. Median activation time and on-scene time in primary helicopter missions were 5 and 11 min, respectively. Most patients (95%) were reached within 45 min by helicopter or rapid response car. Patterns of use did not change. More than one third of all dispatches were declined or aborted, mostly due to no longer medical indication, bad weather conditions, or competing missions. One third of the patients encountered were severely ill or injured, and more than two thirds of these received advanced treatment. HEMS use did not change over the 10-year period, however HEMS use peaked during daytime, weekends, and the summer. More than one third of all dispatches were declined or aborted. © 2015 The Authors. Acta Anaesthesiologica Scandinavica published by John Wiley & Sons Ltd on behalf of Acta Anaesthesiologica Scandinavica Foundation.

  15. Consolidation Needed for Procurements of DoD H-60 Helicopter Spare Parts (REDACTED)

    DTIC Science & Technology

    2016-10-12

    Information Act. Report No. DODIG-2017-002 O C T O B E R 1 2 , 2 0 1 6 Consolidation Needed for Procurements of DoD H -60 Helicopter Spare Parts I N T E G R...Brief Consolidation Needed for Procurements of DoD H -60 Helicopter Spare Parts October 12, 2016 Visit us at www.dodig.mil Objective We determined...whether DoD was effectively managing the procurement of H -60 helicopter ( H -60) spare parts. The Army, Navy, Air Force, and U.S. Special Operations

  16. Calculated Dynamic Characteristics of a Soft-Inplane Hingeless Rotor Helicopter

    NASA Technical Reports Server (NTRS)

    Johnson, W.

    1977-01-01

    Calculated dynamic characteristics of a representative soft-inplane hingeless rotor helicopter are presented. The flight dynamics as a function of speed and gross weight are given. The requirements for accurate analytical modelling of this helicopter are established. The influence of the horizontal tail size, the rotor precone, the blade sweep, and the blade center of gravity/aerodynamic center offset on the calculated flight dynamics and aeroelastic stability are examined. The calculations show no evidence of an air resonance stability problem with this aircraft.

  17. Helicopter patient transportation service on the Ulleung Island, South Korea.

    PubMed

    Yi, Jin-Wook; Lee, Kyu Eun; Kim, Young-Heon; Youn, Yeo-Kyu

    2014-01-01

    Despite numerous studies of helicopter emergency medical services, few reports have examined the outcomes of patients transported by helicopter across the sea from isolated islands. We analyzed helicopter transportation from the isolated Ulleung Island, which lies to the east of the South Korean mainland. This study included 284 patients transported from the Ulleung Island to mainland hospitals between January 2007 and March 2013. Emergency Severity Index and Injury Severity Score were calculated. Hospital stay time and flight duration was measured. Data were analyzed using Student's t-test. The mean age of the patients was 53.5 years. Of the transported patients, 19.0% were visitors to the island and 29.6% were traumatically injured. The mortality rate after transportation was 11.6% (33 patients). Helicopter transportation has been very beneficial for the treatment of emergency patients on Ulleung Island. A national level of interest and investment is required to improve this service. Copyright © 2014 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  18. 78 FR 15599 - Airworthiness Directives; Sikorsky Aircraft-Manufactured Model S-64F Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    ... Erickson Air-Crane Incorporated (Erickson) Model S-64F type certificate. This AD supersedes an existing AD..., contact Erickson Air-Crane Incorporated, ATTN: Chris Erickson/Compliance Officer, 3100 Willow Springs Rd... Sikorsky Aircraft Corporation-manufactured Model S-64F helicopters, now under the Erickson Air-Crane...

  19. Factors associated with ambulance requests for febrile seizures.

    PubMed

    Sakai, Rie; Marui, Eiji

    2008-08-01

    The objective of this study was to determine factors associated with ambulance requests for febrile seizures. This study retrospectively investigated medical records of patients who visited the Emergency Care Unit at Tokyo Metropolitan Toshima Hospital in the 5-year period after April 2001. Subjects' basic characteristics (e.g., age and sex), medical history of febrile seizures, sibling and parental medical history of febrile seizures, and distance from hospital were investigated. In total, 310 subjects used ambulances, and 106 came to the hospital without requesting ambulances. The results of binomial logistic analysis indicated that factors associated with ambulance requests included patient's and parents' medical history of febrile seizures. Increasing awareness of febrile seizures and provision of a general public educational campaign are possible strategies to help decrease unnecessary ambulance requests. However, a medical history of febrile seizures among siblings revealed no association, indicating the need to conduct repeated early-stage interventions.

  20. S-7OA-9 Black Hawk Helicopter: Internal Panel Cracking Investigation

    DTIC Science & Technology

    1997-01-01

    research into helicopter usage monitoring and is involved with a sub-committee of TTCP HTP 8 looking at issues related to helicopter usage monitoring. He is...Repair Manual . It was subsequently discovered that a majority of the ESSS struts in service had the same damage and this raised an airworthiness issue...Black Hawk Structural Repair Manual , Royal Australian Air Force Publication, DI(AF) AAP7210.015-3,12 May 1994. 15. Fraser, R.C., A One-Pass Method For

  1. Noise measurement flight test: Data-analyses Aerospatiale SA-365N Dauphin 2 helicopter

    NASA Astrophysics Data System (ADS)

    Newman, J. S.; Rickely, E. J.; Daboin, S. A.; Beattie, K. R.

    1984-04-01

    This report documents the results of a Federal Aviation Administration (FAA) noise measurement flight test program with the Dauphin twin-jet helicopter. The report contains documentary sections describing the acoustical characteristics of the subject helicopter and provides analyses and discussions addressing topics ranging from acoustical propagation to environmental impact of helicopter noise. This report is the second in a series of seven documenting the FAA helicopter noise measurement program conducted at Dulles International Airport during the summer of 1983. The Dauphin test program involved the acquisition of detailed acoustical, position and meteorological data. This test program was designed to address a series of objectives including: (1) acquisition of acoustical data for use in assessing heliport environment impact, (2) documentation of directivity characteristics for static operation of helicopters, (3) establishment of ground-to-ground and air-to-ground acoustical propagation relationships for helicopters, (4) determination of noise event duration influences on energy dose acoustical metrics, (5) examination of the differences between noise measured by a surface mounted microphone and a microphone mounted at a height of four feet (1.2 meters), and (6) documentation of noise levels acquired using international helicopter noise certification test procedures.

  2. Utilisation of a Helicopter Emergency Medical Service (HEMS) for equestrian accidents in a regional major trauma network in the United Kingdom.

    PubMed

    McQueen, Carl; Crombie, Nick; Cormack, Stef; George, Arun; Wheaton, Steve

    2015-05-01

    The utilisation of Helicopter Emergency Medical Services (HEMS) in response to equestrian accidents has been an integral part of operations for many years throughout the UK. The recent establishment of major trauma networks in the UK has placed great emphasis on the appropriate tasking of HEMS units to cases where added benefit can be provided and the incidence of time critical injury in cases of equestrian accidents has been shown to be low. This study assesses the impact made on the utilisation of the different HEMS resources for cases of equestrian accidents within the West Midlands following the launch of the regional trauma network. We present a retrospective analysis of all equestrian accidents attended by Midlands Air Ambulance (MAA) between 1 April 2012 and 1 April 2013. Data were abstracted from the MAA operational database relating to mission activations/scene attendances; team configuration (physician led and Critical Care Paramedic (CCP) led); on-scene interventions; mission timings and patient conveyance by helicopter. A total of 114 activations involved equestrian accidents (6% of overall workload). The contribution of equestrian accidents to overall workload was similar for physician led and CCP-led (69/1069) platforms (5% vs. 6%, p=0.50). Only three patients (3%) required pre-hospital RSI during the period analysed and there were no recorded cases of ketamine administration for analgesia/conscious sedation. In approximately half of all scene attendances patients did not require any medication to be administered by the HEMS team. The vast majority of incidents occurred in rural locations with over 80% of patients conveyed to hospital by helicopter. The average mission time for scene attendances resulting in conveyance by helicopter was in excess of 90 min on both types of platform. There is a clear requirement for the design and implementation of informed and intelligent tasking models to respond to the need for assistance in equestrian accidents

  3. The Evolution of the Advanced Attack Helicopter

    DTIC Science & Technology

    1975-06-06

    p. 18. C. V. Glines (LTC, USA), "De Bothezat’s Flying Octopus ," Airman, Vol VI, No. I (January, 1962), 43. 29Ross, p. 58. 20 in his own right, being...AIR MOBILE OPIRATIONS, A Report for the Blue Ribbon Defense Panel by COL Jay D. Vanderpool, USA, Ret. (February 1970), 29. F. IY 70A Observation...not produce significant quantitative progress. -Attack Helicopters The Key to Army Air Mobile Operations, A Report for the Blue Ribbon Defense Panel by

  4. 77 FR 27116 - Safety Zone, Naval Helicopter Association Reunion Helicopter Demonstration, Elizabeth River...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-09

    ...-AA00 Safety Zone, Naval Helicopter Association Reunion Helicopter Demonstration, Elizabeth River... establishing a temporary safety zone on the Elizabeth River in the vicinity of Norfolk, VA to support the Naval... of life on navigable waters during the Naval Helicopter Association Reunion Helicopter Demonstration...

  5. The making of helicopters: its strategic implications for EMS helicopter operations.

    PubMed

    Thomas, F

    1998-01-01

    The purpose of this article is to provide EMS helicopter personnel with an understanding of the civil helicopter manufacturing industry. Specifically, this article examines the current helicopter marketplace and how various manufactures are responding to the recent decline in new helicopter sales. This article further describes how helicopters are designed and manufactured and how global markets, international competition, and strategic considerations are influencing future helicopter design and production. Data for this paper were obtained from a literature search through the ABI-inform Telnet Services offered through the University of Utah Marriott Library. On a search of "helicopter" during the past 5 years, 566 abstracts were identified, all of which were reviewed for information related to the purpose of this article. Forty-seven articles were identified and read in detail for information that may have related to the purpose of this article. In addition, a library search to identify textbooks that describe helicopter production systems was undertaken but did not identify any written resources. Because of the lack of written resources available in writing this article, a direct interview survey of leading helicopter manufactures, associations, and industry writers was conducted. Only information that was considered "public knowledge" was available because of concerns by the various manufactures that publication of confidential information could be detrimental to their competitive advantage. Because helicopter-manufacturing plants were not located within easy travel range, no direct observation of the production facilities could be undertaken. Furthermore, information regarding production and operational management was not easily accessible because the data were not published or were considered confidential. Therefore industry analysis had to take place through direct survey interviewing technique and data obtained through an analysis of the available published

  6. Development of helicopter engine seals

    NASA Technical Reports Server (NTRS)

    Lynwander, P.

    1973-01-01

    An experimental evaluation of main shaft seals for helicopter gas turbine engines was conducted with shaft speeds to 213 m/s(700 ft/sec), air pressures to 148 N/sq cm (215 psia), and air temperatures to 645 K (675 F). Gas leakage test results indicate that conventional seals will not be satisfactory for high-pressure sealing because of excessive leakage. The self-acting face seal, however, had significantly lower leakage and operated with insignificant wear during a 150-hour endurance test at sliding speeds to 145 m/s (475 ft/sec), air pressures to 124 N/sq cm (180 psia), and air temperatures to 408 K (275 F). Wear measurements indicate that noncontact operation was achieved at shaft speeds of 43,000 rpm. Evaluation of the self-acting circumferential seal was inconclusive because of seal dimensional variations.

  7. Maneuver Acoustic Flight Test of the Bell 430 Helicopter

    NASA Technical Reports Server (NTRS)

    Watts, Michael E.; Snider, Royce; Greenwood, Eric; Baden, Joel

    2012-01-01

    A cooperative flight test by NASA, Bell Helicopter and the U.S. Army to characterize the steady state acoustics and measure the maneuver noise of a Bell Helicopter 430 aircraft was accomplished. The test occurred during June/July, 2011 at Eglin Air Force Base, Florida. This test gathered a total of 410 data points over 10 test days and compiled an extensive data base of dynamic maneuver measurements. Three microphone configurations with up to 31 microphones in each configuration were used to acquire acoustic data. Aircraft data included DGPS, aircraft state and rotor state information. This paper provides an overview of the test.

  8. Altitude-Related Change in Endotracheal Tube Cuff Pressures in Helicopter EMS.

    PubMed

    Weisberg, Stacy N; McCall, Jonathan C; Tennyson, Joseph

    2017-06-01

    Over-inflation of endotracheal tube (ETT) cuffs has the potential to lead to scarring and stenosis of the trachea.1, 2,3, 4 The air inside an ETT cuff is subject to expansion as atmospheric pressure decreases, as happens with an increase in altitude. Emergency medical services helicopters are not pressurized, thereby providing a good environment for studying the effects of altitude changes ETT cuff pressures. This study aims to explore the relationship between altitude and ETT cuff pressures in a helicopter air-medical transport program. ETT cuffs were initially inflated in a nonstandardized manner and then adjusted to a pressure of 25 cmH 2 O. The pressure was again measured when the helicopter reached maximum altitude. A final pressure was recorded when the helicopter landed at the receiving facility. We enrolled 60 subjects in the study. The mean for initial tube cuff pressures was 70 cmH 2 O. Maximum altitude for the program ranged from 1,000-3,000 feet above sea level, with a change in altitude from 800-2,480 feet. Mean cuff pressure at altitude was 36.52 ± 8.56 cmH 2 O. Despite the significant change in cuff pressure at maximum altitude, there was no relationship found between the maximum altitude and the cuff pressures measured. Our study failed to demonstrate the expected linear relationship between ETT cuff pressures and the maximum altitude achieved during typical air-medical transportation in our system. At altitudes less than 3,000 feet above sea level, the effect of altitude change on ETT pressure is minimal and does not require a change in practice to saline-filled cuffs.

  9. Impacts of temperature change on ambulance dispatches and seasonal effect modification.

    PubMed

    Cheng, Jian; Xu, Zhiwei; Zhao, Desheng; Xie, Mingyu; Yang, Huihui; Wen, Liying; Li, Kesheng; Su, Hong

    2016-12-01

    Ambulance dispatch is a proxy of acute health outcomes, and growing epidemiological evidence documented its relation to extreme temperature events. Research, however, on short-term temperature change and ambulance dispatches is scarce. We aimed to investigate the effect of short-term temperature change on ambulance dispatches and potential modification by season. Daily data on ambulance dispatch and weather factors were collected in Huainan, a Chinese inland city from December 2011 through December 2013. A Poison generalized linear regression model combined with distributed lag nonlinear model was constructed to examine the association of temperature change between neighboring days (TCN) with ambulance dispatches. The effect modification by season was also examined. There were 48,700 ambulance attendances during the study period. A statistically significant association of TCN with ambulance dispatches was observed. Temperature rise between neighboring days (TCN > 0) was associated with elevated adverse risk of ambulance dispatches, and the effects appeared to be acute (lag0, on the current day) and could last for at least a week, while temperature drop between neighboring days (TCN < 0) had a protective effect. For a 1 °C increase of TCN at lag0 and lag06 (on the 7-day moving average), the risk of ambulance dispatches increased by 2 % (95 % CI 1-3 %) and 7 (95 % CI 1-13 %), respectively. Extreme TCN increase (95th percentile, 3.3 °C vs. 0 °C) at lag0 and lag05 was accompanied by 6 (95 % CI 3-8 %) and 27 % (95 % CI 12-44 %) increase in ambulance dispatches. Ambulance dispatches were more vulnerable to extremely great temperature rise in summer and autumn. TCN was adopted for the first time to quantify the impact of short-term temperature change on ambulance dispatches. Temperature drop between neighboring days (TCN < 0) had a protective effect on ambulance dispatches, while temperature rise between neighboring days (TCN > 0) could acutely

  10. Application of the ABC helicopter to the emergency medical service role

    NASA Technical Reports Server (NTRS)

    Levine, L. S.

    1981-01-01

    Attention is called to the use of helicopters in transporting the sick and injured to medical facilities. It is noted that the helicopter's speed of response and delivery increases patient survival rates and may reduce the cost of medical care and its burden on society. Among the vehicle characteristics desired for this use are a cruising speed of 200 knots, a single engine hover capability at 10,000 ft, and an absence of a tail rotor. Three designs for helicopters incorporating such new technologies as digital/optical control systems, all composite air-frames, and third-generation airfoils are presented. A sensitivity analysis is conducted to show the effect of design speed, mission radius, and single engine hover capability on vehicle weight, fuel consumption, operating costs, and productivity.

  11. Simulation Based Training Improves Airway Management for Helicopter EMS Teams

    NASA Technical Reports Server (NTRS)

    Dhindsa, Harinder S.; Reid, Renee; Murray, David; Lovelady, James; Powell, Katie; Sayles, Jeff; Stevenson, Christopher; Baker, Kathy; Solada, Brian; Carroll, Scott; hide

    2011-01-01

    The use of paralytic medications in the performance of RSI intubation is a high risk intervention used by many HEMS crews. There is no margin for error in RSI intubation as the results can be fatal. Operating room access for airway management training has become more difficult, and is not representative of the environment in which HEMS crews typically function. LifeEvac of Virginia designed and implemented an SST airway management program to provide a realistic, consistent training platform. The dynamic program incorporates standardized scenarios, and real life challenging cases that this and other programs have encountered. SST is done in a variety of settings including the helicopter, back of ambulances, staged car crashes and simulation centers. The result has been the indoctrination of a well defined, consistent approach to every airway management intervention. The SST program facillitates enhancement of technical skills. as well as team dynamics and communication.

  12. Electrocardiogram interpretation skills among ambulance nurses.

    PubMed

    Werner, Kristoffer; Kander, Kristofer; Axelsson, Christer

    2016-06-01

    To describe ambulance nurses' practical electrocardiogram (ECG) interpretation skills and to measure the correlation between these skills and factors that may impact on the level of knowledge. This study was conducted using a prospective quantitative survey with questionnaires and a knowledge test. A convenience sample collection was conducted among ambulance nurses in three different districts in western Sweden. The knowledge test consisted of nine different ECGs. The score of the ECG test were correlated against the questions in the questionnaire regarding both general ECG interpretation skill and ability to identify acute myocardial infarction using Mann-Whitney U test, Kruskal-Wallis test and Spearman's rank correlation. On average, the respondents had 54% correct answers on the test and identified 46% of the ECGs indicating acute myocardial infarction. The median total score was 9 of 16 (interquartile range 7-11) and 1 of 3 (IQR 1-2) in infarction points. No correlation between ECG interpretation skill and factors such as education and professional experience was found, except that coronary care unit experience was associated with better results on the ECG test. Ambulance nurses have deficiencies in their ECG interpretation skills. This also applies to conditions where the ambulance crew has great potential to improve the outcome of the patient's health, such as myocardial infarction and cardiac arrest. Neither education, extensive experience in ambulance service nor in nursing contributed to an improved result. The only factor of importance for higher ECG interpretation knowledge was prior experience of working in a coronary care unit. © The European Society of Cardiology 2014.

  13. Responses of the Acutely Injured Spinal Cord to Vibration that Simulates Transport in Helicopters or Mine-Resistant Ambush-Protected Vehicles.

    PubMed

    Streijger, Femke; Lee, Jae H T; Manouchehri, Neda; Melnyk, Angela D; Chak, Jason; Tigchelaar, Seth; So, Kitty; Okon, Elena B; Jiang, Shudong; Kinsler, Rachel; Barazanji, Khalid; Cripton, Peter A; Kwon, Brian K

    2016-12-15

    In the military environment, injured soldiers undergoing medical evacuation via helicopter or mine-resistant ambush-protected vehicle (MRAP) are subjected to vibration and shock inherent to the transport vehicle. We conducted the present study to assess the consequences of such vibration on the acutely injured spinal cord. We used a porcine model of spinal cord injury (SCI). After a T10 contusion-compression injury, animals were subjected to 1) no vibration (n = 7-8), 2) whole body vibration at frequencies and amplitudes simulating helicopter transport (n = 8), or 3) whole body vibration simulating ground transportation in an MRAP ambulance (n = 7). Hindlimb locomotor function (using Porcine Thoracic Injury Behavior Scale [PTIBS]), Eriochrome Cyanine histochemistry and biochemical analysis of inflammatory and neural damage markers were analyzed. Cerebrospinal fluid (CSF) expression levels for monocyte chemoattractant protein-1 (MCP-1), interleukin (IL)-6, IL-8, and glial fibrillary acidic protein (GFAP) were similar between the helicopter or MRAP group and the unvibrated controls. Spared white/gray matter tended to be lower in the MRAP-vibrated animals than in the unvibrated controls, especially rostral to the epicenter. However, spared white/gray matter in the helicopter-vibrated group appeared normal. Although there was a relationship between the extent of sparing and the extent of locomotor recovery, no significant differences were found in PTIBS scores between the groups. In summary, exposures to vibration in the context of ground (MRAP) or aeromedical (helicopter) transportation did not significantly impair functional outcome in our large animal model of SCI. However, MRAP vibration was associated with increased tissue damage around the injury site, warranting caution around exposure to vehicle vibration acutely after SCI.

  14. Helicopter human factors

    NASA Technical Reports Server (NTRS)

    Hart, Sandra G.

    1988-01-01

    The state-of-the-art helicopter and its pilot are examined using the tools of human-factors analysis. The significant role of human error in helicopter accidents is discussed; the history of human-factors research on helicopters is briefly traced; the typical flight tasks are described; and the noise, vibration, and temperature conditions typical of modern military helicopters are characterized. Also considered are helicopter controls, cockpit instruments and displays, and the impact of cockpit design on pilot workload. Particular attention is given to possible advanced-technology improvements, such as control stabilization and augmentation, FBW and fly-by-light systems, multifunction displays, night-vision goggles, pilot night-vision systems, night-vision displays with superimposed symbols, target acquisition and designation systems, and aural displays. Diagrams, drawings, and photographs are provided.

  15. Effect of lower limb Sofield procedure on ambulation in osteogenesis imperfecta.

    PubMed

    Khoshhal, K I; Ellis, R D

    2001-01-01

    Ambulation status was evaluated in 34 patients pre- and post-Sofield procedure in patients with osteogenesis imperfecta. Three percent had improved ambulation, 42.4% remained the same and 54.6% were worse. Only 41.2% were ambulating postoperatively compared to 73.5% preoperatively. The Sofield procedure did not improve ambulation status.

  16. Helicopter theory

    NASA Technical Reports Server (NTRS)

    Johnson, W.

    1980-01-01

    A comprehensive presentation is made of the engineering analysis methods used in the design, development and evaluation of helicopters. After an introduction covering the fundamentals of helicopter rotors, configuration and operation, rotary wing history, and the analytical notation used in the text, the following topics are discussed: (1) vertical flight, including momentum, blade element and vortex theories, induced power, vertical drag and ground effect; (2) forward flight, including in addition to momentum and vortex theory for this mode such phenomena as rotor flapping and its higher harmonics, tip loss and root cutout, compressibility and pitch-flap coupling; (3) hover and forward flight performance assessment; (4) helicopter rotor design; (5) rotary wing aerodynamics; (6) rotary wing structural dynamics, including flutter, flap-lag dynamics ground resonance and vibration and loads; (7) helicopter aeroelasticity; (8) stability and control (flying qualities); (9) stall; and (10) noise.

  17. Earlier reperfusion in patients with ST-elevation Myocardial infarction by use of helicopter

    PubMed Central

    2012-01-01

    Background In patients with ST-elevation myocardial infarction (STEMI) reperfusion therapy should be initiated as soon as possible. This study evaluated whether use of a helicopter for transportation of patients is associated with earlier initiation of reperfusion therapy. Material and methods A prospective study was conducted, including patients with STEMI and symptom duration less than 12 hours, who had primary percutaneous coronary intervention (PPCI) performed at Aarhus University Hospital in Skejby. Patients with a health care system delay (time from emergency call to first coronary intervention) of more than 360 minutes were excluded. The study period ran from 1.1.2011 until 31.12.2011. A Western Denmark Helicopter Emergency Medical Service (HEMS) project was initiated 1.6.2011 for transportation of patients with time-critical illnesses, including STEMI. Results The study population comprised 398 patients, of whom 376 were transported by ambulance Emergency Medical Service (EMS) and 22 by HEMS. Field-triage directly to the PCI-center was used in 338 of patients. The median system delay was 94 minutes among those field-triaged, and 168 minutes among those initially admitted to a local hospital. Patients transported by EMS and field-triaged were stratified into four groups according to transport distance from the scene of event to the PCI-center: ≤25 km., 26–50 km., 51–75 km. and > 75 km. For these groups, the median system delay was 78, 89, 99, and 141 minutes. Among patients transported by HEMS and field-triaged the estimated median transport distance by ground transportation was 115 km, and the observed system delay was 107 minutes. Based on second order polynomial regression, it was estimated that patients with a transport distance of >60 km to the PCI-center may benefit from helicopter transportation, and that transportation by helicopter is associated with a system delay of less than 120 minutes even at a transport distance up to 150 km

  18. Earlier reperfusion in patients with ST-elevation myocardial infarction by use of helicopter.

    PubMed

    Knudsen, Lars; Stengaard, Carsten; Hansen, Troels Martin; Lassen, Jens Flensted; Terkelsen, Christian Juhl

    2012-10-04

    In patients with ST-elevation myocardial infarction (STEMI) reperfusion therapy should be initiated as soon as possible. This study evaluated whether use of a helicopter for transportation of patients is associated with earlier initiation of reperfusion therapy. A prospective study was conducted, including patients with STEMI and symptom duration less than 12 hours, who had primary percutaneous coronary intervention (PPCI) performed at Aarhus University Hospital in Skejby. Patients with a health care system delay (time from emergency call to first coronary intervention) of more than 360 minutes were excluded. The study period ran from 1.1.2011 until 31.12.2011. A Western Denmark Helicopter Emergency Medical Service (HEMS) project was initiated 1.6.2011 for transportation of patients with time-critical illnesses, including STEMI. The study population comprised 398 patients, of whom 376 were transported by ambulance Emergency Medical Service (EMS) and 22 by HEMS. Field-triage directly to the PCI-center was used in 338 of patients. The median system delay was 94 minutes among those field-triaged, and 168 minutes among those initially admitted to a local hospital. Patients transported by EMS and field-triaged were stratified into four groups according to transport distance from the scene of event to the PCI-center: ≤25 km., 26-50 km., 51-75 km. and > 75 km. For these groups, the median system delay was 78, 89, 99, and 141 minutes. Among patients transported by HEMS and field-triaged the estimated median transport distance by ground transportation was 115 km, and the observed system delay was 107 minutes. Based on second order polynomial regression, it was estimated that patients with a transport distance of >60 km to the PCI-center may benefit from helicopter transportation, and that transportation by helicopter is associated with a system delay of less than 120 minutes even at a transport distance up to 150 km. The present study indicates that use of a

  19. Riding Third: Social Work in Ambulance Work

    ERIC Educational Resources Information Center

    Campbell, Hilary; Rasmussen, Brian

    2012-01-01

    This research explored the possible role of social work alongside emergency ambulance services. An ethnographic study included semistructured interviews and direct observations collected over 300 hours while riding in ambulances in an urban setting. The data suggest that social work could play a role by providing needed psychosocial care during…

  20. Crashes of sightseeing helicopter tours in Hawaii.

    PubMed

    Haaland, Wren L; Shanahan, Dennis F; Baker, Susan P

    2009-07-01

    Crashes of sightseeing helicopter flights in Hawaii and the resulting tourist deaths prompted the FAA to issue regulations in 1994 specific to air tours in Hawaii. Research was undertaken to examine the effect of the 1994 Rule and to describe the circumstances of such crashes. From National Transportation Safety Board data, 59 crashes of helicopter air tour flights in Hawaii during 1981-2008 were identified; crash investigation reports were read and coded. Crashes in 1995-2008 were compared with those in 1981-1994. The 1994 Rule was followed by a 47% decrease in the crash rate, from 3.4 to 1.8/100,000 flight hours. The number of crashes into the ocean decreased from eight before the Rule to one afterwards. VFR-IMC crashes increased from 5 to 32% of crashes. There were 46 tourists and 9 pilots who died in 16 fatal crashes. Aircraft malfunctions, primarily due to poor maintenance, precipitated 34 (58%) of the crashes and persisted throughout the 28-yr period. Pilot errors were apparent in 23 crashes (39%). Flight from visual to instrument conditions occurred in two cases before the Rule and seven cases after. Terrain unsuitable for landing was cited in 37 crashes (63%). Decreases occurred in the overall number and rate of crashes and in ocean crash landings. The increase in VFR-IMC crashes may be related to the requirement that tour helicopters fly at least 1500 ft. above terrain. Attention is still needed to maintenance, pilot training, and restricting flights to operating areas and conditions that enable safe emergency landings.

  1. Altitude-Related Change in Endotracheal Tube Cuff Pressures in Helicopter EMS

    PubMed Central

    Weisberg, Stacy N.; McCall, Jonathan C.; Tennyson, Joseph

    2017-01-01

    Introduction Over-inflation of endotracheal tube (ETT) cuffs has the potential to lead to scarring and stenosis of the trachea.1, 2,3, 4 The air inside an ETT cuff is subject to expansion as atmospheric pressure decreases, as happens with an increase in altitude. Emergency medical services helicopters are not pressurized, thereby providing a good environment for studying the effects of altitude changes ETT cuff pressures. This study aims to explore the relationship between altitude and ETT cuff pressures in a helicopter air-medical transport program. Methods ETT cuffs were initially inflated in a nonstandardized manner and then adjusted to a pressure of 25 cmH2O. The pressure was again measured when the helicopter reached maximum altitude. A final pressure was recorded when the helicopter landed at the receiving facility. Results We enrolled 60 subjects in the study. The mean for initial tube cuff pressures was 70 cmH2O. Maximum altitude for the program ranged from 1,000–3,000 feet above sea level, with a change in altitude from 800–2,480 feet. Mean cuff pressure at altitude was 36.52 ± 8.56 cmH2O. Despite the significant change in cuff pressure at maximum altitude, there was no relationship found between the maximum altitude and the cuff pressures measured. Conclusion Our study failed to demonstrate the expected linear relationship between ETT cuff pressures and the maximum altitude achieved during typical air-medical transportation in our system. At altitudes less than 3,000 feet above sea level, the effect of altitude change on ETT pressure is minimal and does not require a change in practice to saline-filled cuffs. PMID:28611883

  2. Neighborhood Poverty and 9-1-1 Ambulance Contacts.

    PubMed

    Seim, Josh; English, Joshua; Sporer, Karl

    2017-01-01

    Neighborhood poverty is positively associated with frequency of 9-1-1 ambulance utilization, but it is unclear whether this association remains significant when accounting for variations in the severities and types of ambulance contacts. We merged EMS ambulance contact records in a single California county (n = 88,027) with data from the American Community Survey at the census tract level (n = 300). Using tract as a proxy for neighborhood and negative binomial regression as an analytical tool, we predicted 16 outcomes: any ambulance contacts, ambulance contacts stratified by three intervention severities, and ambulance contacts varied by 12 primary impression categories. For each model, we estimated the incident rate ratios for 10 percentage point increases in tract-level poverty while controlling for geographic patterns in race, citizenship, gender, age, emergency department proximity, population density, and population size. Our study produced three major findings. First, tract-level poverty was positively associated with ambulance contacts (incident rate ratio [IRR] 1.45; 95% confidence interval [CI] 1.34 to 1.57). Second, poverty was positively associated with low severity contacts (IRR 1.48; 95% CI 1.35 to 1.61), medium severity contacts (IRR 1.38; 95% CI 1.28 to 1.49), and high severity contacts (IRR 1.40; 95% CI 1.30 to 1.51). Third, poverty was positively associated with 12 primary impression categories: abdominal (IRR 1.48; 95% CI 1.36 to 1.61), altered level of consciousness (IRR 1.37; 95% CI 1.25 to 1.50), cardiac (IRR 1.28; 95% CI 1.14 to 1.42), overdose/intoxication (IRR 1.59; 95% CI 1.40 to 1.81), pain (IRR 1.56; 95% CI 1.41 to 1.73), psych/behavioral (IRR 1.50; 95% CI 1.34 to 1.67), respiratory (IRR 1.42; 95% CI 1.29 to 1.56) seizure (IRR 1.52; 95% CI 1.38 to 1.68), stroke (IRR 1.14; 95% CI 1.01 to 1.28), syncope/near syncope (IRR 1.23; 95% CI 1.12 to 1.36), trauma (IRR 1.44; 95% CI 1.31 to 1.58), and general weakness (IRR 1.31; 95% CI 1.20 to 1

  3. Toward the silent helicopter

    NASA Astrophysics Data System (ADS)

    Lewy, Serge; Marze, Henri-James

    The development of a 'silent helicopter' program in Europe, whose aim would be noise reduction for both commercial and military helicopters over the next five years, is discussed. Attention is given to acoustic constraints for helicopters and to noise reduction techniques (with particular reference to the main rotor, the rear rotor, and the engines). For commercial helicopters, the noise reduction over the next five years is projected to be at least down to 6 dB below the OACI norms; for military helicopters, the aim is a variable-frequency signature in near-tactical-flight conditions, with a factor-of-two reduction in the maximum impulsivity in the far field.

  4. 42 CFR 414.615 - Transition to the ambulance fee schedule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... inflation factor for ambulance services. (b) 2003 Payment. For services furnished in CY 2003, payment is... inflation factor for ambulance services. (c) 2004 Payment. For services furnished in CY 2004, payment is... inflation factor for ambulance services. (d) 2005 Payment. For services furnished in CY 2005, payment is...

  5. Results of the flight noise measurement program using a standard and modified SH-3A helicopter

    NASA Technical Reports Server (NTRS)

    Pegg, R. J.; Henderson, H. R.; Hilton, D. A.

    1973-01-01

    A field noise measurement program has been conducted using both a standard SH-3A helicopter and an SH-3A helicopter modified to reduce external noise levels. Modifications included reducing rotor speed, increasing the number of rotor blades, modifying the blade-tip shapes, and acoustically treating the engine air intakes and exhaust. The purpose of this study was to document the noise characteristics recorded on the ground of each helicopter during flyby, hover, landing, and take-off operations. Based on an analysis of the measured results, the average of the overhead, overall, ontrack noise levels was approximately 4 db lower for the modified helicopter than for the standard helicopter. The improved in-flight noise characteristics, and associated small footprint areas and time durations, were judged to be mainly due to tail-rotor noise reductions. The noise reductions were obtained at the expense of required power increases at airspeeds greater than 70 knots for the modified helicopter.

  6. Physician-staffed emergency helicopter reduces transportation time from alarm call to highly specialized centre.

    PubMed

    Fjaeldstad, Alexander; Kirk, Morten Hasager; Knudsen, Lars; Bjerring, Jesper; Christensen, Erika F

    2013-07-01

    Since 2007, the number of Danish emergency departments has decreased from 44 to 21. Longer distances to specialized treatment have increased the demand for advanced prehospital treatment. A Danish 24/7 Helicopter Emergency Medical System (HEMS) project in western Denmark was initiated on 6 January 2011. The HEMS provides prehospital care delivered by a specialized anaesthesiologist. This study evaluated the effect of HEMS on the time to treatment by a physician (time-to-doctor) and the time from a 112 emergency call to arrival at the highly specialized centre (time-to-centre) for patients with ST-elevation myocardial infarction (STEMI) or severe injury (Injury Severity Score > 15). In this prospective study with a matched historical control group, the time-to-doctor and the time-to-centre for patients with STEMI or severe injury transported by HEMS were compared with geographically matched patients with the same diagnoses and who were transported by ambulance. Time-to-centre was reduced from 102 to 84 min. for STEMI and from 322 to 97 min. for severely injured patients after HEMS implementation. HEMS did not substantially reduce time-to-doctor, mainly because of increased availability of physician-staffed cars. In 56% of cases, HEMS was dispatched secondarily more than 30 min. after the ambulance had been dispatched. Using HEMS reduced time to arrival at a highly specialized centre for patients with STEMI or severe injury. Simultaneous dispatch of an ambulance and HEMS shows potential for further reduction in the time-to-centre and the time-to-doctor. not relevant. The trial is registered at the Danish Data Protection Agency.

  7. Helicopter noise regulations: An industry perspective

    NASA Technical Reports Server (NTRS)

    Wagner, R. A.

    1978-01-01

    A review of helicopter noise measurement programs and noise reduction/economic studies of FAA is given along with a critique of a study which addresses the economic impact of noise reduction on helicopter noise. Modification of several helicopters to reduce noise and demonstrate the economic impact of the application of the current state-of-the-art technology is discussed. Specific helicopters described include Boeing Vertol 347 Helicopter, Hughes OH-6 Helicopter, and Hughes 269C Helicopter. Other topics covered include: (1) noise trends and possible noise limits; (2) accuracy of helicopter noise prediction techniques; (3) limited change possibilities of derivatives; and (4) rotor impulsive noise. The unique operational capabilities of helicopters and the implications relative to noise regulations and certification are discussed.

  8. A user evaluation of a local air ambulance service in North Wales.

    PubMed

    Gruffudd, Gwilym Siôn

    2008-01-01

    The purpose of this paper is to examine the current state and utilisation of user evaluation consultation adopted by Wales Air Ambulance (WAA) within the policy context. It is intended to provide a baseline for further evaluative research in the field and to highlight existing practices and resources. Gaps in strategic planning and service delivery are identified, with local recommendations proposed. Semi-structured, in-depth face-to-face interviews were conducted with ten participants drawn from a convenient sample representative of stakeholders including practitioners, fundraisers and operational staff. These groups represent primary actors involved in the delivery of services and policy implementation and also secondary actors involved in the delivery as users. Documentary analysis of WAA dispatch policy and protocols combined with secondary quantitative data of key performance indicators was undertaken. In total, 80 per cent of the sample stated their satisfaction with WAA dispatch policy with no perceived need or benefit to further development of policy or local agreements. About 70 per cent of participants had received direct comments that were 100 per cent positive from primary users/patients. All organisations shared the same concerns regarding lack of appropriate present communication. The research design was driven by practicalities of time-scale and resources. Owing to these constraints, plus the legal and ethical requirements relating to the involvement of patients in research, primary users were not included in this study. Areas for future research are identified. Recommendations being implemented by WAA include further engagement with primary users of the service in order to enhance standards. This paper reports the first empirical research conducted with WAA and users of the service.

  9. Laser development for optimal helicopter obstacle warning system LADAR performance

    NASA Astrophysics Data System (ADS)

    Yaniv, A.; Krupkin, V.; Abitbol, A.; Stern, J.; Lurie, E.; German, A.; Solomonovich, S.; Lubashitz, B.; Harel, Y.; Engart, S.; Shimoni, Y.; Hezy, S.; Biltz, S.; Kaminetsky, E.; Goldberg, A.; Chocron, J.; Zuntz, N.; Zajdman, A.

    2005-04-01

    Low lying obstacles present immediate danger to both military and civilian helicopters performing low-altitude flight missions. A LADAR obstacle detection system is the natural solution for enhancing helicopter safety and improving the pilot situation awareness. Elop is currently developing an advanced Surveillance and Warning Obstacle Ranging and Display (SWORD) system for the Israeli Air Force. Several key factors and new concepts have contributed to system optimization. These include an adaptive FOV, data memorization, autonomous obstacle detection and warning algorithms and the use of an agile laser transmitter. In the present work we describe the laser design and performance and discuss some of the experimental results. Our eye-safe laser is characterized by its pulse energy, repetition rate and pulse length agility. By dynamically controlling these parameters, we are able to locally optimize the system"s obstacle detection range and scan density in accordance with the helicopter instantaneous maneuver.

  10. Helicopter Handling Qualities

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Helicopters are used by the military and civilian communities for a variety of tasks and must be capable of operating in poor weather conditions and at night. Accompanying extended helicopter operations is a significant increase in pilot workload and a need for better handling qualities. An overview of the status and problems in the development and specification of helicopter handling-qualities criteria is presented. Topics for future research efforts by government and industry are highlighted.

  11. Emergency and microfog lubrication and cooling of bearings for Army helicopters

    NASA Technical Reports Server (NTRS)

    Rosenlieb, J. W.

    1978-01-01

    An analysis and system study was performed to provide design information regarding lubricant and coolant flow rates and flow paths for effective utilization of the lubricant and coolant in a once-through oil-mist (microfog) and coolant air system. A system was designed, manufactured, coupled with an existing rig and evaluation tests were performed using 46 mm bore split-inner angular-contact ball bearings under 1779N (400 lb.) thrust load. An emergency lubrication aspirator system was also manufactured and tested under lost lubricant conditions. The testing demonstrated the feasibility of using a mist oil and cooling air system to lubricate and cool a high speed helicopter engine mainshaft bearing. The testing also demonstrated the feasibility of using an emergency aspirator lubrication system as a viable survivability concept for helicopter mainshaft engine bearing for periods as long as 30 minutes.

  12. Small Business Innovations (Helicopters)

    NASA Technical Reports Server (NTRS)

    1992-01-01

    The amount of engine power required for a helicopter to hover is an important, but difficult, consideration in helicopter design. The EHPIC program model produces converged, freely distorted wake geometries that generate accurate analysis of wake-induced downwash, allowing good predictions of rotor thrust and power requirements. Continuum Dynamics, Inc., the Small Business Innovation Research (SBIR) company that developed EHPIC, also produces RotorCRAFT, a program for analysis of aerodynamic loading of helicopter blades in forward flight. Both helicopter codes have been licensed to commercial manufacturers.

  13. Conservative Management of Mechanical Neck Pain in a Helicopter Pilot.

    PubMed

    Alagha, Babak

    2015-10-01

    Acute and chronic spinal symptoms such as neck pain may limit flying performance significantly and disqualify the pilot from flight duty. Mechanical neck pain is very common among pilots because of their exposure to vibration, +GZ forces, helmet weight, poor neck posture during air combat maneuvers, previous neck injuries, and poor treatment plans for such injuries. Successful treatment of such injuries requires appropriate therapeutic procedures as well as an aeromedical assessment. The aim of this case study was to demonstrate the benefits of conservative procedures such as spinal manipulation and mobilization therapy (SMMT) and exercise therapy (ET) in treating chronic mechanical neck pain in an Iranian commercial helicopter pilot. A 36-yr-old male patient presented to the clinic with moderate, intermittent nonradicular chronic neck pain and limited range of motion over a 2-yr period. The patient was treated with cervical and upper thoracic SMMT followed by home ET for 5 wk. After this period, the patient reported significant recovery and improvement in range of motion in his neck. Mechanical neck pain is very common among helicopter pilots. Although Air Force and Navy waiver guides recommend nonsteroidal anti-inflammatory medications as well as SMMT and ET, there are currently very few published studies that examine the benefits of manual and exercise therapy for treating mechanical neck pain in commercial and military pilots. Based on the results of this study, it seems that SMMT and ET may be a safe and effective in treatment of uncomplicated mechanical neck pain in helicopter pilots. Alagha B. Conservative management of mechanical neck pain in a helicopter pilot.

  14. Advanced Airfoils Boost Helicopter Performance

    NASA Technical Reports Server (NTRS)

    2007-01-01

    Carson Helicopters Inc. licensed the Langley RC4 series of airfoils in 1993 to develop a replacement main rotor blade for their Sikorsky S-61 helicopters. The company's fleet of S-61 helicopters has been rebuilt to include Langley's patented airfoil design, and the helicopters are now able to carry heavier loads and fly faster and farther, and the main rotor blades have twice the previous service life. In aerial firefighting, the performance-boosting airfoils have helped the U.S. Department of Agriculture's Forest Service control the spread of wildfires. In 2003, Carson Helicopters signed a contract with Ducommun AeroStructures Inc., to manufacture the composite blades for Carson Helicopters to sell

  15. Effect of helicopter transport on neurological outcomes in a mouse model of embolic stroke with reperfusion: AIR-MICE pilot study.

    PubMed

    Leira, Enrique C; Zaheer, Asgar; Schnell, Thomas; Torner, James C; Olalde, Heena M; Pieper, Andrew A; Ortega-Gutierrez, Santiago; Nagaraja, Nandakumar; Marks, Nancy L; Adams, Harold P

    2015-10-01

    Patients often suffer a stroke at a significant distance from a center capable of delivering endovascular therapy, thus requiring rapid transport by helicopter emergency medical services while receiving a recombinant tissue plasminogen activator infusion that was initiated locally. But little is known about how a helicopter flight may impact the safety and efficacy of recombinant tissue plasminogen activator-induced reperfusion and patient outcomes. To establish a new animal method to address with fidelity the safety and overall effect of helicopter emergency medical services during thrombolysis. Prospective randomized open blinded end-point study of an actual helicopter flight exposure. Adult C57BL/6 male mice were treated with a 10 mg/kg recombinant tissue plasminogen activator infusion two-hours after an embolic middle cerebral artery occlusion. Mice were randomized in pairs to simultaneously receive the infusion during a local helicopter flight or in a ground hangar. Eighteen mice (nine pairs) were analyzed. The paired t-test analysis showed nonsignificant smaller infarction volumes in the helicopter-assigned animals (mean pair difference 33 mm(3) , P = 0·33). The amount of hemorrhagic transformation between the helicopter and ground groups was 4·08 vs. 4·56 μl, respectively (paired t-test, P = 0·45). This study shows that helicopter emergency medical services do not have an inherent adverse effect on outcome in a mouse model of ischemic stroke with reperfusion. These results endorse the safety of the practice of using helicopter emergency medical services in stroke patients. The observed potential synergistic effect of helicopter-induced factors, such as vibration and changes in altitude, with reperfusion merits further exploration in animal experimental models and in stroke patients. © 2015 World Stroke Organization.

  16. 14 CFR Appendix A to Part 136 - Special Operating Rules for Air Tour Operators in the State of Hawaii

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... Applicability. This appendix prescribes operating rules for airplane and helicopter visual flight rules air tour... any sightseeing flight conducted under visual flight rules in an airplane or helicopter for compensation or hire. “Air tour operator” means any person who conducts an air tour. Section 3. Helicopter...

  17. 14 CFR Appendix A to Part 136 - Special Operating Rules for Air Tour Operators in the State of Hawaii

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .... Applicability. This appendix prescribes operating rules for airplane and helicopter visual flight rules air tour... any sightseeing flight conducted under visual flight rules in an airplane or helicopter for compensation or hire. “Air tour operator” means any person who conducts an air tour. Section 3. Helicopter...

  18. 14 CFR Appendix A to Part 136 - Special Operating Rules for Air Tour Operators in the State of Hawaii

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    .... Applicability. This appendix prescribes operating rules for airplane and helicopter visual flight rules air tour... any sightseeing flight conducted under visual flight rules in an airplane or helicopter for compensation or hire. “Air tour operator” means any person who conducts an air tour. Section 3. Helicopter...

  19. 14 CFR Appendix A to Part 136 - Special Operating Rules for Air Tour Operators in the State of Hawaii

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... Applicability. This appendix prescribes operating rules for airplane and helicopter visual flight rules air tour... any sightseeing flight conducted under visual flight rules in an airplane or helicopter for compensation or hire. “Air tour operator” means any person who conducts an air tour. Section 3. Helicopter...

  20. Limitations in Prehospital Communication Between Trauma Helicopter, Ambulance Services, and Dispatch Centers.

    PubMed

    Harmsen, Annelieke Maria Karien; Giannakopoulos, Georgios; Franschman, Gaby; Christiaans, Herman; Bloemers, Frank

    2017-04-01

    Prehospital communication with Emergency Medical Services (EMS) is carried out in hectic situations. Proper communication among all medical personal is required to enhance collaboration, to provide the best care and enable shared situational awareness. The objective of this article was to give insight into current Dutch prehospital emergency care communication among all EMS and evaluate the usage of a new physician staffed helicopter EMS (P-HEMS) cancellation model. Trauma-related P-HEMS dispatches between November 1, 2014 and May 31, 2015 for the Lifeliner 1 were included; a random sample of 100 dispatches was generated. Tape recordings on all verbal prehospital communication between the dispatch center, EMS, and P-HEMS were transcribed and analyzed. Qualitative content analysis was performed, using open coding to code key messages. Ninety-two tape recordings were analyzed. The most frequent reason for P-HEMS dispatch was suspicion of brain injury (24%). The cancellation model was followed in 66%, overruled in 9%, and not applicable in 25%. The main reason for not adhering to the model was hemodynamic stability. In 5% of P-HEMS dispatches, a complete ABCD (airway, breathing, circulation, disability) methodology was used for handover, in 9% a complete Situation-Background-Assessment-Recommendation technique, in 2% a complete Mechanism-Injuries-Signs-Treatment method was used. The other handovers were incomplete. Prehospital handover between EMS on-scene and P-HEMS often entails insufficient information. The cancellation model for P-HEMS is frequently used and promotes adequate information transfer. To increase joined decision-making, more patient and situational information needs to be handed over. Standardization of prehospital trauma handovers will facilitate this and improve trauma patient's outcome. Copyright © 2016 Elsevier Inc. All rights reserved.

  1. Helicopter Crewseat Cushion Program

    DTIC Science & Technology

    1994-11-01

    proportion of Army helicopter pilots suffer back pain caused by flying. Extended missions required during Desert Shield/Desert Storm emphasized this problem...Seat Cushions Lumbar Support Energy Absorbing Foam Lumbar Kyphosis 16. PRICE CODE Back Pain Thigh Support Helicopter Vibration Helicopter Seating _ 17...Bulging disks and stretched ligaments from lumbar kyphosis .................... 3 3 Measurement of anthropometric dimensions

  2. An Optimized Air-Core Coil Sensor with a Magnetic Flux Compensation Structure Suitable to the Helicopter TEM System.

    PubMed

    Chen, Chen; Liu, Fei; Lin, Jun; Zhu, Kaiguang; Wang, Yanzhang

    2016-04-12

    The air-core coil sensor (ACS) is widely used as a transducer to measure the variation in magnetic fields of a helicopter transient electromagnetic (TEM) system. A high periodic emitting current induces the magnetic field signal of the underground medium. However, such current also generates a high primary field signal that can affect the received signal of the ACS and even damage the receiver. To increase the dynamic range of the received signal and to protect the receiver when emitting current rises/falls, the combination of ACS with magnetic flux compensation structure (bucking coil) is necessary. Moreover, the optimized ACS, which is composed of an air-core coil and a differential pre-amplifier circuit, must be investigated to meet the requirements of the helicopter TEM system suited to rapid surveying for shallow buried metal mine in rough topography. Accordingly, two ACSs are fabricated in this study, and their performance is verified and compared inside a magnetic shielding room. Using the designed ACSs, field experiments are conducted in Baoqing County. The field experimental data show that the primary field response can be compensated when the bucking coil is placed at an appropriate point in the range of allowed shift distance beyond the center of the transmitting coil and that the damage to the receiver induced by the over-statured signal can be solved. In conclusion, a more suitable ACS is adopted and is shown to have better performance, with a mass of 2.5 kg, resultant effective area of 11.6 m² (i.e., diameter of 0.496 m), 3 dB bandwidth of 66 kHz, signal-to-noise ratio of 4 (i.e., varying magnetic field strength of 0.2 nT/s), and normalized equivalent input noise of 3.62 nV/m².

  3. Optimization process in helicopter design

    NASA Technical Reports Server (NTRS)

    Logan, A. H.; Banerjee, D.

    1984-01-01

    In optimizing a helicopter configuration, Hughes Helicopters uses a program called Computer Aided Sizing of Helicopters (CASH), written and updated over the past ten years, and used as an important part of the preliminary design process of the AH-64. First, measures of effectiveness must be supplied to define the mission characteristics of the helicopter to be designed. Then CASH allows the designer to rapidly and automatically develop the basic size of the helicopter (or other rotorcraft) for the given mission. This enables the designer and management to assess the various tradeoffs and to quickly determine the optimum configuration.

  4. Monitoring the effect of air pollution episodes on health care consultations and ambulance call-outs in England during March/April 2014: A retrospective observational analysis.

    PubMed

    Elliot, Alex J; Smith, Sue; Dobney, Alec; Thornes, John; Smith, Gillian E; Vardoulakis, Sotiris

    2016-07-01

    There is an increasing body of evidence illustrating the negative health effects of air pollution including increased risk of respiratory, cardiac and other morbid conditions. During March and April 2014 there were two air pollution episodes in England that occurred in close succession. We used national real-time syndromic surveillance systems, including general practitioner (GP) consultations, emergency department attendances, telehealth calls and ambulance dispatch calls to further understand the impact of these short term acute air pollution periods on the health seeking behaviour of the general public. Each air pollution period was comparable with respect to particulate matter concentrations (PM10 and PM2.5), however, the second period was longer in duration (6 days vs 3 days) and meteorologically driven 'Sahara dust' contributed to the pollution. Health surveillance data revealed a greater impact during the second period, with GP consultations, emergency department attendances and telehealth (NHS 111) calls increasing for asthma, wheeze and difficulty breathing indicators, particularly in patients aged 15-64 years. Across regions of England there was good agreement between air quality levels and health care seeking behaviour. The results further demonstrate the acute impact of short term air pollution episodes on public health and also illustrate the potential role of mass media reporting in escalating health care seeking behaviour. Crown Copyright © 2016. Published by Elsevier Ltd. All rights reserved.

  5. Noise characteristics of eight helicopters

    DOT National Transportation Integrated Search

    1977-07-01

    This report describes the noise characteristics of Eight Helicopters during level flyovers, simulated approaches, and hover. The data was obtained during an FAA/DOT Helicopter Noise Program to acquire a data base for possible helicopter noise regulat...

  6. Vehicle for civil helicopter ride quality research

    NASA Technical Reports Server (NTRS)

    Snyder, W. J.; Schlegel, R. G.

    1975-01-01

    A research aircraft for investigating the factors involved in civil helicopter operations was developed for NASA Langley Research Center. The aircraft is a reconfigured 17000 kg (36000 lb) military transport helicopter. The basic aircraft was reconfigured with advanced acoustic treatment, air-conditioning, and a 16-seat airline cabin. During the spring of 1975, the aircraft was flight tested to measure interior environment characteristics - noise and vibration - and was flown on 60 subjective flight missions with over 600 different subjects. Data flights established noise levels somewhat higher than expected, with a pure tone at 1400 Hz and vertical vibration levels between 0.07g and 0.17g. The noise and vibration levels were documented during subjective flight evaluations as being the primary source of discomfort. The aircraft will be utilized to document in detail the impact of various noise and vibration levels on passenger comfort during typical short-haul missions.

  7. Measurement and Characterization of Helicopter Noise in Steady-State and Maneuvering Flight

    NASA Technical Reports Server (NTRS)

    Schmitz, Fredric H.; Greenwood, Eric; Sickenberger, Richard D.; Gopalan, Gaurav; Sim, Ben Well-C; Conner, David; Moralez, Ernesto; Decker, William A.

    2007-01-01

    A special acoustic flight test program was performed on the Bell 206B helicopter outfitted with an in-flight microphone boom/array attached to the helicopter while simultaneous acoustic measurements were made using a linear ground array of microphones arranged to be perpendicular to the flight path. Air and ground noise measurements were made in steady-state longitudinal and steady turning flight, and during selected dynamic maneuvers. Special instrumentation, including direct measurement of the helicopter s longitudinal tip-path-plane (TPP) angle, Differential Global Positioning System (DGPS) and Inertial Navigation Unit (INU) measurements, and a pursuit guidance display were used to measure important noise controlling parameters and to make the task of flying precise operating conditions and flight track easier for the pilot. Special care was also made to test only in very low winds. The resulting acoustic data is of relatively high quality and shows the value of carefully monitoring and controlling the helicopter s performance state. This paper has shown experimentally, that microphones close to the helicopter can be used to estimate the specific noise sources that radiate to the far field, if the microphones are positioned correctly relative to the noise source. Directivity patterns for steady, turning flight were also developed, for the first time, and connected to the turning performance of the helicopter. Some of the acoustic benefits of combining normally separated flight segments (i.e. an accelerated segment and a descending segment) were also demonstrated.

  8. Helicopter Northeast Corridor Operational Test Support.

    DTIC Science & Technology

    1980-06-01

    helicopters in the U. S. and Canada show a predom- inent application of small helicopters COMMERCIAL USES OF SMALL AND MEDIUM for corporate, charter, aerial...appli- HEICOPTERS cations and public safety. Medium/ U.S. and Canada. Exolessedin oercent. Small Medium heavy helicopters are used predomi- Use...safety (police. lire 17.5 4.0 fighting. etc. LTraining 6.0 - Figure 5 GROWTH FORECAST FOR SMALL AND MEDIUM HELICOPTERS For U.S. and Canada. Helicopter

  9. 46 CFR 108.653 - Helicopter facilities.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Helicopter facilities. 108.653 Section 108.653 Shipping... EQUIPMENT Equipment Markings and Instructions § 108.653 Helicopter facilities. (a) Each helicopter fueling facility must be marked adjacent to the fueling hose storage: “WARNING—HELICOPTER FUELING STATION—KEEP...

  10. 46 CFR 108.653 - Helicopter facilities.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Helicopter facilities. 108.653 Section 108.653 Shipping... EQUIPMENT Equipment Markings and Instructions § 108.653 Helicopter facilities. (a) Each helicopter fueling facility must be marked adjacent to the fueling hose storage: “WARNING—HELICOPTER FUELING STATION—KEEP...

  11. 46 CFR 108.653 - Helicopter facilities.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Helicopter facilities. 108.653 Section 108.653 Shipping... EQUIPMENT Equipment Markings and Instructions § 108.653 Helicopter facilities. (a) Each helicopter fueling facility must be marked adjacent to the fueling hose storage: “WARNING—HELICOPTER FUELING STATION—KEEP...

  12. 46 CFR 108.653 - Helicopter facilities.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Helicopter facilities. 108.653 Section 108.653 Shipping... EQUIPMENT Equipment Markings and Instructions § 108.653 Helicopter facilities. (a) Each helicopter fueling facility must be marked adjacent to the fueling hose storage: “WARNING—HELICOPTER FUELING STATION—KEEP...

  13. 46 CFR 108.653 - Helicopter facilities.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Helicopter facilities. 108.653 Section 108.653 Shipping... EQUIPMENT Equipment Markings and Instructions § 108.653 Helicopter facilities. (a) Each helicopter fueling facility must be marked adjacent to the fueling hose storage: “WARNING—HELICOPTER FUELING STATION—KEEP...

  14. Availability of Life Support Equipment and its Utilization by Ambulance Drivers.

    PubMed

    Acharya, Rija; Badhu, Angur; Shah, Tara; Shrestha, Sharmila

    2017-09-08

    An effective ambulance is a vital requirement for providing an emergency medical service. Well-equipped ambulances with trained paramedics can save many lives during the golden hours of trauma care. The objective was to document the availability and utilization of basic life support equipment in the ambulances and to assess knowledge on first aid among the drivers. Descriptive design was used. Total of 109 ambulances linked to B.P. Koirala Institute of Health Sciences were enrolled using purposive sampling method. Self- constructed observation checklist and semi structured interview schedule was used for data collection. More than half of the respondents had less than five years of experience and were not trained in first aid. About two-third of the respondents had adequate knowledge on first aid. About 90% of the ambulance had oxygen cylinder and adult oxygen mask which was 'usually' used equipment. More than half of ambulance had equipment less than 23% as compared to that of national guidelines. There was significant association of knowledge with the experience (p = 0.004) and training (p = 0.001). Availability of equipment was associated with training received (p = 0.007),organization (p= 0.032)and district (p = 0.023) in which the ambulance is registered. The study concludes that maximum ambulance linked to BPKIHS, Nepal did not have even one fourth of the equipment for basic life support. Equipment usually used was oxygen cylinder and oxygen mask. Majority of driver had adequate knowledge on first aid and it was associated with training and experience.

  15. Maneuver Acoustic Flight Test of the Bell 430 Helicopter Data Report

    NASA Technical Reports Server (NTRS)

    Watts, Michael E.; Greenwood, Eric; Smith, Charles D.; Snider, Royce; Conner, David A.

    2014-01-01

    A cooperative ight test by NASA, Bell Helicopter and the U.S. Army to characterize the steady state acoustics and measure the maneuver noise of a Bell Helicopter 430 aircraft was accomplished. The test occurred during June/July 2011 at Eglin Air Force Base, Florida. This test gathered a total of 410 test points over 10 test days and compiled an extensive database of dynamic maneuver measurements. Three microphone arrays with up to 31 microphon. es in each were used to acquire acoustic data. Aircraft data included Differential Global Positioning System, aircraft state and rotor state information. This paper provides an overview of the test and documents the data acquired.

  16. Helicopter collision avoidance and brown-out recovery with HELLAS

    NASA Astrophysics Data System (ADS)

    Seidel, Christian; Schwartz, Ingo; Kielhorn, Peter

    2008-10-01

    EADS Germany is the world market leader in commercial and military Helicopter Laser Radar (HELLAS) Obstacle Warning Systems. The HELLAS-Warning System has been introduced into the market in 2000, is in service at German Federal Police and Royal Thai Air Force. HELLAS was also successfully evaluated by the Foreign Comparative Test Program (FCT) of the U.S. Army and other governmental agencies. Currently the successor system for military applications, HELLAS-Awareness, is in qualification phase. It will have extended sensor performance, enhanced real-time data processing capabilities and advanced human machine interface (HMI) features. Flight tests on NH90 helicopter have been successfully performed. Helicopter series integration is scheduled to begin from 2009. We will give an outline of the new sensor unit concerning detection technology and helicopter integration aspects. The system provides a widespread field of view with additional dynamic line of sight steering and a large detection range in combination with a high frame rate. We will show the HMI representations. This HELLAS system is the basis for a 3 dimensional see-and-remember-system for brown-out recovery. When landing in sandy or dusty areas the downwash of the helicopter rotor causes clouds of visually-restrictive material that can completely obstruct the pilot's outside reference, resulting in a complete loss of situational awareness and spatial orientation of the pilot which can end up in total loss of aircraft control and dangerous accidents. The brown-out recovery system presented here creates an augmented enhanced synthetic vision of the landing area with the surrounding which is based on HELLAS range image data as well as altimeter and inertial reference information.

  17. Civilian Helicopter Search and Rescue Accidents in the United States: 1980 Through 2013.

    PubMed

    Worley, Gordon H

    2015-12-01

    Helicopters are commonly used in search and rescue operations, and accidents have occurred during helicopter search and rescue (HSAR) missions. The purposes of this study were to investigate whether the HSAR accident rate in the United States could be determined and whether any common contributing factors or trends could be identified. Searches were conducted of the National Transportation Safety Board aviation accident database, the records of the major search and rescue and air medical organizations, and the medical and professional literature for reports of HSAR accidents. A total of 47 civilian HSAR accidents were identified during the study. Of these, 43% involved fatal injuries, compared with a 19% fatality rate for US helicopter general aviation accidents during the same time period and a 40% rate for helicopter emergency medical services. The HSAR accidents carried a significantly higher risk of fatal outcomes when compared with helicopter general aviation accidents (2-tailed Fisher's exact test, P < .0005). Accidents that occurred at night and under instrument meteorological conditions did not have a statistically significant increase in percentage of fatal outcomes (P > .05). The number of HSAR missions conducted annually could not be established, so an overall accident rate could not be calculated. Although the overall number of HSAR accidents is small, the percentage of fatal outcomes from HSAR accidents is significantly higher than that from general helicopter aviation accidents and is comparable to that seen for helicopter emergency medical services operations. Further study could help to improve the safety of HSAR flights. Copyright © 2015 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.

  18. 46 CFR 108.486 - Helicopter decks.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Helicopter decks. 108.486 Section 108.486 Shipping COAST... Fire Extinguishing Systems Fire Protection for Helicopter Facilities § 108.486 Helicopter decks. At least two of the accesses to the helicopter landing deck must each have a fire hydrant on the unit's...

  19. 46 CFR 108.486 - Helicopter decks.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Helicopter decks. 108.486 Section 108.486 Shipping COAST... Fire Extinguishing Systems Fire Protection for Helicopter Facilities § 108.486 Helicopter decks. At least two of the accesses to the helicopter landing deck must each have a fire hydrant on the unit's...

  20. 46 CFR 108.486 - Helicopter decks.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Helicopter decks. 108.486 Section 108.486 Shipping COAST... Fire Extinguishing Systems Fire Protection for Helicopter Facilities § 108.486 Helicopter decks. At least two of the accesses to the helicopter landing deck must each have a fire hydrant on the unit's...

  1. 46 CFR 108.486 - Helicopter decks.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Helicopter decks. 108.486 Section 108.486 Shipping COAST... Fire Extinguishing Systems Fire Protection for Helicopter Facilities § 108.486 Helicopter decks. At least two of the accesses to the helicopter landing deck must each have a fire hydrant on the unit's...

  2. 46 CFR 108.486 - Helicopter decks.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Helicopter decks. 108.486 Section 108.486 Shipping COAST... Fire Extinguishing Systems Fire Protection for Helicopter Facilities § 108.486 Helicopter decks. At least two of the accesses to the helicopter landing deck must each have a fire hydrant on the unit's...

  3. Feasibility of a computer-assisted feedback system between dispatch centre and ambulances.

    PubMed

    Lindström, Veronica; Karlsten, Rolf; Falk, Ann-Charlotte; Castrèn, Maaret

    2011-06-01

    The aim of the study was to evaluate the feasibility of a newly developed computer-assisted feedback system between dispatch centre and ambulances in Stockholm, Sweden. A computer-assisted feedback system based on a Finnish model was designed to fit the Swedish emergency medical system. Feedback codes were identified and divided into three categories; assessment of patients' primary condition when ambulance arrives at scene, no transport by the ambulance and level of priority. Two ambulances and one emergency medical communication centre (EMCC) in Stockholm participated in the study. A sample of 530 feedback codes sent through the computer-assisted feedback system was reviewed. The information on the ambulance medical records was compared with the feedback codes used and 240 assignments were further analyzed. The used feedback codes sent from ambulance to EMCC were correct in 92% of the assignments. The most commonly used feedback code sent to the emergency medical dispatchers was 'agree with the dispatchers' assessment'. In addition, in 160 assignments there was a mismatch between emergency medical dispatchers and ambulance nurse assessments. Our results have shown a high agreement between medical dispatchers and ambulance nurse assessment. The feasibility of the feedback codes seems to be acceptable based on the small margin of error. The computer-assisted feedback system may, when used on a daily basis, make it possible for the medical dispatchers to receive feedback in a structural way. The EMCC organization can directly evaluate any changes in the assessment protocol by structured feedback sent from the ambulance.

  4. [Rescue helicopters in secondary missions].

    PubMed

    Gorgass, B; Frey, G

    1977-11-03

    During the last five years, we have had to fly 560 primary and 1150 secondary missions with the rescue helicopter of the Ulm Rescue Centre. This relationship of approximately 1 : 2 is distinctly different from the numbers obtained in other helicopter bases. The geographical location and structure of the hospitals within range of the Ulm rescue helicopter account for the large proportion of urgent secondary missions. The evaluation of these secondary missions concurs with the ADAC statistics and shows that the quick transport of the emergency doctor to the scene of the emergency, is only one component in the functions of the rescue helicopter. During primary and secondary missions, the ability to transport emergency patients to the nearest qualified hospital by helicopter, which is a mobile intensive care unit, is of equal importance. In the future, rescue helicopters will have to take these requirements into account by providing the necessary equipment and more especially, by providing sufficient space to carry out emergency diagnostic and therapeutic treatment.

  5. 76 FR 10489 - Special Conditions: Bell Helicopter Textron Canada Limited Model 407 Helicopter, Installation of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-25

    ... non-critical control functions, since this model helicopter has been certificated to meet the... Canada Limited (Bell) model 407 helicopter. This model helicopter will have novel or unusual design..., Rotorcraft Directorate, Regulations and Policy Group (ASW-111), 2601 Meacham Blvd., Fort Worth, Texas 76137...

  6. Helicopter problems

    NASA Technical Reports Server (NTRS)

    Kussner, H G

    1937-01-01

    The present report deals with a number of the main problems requiring solution in the development of helicopters and concerning the lift, flying performance, stability, and drive. A complete solution is given for the stability of the helicopter with rigid blades and control surfaces. With a view to making a direct-lift propeller sufficient without the addition of auxiliary propellers, the "flapping drive" is assessed and its efficiency calculated.

  7. 29 CFR 1910.183 - Helicopters.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 5 2014-07-01 2014-07-01 false Helicopters. 1910.183 Section 1910.183 Labor Regulations... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Materials Handling and Storage § 1910.183 Helicopters. (a) [Reserved...) Housekeeping. Good housekeeping shall be maintained in all helicopter loading and unloading areas. (h) Load...

  8. 29 CFR 1910.183 - Helicopters.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 5 2013-07-01 2013-07-01 false Helicopters. 1910.183 Section 1910.183 Labor Regulations... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Materials Handling and Storage § 1910.183 Helicopters. (a) [Reserved...) Housekeeping. Good housekeeping shall be maintained in all helicopter loading and unloading areas. (h) Load...

  9. 29 CFR 1910.183 - Helicopters.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 5 2012-07-01 2012-07-01 false Helicopters. 1910.183 Section 1910.183 Labor Regulations... OCCUPATIONAL SAFETY AND HEALTH STANDARDS Materials Handling and Storage § 1910.183 Helicopters. (a) [Reserved...) Housekeeping. Good housekeeping shall be maintained in all helicopter loading and unloading areas. (h) Load...

  10. Pilot ejection, parachute, and helicopter crash injuries.

    PubMed

    McBratney, Colleen M; Rush, Stephen; Kharod, Chetan U

    2014-01-01

    USAF Pararescuemen (PJs) respond to downed aircrew as a fundamental mission for personnel recovery (PR), one of the Air Force's core functions. In addition to responding to these in Military settings, the PJs from the 212 Rescue Squadron routinely respond to small plane crashes in remote regions of Alaska. While there is a paucity of information on the latter, there have been articles detailing injuries sustained from helicopter crashes and while ejecting or parachuting from fixed wing aircraft. The following represents a new chapter added to the Pararescue Medical Operations Handbook, Sixth Edition (2014, editors Matt Wolf, MD, and Stephen Rush, MD, in press). It was designed to be a quick reference for PJs and their Special Operations flight surgeons to help with understanding of mechanism of injury with regard to pilot ejection, parachute, and helicopter accident injuries. It outlines the nature of the injuries sustained in such mishaps and provides an epidemiologic framework from which to approach the problem. 2014.

  11. Remote helicopter-borne detector for searching of methane leaks.

    PubMed

    Berezin, A G; Malyugin, S V; Nadezhdinskii, A I; Namestnikov, D Yu; Ponurovskii, Ya Ya; Rudov, S G; Stavrovskii, D B; Shapovalov, Yu P; Vyazov, I E; Zaslavskii, V Ya

    2007-04-01

    Measurements of the content of various molecular impurities in the ambient air using helicopter- and aircraft-borne systems represent an extremely urgent challenge. In this respect, of special interest are the devices that that provide leakage monitoring in gas lines in order to prevent emergencies. In the paper results of the tunable diode laser-based instrument development and testing are presented.

  12. From Self-Flying Helicopters to Classrooms of the Future

    ERIC Educational Resources Information Center

    Young, Jeffrey R.

    2012-01-01

    On a summer day four years ago, a Stanford University computer-science professor named Andrew Ng held an unusual air show on a field near the campus. His fleet of small helicopter drones flew under computer control, piloted by artificial-intelligence software that could teach itself to fly after watching a human operator. By the end of the day,…

  13. 78 FR 1730 - Airworthiness Directives; Bell Helicopter Textron Inc. Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-09

    ... Helicopter Textron Inc. (BHTI) Model 205A, 205A-1, and 205B helicopters with certain starter/generator power... that may lead to a fire in the starter/generator, smoke in the cockpit that reduces visibility, and... Office, M-30, West Building Ground Floor, Room W12- 140, 1200 New Jersey Avenue SE., Washington, DC 20590...

  14. Ambulance traffic accidents in Taiwan.

    PubMed

    Chiu, Po-Wei; Lin, Chih-Hao; Wu, Chen-Long; Fang, Pin-Hui; Lu, Chien-Hsin; Hsu, Hsiang-Chin; Chi, Chih-Hsien

    2018-04-01

    Ambulance traffic accidents (ATAs) are the leading cause of occupation-related fatalities among emergency medical service (EMS) personnel. We aim to use the Taiwan national surveillance system to analyze the characteristics of ATAs and to assist EMS directors in developing policies governing ambulance operations. A retrospective, cross-sectional and largely descriptive study was conducted using Taiwan national traffic accidents surveillance data from January 1, 2011 to October 31, 2016. Among the 1,627,217 traffic accidents during the study period, 715 ATAs caused 8 deaths within 24 h and 1844 injured patients. On average, there was one ATA for every 8598 ambulance runs. Compared to overall traffic accidents, ATAs were 1.7 times more likely to result in death and 1.9 times more likely to have injured patients. Among the 715 ATAs, 8 (1.1%) ATAs were fatal and 707 (98.9%) were nonfatal. All 8 fatalities were associated with motorcycles. The urban areas were significantly higher than the rural areas in the annual number of ATAs (14.2 ± 7.3 [7.0-26.7] versus 3.1 ± 1.9 [0.5-8.4], p = 0.013), the number of ATA-associated fatalities per year (0.2 ± 0.2 [0.0-0.7] versus 0.1 ± 0.1 [0.0-0.2], p = 0.022), and the annual number of injured patients (who needed urgent hospital visits) in ATAs (19.4 ± 7.3 [10.5-30.9] versus 5.2 ± 3.8 [0.9-15.3], p < 0.001). The ATA-associated fatality rate in Taiwan was high, and all fatalities were associated with motorcycles. ATAs in a highly motorcycle-populated area may require further investigation. An ambulance traffic accident reporting system should be built to provide EMS policy guidance for ATA reduction and outcome improvements. Copyright © 2018. Published by Elsevier B.V.

  15. Wind tunnel investigation of helicopter-rotor wake effects on three helicopter fuselage models

    NASA Technical Reports Server (NTRS)

    Wilson, J. C.; Mineck, R. E.

    1975-01-01

    The effects of rotor wake on helicopter fuselage aerodynamic characteristics were investigated in the Langley V/STOL tunnel. Force, moment, and pressure data were obtained on three fuselage models at various combinations of windspeed, sideslip angle, and pitch angle. The data show that the influence of rotor wake on the helicopter fuselage yawing moment imposes a significant additional thrust requirement on the tail rotor of a single-rotor helicopter at high sideslip angles.

  16. Effects of weather conditions on emergency ambulance calls for acute coronary syndromes

    NASA Astrophysics Data System (ADS)

    Vencloviene, Jone; Babarskiene, Ruta; Dobozinskas, Paulius; Siurkaite, Viktorija

    2015-08-01

    The aim of this study was to evaluate the relationship between weather conditions and daily emergency ambulance calls for acute coronary syndromes (ACS). The study included data on 3631 patients who called the ambulance for chest pain and were admitted to the department of cardiology as patients with ACS. We investigated the effect of daily air temperature ( T), barometric pressure (BP), relative humidity, and wind speed (WS) to detect the risk areas for low and high daily volume (DV) of emergency calls. We used the classification and regression tree method as well as cluster analysis. The clusters were created by applying the k-means cluster algorithm using the standardized daily weather variables. The analysis was performed separately during cold (October-April) and warm (May-September) seasons. During the cold period, the greatest DV was observed on days of low T during the 3-day sequence, on cold and windy days, and on days of low BP and high WS during the 3-day sequence; low DV was associated with high BP and decreased WS on the previous day. During June-September, a lower DV was associated with low BP, windless days, and high BP and low WS during the 3-day sequence. During the warm period, the greatest DV was associated with increased BP and changing WS during the 3-day sequence. These results suggest that daily T, BP, and WS on the day of the ambulance call and on the two previous days may be prognostic variables for the risk of ACS.

  17. Fatigue and mental health in Australian rural and regional ambulance personnel.

    PubMed

    Pyper, Zoe; Paterson, Jessica L

    2016-02-01

    Australian ambulance personnel experience stress, fatigue and exposure to traumatic events. These risks have been extensively researched in metropolitan paramedics. However, there has been limited research in rural and regional personnel. Rural and regional ambulance personnel make up a significant proportion of the Australian ambulance workforce and may be exposed to unique stressors. The aim of the current study was to investigate levels of fatigue, stress, and emotional trauma in rural and regional ambulance personnel. A sample of 134 (103 male, 31 female) rural and regional ambulance personnel completed a mixed methods survey assessing fatigue, stress and emotional trauma. Data were analysed using a combination of descriptive analysis and qualitative, deductive analysis that involved data immersion, coding, and categorisation. Participants reported high levels of fatigue and emotional trauma. Qualitative data revealed stressors including community expectations and 'office politics'. Participants also reported negative effects of fatigue including errors in drug administration and falling asleep while driving. The majority of participants reported normal levels of stress. It may be the case that working with known individuals in a community offers some degree of 'protective' impact for stress in rural and regional ambulance personnel. This is one of the first studies to investigate fatigue, stress, and emotional trauma in a rural and regional ambulance population. Results indicate a complex and unique profile of risks and challenges for this critical and understudied community resource. © 2015 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  18. A piloted simulation investigation of the normal load factor and longitudinal thrust required for air-to-air acquisition and tracking

    NASA Technical Reports Server (NTRS)

    Whalley, Matthew S.

    1993-01-01

    A piloted simulation study was performed by the U.S. Army Aeroflighydynamics Directorate to develop insight into the maneuverability requirements for aggressive helicopter maneuvering tasks such as air-to-air combat. Both a conventional helicopter and a helicopter with auxiliary thrust were examined. The aircraft parameters of interest were the normal and longitudinal load factor envelopes. Of particular interest were the mission performance and handling qualities tradeoffs with the parameters of interest. Two air-to-air acquisition and tracking tasks and a return-to-cover task were performed to assess mission performance. Results indicate that without auxiliary thrust, the ownship normal load factor capability needs to match that of the adversary in order to provide satisfactory handling qualities. Auxiliary thrust provides significant handling qualities advantages and can be substituted to some extent for normal load factor capability. Auxiliary thrust levels as low as 0.2 thrust/weight can provide significant handling qualities advantages.

  19. Community ambulation: influences on therapists and clients reasoning and decision making.

    PubMed

    Corrigan, Rosemary; McBurney, Helen

    2008-01-01

    Community ambulation is an important element of a rehabilitation training programme and its achievement is a goal shared by rehabilitation professionals and clients. The factors that influence a physiotherapist's or health professionals decision making around the preparation of a client for community ambulation and the factors that influence a client's decision to return to walking in their community are unclear. To review the available literature about the factors that have influenced the reasoning and decision making of rehabilitation therapists and clients around the topic of ambulation in the community. Three separate searches of the available literature were undertaken using Ovid, Cinahl, ProQuest, Medline and Ebscohost databases. Databases were searched from 1966 to October 2006.The first search explored the literature for factors that influence the clinical reasoning of rehabilitation therapists. The second search explored the literature for factors that influence client's decision to ambulate in the community. A third search was undertaken to explore the literature for the demands of community ambulation in rural communities. Very few studies were found that explored community ambulation in the context of clinical reasoning and decision making, the facilitators and barriers to a clients return to ambulation in their community or the demands of ambulation in a rural community. Consideration of the environment is key to the successful return to walking in the community of clients with mobility problems yet little literature has been found to guide physiotherapist's decision making about preparing a clients to return to walking in the community. An individual's participation in their society is also a result of the interaction between their personal characteristics and his or her environment. The influence of these characteristics may vary from one individual to another yet the factors that influence a person's decision to return to walking in their community

  20. 77 FR 31172 - Airworthiness Directives; Bell Helicopter Textron Canada Limited Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-25

    ... control of the helicopter. Transport Canada (TC), which is the aviation authority for Canada, issued... BHTC Model 427 helicopters, serial numbers (S/Ns) 56001 through 56084, and S/Ns 58001 and 58002. TC..., TC, its technical representative, has notified us of the unsafe condition described in the TC AD. We...

  1. Patients' perception of the ambulance services at Hospital Universiti Sains Malaysia.

    PubMed

    Anisah, A; Chew, K S; Mohd Shaharuddin Shah, C H; Nik Hisamuddin, N A R

    2008-08-01

    Little is known regarding public opinion of prehospital care in Malaysia. This study was conducted to find out the public's perception and expectations of the ambulance services in one of the university hospitals in Malaysia. A six-month prospective cross-sectional study to look at patients' perception of Hospital Universiti Sains Malaysia's (HUSM) ambulance service was conducted from February 2006 to July 2006. Upon arrival at the hospital, patients or their relatives (who used our hospital's ambulances) were interviewed with a set of questions regarding their perception of the ambulance services and were asked to rate the perception on a Likert Scale from 1 to 10. A convenient sampling method was applied. A total of 87 samples were obtained. Despite the many problems faced by the ambulance service in HUSM, the mean score for each of the questions on patient's perception ranged from 9.33 to 9.70 out of 10. The questions with the highest mean score, which were both 9.70 each, were related to staff attentiveness and staff gentleness. Patients' perceptions can be very subjective, but until further similar studies could be carried out in other parts of Malaysia, this set of data merely represents a numerical measure of public perception of the ambulance services from HUSM.

  2. Response of Flight Nurses in a Simulated Helicopter Environment.

    PubMed

    Kaniecki, David M; Hickman, Ronald L; Alfes, Celeste M; Reimer, Andrew P

    The purpose of this study was to determine if a helicopter flight simulator could provide a useful educational platform by creating experiences similar to those encountered by actual flight nurses. Flight nurse (FN) and non-FN participants completed a simulated emergency scenario in a flight simulator. Physiologic and psychological stress during the simulation was measured using heart rate and perceived stress scores. A questionnaire was then administered to assess the realism of the flight simulator. Subjects reported that the overall experience in the flight simulator was comparable with a real helicopter. Sounds, communications, vibrations, and movements in the simulator most approximated those of a real-life helicopter environment. Perceived stress levels of all participants increased significantly from 27 (on a 0-100 scale) before simulation to 51 at the peak of the simulation and declined thereafter to 28 (P < .001). Perceived stress levels of FNs increased significantly from 25 before simulation to 54 at the peak of the simulation and declined thereafter to 30 (P < .001). Perceived stress levels of non-FNs increased significantly from 31 before simulation to 49 at the peak of the simulation and declined thereafter to 25 (P < .001). There were no significant differences in perceived stress levels between FNs and non-FNs before (P = .58), during (P = .63), or after (P = .55) simulation. FNs' heart rates increased significantly from 77 before simulation to 100 at the peak of the simulation and declined thereafter to 72 (P < .001). The results of this study suggest that simulation of a critical care scenario in a high-fidelity helicopter flight simulator can provide a realistic helicopter transport experience and create physiologic and psychological stress for participants. Copyright © 2017 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  3. The basis for the development of a fuselage evacuation time for a ditched helicopter.

    PubMed

    Brooks, C J; Muir, H C; Gibbs, P N

    2001-06-01

    When a helicopter ditches or crashes in water, unless the buoyancy bags are inflated, it commonly sinks inverted. Thus, crew and passengers must make an underwater escape. It is postulated that later passengers in the escape sequence do not have the breath-holding ability to conduct a successful escape, particularly if the water is cold. This contributes to the 20-50% mortality rate in survivable accidents. There were 132 immersed subject evaluations which were conducted in daylight and darkness to measure escape times from a helicopter underwater escape trainer, configured to the Super Puma, seated for 15 and 18 passengers. The subjects were highly experienced instructors or Navy clearance divers. The time from when each subject's head disappeared underwater until each subject surfaced and total fuselage evacuation time were measured and any problems hampering escape were noted. Breath-holding for the last subject out ranged from 28 to 92 s. An emergency breathing system was used by a minimum of four subjects each time and a maximum of 11 subjects in one condition. The buoyancy of the survival suit was the principal component that hampered escape. Breath-holding times were too long for the later subjects to escape without resorting to an EBS, in spite of the fact that they were highly trained. For regular crew and passengers flying over water, this would explain the high mortality, etc. Therefore, a new helicopter standard should be developed requiring fuselage design to accommodate total evacuation within 20 s from underwater. For current helicopters, where this cannot be achieved, passengers should be provided with some form of air supply, or, after ditching, the helicopter should be modified so that it will stay afloat on its side and retain an air space in the cabin.

  4. Helicopter simulator qualification

    NASA Technical Reports Server (NTRS)

    Hampson, Brian

    1992-01-01

    CAE has extensive experience in building helicopter simulators and has participated in group working sessions for fixed-wing advisory circulars. Against this background, issues that should be addressed in establishing helicopter approval criteria were highlighted. Some of these issues are not immediately obvious and may, indeed, be more important than the criteria a themselves.

  5. 29 CFR 553.215 - Ambulance and rescue service employees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... activities, the applicable standard is the one which applies to the activity in which the employee spends the majority of work time during the work period. (b) Ambulance and rescue service employees of public agencies... 29 Labor 3 2010-07-01 2010-07-01 false Ambulance and rescue service employees. 553.215 Section 553...

  6. Investigation of aeroelastic stability phenomena of a helicopter by in-flight shake test

    NASA Technical Reports Server (NTRS)

    Miao, W. L.; Edwards, T.; Brandt, D. E.

    1976-01-01

    The analytical capability of the helicopter stability program is discussed. The parameters which are found to be critical to the air resonance characteristics of the soft in-plane hingeless rotor systems are detailed. A summary of two model test programs, a 1/13.8 Froude-scaled BO-105 model and a 1.67 meter (5.5 foot) diameter Froude-scaled YUH-61A model, are presented with emphasis on the selection of the final parameters which were incorporated in the full scale YUH-61A helicopter. Model test data for this configuration are shown. The actual test results of the YUH-61A air resonance in-flight shake test stability are presented. Included are a concise description of the test setup, which employs the Grumman Automated Telemetry System (ATS), the test technique for recording in-flight stability, and the test procedure used to demonstrate favorable stability characteristics with no in-plane damping augmentation (lag damper removed). The data illustrating the stability trend of air resonance with forward speed and the stability trend of ground resonance for percent airborne are presented.

  7. Complexity, fractal dynamics and determinism in treadmill ambulation: Implications for clinical biomechanists.

    PubMed

    Hollman, John H; Watkins, Molly K; Imhoff, Angela C; Braun, Carly E; Akervik, Kristen A; Ness, Debra K

    2016-08-01

    Reduced inter-stride complexity during ambulation may represent a pathologic state. Evidence is emerging that treadmill training for rehabilitative purposes may constrain the locomotor system and alter gait dynamics in a way that mimics pathological states. The purpose of this study was to examine the dynamical system components of gait complexity, fractal dynamics and determinism during treadmill ambulation. Twenty healthy participants aged 23.8 (1.2) years walked at preferred walking speeds for 6min on a motorized treadmill and overground while wearing APDM 6 Opal inertial monitors. Stride times, stride lengths and peak sagittal plane trunk velocities were measured. Mean values and estimates of complexity, fractal dynamics and determinism were calculated for each parameter. Data were compared between overground and treadmill walking conditions. Mean values for each gait parameter were statistically equivalent between overground and treadmill ambulation (P>0.05). Through nonlinear analyses, however, we found that complexity in stride time signals (P<0.001), and long-range correlations in stride time and stride length signals (P=0.005 and P=0.024, respectively), were reduced on the treadmill. Treadmill ambulation induces more predictable inter-stride time dynamics and constrains fluctuations in stride times and stride lengths, which may alter feedback from destabilizing perturbations normally experienced by the locomotor control system during overground ambulation. Treadmill ambulation, therefore, may provide less opportunity for experiencing the adaptability necessary to successfully ambulate overground. Investigators and clinicians should be aware that treadmill ambulation will alter dynamic gait characteristics. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Profile of Ambulance Runs at the Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Scarpa, Philip J.

    1999-01-01

    The Kennedy Space Center (KSC) has four onsite ambulances staffed with Paramedics at two fire stations that respond to 911 Emergency Medical System (EMS) medical dispatches. These ambulances serve over 22,000 NASA, military, government, and contractor employees in an area of approximately 520 square miles. Included in this coverage are several public areas such as beaches, a wildlife refuge and a popular Visitor Center. Reports are filled out on each patient encountered. However. the only element tracked has been the ambulance response time. Now that reports are filed electronically, it is possible to enter them into an electronic database for analysis. Data analyses reveal trends and assist in better allocation of resources.

  9. Military helicopter cockpit modernization

    NASA Astrophysics Data System (ADS)

    Hall, Andrew S.

    2001-09-01

    This paper describes some of the initiatives being progressed by Smiths Aerospace to enhance the operational effectiveness of military helicopters, with particular emphasis on the GWHL Lynx and EH Industries EH101 programs. The areas discussed include engine instrumentation, flight instrumentation and the mission system displays. Various Crew Stations are described which provide a suite of AMLCD displays which: -Integrate information from the aircraft engine, electrical power and hydraulic systems onto 5ATI displays -Integrate primary flight, navigation and mission system sensor information onto large area (61/4' square or 6' by 8') displays -Provide standby attitude and air data information in the event of major system failure on 3ATI displays.

  10. Equipment for pre-hospital airway management on Helicopter Emergency Medical System helicopters in central Europe.

    PubMed

    Schmid, M; Schüttler, J; Ey, K; Reichenbach, M; Trimmel, H; Mang, H

    2011-05-01

    For advanced out-of-hospital airway management, skilled personnel and adequate equipment are key prerequisites. There are little data on the current availability of airway management equipment and standards of medical staff on Helicopter Emergency Medical System (HEMS) helicopters in central Europe. An internet search identified all HEMS helicopters in Austria, Switzerland and Luxembourg. We identified 15 HEMS helicopter bases in Switzerland, 28 in Austria and three in Luxembourg. A questionnaire was sent to all bases, asking both for the details of the clinical background and experience of participating staff, and details of airway management equipment carried routinely on board. Replies were received from 14 helicopter bases in Switzerland (93%), 25 bases in Austria (89%) and all three bases in Luxembourg. Anaesthesiologists were by far the most frequent attending physicians (68-85%). All except one bases reported to have at least one alternative supraglottic airway device. All bases had capnometry and succinylcholine. All bases in the study except two in Austria had commercial pre-packed sets for a surgical airway. All helicopters were equipped with automatic ventilators, although not all were suitable for non-invasive ventilation (NIV; Switzerland: 43%, Austria: 12%, Luxembourg: 100%). Masks for NIV were rarely available in Switzerland (two bases; 14%) and in Austria (three bases; 12%), whereas all three bases in Luxembourg carried those masks. Most HEMS helicopters carry appropriate equipment to meet the demands of modern advanced airway management in the pre-hospital setting. Further work is needed to ensure that appropriate airway equipment is carried on all HEMS helicopters.

  11. Helicopter-based live-line work. Volume 1, Helicopter platform work between phases: Final report

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Gela, G.

    1993-06-01

    This report presents experimental data on tests of a configuration consisting of a helicopter between two energized phases (for AC and switching surge) or poles (for DC). The configuration is that related to live-line work from a hovering helicopter. The McDonnell Douglas 500 Series helicopter was used for the tests. All tests were performed with phase-to-phase, or pole-to-pole energization. For AC tests, proper relationship between the phase-to-ground voltages and the phase-to-phase voltage was maintained by energizing the experimental setup from a balanced 3-{phi} AC source. For DC tests, one pole was energized with positive DC voltage to ground, while themore » other pole was energized with negative DC voltage to ground. For switching surge tests, a surge of positive polarity and a specific peak voltage magnitude was applied to one phase while a surge of negative polarity and the same peak voltage Magnitude was simultaneously applied to the other phase, resulting in {alpha} = 0.5 ({alpha} is the ratio between negative and total surge). In the research program, four conditions were investigated, namely helicopter operating versus not operating, and helicopter bonded to one phase or pole versus not bonded. Results from this research show effects of the rotating main rotor blade of the helicopter, effect of the position of the electrically floating helicopter in the phase-to-phase or pole-to-pole gap, effects of the mannequin, importance of the polarity of the DC poles and switching surges, and effects of inclement weather such as rain. The overall conclusion of this research is that the phase-to-phase or pole-to-pole spacings that cause sparkover with the helicopter between phases (poles) were always significantly smaller than the typical spacings on actual existing overhead transmission lines of the corresponding voltage rating.« less

  12. Iceproofing Helicopters

    NASA Technical Reports Server (NTRS)

    1977-01-01

    NASA aircraft-icing research has been applied to expand the utility of the big flying-crane helicopter built by the Sikorsky Aircraft Division of United Technologies in Stratford, Conn. Sikorsky wanted to adapt the Skycrane, used in both military and commercial service, to lift heavy external loads in areas where icing conditions occur; ice build-up around the engine air inlets caused the major problem. NASA-Lewis has a special wind tunnel for injecting super cooled water droplets into the wind thereby simulating a natural icing cloud and observing how ice builds up on various shaped surfaces. From Lewis, Sikorsky engineers obtained information which optimized the design of the inlet anti-ice system. The resulting design proved to be an effective anti-icing modification for the flying crane. Sikorsky is also using additional Lewis Icing Research Tunnel data in its development of a new VTOL (Vertical Take-Off and Landing) aircraft.

  13. Analysis of Temperature Variability in Medication Storage Compartments in Emergency Transport Helicopters.

    PubMed

    O'Donnell, Margaret A; Whitfield, Justin

    The purpose of this study was to determine whether the temperature in medication storage compartments in air medical helicopters was within United States Pharmacopeia (USP)-defined limits for controlled room temperature. This was a prospective study using data obtained from a continuous temperature monitoring device. A total of 4 monitors were placed within 2 medication storage locations in 2 identical helicopters. The data collection period lasted 2 weeks during the summer and winter seasons. Data retrieved from monitors were compared against USP parameters for proper medication storage. Results documented temperatures outside the acceptable range a majority of the time with temperatures above the high limit during summer and below the low limit during winter. The study determined that compartments used for medication storage frequently fell outside of the range for USP-defined limits for medication storage. Flight programs should monitor storage areas, carefully taking actions to keep medication within defined ranges. Copyright © 2016 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  14. Helicopter noise analysis : round-robin test

    DOT National Transportation Integrated Search

    1981-08-01

    This report documents the results of an international round robin test on the analysis of helicopter noise. Digital spectral noise data of a 3.5-second simulated helicopter flyover and identical analog test tapes containing helicopter noise data, ref...

  15. 14 CFR 36.11 - Acoustical change: Helicopters.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Acoustical change: Helicopters. 36.11...: Helicopters. This section applies to all helicopters in the primary, normal, transport, and restricted... appendix H of this part, or, for helicopters having a maximum certificated takeoff weight of not more than...

  16. 14 CFR 36.11 - Acoustical change: Helicopters.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Acoustical change: Helicopters. 36.11...: Helicopters. This section applies to all helicopters in the primary, normal, transport, and restricted... appendix H of this part, or, for helicopters having a maximum certificated takeoff weight of not more than...

  17. 14 CFR 36.11 - Acoustical change: Helicopters.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Acoustical change: Helicopters. 36.11...: Helicopters. This section applies to all helicopters in the primary, normal, transport, and restricted... appendix H of this part, or, for helicopters having a maximum certificated takeoff weight of not more than...

  18. 14 CFR 36.11 - Acoustical change: Helicopters.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Acoustical change: Helicopters. 36.11...: Helicopters. This section applies to all helicopters in the primary, normal, transport, and restricted... appendix H of this part, or, for helicopters having a maximum certificated takeoff weight of not more than...

  19. 14 CFR 36.11 - Acoustical change: Helicopters.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Acoustical change: Helicopters. 36.11...: Helicopters. This section applies to all helicopters in the primary, normal, transport, and restricted... appendix H of this part, or, for helicopters having a maximum certificated takeoff weight of not more than...

  20. 77 FR 38744 - Airworthiness Directives; Sikorsky Aircraft-Manufactured Model S-64F Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-29

    ... the Sikorsky Aircraft Corporation-manufactured Model S-64F helicopters, now under the Erickson Air-Crane Incorporated (Erickson) Model S-64F type certificate. That AD currently requires inspections... docket shortly after receipt. For service information identified in this proposed AD, contact Erickson...

  1. Mobile coronary care provided by ambulance personnel.

    PubMed

    White, N M; Parker, W S; Binning, R A; Kimber, E R; Ead, H W; Chamberlain, D A

    1973-09-22

    Mobile coronary care has been provided in Brighton by ambulance personnel without immediate help from physicians or nurses. No additional vehicles or staff were required. The capital cost of the experiment was therefore small and additional running costs were negligible. The results have been monitored by retrospective analysis of electrocardiograms recorded in the ambulance and stored on magnetic tape. In the first 12 months of operation to July 1972, 1,082 patients with suspected cardiac emergencies were carried in two vehicles. Subsequent analysis showed that 76% of these patients had acute symptoms from ischaemic heart disease or had circulatory arrest. Eighty-six per cent. of arrhythmias were diagnosed correctly by the ambulance attendants. Though only eight cases of primary ventricular fibrillation occurred during or shortly before transit all were successfully reversed, and five of these patients subsequently left hospital alive. Other benefits of the scheme have included an appreciable reduction in the median delay between onset of presenting symptoms in patients with acute myocardial ischaemia and their admission to hospital.

  2. Recent Langley helicopter acoustics contributions

    NASA Technical Reports Server (NTRS)

    Morgan, Homer G.; Pao, S. P.; Powell, C. A.

    1988-01-01

    The helicopter acoustics program at NASA Langley has included technology for elements of noise control ranging from sources of noise to receivers of noise. The scope of Langley contributions for about the last decade is discussed. Specifically, the resolution of two certification noise quantification issues by subjective acoustics research, the development status of the helicopter system noise prediction program ROTONET are reviewed and the highlights from research on blade rotational, broadband, and blade vortex interaction noise sources are presented. Finally, research contributions on helicopter cabin (or interior) noise control are presented. A bibliography of publications from the Langley helicopter acoustics program for the past 10 years is included.

  3. The Effects of Ambient Conditions on Helicopter Harmonic Noise Radiation: Theory and Experiment

    NASA Technical Reports Server (NTRS)

    Greenwood, Eric; Sim, Ben W.; Boyd, D. Douglas, Jr.

    2016-01-01

    The effects of ambient atmospheric conditions, air temperature and density, on rotor harmonic noise radiation are characterized using theoretical models and experimental measurements of helicopter noise collected at three different test sites at elevations ranging from sea level to 7000 ft above sea level. Significant changes in the thickness, loading, and blade-vortex interaction noise levels and radiation directions are observed across the different test sites for an AS350 helicopter flying at the same indicated airspeed and gross weight. However, the radiated noise is shown to scale with ambient pressure when the flight condition of the helicopter is defined in nondimensional terms. Although the effective tip Mach number is identified as the primary governing parameter for thickness noise, the nondimensional weight coefficient also impacts lower harmonic loading noise levels, which contribute strongly to low frequency harmonic noise radiation both in and out of the plane of the horizon. Strategies for maintaining the same nondimensional rotor operating condition under different ambient conditions are developed using an analytical model of single main rotor helicopter trim and confirmed using a CAMRAD II model of the AS350 helicopter. The ability of the Fundamental Rotorcraft Acoustics Modeling from Experiments (FRAME) technique to generalize noise measurements made under one set of ambient conditions to make accurate noise predictions under other ambient conditions is also validated.

  4. 78 FR 69987 - Airworthiness Directives; Erickson Air-Crane Incorporated Helicopters (Type Certificate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-22

    ... to require recurring checks of the Blade Inspection Method (BIM) indicator on each blade to determine whether the BIM indicator is signifying that the blade pressure may have been compromised by a blade crack... check procedures for BIM blades installed on the Model S-64E and S-64F helicopters. Several blade spars...

  5. The X-40A immediately after release from its harness suspended from a helicopter 15,000 feet above NASA's Dryden Flight Research Center at Edwards Air Force Base, California, on March 14, 2001

    NASA Image and Video Library

    2001-03-14

    The X-40A immediately after release from its harness suspended from a helicopter 15,000 feet above NASA's Dryden Flight Research Center at Edwards Air Force Base, California, on March 14, 2001. The unpiloted X-40 is a risk-reduction vehicle for the X-37, which is intended to be a reusable space vehicle. NASA's Marshall Space Flight Center in Huntsville, Ala, manages the X-37 project. At Dryden, the X-40A will undergo a series of ground and air tests to reduce possible risks to the larger X-37, including drop tests from a helicopter to check guidance and navigation systems planned for use in the X-37. The X-37 is designed to demonstrate technologies in the orbital and reentry environments for next-generation reusable launch vehicles that will increase both safety and reliability, while reducing launch costs from $10,000 per pound to $1,000 per pound.

  6. Effect of public awareness campaigns on calls to ambulance across Australia.

    PubMed

    Bray, Janet E; Straney, Lahn; Barger, Bill; Finn, Judith

    2015-05-01

    The National Stroke Foundation of Australia has run 12 public awareness campaigns since 2004. Campaign exposure and funding has varied annually and regionally during this time. The aim of this study was to measure the effect of campaigns on calls to ambulance for stroke across Australia in exposed regions (paid or pro bono advertising). All ambulance services in Australia provided monthly ambulance dispatch data between January 2003 and June 2014. We performed multivariable regression to measure the effect of campaign exposure on the volume of stroke-related emergency calls, after controlling for confounders. The final model indicated that 11 of the 12 National Stroke Foundation campaigns were associated with increases in the volume of stroke-related calls (varying between 1% and 9.9%) in regions with exposure to advertising. This increase lasted ≈3 months, with an additional 10.2% relative increase in the volume of the calls in regions with paid advertising. We found no significant additional effect of the campaigns on stroke calls where ambulance services are publicly funded. The National Stroke Foundation stroke awareness campaigns are associated with increases to calls to ambulance for stroke in regions receiving advertising and promotion. Research is now required to examine whether this increased use in ambulance is for appropriate emergencies. © 2015 American Heart Association, Inc.

  7. 42 CFR 414.620 - Publication of the ambulance fee schedule.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Section 414.620 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES Fee Schedule for Ambulance Services § 414.620 Publication of the ambulance fee schedule. Changes in payment rates resulting...

  8. Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study.

    PubMed

    Togher, Fiona J; O'Cathain, Alicia; Phung, Viet-Hai; Turner, Janette; Siriwardena, Aloysius Niroshan

    2015-12-01

    There is an increasing need to assess the performance of emergency ambulance services using measures other than the time taken for an ambulance to arrive on scene. In line with government policy, patients and carers can help to shape new measures of ambulance service performance. To investigate the aspects of emergency ambulance service care valued by users. Qualitative interview study. One of 11 ambulance services in England. Twenty-two users and eight of their spouses (n = 30). Users of the emergency ambulance service, experiencing different types of ambulance service response, valued similar aspects of their pre-hospital care. Users were often extremely anxious about their health, and the outcome they valued was reassurance provided by ambulance service staff that they were receiving appropriate advice, treatment and care. This sense of being reassured was enhanced by the professional behaviour of staff, which instilled confidence in their care; communication; a short wait for help; and continuity during transfers. A timely response was valued in terms of allaying anxiety quickly. The ability of the emergency ambulance service to allay the high levels of fear and anxiety felt by users is crucial to the delivery of a high quality service. Measures developed to assess and monitor the performance of emergency ambulance services should include the proportion of users reporting feeling reassured by the response they obtained. © 2014 John Wiley & Sons Ltd.

  9. Management of Mass Casualties Using Doctor Helicopters and Doctor Cars.

    PubMed

    Ohsaka, Hiromichi; Ishikawa, Kouhei; Omori, Kazuhiko; Jitsuiki, Kei; Yoshizawa, Toshihiko; Yanagawa, Youichi

    At approximately 10 o'clock in September 2015, a minibus carrying 18 people accidentally slid backwards because of a malfunctioning brake system while climbing a steep incline on Togasayama Mountain, colliding with a van (Toyota HiAce wagon) carrying 11 people that was situated behind the minibus. Togasayama Mountain is located 1 hour by car and 10 minutes by helicopter from our hospital. The minibus slid off a roadside cliff at a height of 0.5 m and rolled over after colliding with the van. There were 7 victims with yellow tags and 22 with green tags. Two Doctor Helicopters and 1 Doctor Car cooperated with the fire departments by providing medical treatments, selection of medical facilities, and dispersion transportation. In this mass casualty event, there were no mortalities, and all of the victims recovered without sequelae. The coordinated and combined use of Doctor Helicopters and Doctor Cars in addition to the activities of the fire department in response to a mass casualty event resulted in appropriate triage, medical treatments, selection of medical facilities, and dispersion transportation. Copyright © 2017 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  10. Emergency nursing workload and patient dependency in the ambulance bay: A prospective study.

    PubMed

    Varndell, Wayne; Ryan, Elizabeth; Jeffers, Alison; Marquez-Hunt, Nadya

    2016-11-01

    The purpose of this prospective observational study was to characterise patients occupying the ambulance bay and to determine the ensuing nursing workload. The number of patients presenting to ED by ambulance is increasing. During periods of peak demand and access block in the ED, patients with ongoing care needs, requiring continual assessment and symptom management by emergency nurses can remain in the ambulance bay for extended periods of time. The profile of these patients and on the related nursing workload is not well known. A prospective observational study design based upon a convenience sample of patients was conducted over a randomly selected four-week period. Nursing workload was assessing using the Jones Dependency Tool. A modified Work Observation Method By Activity Timing technique was used to estimate direct nursing care time. Of 4068 presentations to ED, 640 (16%) occupied the ambulance bay following triage, of which the majority (n=408; 64%) had arrived by ambulance. Of those occupying the ambulance bay 205 (32%) were evaluated using the JDT. The majority of patients had potentially life-threatening symptoms (ATS 3, n=424; 66%), were moderately dependent (n=134; 65%), and consumed approximately 152.1h of direct nursing care time. A large proportion of direct nursing care time was spent on patient reassessment (60.4h) and pain management (29.6h). Patients occupying the ambulance bay had an average ED length of stay of 5.6h (4.6h), of which 1.8h (SD 1.8h) was spent delayed in the ambulance bay. Early detailed assessment and symptom management of patients occupying the ambulance bay is extensively undertaken by emergency nurses. The frequency and number of patients off-loaded into non-clinical areas is not currently monitored or reported upon. This study has demonstrated that patients managed in the ambulance bay consume large amounts of nursing resources, commonly require acute level care and hospital admission. Copyright © 2016 College of Emergency

  11. Helicopter discrimination apparatus for the murine radar

    DOEpatents

    Webb, Jr., John G.; Gray, Roger M.

    1977-01-01

    A helicopter discrimination apparatus for a radar utilizing doppler filtering to discriminate between a missile and ground clutter. The short duration of the doppler filter pulses which are emitted by helicopter rotor blades are processed to prevent false alarms, thus allowing the radar-protected helicopter to operate in formation with other helicopters while maintaining protection against infra-red-seeking missiles.

  12. Simulation-based decision support framework for dynamic ambulance redeployment in Singapore.

    PubMed

    Lam, Sean Shao Wei; Ng, Clarence Boon Liang; Nguyen, Francis Ngoc Hoang Long; Ng, Yih Yng; Ong, Marcus Eng Hock

    2017-10-01

    Dynamic ambulance redeployment policies tend to introduce much more flexibilities in improving ambulance resource allocation by capitalizing on the definite geospatial-temporal variations in ambulance demand patterns over the time-of-the-day and day-of-the-week effects. A novel modelling framework based on the Approximate Dynamic Programming (ADP) approach leveraging on a Discrete Events Simulation (DES) model for dynamic ambulance redeployment in Singapore is proposed in this paper. The study was based on the Singapore's national Emergency Medical Services (EMS) system. Based on a dataset comprising 216,973 valid incidents over a continuous two-years study period from 1 January 2011-31 December 2012, a DES model for the EMS system was developed. An ADP model based on linear value function approximations was then evaluated using the DES model via the temporal difference (TD) learning family of algorithms. The objective of the ADP model is to derive approximate optimal dynamic redeployment policies based on the primary outcome of ambulance coverage. Considering an 8min response time threshold, an estimated 5% reduction in the proportion of calls that cannot be reached within the threshold (equivalent to approximately 8000 dispatches) was observed from the computational experiments. The study also revealed that the redeployment policies which are restricted within the same operational division could potentially result in a more promising response time performance. Furthermore, the best policy involved the combination of redeploying ambulances whenever they are released from service and that of relocating ambulances that are idle in bases. This study demonstrated the successful application of an approximate modelling framework based on ADP that leverages upon a detailed DES model of the Singapore's EMS system to generate approximate optimal dynamic redeployment plans. Various policies and scenarios relevant to the Singapore EMS system were evaluated. Copyright © 2017

  13. Multimission helicopter cockpit displays

    NASA Astrophysics Data System (ADS)

    Terry, William S.; Terry, Jody K.; Lovelace, Nancy D.

    1996-05-01

    A new operator display subsystem is being incorporated as part of the next generation United States Navy (USN) helicopter avionics system to be integrated into the multi-mission helicopter (MMH) that replaces both the SH-60B and the SH-60F in 2001. This subsystem exploits state-of-the-art technology for the display hardware, the display driver hardware, information presentation methodologies, and software architecture. Both of the existing SH-60 helicopter display systems are based on monochrome CRT technology; a key feature of the MMH cockpit is the integration of color AMLCD multifunction displays. The MMH program is one of the first military programs to use modified commercial AMLCD elements in a tactical aircraft. This paper presents the general configuration of the MMH cockpit and multifunction display subsystem and discusses the approach taken for presenting helicopter flight information to the pilots as well as presentation of mission sensor data for use by the copilot.

  14. 78 FR 34279 - Airworthiness Directives; Bell Helicopter Textron Canada Limited (Bell) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-07

    .... Discussion Transport Canada (TC), which is the aviation authority for Canada, has issued TC AD No. CF-2005-24, dated July 4, 2005, to correct an unsafe condition for Model 230 helicopters. TC advises of several... these failures have occurred on the same engine used by Bell on Model 230 helicopters. According to TC...

  15. Investigating Flight with a Toy Helicopter

    ERIC Educational Resources Information Center

    Liebl, Michael

    2010-01-01

    Flight fascinates people of all ages. Recent advances in battery technology have extended the capabilities of model airplanes and toy helicopters. For those who have never outgrown a childhood enthusiasm for the wonders of flight, it is possible to buy inexpensive, remotely controlled planes and helicopters. A toy helicopter offers an opportunity…

  16. 78 FR 34290 - Airworthiness Directives; Bell Helicopter Textron Canada Limited (Bell) Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-07

    .... Discussion Transport Canada (TC), which is the aviation authority for Canada, has issued TC AD No. CF-2005-25, dated July 5, 2005, to correct an unsafe condition for Model 430 helicopters. TC advises of several... turbine wheel is installed on the 250-C40B engine used by Bell on Model 430 helicopters. According to TC...

  17. Medical Requirements for Ambulance Design and Equipment. Emergency Health Series.

    ERIC Educational Resources Information Center

    National Academy of Sciences - National Research Council, Washington, DC. Div. of Medical Sciences.

    A vehicle must meet certain specific requirements to be classified as an ambulance if it is to satisfy the demands of the physician in terms of emergency care for which properly trained ambulance attendants can be held responsible. Developed by professional and lay experts for use by automotive designers and manufacturing, this publication would…

  18. An anthropometric analysis of Korean male helicopter pilots for helicopter cockpit design.

    PubMed

    Lee, Wonsup; Jung, Kihyo; Jeong, Jeongrim; Park, Jangwoon; Cho, Jayoung; Kim, Heeeun; Park, Seikwon; You, Heecheon

    2013-01-01

    This study measured 21 anthropometric dimensions (ADs) of 94 Korean male helicopter pilots in their 20s to 40s and compared them with corresponding measurements of Korean male civilians and the US Army male personnel. The ADs and the sample size of the anthropometric survey were determined by a four-step process: (1) selection of ADs related to helicopter cockpit design, (2) evaluation of the importance of each AD, (3) calculation of required sample sizes for selected precision levels and (4) determination of an appropriate sample size by considering both the AD importance evaluation results and the sample size requirements. The anthropometric comparison reveals that the Korean helicopter pilots are larger (ratio of means = 1.01-1.08) and less dispersed (ratio of standard deviations = 0.71-0.93) than the Korean male civilians and that they are shorter in stature (0.99), have shorter upper limbs (0.89-0.96) and lower limbs (0.93-0.97), but are taller on sitting height, sitting eye height and acromial height (1.01-1.03), and less dispersed (0.68-0.97) than the US Army personnel. The anthropometric characteristics of Korean male helicopter pilots were compared with those of Korean male civilians and US Army male personnel. The sample size determination process and the anthropometric comparison results presented in this study are useful to design an anthropometric survey and a helicopter cockpit layout, respectively.

  19. Advanced Control System Increases Helicopter Safety

    NASA Technical Reports Server (NTRS)

    2008-01-01

    With support and funding from a Phase II NASA SBIR project from Ames Research Center, Hoh Aeronautics Inc. (HAI), of Lomita, California, produced HeliSAS, a low-cost, lightweight, attitude-command-attitude-hold stability augmentation system (SAS) for civil helicopters and unmanned aerial vehicles. HeliSAS proved itself in over 160 hours of flight testing and demonstrations in a Robinson R44 Raven helicopter, a commercial helicopter popular with news broadcasting and police operations. Chelton Flight Systems, of Boise, Idaho, negotiated with HAI to develop, market, and manufacture HeliSAS, now available as the Chelton HeliSAS Digital Helicopter Autopilot.

  20. An examination of two emergency breathing aids for use during helicopter underwater escape.

    PubMed

    Tipton, M J; Franks, C M; Sage, B A; Redman, P J

    1997-10-01

    There is a paucity of published work in which the performance of Emergency Underwater Breathing Aids (EUBA) has been examined in the wide range of scenarios in which helicopter underwater escape may be necessary. In the present investigation two EUBA were examined: the Air Pocket (AP) rebreather and the Short Term Air Supply System (STASS) mini SCUBA set. Young, healthy male subjects undertook simple simulated helicopter underwater escapes in water at 15 degrees C and/or 5 degrees C. During the immersions the subjects attempted to remain submerged for 60 s while traversing back and forth along a ladder secured at a depth of 1.25 m. At each temperature the subjects used AP and STASS twice. The subjects were dressed in the Royal Navy winter sea helicopter aircrew equipment assembly and an aircrew helmet. Both AP and STASS significantly extended the underwater survival time of individuals when compared to their maximum breath-hold time (BHT). It is clear from the measurements made of gas concentrations in AP; the volume of air used from STASS; and subjective responses, that the 60-s submersions were achieved more easily with STASS than AP. It is concluded that in conditions similar to those of the present experiment STASS will give a longer underwater duration than AP, but this benefit must be offset against the possible risk of pulmonary barotrauma associated with the use of STASS, as well as increased training and maintenance costs. Irrespective of the EUBA which is provided, in-water training, preferably including exposure to cold water, will significantly improve the ability of an individual to use it.

  1. Optimal landing of a helicopter in autorotation

    NASA Technical Reports Server (NTRS)

    Lee, A. Y. N.

    1985-01-01

    Gliding descent in autorotation is a maneuver used by helicopter pilots in case of engine failure. The landing of a helicopter in autorotation is formulated as a nonlinear optimal control problem. The OH-58A helicopter was used. Helicopter vertical and horizontal velocities, vertical and horizontal displacement, and the rotor angle speed were modeled. An empirical approximation for the induced veloctiy in the vortex-ring state were provided. The cost function of the optimal control problem is a weighted sum of the squared horizontal and vertical components of the helicopter velocity at touchdown. Optimal trajectories are calculated for entry conditions well within the horizontal-vertical restriction curve, with the helicopter initially in hover or forwared flight. The resultant two-point boundary value problem with path equality constraints was successfully solved using the Sequential Gradient Restoration Technique.

  2. Will future helicopters be diesel powered

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1982-05-01

    An investigator has found that, if current gas turbine engines in helicopters are replaced by compound adiabatic diesel engines, fuel savings of 40% are possible. This would hold true if the diesel engines are retrofitted to the current helicopter fleet or adapted to new helicopter designs. Problems such as engine placement, weight, and lubrication exist but may be surmountable with proper design.

  3. Interventions for improving community ambulation in individuals with stroke.

    PubMed

    Barclay, Ruth E; Stevenson, Ted J; Poluha, William; Ripat, Jacquie; Nett, Cristabel; Srikesavan, Cynthia S

    2015-03-13

    Community ambulation refers to the ability of a person to walk in their own community, outside of their home and also indoors in private or public locations. Some people choose to walk for exercise or leisure and may walk with others as an important aspect of social functioning. Community ambulation is therefore an important skill for stroke survivors living in the community whose walking ability has been affected. To determine: (1) whether interventions improve community ambulation for stroke survivors, and (2) if any specific intervention method improves community ambulation more than other interventions. We searched the Cochrane Stroke Group Trials Register (September 2014), the Cochrane Central Register of Controlled Trials (CENTRAL) (November 2013), PubMed (1946 to November 2013), EMBASE (1980 to November 2013), CINAHL (1982 to November 2013), PsycINFO (1887 to November 2013), Scopus (1960 to November 2013), Web of Science (1900 to November 2013), SPORTDiscus (1975 to November 2013), and PEDro, CIRRIE and REHABDATA (November 2013). We also searched ongoing trials registers (November 2013) and reference lists, and performed a cited reference search. Selection criteria included parallel-group randomised controlled trials (RCTs) and cross-over RCTs, studies in which participants are adult (aged 18 years or more) stroke survivors, and interventions that were aimed at improving community ambulation. We defined the primary outcome as participation; secondary outcomes included activity level outcomes related to gait and self-efficacy. One review author independently screened titles. Two review authors screened abstracts and full text articles, with a third review author was available to resolve any disagreements. Two review authors extracted data and assessed risk of bias. All outcomes were continuous. The analysis for the primary outcome used the generic inverse variance methods for meta-analysis, using the standardised mean difference (SMD) and standard error (SE

  4. Crash-resistant fuel system effectiveness in civil helicopter crashes.

    PubMed

    Hayden, Mark S; Shanahan, Dennis F; Chen, Li-Hui; Baker, Susan P

    2005-08-01

    Crash-resistant fuel systems (CRFS) have demonstrated close to 100% effectiveness in survivable crashes of Army helicopters, but the technology has been slow to transfer into the civil helicopter arena. Federal standards for civil helicopter CRFS are less stringent than those for military helicopters. A reduction in standards for CRFS in military helicopters is being considered. The goal of this study was to determine whether crashes of civil helicopters with CRFS are less likely to result in post-crash fire than crashes of those without. Crashes of civil helicopters during 1982-2004 were analyzed, comparing Bell 206 helicopters manufactured with CRFS with Aerospatial 350 helicopters manufactured during the same period (post-1981), but lacking CRFS. Bell 206 helicopters with CRFS were also compared with earlier models without CRFS. The highest proportion of crashes with post-crash fires (11.3%) was in AS-350s manufactured after 1981 (non-CRFS), and the lowest (3.7%) was in Bell 206s (with CRFS) [unadjusted risk ratio (RR) = 3.3, 95% confidence interval (CI) = 1.04, 10.50; adjusted for light and weather, RR = 2.81, Cl = 0.82, 9.69]. Earlier models of Bell 206s without CRFS had higher risk of post-crash fire than post-1981 models with CRFS (7.4% vs. 3.7%; adjusted RR = 2.11, Cl = 0.82, 5.45). The results of this study suggest a better performance, in terms of post-crash fire prevention, of CRFS-equipped civil helicopters as compared with those without CRFS. It is possible that CRFS in civil helicopters have not achieved the same degree of effectiveness as CRFS in military helicopters. CRFS should be used more widely in civil helicopters. The more stringent CRFS requirements for military helicopters should not be reduced without further research.

  5. Telestroke ambulances in prehospital stroke management: concept and pilot feasibility study.

    PubMed

    Liman, Thomas G; Winter, Benjamin; Waldschmidt, Carolin; Zerbe, Norman; Hufnagl, Peter; Audebert, Heinrich J; Endres, Matthias

    2012-08-01

    Pre- and intrahospital time delays are major concerns in acute stroke care. Telemedicine-equipped ambulances may improve time management and identify patients with stroke eligible for thrombolysis by an early prehospital stroke diagnosis. The aims of this study were (1) to develop a telestroke ambulance prototype; (2) to test the reliability of stroke severity assessment; and (3) to evaluate its feasibility in the prehospital emergency setting. Mobil, real-time audio-video streaming telemedicine devices were implemented into advanced life support ambulances. Feasibility of telestroke ambulances and reliability of the National Institutes of Health Stroke Scale assessment were tested using current wireless cellular communication technology (third generation) in a prehospital stroke scenario. Two stroke actors were trained in simulation of differing right and left middle cerebral artery stroke syndromes. National Institutes of Health Stroke Scale assessment was performed by a hospital-based stroke physician by telemedicine, by an emergency physician guided by telemedicine, and "a posteriori" on the basis of video documentation. In 18 of 30 scenarios, National Institutes of Health Stroke Scale assessment could not be performed due to absence or loss of audio-video signal. In the remaining 12 completed scenarios, interrater agreement of National Institutes of Health Stroke Scale examination between ambulance and hospital and ambulance and "a posteriori" video evaluation was moderate to good with weighted κ values of 0.69 (95% CI, 0.51-0.87) and 0.79 (95% CI, 0.59-0.98), respectively. Prehospital telestroke examination was not at an acceptable level for clinical use, at least on the basis of the used technology. Further technical development is needed before telestroke is applicable for prehospital stroke management during patient transport.

  6. 46 CFR 132.320 - Helicopter-landing decks.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Helicopter-landing decks. 132.320 Section 132.320 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS FIRE-PROTECTION EQUIPMENT Miscellaneous § 132.320 Helicopter-landing decks. Each vessel with a helicopter-landing deck must...

  7. 46 CFR 132.320 - Helicopter-landing decks.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Helicopter-landing decks. 132.320 Section 132.320 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS FIRE-PROTECTION EQUIPMENT Miscellaneous § 132.320 Helicopter-landing decks. Each vessel with a helicopter-landing deck must...

  8. 46 CFR 132.320 - Helicopter-landing decks.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Helicopter-landing decks. 132.320 Section 132.320 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS FIRE-PROTECTION EQUIPMENT Miscellaneous § 132.320 Helicopter-landing decks. Each vessel with a helicopter-landing deck must...

  9. 46 CFR 132.320 - Helicopter-landing decks.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Helicopter-landing decks. 132.320 Section 132.320 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS FIRE-PROTECTION EQUIPMENT Miscellaneous § 132.320 Helicopter-landing decks. Each vessel with a helicopter-landing deck must...

  10. 46 CFR 132.320 - Helicopter-landing decks.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Helicopter-landing decks. 132.320 Section 132.320 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) OFFSHORE SUPPLY VESSELS FIRE-PROTECTION EQUIPMENT Miscellaneous § 132.320 Helicopter-landing decks. Each vessel with a helicopter-landing deck must...

  11. L-band mobile terminal antennas for helicopters

    NASA Technical Reports Server (NTRS)

    Wu, T. K.; Farazian, K.; Golshan, N.; Divsalar, D.; Hinedi, S.

    1993-01-01

    The feasibility of using a low gain antenna (LGA) as a mobile terminal antenna for a helicopter is described in this paper. The objectives are to select the lowest cost antenna system which can be easily mounted on a helicopter and capable of communicating with a satellite, and to determine the best antenna position on the helicopter to mitigate the signal blockage due to rotor blades and the multipath effect from the helicopter's body. The omnidirectional LGA is selected because it is simple, reliable, and low cost. The helix antenna is selected among the many LGA's because it is the most economical one and has the widest elevation beamwidth. Both 2-arm and 4-arm helices are studied experimentally to determine the antenna's performance and the scattering effects from the helicopter's body. It is found that the LGA should be located near the tail section and at least eight inches above the helicopter.

  12. Does modern helicopter construction reduce noise exposure in helicopter rescue operations?

    PubMed

    Küpper, Thomas; Jansing, Paul; Schöffl, Volker; van Der Giet, Simone

    2013-01-01

    During helicopter rescue operations the medical personnel are at high risk for hearing damage by noise exposure. There are two important factors to be taken into account: first, the extreme variability, with some days involving no exposure but other days with extreme exposure; second, the extreme noise levels during work outside the helicopter, e.g. during winch operations. The benefit of modern, less noisier constructions and the consequences for noise protection are still unknown. We estimated the noise exposure of the personnel for different helicopter types used during rescue operations in the Alps and in other regions of the world with special regard to the advanced types like Eurocopter EC 135 to compare the benefit of modern constructions for noise protection with earlier ones. The rescue operations over 1 year of four rescue bases in the Alps (Raron and Zermatt in Switzerland; Landeck and Innsbruck in Austria, n = 2731) were analyzed for duration of rescue operations (noise exposure). Noise levels were measured during rescue operations at defined points inside and outside the different aircraft. The setting is according to the European standard (Richtlinie 2003/10/EG Amtsblatt) and to Class 1 DIN/IEC 651. With both data sets the equivalent noise level L(eq8h) was calculated. For comparison it was assumed that all rescue operations were performed with a specific type of helicopter. Then model calculations for noise exposure by different helicopter types, such as Alouette IIIb, Alouette II 'Lama', Ecureuil AS350, Bell UH1D, Eurocopter EC135, and others were performed. Depending on modern technologies the situation for the personnel has been improved significantly. Nevertheless noise prevention, which includes noise intermissions in spare time, is essential. Medical checks of the crews by occupational medicine (e.g. 'G20' in Germany) are still mandatory.

  13. Remote Vibration Measurements at a Sud Aviation Alouette III Helicopter with a CW CO2-Laser System

    DTIC Science & Technology

    1993-09-28

    mrad and a continuous output of 0.4 Watt. The purpose of our measurements was to measure the vibration spectra of a helicopter from the Dutch Air Force...detection 13 3.2.1 Non-linear effects in vibrometry 15 4 THE VIBRATION SOURCES OF A HELICOPTER 24 5 MEASUREMENTS 29 5.1 Measuring Method 29 5.2 Scenario...vibration in Hz. 3.2.1 Non-linear effects in vibrometry A brief explanation of the non-linear effects is given below. A FM receiver has a built-in limiter

  14. Portable-Beacon Landing System for Helicopters

    NASA Technical Reports Server (NTRS)

    Davis, Thomas J.; Clary, George R.; Chisholm, John P.; Macdonald, Stanley L.

    1987-01-01

    Prototype beacon landing system (BLS) allows helicopters to make precise landings in all weather. BLS easily added to existing helicopter avionic equipment and readily deployed at remote sites. Small and light, system employs X-band radar and digital processing. Variety of beams pulsed sequentially by ground station after initial interrogation by weather radar of approaching helicopter. Airborne microprocessor processes pulses to determine glide slope, course deviation, and range.

  15. Corticosteroid Treatments in Males With Duchenne Muscular Dystrophy: Treatment Duration and Time to Loss of Ambulation.

    PubMed

    Kim, Sunkyung; Campbell, Kimberly A; Fox, Deborah J; Matthews, Dennis J; Valdez, Rodolfo

    2015-09-01

    This population-based study examines the association between corticosteroid treatment and time to loss of ambulation, stratifying by treatment duration (short: 0.25-3 years, long: >3 years), among 477 Duchenne muscular dystrophy cases identified by the Muscular Dystrophy Surveillance Tracking and Research Network (MDSTARnet). Those cases who received short-term corticosteroid treatment had a time to loss of ambulation that was 0.8 years shorter (t test) and an annual risk of losing ambulation 77% higher than the untreated (Cox regression). Conversely, cases who received long-term corticosteroid treatment had a time to loss of ambulation that was 2 years longer and an annual risk of losing ambulation 82% lower than the untreated, up to age 11 years; after which the risks were not statistically different. The relationship of corticosteroids and time to loss of ambulation is more complex than depicted by previous studies limited to treatment responders or subjects who lost ambulation during study follow-up. © The Author(s) 2014.

  16. A NASA helicopter arrives at KSC for painting

    NASA Technical Reports Server (NTRS)

    2000-01-01

    The pilot of the NASA helicopter secures the rotary blade before the helicopter's transfer to Ransom Road at KSC. It is one of four UH-1H helicopters that will have its blades painted, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  17. Poster presentation Sandia helicopter acoustic detector

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Arlowe, H.D.

    1981-01-01

    In reviewing the safeguards plans for several proposed fuel cycle facilities, the advantages of a short-range helicopter detector became apparent. The main buildings of these new designs are generally hardened so as to provide significant delay to a helicopter-borne adversary team. Under these circumstances the sensor is only required to detect helicopters which are in their final landing phase and at close range (less than 75 meters). This paper describes the Sandia detector, which is designed to only look at spectral lines between 20 and 40 Hz, and depends upon the harmonic content of the rotor pulses for detecting themore » lower rotor speed helicopters. 1 ref.« less

  18. Current use and outcomes of helicopter transport in pediatric trauma: a review of 18,291 transports.

    PubMed

    Englum, Brian R; Rialon, Kristy L; Kim, Jina; Shapiro, Mark L; Scarborough, John E; Rice, Henry E; Adibe, Obinna O; Tracy, Elisabeth T

    2017-01-01

    The role of helicopter emergency medical services (HEMS) in pediatric trauma remains controversial. We examined its use in pediatric trauma and its effectiveness in children with moderate/severe injuries. All blunt/penetrating trauma patients ≤18years old in the National Trauma Data Bank were evaluated for use of HEMS and in-hospital mortality. In a comparative effectiveness study, only patients treated at level I/II pediatric centers with injury severity score (ISS)≥9 were included. Of 127,489 included patients, 18,291 (14%) arrived via HEMS, compared to 56% by ground ambulance and 29% by private vehicle/walk-in. HEMS patients had more severe injuries (ISS≥25; 28% vs. 14%) and altered mental status (GCS≤8; 29% vs. 11%), but also contained many patients with only minor injuries or no major physiologic derangements. In unadjusted analysis, HEMS was associated with increased mortality (OR: 1.6; 95% CI: 1.4-1.7). However, it had decreased mortality by regression (0.5; 0.4-0.6) and propensity analysis (0.7; 0.6-0.8) to adjust for confounders. We found multiple indicators for overuse of HEMS, with nearly 40% of children having only minor injuries. In moderate/severe injuries, HEMS is associated with decreased mortality, potentially saving one life for every 47 flights. Research is needed to determine appropriate criteria for helicopter triage. III. Copyright © 2016 Elsevier Inc. All rights reserved.

  19. An investigation into the cost, coverage and activities of Helicopter Emergency Medical Services in the state of New South Wales, Australia.

    PubMed

    Taylor, Colman B; Stevenson, Mark; Jan, Stephen; Liu, Bette; Tall, Gary; Middleton, Paul M; Fitzharris, Michael; Myburgh, John

    2011-10-01

    Helicopter Emergency Medical Services (HEMS) have been incorporated into modern health systems for their speed and coverage. In the state of New South Wales (NSW), nine HEMS operate from various locations around the state and currently there is no clear picture of their resource implications. The aim of this study was to assess the cost of HEMS in NSW and investigate the factors linked with the variation in the costs, coverage and activities of HEMS. We undertook a survey of HEMS costs, structures and operations in NSW for the 2008/2009 financial year. Costs were estimated from annual reports and contractual agreements. Data related to the structure and operation of services was obtained by face-to-face interviews, from operational data extracted from individual HEMS, from the NSW Ambulance Computer Aided Despatch system and from the Aeromedical Operations Centre database. In order to estimate population coverage for each HEMS, we used GIS mapping techniques with Australian Bureau of Statistics census information. Across HEMS, cost per mission estimates ranged between $9300 and $19,000 and cost per engine hour estimates ranged between $5343 and $15,743. Regarding structural aspects, six HEMS were run by charities or not-for-profit companies (with partial government funding) and three HEMS were run (and fully funded) by the state government through NSW Ambulance. Two HEMS operated as 'hub' services in conjunction with three associated 'satellite' services and in contrast, four services operated independently. Variation also existed between the HEMS in the type of helicopter used, the clinical staffing and the hours of operation. The majority of services undertook both primary scene responses and secondary inter-facility transfers, although the proportion of each type of transport contributing to total operations varied across the services. This investigation highlighted the cost of HEMS operations in NSW which in total equated to over $50 million per annum. Across

  20. Helicopter roll control effectiveness criteria program summary

    NASA Technical Reports Server (NTRS)

    Heffley, Robert K.; Bourne, Simon M.; Mnich, Marc A.

    1988-01-01

    A study of helicopter roll control effectiveness is summarized for the purpose of defining military helicopter handling qualities requirements. The study is based on an analysis of pilot-in-the-loop task performance of several basic maneuvers. This is extended by a series of piloted simulations using the NASA Ames Vertical Motion Simulator and selected flight data. The main results cover roll control power and short-term response characteristics. In general the handling qualities requirements recommended are set in conjunction with desired levels of flight task and maneuver response which can be directly observed in actual flight. An important aspect of this, however, is that vehicle handling qualities need to be set with regard to some quantitative aspect of mission performance. Specific examples of how this can be accomplished include a lateral unmask/remask maneuver in the presence of a threat and an air tracking maneuver which recognizes the kill probability enhancement connected with decreasing the range to the target. Conclusions and recommendations address not only the handling qualities recommendations, but also the general use of flight simulators and the dependence of mission performance on handling qualities.

  1. Is the Ability to Ambulate Associated with Better Employment Outcomes in Participants with Traumatic Spinal Cord Injury?

    ERIC Educational Resources Information Center

    Krause, James S.

    2010-01-01

    The author compares current employment status after spinal cord injury between participants who were independent in ambulation (required no assistance from others) and those who were dependent in ambulation (required assistance from at least one other person to ambulate). Those who were independent of assistance from others in ambulation were…

  2. The impact of urban operations on helicopter noise requirements

    NASA Technical Reports Server (NTRS)

    Spector, S. R.

    1978-01-01

    The interrelationship of urban helicopter operations, helicopter noise, and the establishment of urban public-use heliports is discussed. Public resistance to urban helicopter operations due to concern for safety and noise is shown to negatively impact the establishment of public-use heliports in urban centers. It is indicated that increased government and industry effort to reduce helicopter noise is needed to ensure continued growth in the helicopter industry.

  3. Helicopter Control Energy Reduction Using Moving Horizontal Tail

    PubMed Central

    Oktay, Tugrul; Sal, Firat

    2015-01-01

    Helicopter moving horizontal tail (i.e., MHT) strategy is applied in order to save helicopter flight control system (i.e., FCS) energy. For this intention complex, physics-based, control-oriented nonlinear helicopter models are used. Equations of MHT are integrated into these models and they are together linearized around straight level flight condition. A specific variance constrained control strategy, namely, output variance constrained Control (i.e., OVC) is utilized for helicopter FCS. Control energy savings due to this MHT idea with respect to a conventional helicopter are calculated. Parameters of helicopter FCS and dimensions of MHT are simultaneously optimized using a stochastic optimization method, namely, simultaneous perturbation stochastic approximation (i.e., SPSA). In order to observe improvement in behaviors of classical controls closed loop analyses are done. PMID:26180841

  4. The Helicopter Antenna Radiation Prediction Code (HARP)

    NASA Technical Reports Server (NTRS)

    Klevenow, F. T.; Lynch, B. G.; Newman, E. H.; Rojas, R. G.; Scheick, J. T.; Shamansky, H. T.; Sze, K. Y.

    1990-01-01

    The first nine months effort in the development of a user oriented computer code, referred to as the HARP code, for analyzing the radiation from helicopter antennas is described. The HARP code uses modern computer graphics to aid in the description and display of the helicopter geometry. At low frequencies the helicopter is modeled by polygonal plates, and the method of moments is used to compute the desired patterns. At high frequencies the helicopter is modeled by a composite ellipsoid and flat plates, and computations are made using the geometrical theory of diffraction. The HARP code will provide a user friendly interface, employing modern computer graphics, to aid the user to describe the helicopter geometry, select the method of computation, construct the desired high or low frequency model, and display the results.

  5. [The Swedish ambulance services 1935-1936 of Gunnar Agge].

    PubMed

    Gustavsson, Pär; Nilsson, Peter M

    2006-01-01

    The fact that Sweden has been spared from war on its soil for almost 200 years, has not stopped Swedish citizens from participating in conflicts worldwide during this period. This has been described, especially from the soldiers perspective. The contribution of Swedish physicians has not been written about to the same extent. When Mussolini's Italy in October 1935 invaded the poor and underdeveloped country of Ethiopia (former Abyssinia) an ambulance was immediately organized by the Swedish Red Cross. To lead such an expedition, a great knowledge of Ethiopian culture och maybe most importantly, of the weather and geographical conditions, was undoubtedly demanded. Therefore, the Swedish Red Cross turned to two Ethiopian veterans. Doctor Fride Hylander, a missionary-son who had been working on a hospital project in the Ethiopian province of Harrar and his friend since school years, doctor Gunnar Agge, were assigned the leadership of the ambulance. Dr Agge had also participated in improving the Ethiopian health care both in Harrar and later as civilian and military doctor in the province of Ogaden, where he was medically responsible for the more than 9 000 men strong army that the Ethiopian emperor had stationed there after Italian provocations. Most of the other members of the ambulance were handpicked by these two leaders and many of them had, just like themselves, a stong religious belief. A money-raise was immediately initiated and in less than six weeks 700 000 Swedish crowns had been collected, more then twice the sum the ambulance was calculated to cost. In early november 1935 the ambulance was clear to go. Their primary objective was to travel through British Somaliland and establish a field-hospital in the province of Harrar. However, the Ethiopian emperor had other things in mind. He wanted to reorganize the ambulance and divide it in two and place it closer to the front line. The ambulance decided to go along with his wish. Both groups started eventually

  6. Helicopter far-field acoustic levels as a function of reduced rotor speeds

    NASA Technical Reports Server (NTRS)

    Mueller, Arnold W.; Lemasurier, Philip; Smith, Charles D.

    1990-01-01

    This paper will present far-field measured noise levels relative to tests conducted with a model S-76A helicopter. The project was designed to provide supplemental experimental flight data which may be used to further study reduced helicopter rotor speeds (and thus, advancing blade-tip Mach number) effects on far-field acoustic levels. The aircraft was flown in straight and level flight while operating with both the rotor speed and flight speed as test variables. The rotor speed was varied over the range of 107 percent of the main-rotor speed (NR) to 90 percent NR and with the forward flight speed varied over the range of 155 to 35 knots indicated air speed. These conditions produced a wide range of advancing blade-tip Mach numbers to which the noise data are related.

  7. Characteristics of Helicopter-Generated and Volcano-Related Seismic Tremor Signals

    NASA Astrophysics Data System (ADS)

    Eibl, Eva P. S.; Lokmer, Ivan; Bean, Christopher J.; Akerlie, Eggert; Vogfjörd, Kristin S.

    2017-04-01

    In volcanic environments it is crucial to distinguish between man-made seismic signals and signals created by the volcano. We compare volcanic, seismic signals with helicopter generated, seismic signals recorded in the last 2.5 years in Iceland. In both cases a long-lasting, emergent seismic signal, that can be referred to as seismic tremor, was generated. In the case of a helicopter, the rotating blades generate pressure pulses that travel through the air and excite Rayleigh waves at up to 40 km distance depending on wind speed, wind direction and topographic features. The longest helicopter related seismic signal we recorded was at the order of 40 minutes long. The tremor usually has a fundamental frequency of more than 10 Hz and overtones at integers of the fundamental frequency. Changes in distance lead to either increases or decreases of the frequency due to the Doppler Effect and are strongest for small source-receiver distances. The volcanic tremor signal was recorded during the Bardarbunga eruption at Holuhraun in 2014/15. For volcano-related seismic signals it is usually more difficult to determine the source process that generated the tremor. The pre-eruptive tremor persists for 2 weeks, while the co-eruptive tremor lasted for 6 months. We observed no frequency changes, most energy between 1 and 2 Hz and no or very little energy above 5 Hz. We compare the different characteristics of helicopter-related and volcano-related seismic signals and discuss how they can be distinguished. In addition we discuss how we can determine if a frequency change is related to a moving source or change in repeat time or a change in the geometry of the resonating body.

  8. Surviving helicopter crashes at sea: a review of studies of underwater egress from helicopters.

    PubMed

    Ryack, B L; Luria, S M; Smith, P F

    1986-06-01

    The problem of escaping from a submerged helicopter is discussed. The effectiveness of illuminated escape hatches in facilitating escape has been demonstrated. The relative advantages of different types of lights are compared. Escape training, illuminating the emergency exits, and providing breathing devices should greatly enhance the chances of survival in a helicopter crash at sea.

  9. Method for Studying Helicopter Longitudinal Maneuver Stability

    NASA Technical Reports Server (NTRS)

    Amer, Kenneth B

    1954-01-01

    A theoretical analysis of helicopter maneuver stability is made and the results are compared with experimental results for both a single and a tandem rotor helicopter. Techniques are described for measuring in flight the significant stability derivatives for use with the theory to aid in design studies of means for achieving marginal maneuver stability for a prototype helicopter.

  10. Helicopter fertilizing of Foothill Range

    Treesearch

    Don A. Duncan; Jack N. Reppert

    1966-01-01

    Helicopters may prove the best method of applying sulfur fertilizer on rangeland too steep for ground application, or with no nearby landing strip for fixed-wing aircraft. Helicopter fertilization of 457 acres of the San Joaquin Experimental Range in central California in 1960 and 1963 was fast and practical.

  11. Helicopter fuel burn modeling in AEDT.

    DOT National Transportation Integrated Search

    2011-08-01

    This report documents work done to enhance helicopter fuel consumption modeling in the Federal Aviation : Administrations Aviation Environmental Design Tool (AEDT). Fuel consumption and flight performance data : were collected from helicopter flig...

  12. An inventory of ambulance service regulatory programs in California.

    PubMed

    Narad, R A

    1998-01-01

    Ambulance regulation in California is the responsibility of numerous agencies on the state and local levels. By identifying and analyzing the variety of programs used in one state, this study establishes a framework for evaluation of state and local regulatory programs elsewhere. This study surveyed all California local EMS agencies (LEMSAs: California's equivalent of regional EMS organizations) to identify the types of regulatory programs used, the foci of these programs (e.g., equipment and personnel), and their application (e.g., public and private providers). All data acquired were analyzed using population parameters rather than inferential statistics. A response rate of 100% was obtained. Among the regulatory tools used are ordinances, contracts, and franchises. Regulatory standards vary widely as do their applications. Large counties and those that operate their own LEMSA have more extensive regulatory programs than do smaller counties and those who participate in multicounty agencies. Many of the enforcement mechanisms available are weak. This study suggests several policy implications for California and other states. The wide variation in the types of regulatory programs and the standards that are used suggest that the purpose and impact of regulatory programs should be studied further. The decentralization of the ambulance regulatory program and the lack of integration of ambulance regulations into EMS system planning also raise policy questions. In addition, the role of multicounty EMS agencies, as it relates to regulation of ambulance services, should be reviewed.

  13. Using a discrete-event simulation to balance ambulance availability and demand in static deployment systems.

    PubMed

    Wu, Ching-Han; Hwang, Kevin P

    2009-12-01

    To improve ambulance response time, matching ambulance availability with the emergency demand is crucial. To maintain the standard of 90% of response times within 9 minutes, the authors introduce a discrete-event simulation method to estimate the threshold for expanding the ambulance fleet when demand increases and to find the optimal dispatching strategies when provisional events create temporary decreases in ambulance availability. The simulation model was developed with information from the literature. Although the development was theoretical, the model was validated on the emergency medical services (EMS) system of Tainan City. The data are divided: one part is for model development, and the other for validation. For increasing demand, the effect was modeled on response time when call arrival rates increased. For temporary availability decreases, the authors simulated all possible alternatives of ambulance deployment in accordance with the number of out-of-routine-duty ambulances and the durations of three types of mass gatherings: marathon races (06:00-10:00 hr), rock concerts (18:00-22:00 hr), and New Year's Eve parties (20:00-01:00 hr). Statistical analysis confirmed that the model reasonably represented the actual Tainan EMS system. The response-time standard could not be reached when the incremental ratio of call arrivals exceeded 56%, which is the threshold for the Tainan EMS system to expand its ambulance fleet. When provisional events created temporary availability decreases, the Tainan EMS system could spare at most two ambulances from the standard configuration, except between 20:00 and 01:00, when it could spare three. The model also demonstrated that the current Tainan EMS has two excess ambulances that could be dropped. The authors suggest dispatching strategies to minimize the response times in routine daily emergencies. Strategies of capacity management based on this model improved response times. The more ambulances that are out of routine duty

  14. Sleep and alertness in North Sea helicopter operations.

    PubMed

    Simons, Ries; Wilschut, Ellen S; Valk, Pierre J L

    2011-07-01

    Dutch North Sea helicopter operations are characterized by multiple sector flights to offshore platforms under difficult environmental conditions. In the context of a Ministry of Transport program to improve safety levels of helicopter operations, we assessed effects of pre-duty sleep, pre-duty travel time, and workload factors on the alertness and vigilance of pilots. Data of 24 pilots comprising 224 duty days were analyzed. Pilots performed 10-min test sessions after wake up, pre-duty, halfway-duty, end-duty, and at bedtime during normal duty rosters. Test sessions included completion of a vigilance task, vigor and sleepiness ratings, and questions on sleep and operational characteristics. Pilots wore an actometer to objectify sleep data. Vigor scores were high and sleepiness levels were low during the entire flight duty periods (FDPs), while vigilance was impaired only 6.8% in the course of the FDPs. Pre-duty sleep before morning duties was 1.5 h shorter than sleep before duties starting after midday. Longer pre-duty travel time was correlated with shorter pre-duty sleep and lower vigilance levels during duty. During the FDPs, pilots maintained alertness and vigilance levels that may be considered safe in terms of alertness-related flight safety. This favorable outcome may be attributed to reasonable length of FDPs, favorable circadian start and end times of duties, sufficient opportunities for restorative pre-duty sleep, and relatively good weather conditions. Appropriate FDP scheduling is an important measure to optimize alertness of helicopter pilots who have to cope with adverse environmental conditions and limited landing and air traffic control facilities.

  15. Helicopter Acoustics, part 2. [conferences

    NASA Technical Reports Server (NTRS)

    1978-01-01

    Exterior and interior helicopter noise problems are addressed from the physics and engineering as well as the human factors point of view. Noise regulation concepts, human factors and criteria, rotor noise generation and control, design, operations and testing for noise control, helicopter noise prediction, and research tools and measurements are covered.

  16. [The correlation between personality characteristics and burnout syndrome in emergency ambulance workers].

    PubMed

    Bergmueller, A; Zavgorodnii, I; Zavgorodnia, N; Kapustnik, W; Boeckelmann, I

    The work in Emergency Medical Ambulance Service is one of the professions, which is accompanied by high psychological and emotional stress. The aim was to determine the risk of professional burnout syndrome of Emergency Medical Ambulance Service staff and the relationship between burnout syndrome and personality. Ninety-seven doctors (57 women and 40 men, aged 37.0±12.21) of Emergency Medical Ambulance Service were interviewed using the MBI-GS questionnaire and the Freiburg personality questionnaire (FPI). Correlation and regression analysis were used. Nine (11.5%) of respondents had a risk of burnout syndrome and 28 (35.9%) had some symptoms. In the group, aged 45 years and older, the risk of burnout syndrome was not identified. The staff of Emergency Medical Ambulance Service is characterized by stable personality features. It is necessary to identify the prevalence of burnout syndrome and also to identity the causes for its prevention and development of measures on the increase of personal stress resilience.

  17. Back pain and exposure to whole body vibration in helicopter pilots.

    PubMed

    Bongers, P M; Hulshof, C T; Dijkstra, L; Boshuizen, H C; Groenhout, H J; Valken, E

    1990-08-01

    In a questionnaire survey the prevalence of back pain in 163 helicopter pilots was compared to that in a control group of 297 non-flying air force officers who underwent the same pre-employment medical examination. Since pilots document their hours of flight in a personal flight log, an accurate estimate of the duration of exposure could be made. In addition, vibration levels of the helicopters were measured and an accumulative vibration dose was calculated for each pilot. 'Transient' back pain of a short duration was more frequent amongst the pilots compared to the control group, and the prevalence of 'chronic' back pain of a persistent nature was also higher amongst the helicopter pilots. Transient back pain seemed to be most strongly related to the average hours of flight per day, whereas chronic back pain was more closely related to total hours of flight or the accumulative vibration dose. A significant higher prevalence of this chronic back pain was observed only after 2000 hours of flight or a vibration dose of 400 m2h/s4. The observed health effects may be due to vibration or constrained posture but are most likely due to concomitant exposure to both factors.

  18. Helicopter emergency medical services accident rates in different international air rescue systems

    PubMed Central

    Hinkelbein, J; Schwalbe, M; Genzwuerker, HV

    2010-01-01

    Aim Each year approximately two to four helicopter emergency medical services (HEMS) crashes occur in Germany. The aim of the present study was to compare crash rates and fatal crash rates in Germany to rates in other countries. Materials and methods A MEDLINE search from 1970 to 2009 was performed using combinations of the keywords “HEMS”, “rescue helicopter”, “accident”, “accident rate”, “crash”, and “crash rate”. The search was supplemented by additional published data. Data were compared on the basis of 10,000 missions and 100,000 helicopter flying hours. These data were allocated to specific time frames for analyis. Results Eleven relevant studies were identified. Five studies (three from Germany, one from the US, one from Australia) analyzing HEMS accidents on the basis of 10,000 missions were identified. Crash rates per 10,000 missions ranged between 0.4 and 3.05 and fatal crash rates between 0.04 and 2.12. In addition, nine studies (six from the US, two from Germany, one from Australia) used 100,000 flying hours as a denominator. Here, crash rates ranged between 1.7 and 13.4 and fatal crash rates between 0.91 and 4.7. Conclusions Data and accident rates were inhomogeneous and differed significantly. Data analysis was impeded by publication of mean data, use of different time frames, and differences in HEMS systems. PMID:27147837

  19. 77 FR 54796 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT... France Model AS350 helicopters. This AD requires installing protection sleeves over certain forward... helicopters have been approved by the aviation authority of France and are approved for operation in the...

  20. 77 FR 44118 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for Eurocopter France (Eurocopter) Model EC155B1 helicopters with a certain... Determination These helicopters have been approved by the aviation authority of France and are approved for...

  1. 77 FR 5994 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for all Eurocopter France EC130B4 helicopters that have not had Eurocopter... actions. FAA's Determination These helicopters have been approved by the aviation authority of France and...

  2. Specific exercise training for reducing neck and shoulder pain among military helicopter pilots and crew members: a randomized controlled trial protocol.

    PubMed

    Murray, Mike; Lange, Britt; Nørnberg, Bo Riebeling; Søgaard, Karen; Sjøgaard, Gisela

    2015-08-19

    Flight-related neck/shoulder pain is frequent among military helicopter pilots and crew members. With a lifetime prevalence of 81% for pilots and 84% for crew members, the prevalence of neck pain is considered high compared to the general population. The aim of this study was to investigate whether a specifically tailored exercise intervention would reduce the prevalence and incidence rate of neck/shoulder pain among helicopter pilots and crew members. This study used a prospective, parallel group, single blinded, randomized controlled design. Participants were military helicopter pilots and crew members recruited from the Royal Danish Air Force. Inclusion criteria were: 1) employed within the Royal Danish Air Force as a helicopter pilot or onboard crew member (technician, systems-operator, tactical helicopter observer and/or navigator), 2) maintaining operational flight status at enrollment, and 3) operational flying within the previous 6 months. Primary outcome was change in neck and shoulder pain assessed by 1) a modified version of the "Standardized Nordic questionnaire for the analysis of musculoskeletal symptoms" and by 2) pressure pain threshold measurements. Secondary outcomes included: postural balance, strength, stability, and rate of force development for neck and shoulder muscles. Measurements at baseline and follow-up were conducted at four air force bases in Denmark. Sixty-nine participants were individually randomized to either a training group (TG) or a reference group (RG). Participants in the TG performed 20-weeks of physical exercise training divided into sessions of 3 × 20 min per week. Training was completed within working hours and consisted of specific exercise training for the neck and shoulder muscles based on the principles of "Intelligent Physical Exercise Training". The RG received no training. In spite of the high prevalence of flight related neck/shoulder pain among military helicopter pilots and crew members there are currently no

  3. A NASA helicopter arrives at KSC for painting

    NASA Technical Reports Server (NTRS)

    2000-01-01

    A NASA helicopter is secured for transfer to Ransom Road at KSC. It is one of four UH-1H helicopters that will have its blades painted, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  4. 78 FR 15277 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-11

    ... AD are intended to prevent an uncommanded landing gear retraction that would cause the helicopter... requirements were intended to prevent an uncommanded landing gear retraction that would cause the helicopter... have caused untimely retraction of the main landing gear, causing helicopters to sink, resulting in...

  5. Operational Helicopter Aviation Medicine

    DTIC Science & Technology

    1978-12-01

    EUROPEAN BATTLEFIELD - A SCENARIO IN URGENT NEED OF ATTENTION by W.C.Wood 2 MARYLAND’S MED-EVAC HELICOPTER PROGRAM by R.A.Cowley 3 NIGHT RESCUE...the priority and attention given to man in the helicopter operational enlvironment by our potential enemy. We learned, unfortunately, that they are...far superior to NATO in their attention to the biomedical requirements of the pilot. Hopefully, this conference may help to reverse this advantage. xii

  6. Venous Gas Emboli and Ambulation at 4.3 PSIA (Preliminary)

    NASA Technical Reports Server (NTRS)

    Conkin, J.; Pollock, N. W.; Natoli, M. J.; Martina, S. D.; Wessel, J. H., III; Gernhardt, M. L.

    2016-01-01

    Ambulation imparts compressive and decompressive forces into the lower body, potentially creating quasi-stable micronuclei that influence the outcome of hypobaric depressurizations. Hypotheses: ambulation before the conclusion of a denitrogenation (prebreathe) protocol at 14.7 pounds per square inch absolute is not sufficient to increase the incidence of venous gas emboli (VGE) at 4.3 pounds per square inch absolute but is sufficient if performed after tissues become supersaturated with nitrogen at 4.3 pounds per square inch absolute.

  7. Weather and age-gender effects on the projection of future emergency ambulance demand in Hong Kong.

    PubMed

    Lai, Poh-Chin; Wong, Ho-Ting

    2015-03-01

    An accurate projection for ambulance demand is essential to enable better resource planning for the future that strives to either maintain current levels of services or reconsider future standards and expectations. More than 2 million cases of emergency room attendance in 2008 were obtained from the Hong Kong Hospital Authority to project the demand for its ambulance services in 2036. The projection of ambulance demand in 2036 was computed in consideration of changes in the age-gender structure between 2008 and 2036. The quadratic relation between average daily temperature and daily ambulance demand in 2036 was further explored by including and excluding age-gender demographic changes. Without accounting for changes in the age-gender structure, the 2036 ambulance demand for age groups of 65 and above were consistently underestimated (by 38%-65%), whereas those of younger age groups were overestimated (by 6%-37%). Moreover, changes in the 2008 to 2036 age-gender structure also shift upward and emphasize relationships between average daily temperature and daily ambulance demand at both ends of the quadratic U-shaped curve. Our study reveals a potential societal implication of ageing population on the demand for ambulance services. © 2012 APJPH.

  8. Ambulance ride: fixed or floating stretcher?

    PubMed Central

    Snook, R; Pacifico, R

    1976-01-01

    The alternatives of a purpose-bult ambulance and a specially designed stretcher suspension system were considered and the features of the latter assessed by subjective and objective tests. The results showed a significant improvement in the quality of the ride offered to the patient. Images FIG 2 PMID:947448

  9. Analysis of helicopter position determination methods

    DOT National Transportation Integrated Search

    1992-01-01

    The Federal Aviation Administration (FAA), along with members of the helicopter industry, is continually searching for methods to reduce the cost and effort required for helicopter noise certification. In September 1992, the FAA adopted Appendix J of...

  10. Urban sprawl and delayed ambulance arrival in the U.S.

    PubMed

    Trowbridge, Matthew J; Gurka, Matthew J; O'Connor, Robert E

    2009-11-01

    Minimizing emergency medical service (EMS) response time is a central objective of prehospital care, yet the potential influence of built environment features such as urban sprawl on EMS system performance is often not considered. This study measures the association between urban sprawl and EMS response time to test the hypothesis that features of sprawling development increase the probability of delayed ambulance arrival. In 2008, EMS response times for 43,424 motor-vehicle crashes were obtained from the Fatal Analysis Reporting System, a national census of crashes involving > or =1 fatality. Sprawl at each crash location was measured using a continuous county-level index previously developed by Ewing et al. The association between sprawl and the probability of a delayed ambulance arrival (> or =8 minutes) was then measured using generalized linear mixed modeling to account for correlation among crashes from the same county. Urban sprawl is significantly associated with increased EMS response time and a higher probability of delayed ambulance arrival (p=0.03). This probability increases quadratically as the severity of sprawl increases while controlling for nighttime crash occurrence, road conditions, and presence of construction. For example, in sprawling counties (e.g., Fayette County GA), the probability of a delayed ambulance arrival for daytime crashes in dry conditions without construction was 69% (95% CI=66%, 72%) compared with 31% (95% CI=28%, 35%) in counties with prominent smart-growth characteristics (e.g., Delaware County PA). Urban sprawl is significantly associated with increased EMS response time and a higher probability of delayed ambulance arrival following motor-vehicle crashes in the U.S. The results of this study suggest that promotion of community design and development that follows smart-growth principles and regulates urban sprawl may improve EMS performance and reliability.

  11. Helicopter transport: help or hindrance?

    PubMed

    Plevin, Rebecca E; Evans, Heather L

    2011-12-01

    Traumatic injury continues to be a significant cause of morbidity and mortality in the year 2011. In addition, the healthcare expenditures and lost years of productivity represent significant economic cost to the affected individuals and their communities. Helicopters have been used to transport trauma patients for the past 40 years, but there are conflicting data on the benefits of helicopter emergency medical service (HEMS) in civilian trauma systems. Debate persists regarding the mortality benefit, cost-effectiveness, and safety of helicopter usage, largely because the studies to date vary widely in design and generalizability to trauma systems serving heterogeneous populations and geography. Strict criteria should be established to determine when HEMS transport is warranted and most likely to positively affect patient outcomes. Individual trauma systems should conduct an assessment of their resources and needs in order to most effectively incorporate helicopter transport into their triage model. Research suggests that HEMS improves mortality in certain subgroups of trauma patients, both after transport from the scene of injury and following interfacility transport. Studies examining the cost-effectiveness of HEMS had mixed results, but the majority found that it is a cost-effective tool. Safety remains an issue of contention with HEMS transport, as helicopters are associated with significant safety risk to the crew and patient. However, this risk may be justified provided there is a substantial mortality benefit to be gained. Recent studies suggest that strict criteria should be established to determine when helicopter transport is warranted and most likely to positively affect patient outcomes. Individual trauma systems should conduct an assessment of their resources and needs in order to most effectively incorporate HEMS into their triage model. This will enable regional hospitals to determine if the costs and safety risks associated with HEMS are worthwhile

  12. Dynamic stability of a helicopter with hinged rotor blades

    NASA Technical Reports Server (NTRS)

    Hohenemser, K

    1939-01-01

    The present report is a study of the dynamic stability of a helicopter with hinged rotor blades under hovering conditions. While in this case perfect stability can in general not be obtained it is possible by means of design features to prolong the period of the spontaneous oscillations of the helicopter and reduce their amplification, and so approximately assure neutral equilibrium. The possibility of controlled stability of a helicopter fitted with hinged blades is proved by the successful flights of various helicopters, particularly of the Focker FW61 helicopter.

  13. 78 FR 23462 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-04-19

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for Eurocopter France (Eurocopter) Model AS332C, AS332L, and AS332L1 helicopters... helicopters have been approved by the aviation authority of France and are approved for operation in the...

  14. Dust-penetrating (DUSPEN) see-through lidar for helicopter situational awareness in DVE

    NASA Astrophysics Data System (ADS)

    Murray, James T.; Seely, Jason; Plath, Jeff; Gotfredson, Eric; Engel, John; Ryder, Bill; Van Lieu, Neil; Goodwin, Ron; Wagner, Tyler; Fetzer, Greg; Kridler, Nick; Melancon, Chris; Panici, Ken; Mitchell, Anthony

    2013-10-01

    Areté Associates recently developed and flight tested a next-generation low-latency near real-time dust-penetrating (DUSPEN) imaging lidar system. These tests were accomplished for Naval Air Warfare Center (NAWC) Aircraft Division (AD) 4.5.6 (EO/IR Sensor Division) under the Office of Naval Research (ONR) Future Naval Capability (FNC) Helicopter Low-Level Operations (HELO) Product 2 program. Areté's DUSPEN system captures full lidar waveforms and uses sophisticated real-time detection and filtering algorithms to discriminate hard target returns from dust and other obscurants. Down-stream 3D image processing methods are used to enhance pilot visualization of threat objects and ground features during severe DVE conditions. This paper presents results from these recent flight tests in full brown-out conditions at Yuma Proving Grounds (YPG) from a CH-53E Super Stallion helicopter platform.

  15. Dust-Penetrating (DUSPEN) "see-through" lidar for helicopter situational awareness in DVE

    NASA Astrophysics Data System (ADS)

    Murray, James T.; Seely, Jason; Plath, Jeff; Gotfreson, Eric; Engel, John; Ryder, Bill; Van Lieu, Neil; Goodwin, Ron; Wagner, Tyler; Fetzer, Greg; Kridler, Nick; Melancon, Chris; Panici, Ken; Mitchell, Anthony

    2013-05-01

    Areté Associates recently developed and flight tested a next-generation low-latency near real-time dust-penetrating (DUSPEN) imaging lidar system. These tests were accomplished for Naval Air Warfare Center (NAWC) Aircraft Division (AD) 4.5.6 (EO/IR Sensor Division) under the Office of Naval Research (ONR) Future Naval Capability (FNC) Helicopter Low-Level Operations (HELO) Product 2 program. Areté's DUSPEN system captures full lidar waveforms and uses sophisticated real-time detection and filtering algorithms to discriminate hard target returns from dust and other obscurants. Down-stream 3D image processing methods are used to enhance pilot visualization of threat objects and ground features during severe DVE conditions. This paper presents results from these recent flight tests in full brown-out conditions at Yuma Proving Grounds (YPG) from a CH-53E Super Stallion helicopter platform.

  16. Minnesota Heart Safe Communities: Are community-based initiatives increasing pre-ambulance CPR and AED use?

    PubMed

    Boland, Lori L; Formanek, Michelle B; Harkins, Kim K; Frazee, Carol L; Kamrud, Jonathan W; Stevens, Andrew C; Lick, Charles J; Yannopoulos, Demetris

    2017-10-01

    Implementation research that describes how successfully resuscitation guidelines are translated into practice are lacking. We examined whether recent community-based initiatives being conducted as part of the Minnesota Heart Safe (HS) Communities program increase the delivery of CPR and use of automated external defibrillators (AED) by bystanders and first responders prior to ambulance arrival. Non-EMS witnessed out-of-hospital cardiac arrests (OHCA) with presumed cardiac etiology treated by a single ambulance service in 2013-2015 were studied. Data were obtained from the Minnesota HS program and the Cardiac Arrest Registry to Enhance Survival (CARES) Surveillance Registry. Pre-ambulance CPR and AED use within HS communities before and after completion of the program were compared. As of July 2016, 17 Minnesota communities within the ambulance service area had achieved HS designation and 294 OHCAs that occurred in these communities met inclusion criteria for analysis (120 before HS designation, 174 after). CPR was initiated by bystanders or first responders prior to ambulance arrival in 83% of OHCA events that occurred before HS designation and in 95% of events that occurred after designation (OR=4.23 [1.80-9.98]). Pre-ambulance AED use increased from 63% to 77% after the community intervention (OR=1.94 [1.16-3.24]). Overall unadjusted survival to hospital discharge increased slightly after HS designation, but this difference was not statistically significant (17% vs 20%, p=0.32). Implementation of the Heart Safe program in communities within our ambulance service area in Minnesota has increased use of CPR and AEDs by bystanders and first responders prior to ambulance arrival. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Reflective and collaborative skills enhances Ambulance nurses' competence - A study based on qualitative analysis of professional experiences.

    PubMed

    Wihlborg, Jonas; Edgren, Gudrun; Johansson, Anders; Sivberg, Bengt

    2017-05-01

    The Swedish ambulance health care services are changing and developing, with the ambulance nurse playing a central role in the development of practice. The competence required by ambulance nurses in the profession remains undefined and provides a challenge. The need for a clear and updated description of ambulance nurses' competence, including the perspective of professional experiences, seems to be essential. The aim of this study was to elucidate ambulance nurses' professional experiences and to describe aspects affecting their competence. For data collection, the study used the Critical Incident Technique, interviewing 32 ambulance nurses. A qualitative content analysis was applied. This study elucidates essential parts of the development, usage and perceptions of the competence of ambulance nurses and how, in various ways, this is affected by professional experiences. The development of competence is strongly affected by the ability and possibility to reflect on practice on a professional and personal level, particularly in cooperation with colleagues. Experiences and communication skills are regarded as decisive in challenging clinical situations. The way ambulance nurses perceive their own competence is closely linked to patient outcome. The results of this study can be used in professional and curriculum development. Copyright © 2016 Elsevier Ltd. All rights reserved.

  18. Small crack test program for helicopter materials

    NASA Technical Reports Server (NTRS)

    Annigeri, Bal; Schneider, George

    1994-01-01

    Crack propagation tests were conducted to determine crack growth behavior in five helicopter materials for surface cracks between 0.005 to 0.020 inches in depth. Constant amplitude tests were conducted at stress ratios R equals 0.1 and 0.5, and emphasis was placed on near threshold data (i.e., 10-8 to 10-6 inches/cycle). Spectrum tests were conducted using a helicopter spectrum. The test specimen was an unnotched tension specimen, and cracks were initiated from a small EDM notch. An optical/video system was used to monitor crack growth. The material for the test specimens was obtained from helicopter part forgings. Testing was conducted at stresses below yield to reflect actual stresses in helicopter parts.

  19. Ambulation Increases Decompression Sickness in Spacewalk Simulations

    NASA Technical Reports Server (NTRS)

    Pollock, N. W.; Natoli, M. J.; Conkin, J.; Wessel, J. H., III; Gernhardt, M. L.

    2014-01-01

    Musculoskeletal activity has the potential to both improve and compromise decompression safety. Exercise enhances inert gas elimination during oxygen breathing prior to decompression (prebreathe), but it may also promote bubble nuclei formation (nucleation), which can lead to gas phase separation and bubble growth and increase the risk of decompression sickness (DCS). The timing, pattern and intensity of musculoskeletal activity and the level of tissue supersaturation may be critical to the net effect. Understanding the relationships is important to evaluate exercise prebreathe protocols and quantify decompression risk in gravity and microgravity environments. Data gathered during NASA's Prebreathe Reduction Program (PRP) studies combined oxygen prebreathe and exercise followed by low pressure (4.3 psi; altitude equivalent of 30,300 ft [9,235 m]) microgravity simulation to produce two protocols used by astronauts preparing for extravehicular activity. Both the Phase II/CEVIS (cycle ergometer vibration isolation system) and ISLE (in-suit light exercise) trials eliminated ambulation to more closely simulate the microgravity environment. The CEVIS results (35 male, 10 female) serve as control data for this NASA/Duke study to investigate the influence of ambulation exercise on bubble formation and the subsequent risk of DCS. METHODS Four experiments will replicate the CEVIS exercise-enhanced oxygen prebreathe protocol, each with a different exception. The first of these is currently underway. Experiment 1 - Subjects complete controlled ambulation (walking in place with fixed cadence and step height) during both preflight and at 4.3 psi instead of remaining nonambulatory throughout. Experiment 2 - Subjects remain non-ambulatory during the preflight period and ambulatory at 4.3 psi. Experiment 3 - Subjects ambulate during the preflight period and remain non-ambulatory at 4.3 psi. Experiment 4 - The order of heavy and light exercise employed in the CEVIS protocol is

  20. Description of the ambulance services participating in the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest Epistry.

    PubMed

    Beck, Ben; Bray, Janet E; Smith, Karen; Walker, Tony; Grantham, Hugh; Hein, Cindy; Thorrowgood, Melanie; Smith, Anthony; Inoue, Madoka; Smith, Tony; Dicker, Bridget; Swain, Andy; Bosley, Emma; Pemberton, Katherine; McKay, Michael; Johnston-Leek, Malcolm; Cameron, Peter; Perkins, Gavin D; Finn, Judith

    2016-12-01

    The present study aimed to describe and examine similarities and differences in the current service provision and resuscitation protocols of the ambulance services participating in the Aus-ROC Australian and New Zealand out-of-hospital cardiac arrest (OHCA) Epistry. Understanding these similarities and differences is important in identifying ambulance service factors that might explain regional variation in survival of OHCA in the Aus-ROC Epistry. A structured questionnaire was completed by each of the ambulance services participating in the Aus-ROC Epistry. These ambulance services were SA Ambulance Service, Ambulance Victoria, St John Ambulance Western Australia, Queensland Ambulance Service, St John Ambulance NT, St John New Zealand and Wellington Free Ambulance. The survey aimed to describe ambulance service and dispatch characteristics, resuscitation protocols and details of cardiac arrest registries. We observed similarities between services with respect to the treatment of OHCA and dispatch systems. Differences between services were observed in the serviced population; the proportion of paramedics with basic life support, advanced life support or intensive care training skills; the number of OHCA cases attended; guidelines related to withholding or terminating resuscitation attempts; and the variables that might be used to define 'attempted resuscitation'. All seven participating ambulance services were noted to have existing OHCA registries. There is marked variation between ambulance services currently participating in the Aus-ROC Australian and New Zealand OHCA Epistry with respect to workforce characteristics and key variable definitions. This variation between ambulance services might account for a proportion of the regional variation in survival of OHCA. © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  1. 14 CFR 29.71 - Helicopter angle of glide: Category B.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 1 2010-01-01 2010-01-01 false Helicopter angle of glide: Category B. 29... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Flight Performance § 29.71 Helicopter angle of glide: Category B. For each category B helicopter, except multiengine helicopters meeting the...

  2. 14 CFR 29.71 - Helicopter angle of glide: Category B.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 1 2014-01-01 2014-01-01 false Helicopter angle of glide: Category B. 29... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Flight Performance § 29.71 Helicopter angle of glide: Category B. For each category B helicopter, except multiengine helicopters meeting the...

  3. 14 CFR 29.71 - Helicopter angle of glide: Category B.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 1 2012-01-01 2012-01-01 false Helicopter angle of glide: Category B. 29... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Flight Performance § 29.71 Helicopter angle of glide: Category B. For each category B helicopter, except multiengine helicopters meeting the...

  4. 14 CFR 29.71 - Helicopter angle of glide: Category B.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 1 2011-01-01 2011-01-01 false Helicopter angle of glide: Category B. 29... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Flight Performance § 29.71 Helicopter angle of glide: Category B. For each category B helicopter, except multiengine helicopters meeting the...

  5. 14 CFR 29.71 - Helicopter angle of glide: Category B.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 1 2013-01-01 2013-01-01 false Helicopter angle of glide: Category B. 29... AIRCRAFT AIRWORTHINESS STANDARDS: TRANSPORT CATEGORY ROTORCRAFT Flight Performance § 29.71 Helicopter angle of glide: Category B. For each category B helicopter, except multiengine helicopters meeting the...

  6. Small helicopter could find niche in remote heavy lift operations

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Not Available

    1994-02-21

    A new helicopter specifically designed for external vertical lift operations, such as moving transportable rig components or seismic equipment in remote locations, operates more efficiently than most other medium or heavy-lift helicopters, according to manufacturer Kaman Aerospace. The single-pilot helicopter was designed as an aerial truck for efficient lifting of heavy loads but with the operating costs of a light-lift craft. The K-Max helicopter can lift more pounds of cargo per gallon of fuel consumed than other similar helicopters, according to Kaman. For example, to transport a 5,000-lb load at an elevation of 8,000 ft, the K-Max helicopter consumes 85more » gal of fuel/hr. Under the same load conditions, the next most efficient commercially available helicopter consumes 160 gal of fuel/hr and requires two pilots. The 4,500-lb helicopter can lift 5,000 lb to an altitude of 8,000 ft or about 6,000 lb at low altitudes.« less

  7. Characteristics of out-of-hospital paediatric emergencies attended by ambulance- and helicopter-based emergency physicians.

    PubMed

    Eich, Christoph; Russo, Sebastian G; Heuer, Jan F; Timmermann, Arnd; Gentkow, Uta; Quintel, Michael; Roessler, Markus

    2009-08-01

    In Germany, as in many other countries, for the vast majority of cases, critical out-of-hospital (OOH) paediatric emergencies are attended by non-specialised emergency physicians (EPs). As it is assumed that this may lead to deficient service we aimed to gather robust data on the characteristics of OOH paediatric emergencies. We retrospectively evaluated all OOH paediatric emergencies (0-14 years) within a 9-year period and attended by physician-staffed ground- or helicopter-based emergency medical service (EMS or HEMS) teams from our centre. We identified 2271 paediatric emergencies, making up 6.3% of all cases (HEMS 8.5%). NACA scores IV-VII were assigned in 27.3% (HEMS 32.0%). The leading diagnosis groups were age dependent: respiratory disorders (infants 34.5%, toddlers 21.8%, school children 15.0%), convulsions (17.2%, 43.2%, and 16.0%, respectively), and trauma (16.0%, 19.5%, and 44.4%, respectively). Endotracheal intubation was performed in 4.2% (HEMS 7.6%) and intraosseous canulation in 0.7% (HEMS 1.0%) of children. Cardiopulmonary resuscitation (CPR) was commenced in 2.3% (HEMS 3.4%). Thoracocentesis, chest drain insertion and defibrillation were rarities. HEMS physicians attended a particularly high fraction of drowning (80.0%), head injury (73.9%) and SIDS (60.0%) cases, whereas 75.6% of all respiratory emergencies were attended by ground-based EPs. Our data suggest that EPs need to be particularly confident with the care of children suffering respiratory disorders, convulsions, and trauma. The incidence of severe paediatric OOH emergencies requiring advanced interventions is higher in HEMS-attended cases. However, well-developed skills in airway management, CPR, and intraosseous canulation in children are essential for all EPs.

  8. Development of Helicopter Capabilities in the U.S. Army During the Korean and Vietnam Wars

    DTIC Science & Technology

    2016-06-10

    capacity, cost, vulnerability and complexity of design comparing to fixed- wind capability. However, helicopters had their unbeatable advantage... wires , rescuing of downed pilots and casualty 23 Horn, 66. 24 Ibid., 75. 23 evacuation...missions: air transportation, medical evacuation, wire laying, reconnaissance, artillery spotting, messenger service and many others. In case of both

  9. The role of helicopters in seabird censusing

    USGS Publications Warehouse

    Buckley, P.A.; Buckley, F.G.; Schreiber, E.A.; Lee, David S.

    2000-01-01

    The advantages and disadvantages of fixed-wing, helicopter, photographic, vidoegraphic, and ground-count methods of surveying and censusing seabirds are described and compared. Critical terminology is distinguished, and use of small helicopters with multiple, trained observers is firmly recommended for work with diurnal, non-burrow-nesting seabirds in the West Indies and elsewhere. Details of how to use helicopters effectively are provided, along with recommendations for aerial photography, and for data recording, analysis, and presentation.

  10. Helicopter rotor loads using matched asymptotic expansions: User's manual

    NASA Technical Reports Server (NTRS)

    Pierce, G. A.; Vaidyanathan, A. R.

    1983-01-01

    Computer programs were developed to implement the computational scheme arising from Van Holten's asymptotic method for calculating airloads on a helicopter rotor blade in forward flight, and a similar technique which is based on a discretized version of the method. The basic outlines of the two programs are presented, followed by separate descriptions of the input requirements and output format. Two examples illustrating job entry with appropriate input data and corresponding output are included. Appendices contain a sample table of lift coefficient data for the NACA 0012 air foil and listings of the two programs.

  11. Helicopter simulation: Making it work

    NASA Technical Reports Server (NTRS)

    Payne, Barry

    1992-01-01

    The opportunities for improved training and checking by using helicopter simulators are greater than they are for airplane pilot training. Simulators permit the safe creation of training environments that are conducive to the development of pilot decision-making, situational awareness, and cockpit management. This paper defines specific attributes required in a simulator to meet a typical helicopter operator's training and checking objectives.

  12. An evaluation of helicopter noise and vibration ride qualities criteria

    NASA Technical Reports Server (NTRS)

    Hammond, C. E.; Hollenbaugh, D. D.; Clevenson, S. A.; Leatherwood, J. D.

    1981-01-01

    Two methods of quantifying helicopter ride quality; absorbed power for vibration only and the NASA ride comfort model for both noise and vibration are discussed. Noise and vibration measurements were obtained on five operational US Army helicopters. The data were converted to both absorbed power and DISC's (discomfort units used in the NASA model) for specific helicopter flight conditions. Both models indicate considerable variation in ride quality between the five helicopters and between flight conditions within each helicopter.

  13. Helicopter simulator standards

    NASA Technical Reports Server (NTRS)

    Boothe, Edward M.

    1992-01-01

    The initial advisory circular was produced in 1984 (AC 120-XX). It was not finalized, however, because the FAR's for pilot certification did not recognize helicopter simulators and, therefore, permitted no credit for their use. That is being rectified, and, when the new rules are published, standards must be available for qualifying simulators. Because of the lack of a data base to support specification of these standards, the FAA must rely on the knowledge of experts in the simulator/training industry. A major aim of this workshop is to form a working group of these experts to produce a set of standards for helicopter training simulators.

  14. Performance of an automated external defibrillator in a moving ambulance vehicle.

    PubMed

    Yun, Jong Geun; Jeung, Kyung Woon; Lee, Byung Kook; Ryu, Hyun Ho; Lee, Hyoung Youn; Kim, Mu Jin; Heo, Tag; Min, Yong Il; You, Yeonho

    2010-04-01

    The available data suggest that automated external defibrillators (AED) can be safely used in vibration-like moving conditions such as rigid inflatable boats and aircraft environments. However, little literature exists examining their performance in a moving ambulance. The present study was undertaken to determine whether an AED is able to analyse the heart rhythm correctly during ambulance transport. An ambulance was driven on paved (20-100 km/h) and unpaved (10 km/h) roads. The performance of two AED devices (CU ER 2, CU Medical Systems Inc., Korea, and Heartstart MRx, Phillips, USA) was determined in a moving ambulance using manikins. Vibration intensity was measured simultaneously with a digital vibrometer. AED performance was then evaluated again on manikins and on a swine model under simulated vibration intensities (0.5-5m/s(2)) measured by the vibrometer in the previous phase of the investigation. The vibration intensity increased with increasing speeds on paved roads (1.98+/-0.44 m/s(2) at 100 km/h). While driving on unpaved roads, it increased to 6.40+/-1.06 m/s(2). Both AED algorithms analysed the heart rhythm correctly under resting state. When tested on pigs, both algorithms showed substantially degraded performances, even at low vibration intensities of 0.5-1m/s(2), which corresponded to vibration intensities while driving on paved roads at 20-60 km/h. This study also showed that electrocardiograms generated on manikins were more resistant to motion artifacts than were the pig electrocardiograms. Ambulance personnel should consider the possibility of misinterpretation by an AED when this device is used while transporting a patient. Copyright (c) 2010 Elsevier Ireland Ltd. All rights reserved.

  15. General equilibrium characteristics of a dual-lift helicopter system

    NASA Technical Reports Server (NTRS)

    Cicolani, L. S.; Kanning, G.

    1986-01-01

    The equilibrium characteristics of a dual-lift helicopter system are examined. The system consists of the cargo attached by cables to the endpoints of a spreader bar which is suspended by cables below two helicopters. Results are given for the orientation angles of the suspension system and its internal forces, and for the helicopter thrust vector requirements under general circumstances, including nonidentical helicopters, any accelerating or static equilibrium reference flight condition, any system heading relative to the flight direction, and any distribution of the load to the two helicopters. Optimum tether angles which minimize the sum of the required thrust magnitudes are also determined. The analysis does not consider the attitude degrees of freedom of the load and helicopters in detail, but assumes that these bodies are stable, and that their aerodynamic forces in equilibrium flight can be determined independently as functions of the reference trajectory. The ranges of these forces for sample helicopters and loads are examined and their effects on the equilibrium characteristics are given parametrically in the results.

  16. Impact of an after-hours on-call emergency physician on ambulance transports from a county jail.

    PubMed

    Chan, Theodore C; Vilke, Gary M; Smith, Sue; Sparrow, William; Dunford, James V

    2003-01-01

    The authors sought to determine if the availability of an after-hours on-call emergency physician by telephone for consultation to the staff at a county jail would safely reduce ambulance emergency department (ED) transport of inmates in the community. The authors conducted a prospective comparison study during the first ten months of an emergency physician on-call program for the county jail in which prospective data were collected on all consultations, including reason for call and disposition (ambulance, deputy, or no ED transport of inmate). They compared this time with a similar period a year before the program in terms of total ambulance transports from the jail. They also reviewed all hospital and jail medical records to assess for any adverse consequences within one month, or subsequent ambulance transport within 24 hours as a result of inmate care after the consultation call. Total after-hours ambulance transports from the jail decreased significantly from 30.3 transports/month (95% confidence interval [CI], 21.0-39.6) to 9.1 transports/month (95% CI, 4.1-14.0) (p < 0.05). The most common reasons for consultation calls were chest pain (16%), trauma (15%), and abnormal laboratory or radiology results (14%). Of all calls, only 30% resulted in ambulance transport to the ED. On review of records, no adverse outcome or subsequent ambulance transport was identified. The initiation of an on-call emergency physician program for after-hours consultation to jail nursing and law enforcement staff safely reduced ambulance transports from a county jail with no adverse outcomes identified.

  17. 42 CFR 410.41 - Requirements for ambulance suppliers.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... vehicle. (2) ALS vehicles. In addition to meeting the vehicle staff requirements of paragraph (b)(1) of... ALS services. (c) Billing and reporting requirements. An ambulance supplier must comply with the...

  18. 42 CFR 410.41 - Requirements for ambulance suppliers.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... vehicle. (2) ALS vehicles. In addition to meeting the vehicle staff requirements of paragraph (b)(1) of... ALS services. (c) Billing and reporting requirements. An ambulance supplier must comply with the...

  19. 42 CFR 410.41 - Requirements for ambulance suppliers.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... vehicle. (2) ALS vehicles. In addition to meeting the vehicle staff requirements of paragraph (b)(1) of... ALS services. (c) Billing and reporting requirements. An ambulance supplier must comply with the...

  20. 42 CFR 410.41 - Requirements for ambulance suppliers.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... vehicle. (2) ALS vehicles. In addition to meeting the vehicle staff requirements of paragraph (b)(1) of... ALS services. (c) Billing and reporting requirements. An ambulance supplier must comply with the...

  1. 42 CFR 410.41 - Requirements for ambulance suppliers.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... vehicle. (2) ALS vehicles. In addition to meeting the vehicle staff requirements of paragraph (b)(1) of... ALS services. (c) Billing and reporting requirements. An ambulance supplier must comply with the...

  2. NASA helicopter transmission system technology program

    NASA Technical Reports Server (NTRS)

    Zaretsky, E. V.

    1983-01-01

    The purpose of the NASA Helicopter Transmission System Technology Program is to improve specific mechanical components and the technology for combining these into advanced drive systems to make helicopters more viable and cost competitive for commerical applications. The history, goals, and elements of the program are discussed.

  3. Research requirements to improve safety of civil helicopters

    NASA Technical Reports Server (NTRS)

    Waters, K. T.

    1977-01-01

    Helicopter and fixed-wing accident data were reviewed and major accident causal factors were established. The impact of accidents on insurance rates was examined and the differences in fixed-wing and helicopter accident costs discussed. The state of the art in civil helicopter safety was compared to military helicopters. Goals were established based on incorporation of known technology and achievable improvements that require development, as well as administrative-type changes such as the impact of improved operational planning, training, and human factors effects. Specific R and D recommendations are provided with an estimation of the payoffs, timing, and development costs.

  4. 78 FR 47531 - Airworthiness Directives; Various Restricted Category Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-06

    ... Technology, Inc.; Hagglund Helicopters, LLC (previously Western International Aviation, Inc.); International.... This AD requires creating a component history card or equivalent record for each main rotor grip (grip....); California Department of Forestry; Garlick Helicopters, Inc.; Global Helicopter Technology, Inc.; Hagglund...

  5. Recent European Developments in Helicopters

    NASA Technical Reports Server (NTRS)

    1921-01-01

    Descriptions are given of two captured helicopters, one driven by electric power, the other by a gasoline engine. An account is given of flight tests of the gasoline powered vehicle. After 15 successful flight tests, the gasoline powered vehicle crashed due to the insufficient thrust. Also discussed here are the applications of helicopters for military observations, for meteorological work, and for carrying radio antennas.

  6. Economic regulation of ambulance services in California.

    PubMed

    Narad, R A

    1997-01-01

    This study was intended to identify economic regulatory programs used by California counties (including ambulance franchising and rate setting), to inventory their foci and application, and to identify differences around the state. By studying the variety of programs used in one state, this study establishes a framework for evaluation of state and local regulatory programs elsewhere. This study surveyed all California local EMS agencies (LEMSAs); these are California's equivalent of regional EMS organizations. The survey achieved a 100% response rate, and all data involve population parameters obviating the need for inferential statistics. Seventy-three percent of California counties use economic regulations. Large-population counties and those that operate their own LEMSAs are more likely to use economic regulations than are small counties and those that participate in multicounty EMS agencies. Despite a preference for competition in the authorizing statute, most franchises were granted without competition to existing providers. The majority of franchises in the state were granted to public services. Most ambulance rate setting occurs outside of a competitive process. Economic regulations that were intended to provide a structured marketplace are often being used to protect existing providers, particularly public services, from competition. The growing interest by fire departments in entering the market for emergency ambulance service, along with the existing bias toward them in granting of franchises, does not bode well for use of the competitive process. The growth of managed care may change or eliminate the need for economic regulations but, if they are to continue, more state oversight should be considered.

  7. Suicidal ideation and suicide attempts in a nationwide sample of operational Norwegian ambulance personnel.

    PubMed

    Sterud, Tom; Hem, Erlend; Lau, Bjørn; Ekeberg, Oivind

    2008-01-01

    This is the first paper on suicidal ideation and attempts among ambulance personnel. This study aimed to investigate levels of suicidal ideation and suicide attempts among ambulance personnel, and to identify important correlates and the factors to which ambulance personnel attribute their serious suicidal ideation. A comprehensive nationwide questionnaire survey of 1,180 operational ambulance personnel was conducted. Measurements included: Paykel's Suicidal Feelings in the General Population questionnaire, the Hospital Anxiety and Depression scale, the Subjective Health Complaints Questionnaire, the Maslach Burnout Inventory, the Job Satisfaction Scale, the Basic Character Inventory, and the Rosenberg Self-Esteem Scale. Lifetime prevalence ranged from 28% for feelings that life was not worth living to 10.4% for seriously considered suicide and 3.1% for a suicide attempt. Serious suicidal ideation was independently associated with job-related emotional exhaustion (feelings of being overextended and depleted of resources) (OR 1.5, 95% CI 1.1-2.0) and bullying at work (OR 1.7, 95% CI 1.02-2.7), younger age, not married/cohabitant, depression symptoms, low self-esteem and the personality trait reality weakness. In general, suicidal thoughts were hardly attributable to working conditions, since only 1.8% of ambulance personnel attributed suicidal ideation to work problems alone. In conclusion, ambulance personnel reported a moderate level of suicidal ideation and suicide attempts. Although serious suicidal ideation was rarely attributed to working conditions in general, this study suggests that job-related factors like emotional exhaustion and bullying may be of importance.

  8. Helicopter Non-Unique Trim Strategies for Blade-Vortex Interaction (BVI) Noise Reduction

    NASA Technical Reports Server (NTRS)

    Malpica, Carlos; Greenwood, Eric; Sim, Ben W.

    2016-01-01

    An acoustics parametric analysis of the effect of fuselage drag and pitching moment on the Blade-Vortex Interaction (BVI) noise radiated by a medium lift helicopter (S-70UH-60) in a descending flight condition was conducted. The comprehensive analysis CAMRAD II was used for the calculation of vehicle trim, wake geometry and integrated air loads on the blade. The acoustics prediction code PSU-WOPWOP was used for calculating acoustic pressure signatures for a hemispherical grid centered at the hub. This paper revisits the concept of the X-force controller for BVI noise reduction, and investigates its effectiveness on an S-70 helicopter. The analysis showed that further BVI noise reductions were achievable by controlling the fuselage pitching moment. Reductions in excess of 6 dB of the peak BVI noise radiated towards the ground were demonstrated by compounding the effect of airframe drag and pitching moment simultaneously.

  9. 46 CFR 109.577 - Helicopter fueling.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 4 2011-10-01 2011-10-01 false Helicopter fueling. 109.577 Section 109.577 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS OPERATIONS Miscellaneous § 109.577 Helicopter fueling. (a) The master or person in charge shall designate persons to...

  10. 46 CFR 109.577 - Helicopter fueling.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 4 2012-10-01 2012-10-01 false Helicopter fueling. 109.577 Section 109.577 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS OPERATIONS Miscellaneous § 109.577 Helicopter fueling. (a) The master or person in charge shall designate persons to...

  11. 46 CFR 109.577 - Helicopter fueling.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 4 2014-10-01 2014-10-01 false Helicopter fueling. 109.577 Section 109.577 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS OPERATIONS Miscellaneous § 109.577 Helicopter fueling. (a) The master or person in charge shall designate persons to...

  12. 46 CFR 109.577 - Helicopter fueling.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 4 2013-10-01 2013-10-01 false Helicopter fueling. 109.577 Section 109.577 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS OPERATIONS Miscellaneous § 109.577 Helicopter fueling. (a) The master or person in charge shall designate persons to...

  13. 46 CFR 109.577 - Helicopter fueling.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 4 2010-10-01 2010-10-01 false Helicopter fueling. 109.577 Section 109.577 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) A-MOBILE OFFSHORE DRILLING UNITS OPERATIONS Miscellaneous § 109.577 Helicopter fueling. (a) The master or person in charge shall designate persons to...

  14. Subjective field study of response to impulsive helicopter noise

    NASA Technical Reports Server (NTRS)

    Powell, C. A.

    1981-01-01

    Subjects, located outdoors and indoors, judged the noisiness and other subjective noise characteristics of flyovers of two helicopters and a propeller driven airplane as part of a study of the effects of impulsiveness on the subjective response to helicopter noise. In the first experiment, the impulsive characteristics of one helicopter was controlled by varying the main rotor speed while maintaining a constant airspeed in level flight. The second experiment which utilized only the helicopters, included descent and level flight operations. The more impulsive helicopter was consistently judged less noisy than the less impulsive helicopter at equal effective perceived noise levels (EPNL). The ability of EPNL to predict noisiness was not improved by the addition of either of two proposed impulse corrections. A subjective measure of impulsiveness, however, which was not significantly related to the proposed impulse corrections, was found to improve the predictive ability of EPNL.

  15. Using genetic algorithms to optimise current and future health planning--the example of ambulance locations.

    PubMed

    Sasaki, Satoshi; Comber, Alexis J; Suzuki, Hiroshi; Brunsdon, Chris

    2010-01-28

    Ambulance response time is a crucial factor in patient survival. The number of emergency cases (EMS cases) requiring an ambulance is increasing due to changes in population demographics. This is decreasing ambulance response times to the emergency scene. This paper predicts EMS cases for 5-year intervals from 2020, to 2050 by correlating current EMS cases with demographic factors at the level of the census area and predicted population changes. It then applies a modified grouping genetic algorithm to compare current and future optimal locations and numbers of ambulances. Sets of potential locations were evaluated in terms of the (current and predicted) EMS case distances to those locations. Future EMS demands were predicted to increase by 2030 using the model (R2 = 0.71). The optimal locations of ambulances based on future EMS cases were compared with current locations and with optimal locations modelled on current EMS case data. Optimising the location of ambulance stations locations reduced the average response times by 57 seconds. Current and predicted future EMS demand at modelled locations were calculated and compared. The reallocation of ambulances to optimal locations improved response times and could contribute to higher survival rates from life-threatening medical events. Modelling EMS case 'demand' over census areas allows the data to be correlated to population characteristics and optimal 'supply' locations to be identified. Comparing current and future optimal scenarios allows more nuanced planning decisions to be made. This is a generic methodology that could be used to provide evidence in support of public health planning and decision making.

  16. Documenting helicopter operations from an energy standpoint

    NASA Technical Reports Server (NTRS)

    Davis, S. J.; Stepniewski, W. Z.

    1974-01-01

    Results are presented of a study of the relative and absolute energy consumption of helicopters, including limited comparisons with fixed-wing aircraft, and selected surface transportation vehicles. Additional comparisons were made to determine the level of reduction in energy consumption expected from the application of advanced technologies to the helicopter design and sizing process. It was found that improvements in helicopter consumption characteristics can be accomplished through the utilization of advanced technology to reduce drag, structures weight, and powerplant fuel consumption.

  17. Quantification of NSW Ambulance Record Linkages with Multiple External Datasets.

    PubMed

    Carroll, Therese; Muecke, Sandy; Simpson, Judy; Irvine, Katie; Jenkins, André

    2015-01-01

    This study has two aims: 1) to describe linkage rates between ambulance data and external datasets for "episodes of care" and "patient only" linkages in New South Wales (NSW), Australia; and 2) to detect and report any systematic issues with linkage that relate to patients, and operational or clinical variables that may introduce bias in subsequent studies if not adequately addressed. During 2010-11, the Centre for Health Record Linkage (CHeReL) in NSW, linked the records for patients attended by NSW Ambulance paramedics for the period July 2006 to June 2009, with four external datasets: Emergency Department Data Collection; Admitted Patient Data Collection; NSW Registry of Births, Deaths and Marriages death registration data; and the Australian Bureau of Statistics mortality data. This study reports linkage rates in terms of those "expected" to link and those who were "not expected" to link with external databases within 24 hours of paramedic attendance. Following thorough data preparation processes, 2,041,728 NSW Ambulance care episodes for 1,116,509 patients fulfilled the inclusion criteria. The overall episode-specific hospital linkage rate was 97.2%. Where a patient was not transported to hospital following paramedic care, 8.6% of these episodes resulted in an emergency department attendance within 24 hours. For all care episodes, 5.2% linked to a death record at some time within the 3-year period, with 2.4% of all death episodes occurring within 7 days of a paramedic encounter. For NSW Ambulance episodes of care that were expected to link to an external dataset but did not, nonlinkage to hospital admission records tended to decrease with age. For all other variables, issues relating to rates of linkage and nonlinkage were more indiscriminate. This quantification of the limitations of this large linked dataset will underpin the interpretation and results of ensuing studies that will inform future clinical and operational policies and practices at NSW Ambulance.

  18. Quantification of helicopter rotor downwash effects on electro-optical defensive aids suites

    NASA Astrophysics Data System (ADS)

    Seiffer, Dirk P.; Eisele, Christian; Henriksson, Markus; Sjöqvist, Lars; Möller, Sebastian; Togna, Fabio; Velluet, Marie-Thérèse

    2015-10-01

    The performance of electro-optical platform protection systems can be degraded significantly by the propagation environment around the platform. This includes aero-optical effects and zones of severe turbulence generated by engine exhausts. For helicopters rotor tip vortices and engine exhaust gases that are pressed down by the rotor airflow form the so called downwash phenomena. The downwash is a source for perturbations. A wide range of spatial and temporal fluctuations in the refractive index of air can occur. The perturbations from the turbulent flow cause detrimental effects on energy delivery, angle of arrival fluctuations, jam-code transmission, tracking accuracy and imaging performance in general. Therefore the effects may especially have a severe impact on the performance of laser-based protection systems like directed infrared countermeasures (DIRCM). The chain from passive missile detection and warning to obtaining an optical break-lock by the use of an active laser system will be influenced. To anticipate the installed performance of an electro-optical defensive aids suite (DAS) for helicopter platforms it is necessary to develop models for the prediction of the perturbations. Modelled results have to be validated against experimental findings. However, the data available in open literature on the effects of rotor downwash from helicopters on optical propagation is very limited. To collect necessary data and to obtain a first impression about the magnitude of occurring effects the European defence agency group (EDA) on "airborne platform effects on lasers and warning sensors (ALWS)" decided to design and perform a field trial on the premises of the Italian Air Force Flight Test Center in Pratica di Mare, Italy. ALWS is a technical arrangement under the Europa MoU among France, Germany, Italy, Sweden and the United Kingdom.

  19. NASA helicopter blades get new paint job for safety

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Workers get ready to move a NASA UH-1H helicopter outside. They have been painting the blades of four NASA UH-1H helicopters, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  20. NASA helicopter blades get new paint job for safety

    NASA Technical Reports Server (NTRS)

    2000-01-01

    A newly repainted NASA helicopter is transported to S.R. 3 for return to Patrick AFB. Workers painted the blades of four NASA UH-1H helicopters, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  1. Deflection Shape Reconstructions of a Rotating Five-blade Helicopter Rotor from TLDV Measurements

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Fioretti, A.; Castellini, P.; Tomasini, E. P.

    2010-05-28

    Helicopters are aircraft machines which are subjected to high level of vibrations, mainly due to spinning rotors. These are made of two or more blades attached by hinges to a central hub, which can make the dynamic behaviour difficult to study. However, they share some common dynamic properties with the ones expected in bladed discs, thereby the analytical modelling of rotors can be performed using some assumptions as the ones adopted for the bladed discs. This paper presents results of a vibrations study performed on a scaled helicopter rotor model which was rotating at a fix rotational speed and excitedmore » by an air jet. A simplified analytical model of that rotor was also produced to help the identifications of the vibration patterns measured using a single point tracking-SLDV measurement method.« less

  2. 77 FR 56581 - Airworthiness Directives; Sikorsky Aircraft Corporation Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-13

    ... HEC, in this model helicopter that now meets the Category A performance standard. DATES: We must... airworthiness directive (AD) for the Sikorsky Aircraft Corporation (Sikorsky) Model S-92A helicopter, which... external load operations, including human external cargo (HEC), because this model helicopter was not...

  3. Response interval comparison between urban fire departments and ambulance services.

    PubMed

    Jermyn, B D

    1999-01-01

    To measure the response intervals of fire departments compared with ambulance services in three urban centers to determine whether defibrillators should be added to fire vehicles. A prospective sample of 1,882 code 4 (life-threatening) tiered calls were collected over a six-month period from March 1, 1994, to August 31, 1994. A matched pairs experimental design compared the response interval of the fire department with that of the ambulance service for each call. This emergency medical services (EMS) system encompasses three urban centers with populations of 80,000, 95,000, and 170,000. In two of three of the urban centers, the fire department arrived on scene more than a minute sooner than the ambulance service: Cambridge (n = 571, mean = 2.22 min, p < 0.0001); Kitchener (n = 1,011, mean = 1.24 min, p < 0.003); and Waterloo (n = 300, mean = 0.69 min, p < 0.98). The shorter response interval of fire departments suggests placing defibrillators on fire response vehicles in an effort to decrease the time to defibrillation for cardiac arrest victims in this EMS system.

  4. Ambulation and survival following surgery in elderly patients with metastatic epidural spinal cord compression.

    PubMed

    Itshayek, Eyal; Candanedo, Carlos; Fraifeld, Shifra; Hasharoni, Amir; Kaplan, Leon; Schroeder, Josh E; Cohen, José E

    2018-07-01

    Metastatic epidural spinal cord compression (MESCC) is a disabling consequence of disease progression. Surgery can restore or preserve physical function, improving access to treatments that increase duration of survival; however, advanced patient age may deter oncologists and surgeons from considering surgical management. Evaluate the duration of ambulation and survival in elderly patients following surgical decompression of MESCC. Retrospective file review of a prospective database, under institutional review board (IRB) waiver of informed consent, of consecutive patients treated in an academic tertiary care medical center from August 2008 to March 2015. Patients ≥65 years presenting neurological and/or radiological signs of cord compression because of metastatic disease, who underwent surgical decompression. Duration of ambulation and survival. Patients underwent urgent multidisciplinary evaluation and surgery. Ambulation and survival were compared with age, pre-, and postoperative neurological (American Spinal Injury Association [ASIA] Impairment Scale [AIS]) and performance status (Karnofsky Performance Status [KPS]), and Tokuhashi Score using Kruskal-Wallis and Wilcoxon signed rank tests, Pearson correlation coefficient, Cox regression model, log-rank analysis, and Kaplan-Meier analysis. Forty patients were included (21 male, 54%; mean age 74 years, range 65-87). Surgery was performed a mean 3.8 days after onset of motor symptoms. Mean duration of ambulation and survival were 474 (range 0-1662) and 525 days (range 11-1662), respectively; 53% of patients (21 of 40) survived and 43% (17 of 40) retained ambulation for ≥1 year. There was no significant relationship between survival and ambulation for patients aged 65-69, 70-79, or 80-89 years, although Kaplan-Meier analysis suggested stratification. There was a significant relationship between duration of ambulation and pre- and postoperative AIS (p=.0342, p=.0358, respectively) and postoperative KPS (p=.0221

  5. A new helicostat from SNIAS helicopter division

    NASA Technical Reports Server (NTRS)

    Morisset, J.

    1977-01-01

    The Helicostat was described as a helicopter in which the vehicle weight is nullified by two balloons arranged in a catamaran fashion. Development of such a vehicle is discussed, and various uses for these helicopters are summarized.

  6. Factors associated with utilization of motorcycle ambulances by pregnant women in rural eastern Uganda: a cross-sectional study.

    PubMed

    Ssebunya, Rogers; Matovu, Joseph K B

    2016-03-03

    Evidence suggests that use of motorcycle ambulances can help to improve health facility deliveries; however, few studies have explored the motivators for and barriers to their usage. We explored the factors associated with utilization of motorcycle ambulances by pregnant women in eastern Uganda. This was a cross-sectional, mixed-methods study conducted among 391 women who delivered at four health facilities supplied with motorcycle ambulances in Mbale district, eastern Uganda, between April and May 2014. Quantitative data were collected on socio-demographic and economic characteristics, pregnancy and delivery history, and community and health facility factors associated with utilization of motorcycle ambulances using semi-structured questionnaires. Qualitative data were collected on the knowledge and attitudes towards using motorcycle ambulances by pregnant women through six focus group discussions. Using STATA v.12, we computed the characteristics of women using motorcycle ambulances and used a logistic regression model to assess the correlates of utilization of motorcycle ambulances. Qualitative data were analyzed manually using a master sheet analysis tool. Of the 391 women, 189 (48.3%) reported that they had ever utilized motorcycle ambulances. Of these, 94.7% were currently married or living together with a partner while 50.8% earned less than 50,000 Uganda shillings (US $20) per month. Factors independently associated with use of motorcycle ambulances were: older age of the mother (≥35 years vs ≤24 years; adjusted Odds Ratio (aOR) = 4.3, 95% CI: 2.03, 9.13), sharing a birth plan with the husband (aOR = 2.5, 95% CI: 1.19, 5.26), husband participating in the decision to use the ambulance (aOR =3.22, 95% CI: 1.92, 5.38), and having discussed the use of the ambulance with a traditional birth attendant (TBA) before using it (aOR =3.12, 95% CI: 1.88, 5.19). Qualitative findings indicated that community members were aware of what motorcycle ambulances

  7. A comparison of general and ambulance specific stressors: predictors of job satisfaction and health problems in a nationwide one-year follow-up study of Norwegian ambulance personnel.

    PubMed

    Sterud, Tom; Hem, Erlend; Lau, Bjørn; Ekeberg, Oivind

    2011-03-31

    To address the relative importance of general job-related stressors, ambulance specific stressors and individual characteristics in relation to job satisfaction and health complaints (emotional exhaustion, psychological distress and musculoskeletal pain) among ambulance personnel. A nationwide prospective questionnaire survey of ambulance personnel in operational duty at two time points (n = 1180 at baseline, T1 and n = 298 at one-year follow up, T2). The questionnaires included the Maslach Burnout Inventory, The Job Satisfaction Scale, Hopkins Symptom Checklist (SCL-10), Job Stress Survey, the Norwegian Ambulance Stress Survey and the Basic Character Inventory. Overall, 42 out of the possible 56 correlations between job stressors at T1 and job satisfaction and health complaints at T2 were statistically significant. Lower job satisfaction at T2 was predicted by frequency of lack of leader support and severity of challenging job tasks. Emotional exhaustion at T2 was predicted by neuroticism, frequency of lack of support from leader, time pressure, and physical demands. Adjusted for T1 levels, emotional exhaustion was predicted by neuroticism (beta = 0.15, p < .05) and time pressure (beta = 0.14, p < 0.01). Psychological distress at T2 was predicted by neuroticism and lack of co-worker support. Adjusted for T1 levels, psychological distress was predicted by neuroticism (beta = 0.12, p < .05). Musculoskeletal pain at T2 was predicted by, higher age, neuroticism, lack of co-worker support and severity of physical demands. Adjusted for T1 levels, musculoskeletal pain was predicted neuroticism, and severity of physical demands (beta = 0.12, p < .05). Low job satisfaction at T2 was predicted by general work-related stressors, whereas health complaints at T2 were predicted by both general work-related stressors and ambulance specific stressors. The personality variable neuroticism predicted increased complaints across all health outcomes.

  8. Results of a prospective randomized controlled trial of early ambulation for patients with lower extremity autografts.

    PubMed

    Lorello, David John; Peck, Michael; Albrecht, Marlene; Richey, Karen J; Pressman, Melissa A

    2014-01-01

    It is common practice to keep those patients with lower extremity autografts immobile until post-operative day (POD) 5. There is however inherent risks associated with even short periods of immobility. As of now there are no randomized controlled trials looking at early ambulation of patients with lower extremity autografts in the burn community.The objective of this study was to show that patients who begin ambulation within 24 hours of lower extremity autografting will have no increased risk of graft failure than those patients who remain immobile until POD 5. Thirty-one subjects who received autografts to the lower extremity were randomized after surgery into either the early ambulation group (EAG;17 subjects) or the standard treatment group (STG;14 subjects). Those subjects randomized to the EAG began ambulating with physical therapy on POD 1. Subjects in the STG maintained bed rest until POD 5. There was no difference in the number of patients with graft loss in either the EAG or STG on POD 5, and during any of the follow-up visits. No subjects required regrafting. There was a significant difference in the mean minutes of ambulation, with the EAG ambulating longer than the STG (EAG 23.4 minutes [SD 12.03], STG 14.1 [SD 9.00], P=.0235) on POD 5. Burn patients with lower extremity autografts can safely ambulate on POD 1 without fear of graft failure compared with those patients that remain on bed rest for 5 days.

  9. Helicopter Flight Procedures for Community Noise Reduction

    NASA Technical Reports Server (NTRS)

    Greenwood, Eric

    2017-01-01

    A computationally efficient, semiempirical noise model suitable for maneuvering flight noise prediction is used to evaluate the community noise impact of practical variations on several helicopter flight procedures typical of normal operations. Turns, "quick-stops," approaches, climbs, and combinations of these maneuvers are assessed. Relatively small variations in flight procedures are shown to cause significant changes to Sound Exposure Levels over a wide area. Guidelines are developed for helicopter pilots intended to provide effective strategies for reducing the negative effects of helicopter noise on the community. Finally, direct optimization of flight trajectories is conducted to identify low noise optimal flight procedures and quantify the magnitude of community noise reductions that can be obtained through tailored helicopter flight procedures. Physically realizable optimal turns and approaches are identified that achieve global noise reductions of as much as 10 dBA Sound Exposure Level.

  10. The effect of a helicopter on DC fields and ions

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Harris, E.L.; Rindall, B.D.; Tarko, N.J.

    1993-10-01

    When a plan was initiated to utilize a helicopter to perform work on an energized, high voltage dc transmission line by bonding the helicopter to the conductor, it was necessary to determine what effect, if any, the helicopter would have on the dc fields and ions. In addition, it was necessary to determine the possible effect on helicopter instrumentation and communications. A test site and research facility at Lundar, Manitoba, Canada, provided the ideal location for making these tests. As a result, the information obtained determined that a helicopter-airborne platform could safely be used to perform the work.

  11. Medicare program; coverage and payment of ambulance services; inflation update for CY 2004. Final rule with comment period.

    PubMed

    2003-12-05

    This final rule provides the sunset date for the interim bonus payment for rural ambulance mileage of 18 through 50 miles as required by the Medicare, Medicaid and State Child Health Insurance Program Benefits Improvement and Protection Act of 2000 (BIPA) and provides notice of the annual Ambulance Inflation Factor (AIF) for ambulance services for calendar year (CY) 2004. The statute requires that this inflation factor be applied in determining the fee schedule amounts and payment limits for ambulance services.

  12. 76 FR 12274 - Special Conditions: Bell Helicopter Textron Canada Limited Model 206B and 206L Series Helicopters...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-07

    ..., Type Certificate Number H2SW. This AP/SAS performs non- critical control functions, since this model... helicopters. These model helicopters will have novel or unusual design features when modified by installing..., Aviation Safety Engineer, FAA, Rotorcraft Directorate, Regulations and Policy Group (ASW-111), 2601 Meacham...

  13. BURNOUT SYNDROM AMONG PUBLIC AMBULANCE STAFF.

    PubMed

    Iorga, Magdalena; Dascalu, Neonila; Soponaru, Camelia; Ioan, Beatrice

    2015-01-01

    Healthcare professionals are frequently confronted with urgent situations and a high-risk human intervention. They are usually exposed to what is called burnout syndrome. To identify the effects of burnout syndrome on the professional conduct and attitudes of doctors and nurses who work in the Romanian public ambulance service. Secondary, the causal relationships between burnout and various socio-demographic variables were analyzed. The 20-item Toronto Alexithymia Scale (TAS- 20), Maslach Burnout Inventory and Job Satisfaction Questionnaire were administered to 122 ambulance doctors, nurses and drivers (62 females and 60 males). The degree of job satisfaction is the most important indicator of burnout syndrome. Significant differences were found between low and high alexithymic subjects. Women are more susceptible to experience higher levels of burnout than men. The level of burnout is influenced by the combined effect of job satisfaction and alexithymia. Burnout syndrome is a common problem among people working in the emergency medical system. The causes of job-related burnout have to be identified in order to apply an appropriate level of burnout intervention program and to increase the efficiency of coping strategies.

  14. What fluids are given during air ambulance treatment of patients with trauma in the UK, and what might this mean for the future? Results from the RESCUER observational cohort study

    PubMed Central

    Naumann, David N; Hancox, James M; Raitt, James; Smith, Iain M; Crombie, Nicholas; Doughty, Heidi; Perkins, Gavin D; Midwinter, Mark J

    2018-01-01

    Objectives We investigated how often intravenous fluids have been delivered during physician-led prehospital treatment of patients with hypotensive trauma in the UK and which fluids were given. These data were used to estimate the potential national requirement for prehospital blood products (PHBP) if evidence from ongoing trials were to report clinical superiority. Setting The Regional Exploration of Standard Care during Evacuation Resuscitation (RESCUER) retrospective observational study was a collaboration between 11 UK air ambulance services. Each was invited to provide up to 5 years of data and total number of taskings during the same period. Participants Patients with hypotensive trauma (systolic blood pressure <90 mm Hg or absent radial pulse) attended by a doctor. Primary and secondary outcome measures The primary outcome was the number of patients with hypotensive trauma given prehospital fluids. Secondary outcomes were types and volumes of fluids. These data were combined with published data to estimate potential national eligibility for PHBP. Results Of 29 037 taskings, 729 (2.5%) were for patients with hypotensive trauma attended by a physician. Half were aged 21–50 years; 73.4% were male. A total of 537 out of 729 (73.7%) were given fluids. Five hundred and ten patients were given a single type of fluid; 27 received >1 type. The most common fluid was 0.9% saline, given to 486/537 (90.5%) of patients who received fluids, at a median volume of 750 (IQR 300–1500) mL. Three per cent of patients received PHBP. Estimated projections for patients eligible for PHBP at these 11 services and in the whole UK were 313 and 794 patients per year, respectively. Conclusions One in 40 air ambulance taskings were manned by physicians to retrievepatients with hypotensive trauma. The most common fluid delivered was 0.9% saline. If evidence justifies universal provision of PHBP, approximately 800 patients/year would be eligible in the UK, based on our data

  15. Flight Testing and Real-Time System Identification Analysis of a UH-60A Black Hawk Helicopter with an Instrumented External Sling Load

    NASA Technical Reports Server (NTRS)

    McCoy, Allen H.

    1998-01-01

    Helicopter external air transportation plays an important role in today's world. For both military and civilian helicopters, external sling load operations offer an efficient and expedient method of handling heavy, oversized cargo. With the ability to reach areas otherwise inaccessible by ground transportation, helicopter external load operations are conducted in industries such as logging, construction, and fire fighting, as well as in support of military tactical transport missions. Historically, helicopter and load combinations have been qualified through flight testing, requiring considerable time and cost. With advancements in simulation and flight test techniques there is potential to substantially reduce costs and increase the safety of helicopter sling load certification. Validated simulation tools make possible accurate prediction of operational flight characteristics before initial flight tests. Real time analysis of test data improves the safety and efficiency of the testing programs. To advance these concepts, the U.S. Army and NASA, in cooperation with the Israeli Air Force and Technion, under a Memorandum of Agreement, seek to develop and validate a numerical model of the UH-60 with sling load and demonstrate a method of near real time flight test analysis. This thesis presents results from flight tests of a U.S. Army Black Hawk helicopter with various external loads. Tests were conducted as the U.S. first phase of this MOA task. The primary load was a container express box (CONEX) which contained a compact instrumentation package. The flights covered the airspeed range from hover to 70 knots. Primary maneuvers were pitch and roll frequency sweeps, steps, and doublets. Results of the test determined the effect of the suspended load on both the aircraft's handling qualities and its control system's stability margins. Included were calculations of the stability characteristics of the load's pendular motion. Utilizing CIFER(R) software, a method for near

  16. A Guide to USAF Helicopter Instrument Flight Procedures

    DTIC Science & Technology

    1985-04-01

    being a helicopter pilot is so different from being an airplane pilot, and why, in general, airplance pilots are open, clear-eyed, bouyant extroverts...downwash created by a helicopter’s rotors have two basic effects on flight procedures. Rotor wash causes erroneous indications on aircraft pi tot...effects create additional problems close to the ground. And finally, a helicopter’s slow speed creates the need for a closer look at bank angles and

  17. Review of the transmissions of the Soviet helicopters

    NASA Technical Reports Server (NTRS)

    Chaiko, Lev I.

    1990-01-01

    A review of the following aspects of Soviet helicopter transmissions is presented: transmitted power, weight, reduction ratio, RPM, design configuration, comparison of different type of manufacturing methods, and a description of the materials and technologies applied to critical transmission components. Included are mechanical diagrams of the gearboxes of the Soviet helicopters and test stands for testing gearbox and main shaft. The quality of Soviet helicopter transmissions and their Western counterparts are assessed and compared.

  18. Helicopter main-rotor speed effects on far-field acoustic levels

    NASA Technical Reports Server (NTRS)

    Mueller, Arnold W.; Childress, Otis S.; Hardesty, Mark

    1987-01-01

    The design of a helicopter is based on an understanding of many parameters and their interactions. For example, in the design stage of a helicopter, the weight, engine, and rotor speed must be considered along with the rotor geometry when considering helicopter operations. However, the relationship between the noise radiated from the helicopter and these parameters is not well understood, with only limited model and full-scale test data to study. In general, these data have shown that reduced rotor speeds result in reduced far-field noise levels. This paper reviews the status of a recent helicopter noise research project designed to provide experimental flight data to be used to better understand helicopter rotor-speed effects on far-field acoustic levels. Preliminary results are presented relative to tests conducted with a McDonnell Douglas model 500E helicopter operating with the rotor speed as the control variable over the range of 103% of the main-rotor speed (NR) to 75% NR, and with the forward speed maintained at a constant value of 80 knots.

  19. Helicopter noise experiments in an urban environment

    DOT National Transportation Integrated Search

    1974-08-01

    In two series of helicopter noise experiments, soundpressurelevel recordings were made on the ground while a helicopter flew over (i) an array of microphones placed in an open field, and (ii) a similar array placed in the center of a city stree...

  20. Conceptual Design and Performance Analysis for a Large Civil Compound Helicopter

    NASA Technical Reports Server (NTRS)

    Russell, Carl; Johnson, Wayne

    2012-01-01

    A conceptual design study of a large civil compound helicopter is presented. The objective is to determine how a compound helicopter performs when compared to both a conventional helicopter and a tiltrotor using a design mission that is shorter than optimal for a tiltrotor and longer than optimal for a helicopter. The designs are generated and analyzed using conceptual design software and are further evaluated with a comprehensive rotorcraft analysis code. Multiple metrics are used to determine the suitability of each design for the given mission. Plots of various trade studies and parameter sweeps as well as comprehensive analysis results are presented. The results suggest that the compound helicopter examined for this study would not be competitive with a tiltrotor or conventional helicopter, but multiple possibilities are identified for improving the performance of the compound helicopter in future research.

  1. The Helicopter Observation Platform for Marine and Continental Boundary Layer Studies

    NASA Astrophysics Data System (ADS)

    Avissar, R.; Broad, K.; Walko, R. L.; Drennan, W. M.; Williams, N. J.

    2016-02-01

    The University of Miami has acquired a commercial helicopter (Airbus H125) that was transformed into a one-of-a-kind Helicopter Observation Platform (HOP) that fills critical gaps in physical, chemical and biological observations of the environment. This new research facility is designed to carry sensors and instrument inlets in the undisturbed air in front of the helicopter nose at low airspeed and at various altitudes, from a few feet above the Earth's surface (where much of the climate and weather "action" takes place, and where we live) and up through the atmospheric boundary layer and the mid troposphere. The HOP, with its hovering capability, is also ideal for conducting various types of remote-sensing observations. It provides a unique and essential component of airborne measurement whose purpose, among others, is to quantify the exchanges of gases and energy at the Earth surface, as well as aerosol properties that affect the environment, the climate system, and human health. For its first scientific mission, an eddy-correlation system is being mounted in front of its nose to conduct high-frequency measurements of turbulence variables relevant to atmospheric boundary layer studies.Fully fueled and with both pilot and co-pilot on board, the HOP can carry a scientific payload of up to about 1,000 lbs internally (about 3,000 lbs externally) and fly for nearly 4 hours without refueling at an airspeed of 65 knots ( 30 m/s) that is ideal for in-situ observations. Its fast cruising speed is about 140 knots andits range, at that speed, is about 350 nautical miles. This specific helicopter was chosen because of its flat floor design, which is particularly convenient for installing scientific payload and also because of its high-altitude capability (it is the only commercial helicopter that ever landed at the top of Mt Everest).The HOP is available to the entire scientific community for any project that is feasible from a flight safety point of view and that fulfills

  2. Development of circumferential seal for helicopter transmissions: Results of bench and flight tests

    NASA Technical Reports Server (NTRS)

    Strom, T. N.; Ludwig, L. P.

    1975-01-01

    A modified circumferential segmented ring seal was designed for direct replacement of a helicopter transmission elastomeric lip seal operating on a shaft diameter of 13.91 centimeters (5.481 in.) at sliding velocities to 52.48 m/sec (10 330 ft/min). The modifications involved the garter spring tension, shaft roundness, seal housing flatness, and pumping grooves to inhibit leakage. Operation of the seals in bench tests under simulated helicopter transmission conditions revealed that the seal leakage rate was within acceptable limits and that the wear rate was negligible. The low leakage and wear rates were confirmed in flight tests of 600 and 175 hours (sliding speed, 48.11 m/sec (9470 ft/min)). An additional 200 hours of air worthiness qualification testing (aircraft tie down) demonstrated that the seal can operate at the advanced sliding conditions of 52.48 m/sec (10 330 ft/min).

  3. Ambulance attendances resulting from self-harm after release from prison: a prospective data linkage study.

    PubMed

    Borschmann, Rohan; Young, Jesse T; Moran, Paul; Spittal, Matthew J; Heffernan, Ed; Mok, Katherine; Kinner, Stuart A

    2017-10-01

    Incarcerated adults are at high risk of self-harm and suicide and remain so after release into the community. The aims of this study were to estimate the number of ambulance attendances due to self-harm in adults following release from prison, and to identify factors predictive of such attendances. Baseline surveys with 1309 adults within 6 weeks of expected release from prison between 2008 and 2010 were linked prospectively with state-wide correctional, ambulance, emergency department, hospital and death records in Queensland, Australia. Associations between baseline demographic, criminal justice and mental health-related factors, and subsequent ambulance attendances resulting from self-harm, were investigated using negative binomial regression. During 4691 person-years of follow-up (median 3.86 years per participant), there were 2892 ambulance attendances in the community, of which 120 (3.9%) were due to self-harm. In multivariable analyses, being Indigenous [incidence rate ratio (IRR): 2.10 (95% CI 1.14-3.86)], having previously been hospitalised for psychiatric treatment [IRR: 2.65 (95% CI 1.44-4.87)], being identified by prison staff as being at risk of self-harm whilst incarcerated [IRR: 2.12 (95% CI 1.11-4.06)] and having a prior ambulance attendance due to self-harm [IRR: 3.16 (95% CI 1.31-7.61)] were associated with self-harm attendances. Ambulance attendances resulting from self-harm following release from prison are common and represent an opportunity for tertiary intervention for self-harm. The high prevalence of such attendances, in conjunction with the strong association with prior psychiatric problems, reinforces the importance of providing appropriate ambulance staff training in the assessment and management of self-harm, and mental health problems more broadly, in this vulnerable population.

  4. Microswitch-aided programs to support physical exercise or adequate ambulation in persons with multiple disabilities.

    PubMed

    Lancioni, Giulio E; Singh, Nirbhay N; O'Reilly, Mark F; Sigafoos, Jeff; Alberti, Gloria; Perilli, Viviana; Oliva, Doretta; Buono, Serafino

    2014-09-01

    Three microswitch-aided programs were assessed in three single-case studies to enhance physical exercise or ambulation in participants with multiple disabilities. Study I was aimed at helping a woman who tended to have the head bending forward and the arms down to exercise a combination of appropriate head and arms movements. Study II was aimed at promoting ambulation continuity with a man who tended to have ambulation breaks. Study III was aimed at promoting ambulation with appropriate foot position in a girl who usually showed toe walking. The experimental designs of the studies consisted of a multiple probe across responses (Study I), an ABAB sequence (Study II), and an ABABB(1) sequence (Study III). The last phase of each study was followed by a post-intervention check. The microswitches monitored the target responses selected for the participants and triggered a computer system to provide preferred stimuli contingent on those responses during the intervention phases of the studies. Data showed that the programs were effective with each of the participants who learned to exercise head and arms movements, increased ambulation continuity, and acquired high levels of appropriate foot position during ambulation, respectively. The positive performance levels were retained during the post-intervention checks. The discussion focused on (a) the potential of technology-aided programs for persons with multiple disabilities and (b) the need of replication studies to extend the evidence available in the area. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Higher energy prices are associated with diminished resources, performance and safety in Australian ambulance systems.

    PubMed

    Brown, Lawrence H; Chaiechi, Taha; Buettner, Petra G; Canyon, Deon V; Crawford, J Mac; Judd, Jenni

    2013-02-01

    To evaluate the impact of changing energy prices on Australian ambulance systems. Generalised estimating equations were used to analyse contemporaneous and lagged relationships between changes in energy prices and ambulance system performance measures in all Australian State/Territory ambulance systems for the years 2000-2010. Measures included: expenditures per response; labour-to-total expenditure ratio; full-time equivalent employees (FTE) per 10,000 responses; average salary; median and 90th percentile response time; and injury compensation claims. Energy price data included State average diesel price, State average electricity price, and world crude oil price. Changes in diesel prices were inversely associated with changes in salaries, and positively associated with changes in ambulance response times; changes in oil prices were also inversely associated with changes in salaries, as well with staffing levels and expenditures per ambulance response. Changes in electricity prices were positively associated with changes in expenditures per response and changes in salaries; they were also positively associated with changes in injury compensation claims per 100 FTE. Changes in energy prices are associated with changes in Australian ambulance systems' resource, performance and safety characteristics in ways that could affect both patients and personnel. Further research is needed to explore the mechanisms of, and strategies for mitigating, these impacts. The impacts of energy prices on other aspects of the health system should also be investigated. © 2013 The Authors. ANZJPH © 2013 Public Health Association of Australia.

  6. Hazards of air travel for the obese: Miss Pickwick and the Boeing 747.

    PubMed

    Toff, N J

    1993-10-01

    A morbidity obese woman took a touring holiday which included two long flights and a stay at altitude. At the end of the second week of her holiday she was admitted to hospital in respiratory and cardiac failure. When she was better she travelled home by a combination of air ambulance and scheduled flights with a medical escort. This extreme case illustrates some of the physiological and physical challenges of air travel to the obese passenger, which may precipitate respiratory and cardiac decompensation in susceptible individuals. When advising these patients, consultation with the airline medical department is recommended, and preflight testing by altitude simulation may be helpful. If medical transport is required, there may be particular problems in lifting and accommodating these patients on board normal air ambulance aircraft.

  7. NASA helicopter blades get new paint job for safety

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Workers paint the blades of a NASA UH-1H helicopter, changing the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen by a second helicopter from above. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  8. Automatic guidance and control laws for helicopter obstacle avoidance

    NASA Technical Reports Server (NTRS)

    Cheng, Victor H. L.; Lam, T.

    1992-01-01

    The authors describe the implementation of a full-function guidance and control system for automatic obstacle avoidance in helicopter nap-of-the-earth (NOE) flight. The guidance function assumes that the helicopter is sufficiently responsive so that the flight path can be readily adjusted at NOE speeds. The controller, basically an autopilot for following the derived flight path, was implemented with parameter values to control a generic helicopter model used in the simulation. Evaluation of the guidance and control system with a 3-dimensional graphical helicopter simulation suggests that the guidance has the potential for providing good and meaningful flight trajectories.

  9. Degenerative Changes of Spine in Helicopter Pilots

    PubMed Central

    Byeon, Joo Hyeon; Kim, Jung Won; Jeong, Ho Joong; Sim, Young Joo; Kim, Dong Kyu; Choi, Jong Kyoung; Im, Hyoung June

    2013-01-01

    Objective To determine the relationship between whole body vibration (WBV) induced helicopter flights and degenerative changes of the cervical and lumbar spine. Methods We examined 186 helicopter pilots who were exposed to WBV and 94 military clerical workers at a military hospital. Questionnaires and interviews were completed for 164 of the 186 pilots (response rate, 88.2%) and 88 of the 94 clerical workers (response rate, 93.6%). Radiographic examinations of the cervical and the lumbar spines were performed after obtaining informed consent in both groups. Degenerative changes of the cervical and lumbar spines were determined using four radiographs per subject, and diagnosed by two independent, blinded radiologists. Results There was no significant difference in general and work-related characteristics except for flight hours and frequency between helicopter pilots and clerical workers. Degenerative changes in the cervical spine were significantly more prevalent in the helicopter pilots compared with control group. In the cervical spine multivariate model, accumulated flight hours (per 100 hours) was associated with degenerative changes. And in the lumbar spine multivariate model, accumulated flight hours (per 100 hours) and age were associated with degenerative changes. Conclusion Accumulated flight hours were associated with degenerative changes of the cervical and lumbar spines in helicopter pilots. PMID:24236259

  10. Validation of helicopter noise prediction techniques

    NASA Technical Reports Server (NTRS)

    Succi, G. P.

    1981-01-01

    The current techniques of helicopter rotor noise prediction attempt to describe the details of the noise field precisely and remove the empiricisms and restrictions inherent in previous methods. These techniques require detailed inputs of the rotor geometry, operating conditions, and blade surface pressure distribution. The purpose of this paper is to review those techniques in general and the Farassat/Nystrom analysis in particular. The predictions of the Farassat/Nystrom noise computer program, using both measured and calculated blade surface pressure data, are compared to measured noise level data. This study is based on a contract from NASA to Bolt Beranek and Newman Inc. with measured data from the AH-1G Helicopter Operational Loads Survey flight test program supplied by Bell Helicopter Textron.

  11. The care of patients assessed as not in need of emergency ambulance care - Registered nurses' lived experiences.

    PubMed

    Barrientos, Christian; Holmberg, Mats

    2018-05-01

    The aim of this study was to describe the care of patients assessed as not in need of emergency ambulance care, from Registered Nurse's lived experiences. Non-emergency patients in need of ambulance care are described as vulnerable and patients in ambulance care have earlier been found to be dependent on the Registered Nurse. However, little is known about the care of non-emergency patients in the ambulance setting, from the perspective of Registered Nurses. A reflective lifeworld research design was chosen. Five Registered Nurses with experience of ambulance care were individually interviewed. The result reveals the essence of the phenomenon as a desire to provide good care in an on-going struggle between one's own and others' expectations. Three meaning constituents emerged in the description; Being in a struggle between different expectations, Being in a questioned professional role, and Being in lack of support and formal directives. Registered Nurses' care for patients assessed as not in need of emergency ambulance care, is a complex struggle between different expectations. This may be related to the encounter between the nurse's and the patient's lifeworld. Copyright © 2018 Elsevier Ltd. All rights reserved.

  12. Effect of intravenous pamidronate therapy on functional abilities and level of ambulation in children with osteogenesis imperfecta.

    PubMed

    Land, Christof; Rauch, Frank; Montpetit, Kathleen; Ruck-Gibis, Joanne; Glorieux, Francis H

    2006-04-01

    To evaluate the functional abilities and the level of ambulation during pamidronate therapy in children with moderate to severe osteogenesis imperfecta. Functional abilities, ambulation, and grip force were assessed in 59 patients (mean age, 6.1 years; range, 0.5-15.7 years; 30 girls) during 3 years of pamidronate treatment. Functional skills (mobility and self-care) were both assessed by using the Pediatric Evaluation of Disability Inventory. Ambulation level was assessed by using the modified Bleck score. For 48 patients, results after 3 years of pamidronate treatment could be matched to those of patients with similar age and disease severity who had not received pamidronate. Mobility and self-care scores increased during the study period (+43% and +30%, respectively). The average ambulation score changed from 0.8 to 1.9. Maximal isometric grip force increased by 63%. Mobility and ambulation scores and grip force measures were significantly higher than in patients who had not received pamidronate. The difference in self-care scores did not reach significance. This study suggests that cyclical pamidronate treatment improves mobility, ambulation level, and muscle force in children with moderate to severe osteogenesis imperfecta.

  13. Users manual for linear Time-Varying Helicopter Simulation (Program TVHIS)

    NASA Technical Reports Server (NTRS)

    Burns, M. R.

    1979-01-01

    A linear time-varying helicopter simulation program (TVHIS) is described. The program is designed as a realistic yet efficient helicopter simulation. It is based on a linear time-varying helicopter model which includes rotor, actuator, and sensor models, as well as a simulation of flight computer logic. The TVHIS can generate a mean trajectory simulation along a nominal trajectory, or propagate covariance of helicopter states, including rigid-body, turbulence, control command, controller states, and rigid-body state estimates.

  14. Laboratory studies of scales for measuring helicopter noise

    NASA Technical Reports Server (NTRS)

    Ollerhead, J. B.

    1982-01-01

    The adequacy of the effective perceived noise level (EPNL) procedure for rating helicopter noise annoyance was investigated. Recordings of 89 helicopters and 30 fixed wing aircraft (CTOL) flyover sounds were rated with respect to annoyance by groups of approximately 40 subjects. The average annoyance scores were transformed to annoyance levels defined as the equally annoying sound levels of a fixed reference sound. The sound levels of the test sounds were measured on various scales, with and without corrections for duration, tones, and impulsiveness. On average, the helicopter sounds were judged equally annoying to CTOL sounds when their duration corrected levels are approximately 2 dB higher. Multiple regression analysis indicated that, provided the helicopter/CTOL difference of about 2 dB is taken into account, the particular linear combination of level, duration, and tone corrections inherent in EPNL is close to optimum. The results reveal no general requirement for special EPNL correction terms to penalize helicopter sounds which are particularly impulsive; impulsiveness causes spectral and temporal changes which themselves adequately amplify conventionally measured sound levels.

  15. Square tracking sensor for autonomous helicopter hover stabilization

    NASA Astrophysics Data System (ADS)

    Oertel, Carl-Henrik

    1995-06-01

    Sensors for synthetic vision are needed to extend the mission profiles of helicopters. A special task for various applications is the autonomous position hold of a helicopter above a ground fixed or moving target. As a proof of concept for a general synthetic vision solution a restricted machine vision system, which is capable of locating and tracking a special target, was developed by the Institute of Flight Mechanics of Deutsche Forschungsanstalt fur Luft- und Raumfahrt e.V. (i.e., German Aerospace Research Establishment). This sensor, which is specialized to detect and track a square, was integrated in the fly-by-wire helicopter ATTHeS (i.e., Advanced Technology Testing Helicopter System). An existing model following controller for the forward flight condition was adapted for the hover and low speed requirements of the flight vehicle. The special target, a black square with a length of one meter, was mounted on top of a car. Flight tests demonstrated the automatic stabilization of the helicopter above the moving car by synthetic vision.

  16. Report to Congress : nonmilitary helicopter urban noise study

    DOT National Transportation Integrated Search

    2004-12-31

    In response to public concerns about nonmilitary helicopter noise impact on densely populated : communities, the United States Congress directed the Secretary of Transportation to investigate : and develop recommendations on reducing helicopter noise...

  17. 29 CFR 1926.958 - External load helicopters.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 29 Labor 8 2010-07-01 2010-07-01 false External load helicopters. 1926.958 Section 1926.958 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... External load helicopters. In all operations performed using a rotorcraft for moving or placing external...

  18. 29 CFR 1926.958 - External load helicopters.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 29 Labor 8 2014-07-01 2014-07-01 false External load helicopters. 1926.958 Section 1926.958 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... External load helicopters. In all operations performed using a rotorcraft for moving or placing external...

  19. 29 CFR 1926.958 - External load helicopters.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 29 Labor 8 2011-07-01 2011-07-01 false External load helicopters. 1926.958 Section 1926.958 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... External load helicopters. In all operations performed using a rotorcraft for moving or placing external...

  20. 29 CFR 1926.958 - External load helicopters.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 29 Labor 8 2012-07-01 2012-07-01 false External load helicopters. 1926.958 Section 1926.958 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... External load helicopters. In all operations performed using a rotorcraft for moving or placing external...

  1. 29 CFR 1926.958 - External load helicopters.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 29 Labor 8 2013-07-01 2013-07-01 false External load helicopters. 1926.958 Section 1926.958 Labor Regulations Relating to Labor (Continued) OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION, DEPARTMENT OF LABOR... External load helicopters. In all operations performed using a rotorcraft for moving or placing external...

  2. 78 FR 44039 - Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... Deutschland GmbH Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of proposed... GmbH (Eurocopter) Model MBB-BK 117 C-2 helicopters with a jettisonable sliding door (door) installed... airworthiness directive (AD): Eurocopter Deutschland GmbH Helicopters (Eurocopter): Docket No. FAA-2013-0642...

  3. 78 FR 42409 - Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-16

    ... Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters AGENCY: Federal Aviation Administration (FAA...) for Eurocopter Deutschland GmbH (Eurocopter) Model MBB-BK 117 C-2 helicopters. This AD requires... directive (AD): 2013-12-05 Eurocopter Deutschland GmbH Helicopters: Amendment 39- 17483; Docket No. FAA-2013...

  4. Optimal short-range trajectories for helicopters

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Slater, G.L.; Erzberger, H.

    1982-12-01

    An optimal flight path algorithm using a simplified altitude state model and a priori climb cruise descent flight profile was developed and applied to determine minimum fuel and minimum cost trajectories for a helicopter flying a fixed range trajectory. In addition, a method was developed for obtaining a performance model in simplified form which is based on standard flight manual data and which is applicable to the computation of optimal trajectories. The entire performance optimization algorithm is simple enough that on line trajectory optimization is feasible with a relatively small computer. The helicopter model used is the Silorsky S-61N. Themore » results show that for this vehicle the optimal flight path and optimal cruise altitude can represent a 10% fuel saving on a minimum fuel trajectory. The optimal trajectories show considerable variability because of helicopter weight, ambient winds, and the relative cost trade off between time and fuel. In general, reasonable variations from the optimal velocities and cruise altitudes do not significantly degrade the optimal cost. For fuel optimal trajectories, the optimum cruise altitude varies from the maximum (12,000 ft) to the minimum (0 ft) depending on helicopter weight.« less

  5. Amplifying the helicopter drift in a conformal HMD

    NASA Astrophysics Data System (ADS)

    Schmerwitz, Sven; Knabl, Patrizia M.; Lueken, Thomas; Doehler, Hans-Ullrich

    2016-05-01

    Helicopter operations require a well-controlled and minimal lateral drift shortly before ground contact. Any lateral speed exceeding this small threshold can cause a dangerous momentum around the roll axis, which may cause a total roll over of the helicopter. As long as pilots can observe visual cues from the ground, they are able to easily control the helicopter drift. But whenever natural vision is reduced or even obscured, e.g. due to night, fog, or dust, this controllability diminishes. Therefore helicopter operators could benefit from some type of "drift indication" that mitigates the influence of a degraded visual environment. Generally humans derive ego motion by the perceived environmental object flow. The visual cues perceived are located close to the helicopter, therefore even small movements can be recognized. This fact was used to investigate a modified drift indication. To enhance the perception of ego motion in a conformal HMD symbol set the measured movement was used to generate a pattern motion in the forward field of view close or on the landing pad. The paper will discuss the method of amplified ego motion drift indication. Aspects concerning impact factors like visualization type, location, gain and more will be addressed. Further conclusions from previous studies, a high fidelity experiment and a part task experiment, will be provided. A part task study will be presented that compared different amplified drift indications against a predictor. 24 participants, 15 holding a fixed wing license and 4 helicopter pilots, had to perform a dual task on a virtual reality headset. A simplified control model was used to steer a "helicopter" down to a landing pad while acknowledging randomly placed characters.

  6. A correction factor for estimating statewide agricultural injuries from ambulance reports.

    PubMed

    Scott, Erika E; Earle-Richardson, Giulia; Krupa, Nicole; Jenkins, Paul

    2011-10-01

    Agriculture ranks as one of the most hazardous industries in the nation. Agricultural injury surveillance is critical to identifying and reducing major injury hazards. Currently, there is no comprehensive system of identifying and characterizing fatal and serious non-fatal agricultural injuries. Researchers sought to calculate a multiplier for estimating the number of agricultural injury cases based on the number of times the farm box indicator was checked on the ambulance report. Farm injuries from 2007 that used ambulance transport were ascertained for 10 New York counties using two methods: (1) ambulance reports including hand-entered free text; and (2) community surveillance. The resulting multiplier that was developed from contrasting these two methods was then applied to the statewide Emergency Medical Services database to estimate the total number of agricultural injuries for New York state. There were 25,735 unique ambulance runs due to injuries in the 10 counties in 2007. Among these, the farm box was checked a total of 90 times. Of these 90, 63 (70%) were determined to be agricultural. Among injury runs where the farm box was not checked, an additional 59 cases were identified from the free text. Among these 122 cases (63 + 59), four were duplicates. Twenty-four additional unique cases were identified from the community surveillance for a total of 142. This yielded a multiplier of 142/90 = 1.578 for estimating all agricultural injuries from the farm box indicator. Sensitivity and specificity of the ambulance report method were 53.4% and 99.9%, respectively. This method provides a cost-effective way to estimate the total number of agricultural injuries for the state. However, it would not eliminate the more labor intensive methods that are required to identify of the actual individual case records. Incorporating an independent source of case ascertainment (community surveillance) increased the multiplier by 17%. Copyright © 2011 Elsevier Inc. All rights

  7. Methodology for estimating helicopter performance and weights using limited data

    NASA Technical Reports Server (NTRS)

    Baserga, Claudio; Ingalls, Charles; Lee, Henry; Peyran, Richard

    1990-01-01

    Methodology is developed and described for estimating the flight performance and weights of a helicopter for which limited data are available. The methodology is based on assumptions which couple knowledge of the technology of the helicopter under study with detailed data from well documented helicopters thought to be of similar technology. The approach, analysis assumptions, technology modeling, and the use of reference helicopter data are discussed. Application of the methodology is illustrated with an investigation of the Agusta A129 Mangusta.

  8. Design considerations to enhance the safety of patient compartments in ambulance transporters.

    PubMed

    Byran, Eyal; Gilad, Issachar

    2012-01-01

    The safety of the interior of ambulances is dubious and, in the event of sudden impact during emergency transport, potentially perilous to patients they carry. The workplace ergonomics of the interior of the passenger cabin is lacking. This article discusses an improved ergonomic interior design based on study findings, observations and subjective perception. It suggests design aspects and safety concepts aimed at increasing the safety of patients and paramedic staff inside the ambulance as a mobile workstation.

  9. Breath-holding ability of offshore workers inadequate to ensure escape from ditched helicopters.

    PubMed

    Cheung, S S; D'Eon, N J; Brooks, C J

    2001-10-01

    Following a helicopter ditching in water, the survival rate of individuals not mortally injured by the impact ranges from 50-85%. One possible cause for this low survival rate is that the crew and passengers cannot hold their breath underwater long enough to make the often difficult escape from an inverted and submerged helicopter. We investigated pulmonary function, breath-holding times in air (BHTa) and water (BHTw) of 228 students enrolled in offshore survival courses required to work in either the offshore petroleum industry or in military marine aviation. Comparisons were performed based on occupation, SCUBA experience, and smoking. In 25 degrees C pool water, the overall BHTw ranged from 5.4 to 120 s with a median of 37 s. Of the 228 subjects, 34% had a BHTw less than the 28 s required for the complete evacuation of a Super Puma helicopter under ideal conditions. No significant differences in BHTw were observed based on either smoking history (Non-Smoker, 41.5 +/- 21.6 s; Smoker, 37.2 +/- 20.2 s) or occupation (Novice, 37.5 +/- 21.1 s; Offshore, 40.5 +/- 21.1 s; Military, 45.2 +/- 20.9 s). However, SCUBA-trained individuals had a significantly longer BHT, (47.4 +/- 21.6 s) than non-SCUBA (37.6 +/- 20.6 s), as well as a greater force vital capacity (FVC), BHTa, and subjective comfort in water. It is concluded that the inability to breath-hold in emergency situations is a major contributor to the low survival rates of marine helicopter ditchings. Therefore, efforts must be made to both decrease escape times and to increase survival time underwater.

  10. 78 FR 31394 - Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-24

    ... Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for Eurocopter Deutschland GmbH (ECD) Model MBB-BK 117 C-2 helicopters. This AD... directive (AD): 2013-10-05 Eurocopter Deutschland GmbH Helicopters: Amendment 39- 17458; Docket No. FAA-2013...

  11. 33 CFR 149.655 - What are the requirements for helicopter fueling facilities?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... helicopter fueling facilities? 149.655 Section 149.655 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Design and Equipment Helicopter Fueling Facilities § 149.655 What are the requirements for helicopter fueling facilities? Helicopter fueling facilities must comply with 46 CFR 108.489 or an equivalent...

  12. 33 CFR 149.655 - What are the requirements for helicopter fueling facilities?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... helicopter fueling facilities? 149.655 Section 149.655 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Design and Equipment Helicopter Fueling Facilities § 149.655 What are the requirements for helicopter fueling facilities? Helicopter fueling facilities must comply with 46 CFR 108.489 or an equivalent...

  13. 33 CFR 149.655 - What are the requirements for helicopter fueling facilities?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... helicopter fueling facilities? 149.655 Section 149.655 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Design and Equipment Helicopter Fueling Facilities § 149.655 What are the requirements for helicopter fueling facilities? Helicopter fueling facilities must comply with 46 CFR 108.489 or an equivalent...

  14. 33 CFR 149.655 - What are the requirements for helicopter fueling facilities?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... helicopter fueling facilities? 149.655 Section 149.655 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Design and Equipment Helicopter Fueling Facilities § 149.655 What are the requirements for helicopter fueling facilities? Helicopter fueling facilities must comply with 46 CFR 108.489 or an equivalent...

  15. 33 CFR 149.655 - What are the requirements for helicopter fueling facilities?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... helicopter fueling facilities? 149.655 Section 149.655 Navigation and Navigable Waters COAST GUARD... EQUIPMENT Design and Equipment Helicopter Fueling Facilities § 149.655 What are the requirements for helicopter fueling facilities? Helicopter fueling facilities must comply with 46 CFR 108.489 or an equivalent...

  16. Computer Description of Black Hawk Helicopter

    DTIC Science & Technology

    1979-06-01

    Model Combinatorial Geometry Models Black Hawk Helicopter Helicopter GIFT Computer Code Geometric Description of Targets 20. ABSTRACT...description was made using the technique of combinatorial geometry (COM-GEOM) and will be used as input to the GIFT computer code which generates Tliic...rnHp The data used bv the COVART comtmter code was eenerated bv the Geometric Information for Targets ( GIFT )Z computer code. This report documents

  17. Attack Helicopter Operations: Art or Science

    DTIC Science & Technology

    1991-05-13

    ATTACK HELICOPTER OPERATIONS: ART OR SCIENCE ? BY LIEUTENANT COLONEL JAN CALLEN United States Army DISTRIBUTION STATEMENT A: Approved for public release...TASK IWORK UNIT ELEMENT NO. NO. NO. ACCESSION NC 11. TITLE (Include Socurity Classification) Attack Helicopter Operations: Art or Science ? 12. PERSONAL...OPERATIONS: ART OR SCIENCE ? AN INDIVIDUAL STUDY PROJECT by Lieutenant Colonel Jan Callen United States Army Colonel Greg Snelgrove Project Adviser U.S

  18. Signal Detection Theory Applied to Helicopter Transmission Diagnostic Thresholds

    NASA Technical Reports Server (NTRS)

    Dempsey, Paula J.; Keller, Jonathan A.; Wade, Daniel R.

    2008-01-01

    Helicopter Health Usage Monitoring Systems (HUMS) have potential for providing data to support increasing the service life of a dynamic mechanical component in the transmission of a helicopter. Data collected can demonstrate the HUMS condition indicator responds to a specific component fault with appropriate alert limits and minimal false alarms. Defining thresholds for specific faults requires a tradeoff between the sensitivity of the condition indicator (CI) limit to indicate damage and the number of false alarms. A method using Receiver Operating Characteristic (ROC) curves to assess CI performance was demonstrated using CI data collected from accelerometers installed on several UH60 Black Hawk and AH64 Apache helicopters and an AH64 helicopter component test stand. Results of the analysis indicate ROC curves can be used to reliably assess the performance of commercial HUMS condition indicators to detect damaged gears and bearings in a helicopter transmission.

  19. Signal Detection Theory Applied to Helicopter Transmission Diagnostic Thresholds

    NASA Technical Reports Server (NTRS)

    Dempsey, Paula J.; Keller, Jonathan A.; Wade, Daniel R.

    2009-01-01

    Helicopter Health Usage Monitoring Systems (HUMS) have potential for providing data to support increasing the service life of a dynamic mechanical component in the transmission of a helicopter. Data collected can demonstrate the HUMS condition indicator responds to a specific component fault with appropriate alert limits and minimal false alarms. Defining thresholds for specific faults requires a tradeoff between the sensitivity of the condition indicator (CI) limit to indicate damage and the number of false alarms. A method using Receiver Operating Characteristic (ROC) curves to assess CI performance was demonstrated using CI data collected from accelerometers installed on several UH60 Black Hawk and AH64 Apache helicopters and an AH64 helicopter component test stand. Results of the analysis indicate ROC curves can be used to reliably assess the performance of commercial HUMS condition indicators to detect damaged gears and bearings in a helicopter transmission.

  20. Informing clinical policy decision-making practices in ambulance services.

    PubMed

    Muecke, Sandy; Curac, Nada; Binks, Darryn

    2013-12-01

    This study aims to identify the processes and frameworks that support an evidence-based approach to clinical policy decision-making practices in ambulance services. This literature review focused on: (i) the setting (pre-hospital); and (ii) the process of evidence translation, for studies published after the year 2000. Searches of Medline, CINAHL and Google were undertaken. Reference lists of eligible publications were searched for relevant articles. A total of 954 articles were identified. Of these, 20 full text articles were assessed for eligibility and seven full text articles met the inclusion criteria. Three provided detailed descriptions of the evidence-based practice processes used to inform ambulance service protocol or guideline development or review. There is little published literature that describes the processes involved, and frameworks required, to inform clinical policy decision making within ambulance services. This review found that processes were iterative and involved collaborations across many internal and external stakeholders. In several jurisdictions, these were coordinated by a dedicated team. Success appears dependent on committed leadership and purposive human and structural resources. Although time consuming, structured processes have been developed in some jurisdictions to assist decision-making processes. Further insight is likely to be obtained from literature published by those from other disciplines. © 2013 The Authors. International Journal of Evidence-Based Healthcare © 2013 The Joanna Briggs Institute.

  1. NASA helicopter blades get new paint job for safety

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Workers put the finishing touches on new paint for the blades of a NASA UH-1H helicopter. They have changed the black to a pattern of white and yellow stripes. The pattern provides better visibility in smoke and fire conditions. When the rotors are turning, the stripes create a yellow and white circle that is more easily seen from above by a second helicopter. The helicopters, primarily used for security and medical evacuation for NASA, will be used to deliver water via buckets during brush fires. The change was made to comply with U.S. Fish and Wildlife and Department of Forestry regulations for helicopter-assisted fire control.

  2. 77 FR 729 - Airworthiness Directives; Enstrom Helicopter Corporation Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-06

    ... subsequent loss of control of the helicopter. DATES: This AD becomes effective January 23, 2012. The Director... Program Manager, FAA, Chicago Aircraft Certification Office, 2300 East Devon Avenue, Room 107, Des Plaines... the circuit breaker to trip before any significant loss of control occurs. After the trim actuator...

  3. Ethical, legal and professional issues arising from social media coverage by UK Helicopter Emergency Medical Services.

    PubMed

    Steele, Sarah; Adcock, Christopher; Steel, Alistair

    2016-01-01

    Social media (SoMe) are gaining increasing acceptance among, and use by, healthcare service deliverers and workers. UK Helicopter Emergency Medical Services (HEMS) use SoMe to deliver service information and to fundraise, among other purposes. This article examines UK HEMS use of SoMe between January and February 2014 to determine the extent of adoption and to highlight trends in use. The database of the Association of Air Ambulances, crosschecked with UK Emergency Aviation, was used to identify flying, charitable UK HEMS. This search identified 28 UK HEMS, of which 24 services met the criteria for selection for review. Using information harvested from the public domain, we then systematically documented SoMe use by the services. SoMe use by UK HEMS is extensive but not uniform. All selected UK HEMS maintained websites with blogs, as well as Facebook, Twitter, Wikipedia and JustGiving profiles, with the majority of services using Ebay for Charity, LinkedIn and YouTube. Some HEMS also held a presence on Pinterest, Google+, Instagram and Flickr, with a minority of services maintaining their own Rich Site Summary (RSS) feed. The SoMe adopted, while varied, allowed for increased, and different forms of, information delivery by HEMS to the public, often in real time. Such use, though, risks breaching patient confidentiality and data protection requirements, especially when information is viewed cumulatively across platforms. There is an urgent need for the continued development of guidance in this unique setting to protect patients while UK HEMS promote and fundraise for their charitable activities. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  4. Biomechanics of the Ankle-Foot System during Stair Ambulation: Implications for Design of Advanced Ankle-Foot Prostheses

    DTIC Science & Technology

    2011-12-15

    Biomechanics of the ankle–foot system during stair ambulation: Implications for design of advanced ankle–foot prostheses$ Emily H. Sinitski a, Andrew...Wilken). Please cite this article as: Sinitski, E.H., et al., Biomechanics of the ankle–foot system during stair ambulation: Implications for design of...REPORT TYPE 3. DATES COVERED 00-00-2011 to 00-00-2011 4. TITLE AND SUBTITLE Biomechanics Of The Ankle-Foot System During Stair Ambulation

  5. 78 FR 44050 - Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... Deutschland GmbH Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of proposed... Deutschland GmbH (Eurocopter) Model EC135P2+ and EC135T2+ helicopters. This proposed AD would require... adding the following new airworthiness directive (AD): Eurocopter Deutschland GmbH Helicopters: Docket No...

  6. Training Presentation for NASA Civil Helicopter Safety Website

    NASA Technical Reports Server (NTRS)

    Iseler, Laura

    2002-01-01

    NASA civil helicopter safety News & Updates include the following: Mar. 2002. The Air Medical Operations Survey has been completed! Check it out! Also accessible via the Mission pages under Air Medical Mission. Air Medical and Law Enforcement Mission pages have been added. They are accessible via the Mission pages. The Public Use, Personal, Offshore, Law Enforcement, External Load, Business and Gyro accident pages (accessable via the Mission page) have been updated. Feb. 2002. A Words of Wisdom section has been added. You can access it by clicking the Library button. A link to a Corporate Accident Response Plan has been added to the Accident page. The AMs, Aerial Application and Instruction accident pages (accessable via the Mission page) have been updated. Jan. 2002. A new searchable safety article database has been added. You can access it by clicking the Library button. The 2001 accident summaries have been updated and the statistics have been compiled - check it out by clicking the accident tab to the left. Dec. 2001. Please read the FAA Administrator's memo regarding the latest FBI warning. 3ee the FAA column - Fall 2001 Read it now!

  7. Point prevalence of suboptimal footwear features among ambulant older hospital patients: implications for fall prevention.

    PubMed

    Chari, Satyan R; McRae, Prue; Stewart, Matthew J; Webster, Joan; Fenn, Mary; Haines, Terry P

    2016-09-01

    Objective The aim of the present study was to establish the point prevalence of 'suboptimal' features in footwear reported to have been used by older hospital patients when ambulating, and to explore underpinning factors for their choice of footwear. Method A cross-sectional investigation was undertaken on 95 of 149 eligible in-patients across 22 high fall-risk wards in a large metropolitan hospital in Brisbane, Australia. Results Over 70% of participants experienced an unplanned admission. Although most participants had access to some form of footwear in hospital (92%), nearly all reported ambulating in footwear with 'suboptimal' features (99%). Examples included slippers (27%), backless slippers (16%) or bare feet (27%). For patients who ambulated in bare feet, only one-third reported 'lack of access to footwear' as the primary cause, with others citing foot wounds, pain, oedema and personal choice as the main reason for bare foot ambulation. Conclusions Admitted patients frequently use footwear with 'suboptimal' features for ambulation in hospital. While some footwear options (for example well-fitting slippers) could be suited for limited in-hospital ambulation, others are clearly hazardous and might cause falls. Since footwear choices are influenced by multiple factors in this population, footwear education strategies alone may be insufficient to address the problem of hazardous footwear in at-risk patients. Footwear requirements may be more effectively addressed within a multidisciplinary team approach encompassing foot health, mobility and safety. What is known about the topic? Accidental falls while ambulating are an important health and safety concern for older people. Because certain footwear characteristics have been negatively linked to posture and balance, and specific footwear types linked to falls among seniors, the use of footwear with fewer suboptimal characteristics is generally recommended as a means of reducing the risk of falling. While footwear

  8. CHANGES IN FLIGHT TRAINEE PERFORMANCE FOLLOWING SYNTHETIC HELICOPTER FLIGHT TRAINING.

    ERIC Educational Resources Information Center

    CARO, PAUL W., JR.; ISLEY, ROBERT N.

    A STUDY WAS CONDUCTED AT THE U.S. ARMY PRIMARY HELICOPTER SCHOOL, FORT WOLTERS, TEXAS, TO DETERMINE WHETHER THE USE OF A HELICOPTER TRAINING DEVICE WOULD IMPROVE STUDENT PERFORMANCE DURING SUBSEQUENT HELICOPTER CONTACT FLIGHT TRAINING. SUBJECTS WERE TWO EXPERIMENTAL GROUPS AND TWO CONTROL GROUPS OF WARRANT OFFICER CANDIDATES ENROLLED FOR A…

  9. Analysis of helicopter noise data using international helicopter noise certification procedures

    DOT National Transportation Integrated Search

    1986-03-31

    This report documents the results of a Federal Aviation Administration (FAA) noise measurement flight test program involving seven helicopters and established noise levels using the basic testing, reduction and analysis procedures specified by the In...

  10. Predicted utilization of emergency medical services telemedicine in decreasing ambulance transports.

    PubMed

    Haskins, Paul A; Ellis, David G; Mayrose, James

    2002-01-01

    To determine predicted utilization, decrease in ambulance transports, and target population for emergency medical services (EMS) if telemedicine capabilities were available to the medic units in the field. A retrospective chart review of 345 consecutive ambulance transports to four hospitals (Level I urban trauma center, urban tertiary care center, children's hospital and suburban community hospital) was performed by a panel of three board-certified emergency medicine physicians experienced and credentialed in emergency telemedicine. They independently reviewed the emergency department (ED) and EMS records and were asked to determine whether patients required ambulance transport for evaluation or whether disposition could be made following paramedic and emergency physician assessment via telemedicine. A five-point Likert scale was used to grade feasibility of telemedicine disposition (definitely yes, probably yes, maybe, probably no, definitely no). Other variables analyzed included age, sex, race, chief complaint, phone, private medical doctor, and call location by patient zip code, call site, and receiving hospital. In 14.7% of cases (6% definitely yes and 8.7% probably yes), disposition could be made without transport using telemedicine. The age range for eliminating transport was 2 weeks through 92 years, with mean age of 26.6 years. Under the age of 50 years, 46 out of 238 patients (19.3%) could have possibly been managed by telemedicine. Use of EMS telemedicine could result in an approximately 15% decrease in ambulance transports when it alone is added to the prehospital care provider's armamentarium. Emphasis for implementation should be placed on younger patients and an identified subset of chief complaints conducive to management using telemedicine.

  11. Surveys of Students Challenge "Helicopter Parent" Stereotypes

    ERIC Educational Resources Information Center

    Hoover, Eric

    2008-01-01

    Stories of "helicopter parents" abound. But several longtime student-affairs officials agree that while helicopter parents are real, their numbers--and behaviors--have been exaggerated. Parental involvement on campus, they say, is usually more of a help than a headache, for students and colleges alike. Some officials believe colleges must do even…

  12. Long Island north shore helicopter route environmental study

    DOT National Transportation Integrated Search

    2012-02-21

    This report presents the results of the noise and emissions analysis of helicopter operations along the North Shore Helicopter Route of Long Island, New York performed by the Federal Aviation Administration, with the assistance of the Volpe Center...

  13. Carbon Monoxide Exposure in Norwegian Rescue Helicopters.

    PubMed

    Busch, Michael

    2015-01-01

    Exposure to exhaust fumes from combustion engines can lead to carbon monoxide (CO) poisoning. Sea King Rescue helicopter crews are frequently subjected to engine exhaust. This study investigates the extent of CO exposure and potential for intoxication for flight crews during standard operational training procedures. Over a 2-week period, rescue helicopter flight crews were monitored for exposure to exhaust fumes and clinical symptoms of CO intoxication by means of a written survey and measurements of carboxyhemoglobin saturation (SpCO) with a handheld pulse CO oximeter (RAD-57; Masimo, Irvine, CA). Normal ranges for SpCO were defined as ≤ 4%. Sixty-nine completed surveys and 138 SpCO measurements of 37 crewmembers were included in the study. Sixty-four percent (n = 44) experienced subjective exposure to engine exhaust during training. Clinical symptoms were reported in 8.6% (n = 6) and included exhaustion (n = 4), headache (n = 1), and nausea (n = 1). Twenty-nine percent (n = 20) showed postflight SpCO levels outside the normal range (≥ 4%). The maximum postflight SpCO level among all measurements was 7%. Exposure to engine fumes is common, even more so during open cargo door operations. However, clinical symptoms are infrequent and mild. Toxic SpCO levels were not reached in this study, but approximately one third of postflight SpCO levels were outside the normal range. Copyright © 2015 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.

  14. 77 FR 39911 - The New York North Shore Helicopter Route

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-06

    ... York North Shore Helicopter Route when operating along the north shore of Long Island, New York. The... maximizing utilization of the existing route flown by helicopter traffic one mile off the north shore of Long... residents who are disturbed by the level of noise from helicopters operating over Long Island, the FAA...

  15. A Prevalence and Management Study of Acute Pain in Children Attending Emergency Departments by Ambulance.

    PubMed

    Murphy, Adrian; McCoy, Siobhan; O'Reilly, Kay; Fogarty, Eoin; Dietz, Jason; Crispino, Gloria; Wakai, Abel; O'Sullivan, Ronan

    2016-01-01

    Pain is the most common symptom in the emergency setting and remains one of the most challenging problems for emergency care providers, particularly in the pediatric population. The primary objective of this study was to determine the prevalence of acute pain in children attending emergency departments (EDs) in Ireland by ambulance. In addition, this study sought to describe the prehospital and initial ED management of pain in this population, with specific reference to etiology of pain, frequency of pain assessment, pain severity, and pharmacological analgesic interventions. A prospective cross-sectional study was undertaken over a 12-month period of all pediatric patients transported by emergency ambulance to four tertiary referral hospitals in Ireland. All children (<16 years) who had pain as a symptom (regardless of cause) at any stage during the prehospital phase of care were included in this study. Over the study period, 6,371 children attended the four EDs by emergency ambulance, of which 2,635 (41.4%, 95% confidence interval 40.2-42.3%) had pain as a documented symptom on the ambulance patient care report (PCR) form. Overall 32% (n = 856) of children who complained of pain were subject to a formal pain assessment during the prehospital phase of care. Younger age, short transfer time to the ED, and emergency calls between midnight and 6 am were independently associated with decreased likelihood of having a documented assessment of pain intensity during the prehospital phase of care. Of the 2,635 children who had documented pain on the ambulance PCR, 26% (n = 689) received some form of analgesic agent prior to ED arrival. Upon ED arrival 54% (n = 1,422) of children had a documented pain assessment and some form of analgesic agent was administered to 50% (n = 1,324). Approximately 41% of children who attend EDs in Ireland by ambulance have pain documented as their primary symptom. This study suggests that the management of acute pain in children transferred by

  16. A parametric analysis of visual approaches for helicopters

    NASA Technical Reports Server (NTRS)

    Moen, G. C.; Dicarlo, D. J.; Yenni, K. R.

    1976-01-01

    A flight investigation was conducted to determine the characteristic shapes of the altitude, ground speed, and deceleration profiles of visual approaches for helicopters. Two hundred thirty-six visual approaches were flown from nine sets of initial conditions with four types of helicopters. Mathematical relationships were developed that describe the characteristic visual deceleration profiles. These mathematical relationships were expanded to develop equations which define the corresponding nominal ground speed, pitch attitude, pitch rate, and pitch acceleration profiles. Results are applicable to improved helicopter handling qualities in terminal area operations.

  17. Determinants of ambulance response time: A study in Sabah, Malaysia

    NASA Astrophysics Data System (ADS)

    Chin, Su Na; Cheah, Phee Kheng; Arifin, Muhamad Yaakub; Wong, Boh Leng; Omar, Zaturrawiah; Yassin, Fouziah Md; Gabda, Darmesah

    2017-04-01

    Ambulance response time (ART) is one of the standard key performance indicators (KPI) in measuring the emergency medical services (EMS) delivery performances. When the mean time of ART of EMS system reaches the KPI target, it shows that the EMS system performs well. This paper considers the determinants of ART, using data sampled from 967 ambulance runs in a government hospital in Sabah. Multiple regression analysis with backward elimination was proposed for the identification of significant factors. Amongst the underlying factors, travel distance, age of patients, type of treatment and peak hours were identified to be significantly affecting ART. Identifying factors that influence ART helps the development of strategic improvement planning for reducing the ART.

  18. Civil helicopter noise assessment study Boeing-Vertol model 347. [recommendations for reduction of helicopter noise levels

    NASA Technical Reports Server (NTRS)

    Hinterkeuser, E. G.; Sternfeld, H., Jr.

    1974-01-01

    A study was conducted to forecast the noise restrictions which may be imposed on civil transport helicopters in the 1975-1985 time period. Certification and community acceptance criteria were predicted. A 50 passenger tandem rotor helicopter based on the Boeing-Vertol Model 347 was studied to determine the noise reductions required, and the means of achieving them. Some of the important study recommendations are: (1) certification limits should be equivalent to 95 EPNdb at data points located at 500 feet to each side of the touchdown/takeoff point, and 1000 feet from this point directly under the approach and departure flight path. (2) community acceptance should be measured as Equivalent Noise Level (Leq), based on dBA, with separate limits for day and night operations, and (3) in order to comply with the above guidelines, the Model 347 helicopter will require studies and tests leading to several modifications.

  19. Comparison of Test Stand and Helicopter Oil Cooler Bearing Condition Indicators

    NASA Technical Reports Server (NTRS)

    Dempsey, Paula J.; Branning, Jeremy; Wade, Damiel R.; Bolander, Nathan

    2010-01-01

    The focus of this paper was to compare the performance of HUMS condition indicators (CI) when detecting a bearing fault in a test stand or on a helicopter. This study compared data from two sources: first, CI data collected from accelerometers installed on two UH-60 Black Hawk helicopters when oil cooler bearing faults occurred, along with data from helicopters with no bearing faults; and second, CI data that was collected from ten cooler bearings, healthy and faulted, that were removed from fielded helicopters and installed in a test stand. A method using Receiver Operating Characteristic (ROC) curves to compare CI performance was demonstrated. Results indicated the bearing energy CI responded differently for the helicopter and the test stand. Future research is required if test stand data is to be used validate condition indicator performance on a helicopter.

  20. 75 FR 29471 - The New York North Shore Helicopter Route

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-26

    ...-0302; Notice No. 10-08] RIN 2120-AJ75 The New York North Shore Helicopter Route AGENCY: Federal... action would require helicopter operators to use the New York North Shore Route when operating in that area of Long Island, New York. The North Shore Route was added to the New York Helicopter Route [[Page...

  1. U.S. Army Primary Helicopter School Training Program Performance Norms.

    ERIC Educational Resources Information Center

    Barnes, John A.; Statham, Flavous D.

    The Helicopter Pilot Training Program of the Army differs from those of the other services in concept. It takes nonpilot servicemen and trains them to fly helicopters. The study provides normative performance data for a pilot trainee in an army light-observation helicopter as a first step toward establishing normative data for pilot performance in…

  2. 77 FR 72913 - Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-07

    ... Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters AGENCY: Federal Aviation Administration (FAA... Eurocopter Deutschland GmbH (ECD) Model EC135 helicopters, except the EC 135 P2+ and T2+. This AD requires... apply to all Eurocopter Deutschland GmbH (ECD) model EC135 helicopters, except the EC 135 P2+ and T2...

  3. 78 FR 25365 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... applies. FAA's Determination These helicopters have been approved by the aviation authority of France and...

  4. Helicopter rotor trailing edge noise. [noise prediction

    NASA Technical Reports Server (NTRS)

    Schlinker, R. H.; Amier, R. K.

    1981-01-01

    A two dimensional section of a helicopter main rotor blade was tested in an acoustic wind tunnel at close to full-scale Reynolds numbers to obtain boundary layer data and acoustic data for use in developing an acoustic scaling law and testing a first principles trailing edge noise theory. Results were extended to the rotating frame coordinate system to develop a helicopter rotor trailing edge noise prediction. Comparisons of the calculated noise levels with helicopter flyover spectra demonstrate that trailing edge noise contributes significantly to the total helicopter noise spectrum at high frequencies. This noise mechanism is expected to control the minimum rotor noise. In the case of noise radiation from a local blade segment, the acoustic directivity pattern is predicted by the first principles trailing edge noise theory. Acoustic spectra are predicted by a scaling law which includes Mach number, boundary layer thickness and observer position. Spectrum shape and sound pressure level are also predicted by the first principles theory but the analysis does not predict the Strouhal value identifying the spectrum peak.

  5. Self-paced brain-computer interface control of ambulation in a virtual reality environment.

    PubMed

    Wang, Po T; King, Christine E; Chui, Luis A; Do, An H; Nenadic, Zoran

    2012-10-01

    Spinal cord injury (SCI) often leaves affected individuals unable to ambulate. Electroencephalogram (EEG) based brain-computer interface (BCI) controlled lower extremity prostheses may restore intuitive and able-body-like ambulation after SCI. To test its feasibility, the authors developed and tested a novel EEG-based, data-driven BCI system for intuitive and self-paced control of the ambulation of an avatar within a virtual reality environment (VRE). Eight able-bodied subjects and one with SCI underwent the following 10-min training session: subjects alternated between idling and walking kinaesthetic motor imageries (KMI) while their EEG were recorded and analysed to generate subject-specific decoding models. Subjects then performed a goal-oriented online task, repeated over five sessions, in which they utilized the KMI to control the linear ambulation of an avatar and make ten sequential stops at designated points within the VRE. The average offline training performance across subjects was 77.2 ± 11.0%, ranging from 64.3% (p = 0.001 76) to 94.5% (p = 6.26 × 10(-23)), with chance performance being 50%. The average online performance was 8.5 ± 1.1 (out of 10) successful stops and 303 ± 53 s completion time (perfect = 211 s). All subjects achieved performances significantly different than those of random walk (p < 0.05) in 44 of the 45 online sessions. By using a data-driven machine learning approach to decode users' KMI, this BCI-VRE system enabled intuitive and purposeful self-paced control of ambulation after only 10 minutes training. The ability to achieve such BCI control with minimal training indicates that the implementation of future BCI-lower extremity prosthesis systems may be feasible.

  6. Walker devices and microswitch technology to enhance assisted indoor ambulation by persons with multiple disabilities: three single-case studies.

    PubMed

    Lancioni, Giulio E; Singh, Nirbhay N; O'Reilly, Mark F; Sigafoos, Jeff; Oliva, Doretta; Campodonico, Francesca; Buono, Serafino

    2013-07-01

    These three single-case studies assessed the use of walker devices and microswitch technology for promoting ambulation behavior among persons with multiple disabilities. The walker devices were equipped with support and weight lifting features. The microswitch technology ensured that brief stimulation followed the participants' ambulation responses. The participants were two children (i.e., Study I and Study II) and one man (i.e., Study III) with poor ambulation performance. The ambulation efforts of the child in Study I involved regular steps, while those of the child in Study II involved pushing responses (i.e., he pushed himself forward with both feet while sitting on the walker's saddle). The man involved in Study III combined his poor ambulation performance with problem behavior, such as shouting or slapping his face. The results were positive for all three participants. The first two participants had a large increase in the number of steps/pushes performed during the ambulation events provided and in the percentages of those events that they completed independently. The third participant improved his ambulation performance as well as his general behavior (i.e., had a decline in problem behavior and an increase in indices of happiness). The wide-ranging implications of the results are discussed. Copyright © 2013 Elsevier Ltd. All rights reserved.

  7. Effectiveness of media awareness campaigns on the proportion of vehicles that give space to ambulances on roads: An observational study.

    PubMed

    Shaikh, Shiraz; Baig, Lubna A; Polkowski, Maciej

    2017-01-01

    The findings of the Health Care in Danger project in Karachi suggests that there is presence of behavioral negligence among vehicle operators on roads in regards to giving way to ambulances. A mass media campaign was conducted to raise people's awareness on the importance of giving way to ambulances. The main objective of this study was to determine the effectiveness of the campaign on increasing the proportion of vehicles that give way to ambulances. This was a quasi-experimental study that was based on before and after design. Three observation surveys were carried out in different areas of the city in Karachi, Pakistan before, during and after the campaign by trained observers who recorded their findings on a checklist. Each observation was carried out at three different times of the day for at least two days on each road. The relationship of the media campaign with regards to a vehicle giving space to an ambulance was calculated by means of odds ratios and 95% confidence intervals using multivariate logistic regression. Overall, 245 observations were included in the analysis. Traffic congestion and negligence/resistance, by vehicles operators who were in front of the ambulance, were the two main reasons why ambulances were not given way. Other reasons include: sudden stops by minibuses and in the process causing obstruction, ambulances not rushing through to alert vehicle operators to give way and traffic interruption by VIP movement. After adjustment for site, time of day, type of ambulance and number of cars in front of the ambulance, vehicles during (OR=2.13, 95% CI=1.22-3.71, p=0.007) and after the campaign (OR=1.73, 95% CI=1.02-2.95, p=0.042) were significantly more likely give space to ambulances. Mass media campaigns can play a significant role in changing the negligent behavior of people, especially when the campaign conveys a humanitarian message such as: giving way to ambulances can save lives.

  8. Effectiveness of media awareness campaigns on the proportion of vehicles that give space to ambulances on roads: An observational study

    PubMed Central

    Shaikh, Shiraz; Baig, Lubna A; Polkowski, Maciej

    2017-01-01

    Background and Objective: The findings of the Health Care in Danger project in Karachi suggests that there is presence of behavioral negligence among vehicle operators on roads in regards to giving way to ambulances. A mass media campaign was conducted to raise people’s awareness on the importance of giving way to ambulances. The main objective of this study was to determine the effectiveness of the campaign on increasing the proportion of vehicles that give way to ambulances. Methods: This was a quasi-experimental study that was based on before and after design. Three observation surveys were carried out in different areas of the city in Karachi, Pakistan before, during and after the campaign by trained observers who recorded their findings on a checklist. Each observation was carried out at three different times of the day for at least two days on each road. The relationship of the media campaign with regards to a vehicle giving space to an ambulance was calculated by means of odds ratios and 95% confidence intervals using multivariate logistic regression. Results: Overall, 245 observations were included in the analysis. Traffic congestion and negligence/resistance, by vehicles operators who were in front of the ambulance, were the two main reasons why ambulances were not given way. Other reasons include: sudden stops by minibuses and in the process causing obstruction, ambulances not rushing through to alert vehicle operators to give way and traffic interruption by VIP movement. After adjustment for site, time of day, type of ambulance and number of cars in front of the ambulance, vehicles during (OR=2.13, 95% CI=1.22-3.71, p=0.007) and after the campaign (OR=1.73, 95% CI=1.02-2.95, p=0.042) were significantly more likely give space to ambulances. Conclusion: Mass media campaigns can play a significant role in changing the negligent behavior of people, especially when the campaign conveys a humanitarian message such as: giving way to ambulances can save lives

  9. Minimum-complexity helicopter simulation math model

    NASA Technical Reports Server (NTRS)

    Heffley, Robert K.; Mnich, Marc A.

    1988-01-01

    An example of a minimal complexity simulation helicopter math model is presented. Motivating factors are the computational delays, cost, and inflexibility of the very sophisticated math models now in common use. A helicopter model form is given which addresses each of these factors and provides better engineering understanding of the specific handling qualities features which are apparent to the simulator pilot. The technical approach begins with specification of features which are to be modeled, followed by a build up of individual vehicle components and definition of equations. Model matching and estimation procedures are given which enable the modeling of specific helicopters from basic data sources such as flight manuals. Checkout procedures are given which provide for total model validation. A number of possible model extensions and refinement are discussed. Math model computer programs are defined and listed.

  10. Using Helicopter Electromagnetic Surveys to Identify Potential Hazards at Mine Waste Impoundments

    DOE Office of Scientific and Technical Information (OSTI.GOV)

    Hammack, R.W.

    2008-01-01

    In July 2003, helicopter electromagnetic surveys were conducted at 14 coal waste impoundments in southern West Virginia. The purpose of the surveys was to detect conditions that could lead to impoundment failure either by structural failure of the embankment or by the flooding of adjacent or underlying mine works. Specifically, the surveys attempted to: 1) identify saturated zones within the mine waste, 2) delineate filtrate flow paths through the embankment or into adjacent strata and receiving streams, and 3) identify flooded mine workings underlying or adjacent to the waste impoundment. Data from the helicopter surveys were processed to generate conductivity/depthmore » images. Conductivity/depth images were then spatially linked to georeferenced air photos or topographic maps for interpretation. Conductivity/depth images were found to provide a snapshot of the hydrologic conditions that exist within the impoundment. This information can be used to predict potential areas of failure within the embankment because of its ability to image the phreatic zone. Also, the electromagnetic survey can identify areas of unconsolidated slurry in the decant basin and beneath the embankment. Although shallow, flooded mineworks beneath the impoundment were identified by this survey, it cannot be assumed that electromagnetic surveys can detect all underlying mines. A preliminary evaluation of the data implies that helicopter electromagnetic surveys can provide a better understanding of the phreatic zone than the piezometer arrays that are typically used.« less

  11. Ground and Helicopter Emergency Medical Services Time Tradeoffs Assessed with Geographic Information.

    PubMed

    Widener, Michael J; Ginsberg, Zac; Schleith, Daniel; Floccare, Douglas J; Hirshon, Jon Mark; Galvagno, Samuel

    2015-07-01

    We describe how geographic information systems (GIS) can be used to assess and compare estimated transport time for helicopter and ground emergency medical services. Recent research shows that while the odds of a trauma patient's survival increase with helicopter emergency medical services (HEMS), they may not increase to the extent necessary to make HEMS cost effective. This study offers an analytic tool to objectively quantify the patient travel time advantage that HEMS offers compared to ground emergency medical services (GEMS). Using helicopter dispatch data from the Maryland State Police from 2000-2011, we computed transport time estimates for HEMS and GEMS, compare these results to a reference transport time of 60 min, and use geospatial interpolation to extrapolate the total response times for each mode across the study region. Mapping the region's trauma incidents and modeling response times, our findings indicate the GIS framework for calculating transportation time tradeoffs is useful in identifying which areas can be better served by HEMS or GEMS. The use of GIS and the analytical methodology described in this study present a method to compare transportation by air and ground in the prehospital setting that accounts for how mode, distance, and road infrastructure impact total transport time. Whether used to generate regional maps in advance or applied real-time, the presented framework provides a tool to identify earlier incident locations that favor HEMS over GEMS transport modes.

  12. Aeromechanical stability of helicopters with composite rotor blades in forward flight

    NASA Technical Reports Server (NTRS)

    Smith, Edward C.; Chopra, Inderjit

    1992-01-01

    The aeromechanical stability, including air resonance in hover, air resonance in forward flight, and ground resonance, of a helicopter with elastically tailored composite rotor blades is investigated. Five soft-inplane hingeless rotor configurations, featuring elastic pitch-lag, pitch-flap and extension-torsion couplings, are analyzed. Elastic couplings introduced through tailored composite blade spars can have a powerful effect on both air and ground resonance behavior. Elastic pitch-flap couplings (positive and negative) strongly affect body, rotor and dynamic inflow modes. Air resonance stability is diminished by elastic pitch-flap couplings in hover and forward flight. Negative pitch-lag elastic coupling has a stabilizing effect on the regressive lag mode in hover and forward flight. The negative pitch-lag coupling has a detrimental effect on ground resonance stability. Extension-torsion elastic coupling (blade pitch decreases due to tension) decreases regressive lag mode stability in both airborne and ground contact conditions. Increasing thrust levels has a beneficial influence on ground resonance stability for rotors with pitch-flap and extension-torsion coupling and is only marginally effective in improving stability of rotors with pitch-lag coupling.

  13. Implementing Realistic Helicopter Physics in 3D Game Environments

    DTIC Science & Technology

    2002-09-01

    developed a highly realistic and innovative PC video game that puts you inside an Army unit. You’ll face your first tour of duty along with your fellow...helicopter physics. Many other video games include helicopters but omit realistic third person helicopter behaviors in their applications. Of the 48...to be too computationally expensive for a PC based video game . Generally, some basic parts of blade element theory are present in any attempt to

  14. Helicopter training simulators: Key market factors

    NASA Technical Reports Server (NTRS)

    Mcintosh, John

    1992-01-01

    Simulators will gain an increasingly important role in training helicopter pilots only if the simulators are of sufficient fidelity to provide positive transfer of skills to the aircraft. This must be done within an economic model of return on investment. Although rotor pilot demand is still only a small percentage of overall pilot requirements, it will grow in significance. This presentation described the salient factors influencing the use of helicopter training simulators.

  15. 77 FR 52270 - Airworthiness Directives; Agusta S.p.A. Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-08-29

    ... would take about three work- hours per helicopter to rework the top cable-cutter assembly, one work... would be $255 per helicopter to rework the top cable-cutter assembly, $9,085 per helicopter to replace... 4G9540A00111, either: (i) Rework the top cable cutter assembly, P/N 423-83001-1, in accordance with the...

  16. 78 FR 40055 - Airworthiness Directives; Agusta S.p.A. Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-03

    .... We also estimate that it would take about 3 work-hours per helicopter to rework the top cable cutter... helicopter to rework the top cable cutter assembly, $9,085 per helicopter to replace the top cable cutter... installing a WSPS upper installation, P/N 4G9540A00111, either: (i) Rework the top cable cutter assembly, P/N...

  17. 77 FR 27661 - Airworthiness Directives; Eurocopter Deutschland GmbH Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... Deutschland GmbH Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Notice of proposed... Deutschland GmbH (ECD) model EC135 helicopters, except the EC 135 P2+ and T2+. This proposed AD was prompted...) Applicability This AD applies to all Eurocopter Deutschland GmbH (ECD) Model EC135 helicopters, except EC 135 P2...

  18. A simulation investigation of scout/attack helicopter directional control requirements for hover and low-speed tasks

    NASA Technical Reports Server (NTRS)

    Bivens, Courtland C.; Guercio, Joseph G.

    1987-01-01

    A piloted simulator experiment was conducted to investigate directional axis handling qualities requirements for low speed and hover tasks performed by a Scout/Attack helicopter. Included were the directional characteristics of various candidate light helicopter family configurations. Also, the experiment focused on conventional single main/tail rotor configurations of the OH-58 series aircraft, where the first-order yaw-axis dynamic effects that contributed to the loss of tail rotor control were modeled. Five pilots flew 22 configurations under various wind conditions. Cooper-Harper handling quality ratings were used as the primary measure of merit of each configuration. The results of the experiment indicate that rotorcraft configurations with high directional gust sensitivity require greater minimum yaw damping to maintain satisfactory handling qualities during nap-of-the-Earth flying tasks. It was also determined that both yaw damping and control response are critical handling qualities parameters in performing the air-to-air target acquisition and tracking task. Finally, the lack of substantial yaw damping and larger values of gust sensitivity increased the possibility of loss of directional control at low airspeeds for the single main/tail rotor configurations.

  19. 78 FR 25380 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-01

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA), DOT. ACTION: Final rule. SUMMARY: We are adopting a new airworthiness directive (AD) for Eurocopter France... Determination These helicopters have been approved by the aviation authority of France and are approved for...

  20. VH-92A Presidential Helicopter (VH-92A)

    DTIC Science & Technology

    2015-12-01

    HMX - 1) and support the President worldwide and the Vice President primarily inside the National Capital Region. Mission tasking encompasses two (2...Factor: 19% of Total Aircraft Inventory (TAI) Squadrons: Marine Helicopter Squadron One ( HMX -1) Helicopters per (active) squadron: 16 Monthly Flight

  1. 78 FR 67022 - Airworthiness Directives; Bell Helicopter Textron, Inc., Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-08

    ... Apical Industries, Inc. (Apical) emergency float kit installed under Supplemental Type Certificate (STC... service information identified in this AD, contact Apical Industries, Inc., 2608 Temple Heights Drive..., 206L-4, and 407 helicopters with an Apical emergency float kit installed under STC number SR01535LA...

  2. Pitch-Plane Angular Displacement Perception During Helicopter Flight and Gondola Centrifugation.

    PubMed

    Tribukait, Arne; Bergsten, Eddie; Eiken, Ola

    During hovering with a helicopter, an involuntary change in attitude (during brownout) results in reduced lifting force and a horizontal acceleration component. This movement pattern is difficult to perceive via the otolith organs. If the angular displacement occurs rapidly, it will, however, activate the semicircular canals. The major aim of this study was to establish to what extent pitch-plane angular displacements can be perceived based on canal information when there is no tilt stimulus to the otoliths. In a helicopter, 9 nonpilots (N) and 8 helicopter pilots (P) underwent 5-6 pitch-forward displacements (magnitude 14-33°, angular velocity 2-7° · s -1 ). In a swing-out gondola centrifuge, 9 N and 3 P were exposed to a similar canal-otolith conflict (acceleration, seated centripetally) with four displacements of 25° and two of 60°. The visually perceived eye level (VPEL) was continuously recorded using an adjustable luminous dot in darkness. For each helicopter dive and centrifuge run the gain was calculated as the ratio (VPEL deflection)/(displacement of helicopter or gondola). In the helicopter there was no difference between N (0.28 ± 0.13) and P (0.36 ± 0.22). In the centrifuge the gains were 0.34 ± 0.18° (25° displacements) and 0.30 ± 0.16° (60° displacements). Values obtained in the helicopter did not differ significantly from those in the centrifuge. There was a correlation between data obtained during the 25° and 60° displacements in the centrifuge. There was a pronounced underestimation of pitch angular displacements in a helicopter. The interindividual variability was considerable. Gains for perceived displacement were similar in helicopter and centrifuge. Tribukait A, Bergsten E, Eiken O. Pitch-plane angular displacement perception during helicopter flight and gondola centrifugation. Aerosp Med Hum Perform. 2016; 87(10):852-861.

  3. Low back pain in Norwegian helicopter aircrew.

    PubMed

    Hansen, O B; Wagstaff, A S

    2001-03-01

    The size and consequences of low back pain (LBP) in Norwegian helicopter aircrew has been investigated in a retrospective and prospective survey. With 50.5% reporting such pain in a 2-yr period, and Sea King aircrew reporting LBP on on almost half (49.3%) of the missions flown, the magnitude of the problem equals that reported from other air forces. Pilots reported LBP six times more often than other crewmembers and almost half (48.6%) felt the pain influenced the quality of work. This could have flight safety implications. Crewmembers with total flying time over 2,000 h have a significantly higher incidence of sick leave than those with less than 2,000 h. Only 1 pilot out of 10 with total flying time under 500 h had had flight-related LBP.

  4. Advanced helicopter cockpit and control configurations for helicopter combat missions

    NASA Technical Reports Server (NTRS)

    Haworth, Loran A.; Atencio, Adolph, Jr.; Bivens, Courtland; Shively, Robert; Delgado, Daniel

    1987-01-01

    Two piloted simulations were conducted by the U.S. Army Aeroflightdynamics Directorate to evaluate workload and helicopter-handling qualities requirements for single pilot operation in a combat Nap-of-the-Earth environment. The single-pilot advanced cockpit engineering simulation (SPACES) investigations were performed on the NASA Ames Vertical Motion Simulator, using the Advanced Digital Optical Control System control laws and an advanced concepts glass cockpit. The first simulation (SPACES I) compared single pilot to dual crewmember operation for the same flight tasks to determine differences between dual and single ratings, and to discover which control laws enabled adequate single-pilot helicopter operation. The SPACES II simulation concentrated on single-pilot operations and use of control laws thought to be viable candidates for single pilot operations workload. Measures detected significant differences between single-pilot task segments. Control system configurations were task dependent, demonstrating a need for inflight reconfigurable control system to match the optimal control system with the required task.

  5. Flight tests of IFR landing approach systems for helicopters

    NASA Technical Reports Server (NTRS)

    Bull, J. S.; Hegarty, D. M.; Peach, L. L.; Phillips, J. D.; Anderson, D. J.; Dugan, D. C.; Ross, V. L.

    1981-01-01

    Joint NASA/FAA helicopter flight tests were conducted to investigate airborne radar approaches (ARA) and microwave landing system (MLS) approaches. Flight-test results were utilized to prove NASA with a data base to be used as a performance measure for advanced guidance and navigation concepts, and to provide FAA with data for establishment of TERPS criteria. The first flight-test investigation consisted of helicopter IFR approaches to offshore oil rigs in the Gulf of Mexico, using weather/mapping radar, operational pilots, and a Bell 212 helicopter. The second flight-test investigation consisted of IFR MLS approaches at Crows Landing (near Ames Research Center), with a Bell UH-1H helicopter, using NASA, FAA, and operational industry pilots. Tests are described and results discussed.

  6. Helicopter noise measurements data report. volume I. helicopter models: Hughes 300-C. Hughes 500-C, Bell 47-G. Bell 206L

    DOT National Transportation Integrated Search

    1977-04-01

    This data report contains the measured noise levels obtained from an FAA Helicopter Noise Test Program. The purpose of this test program was to provide a data base for a possible helicopter noise certification rule. The noise data presented in this t...

  7. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Helicopter hospital emergency medical....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... certificate holder may assign a helicopter flight crewmember, and no flight crewmember may accept an...

  8. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Helicopter hospital emergency medical....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... certificate holder may assign a helicopter flight crewmember, and no flight crewmember may accept an...

  9. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Helicopter hospital emergency medical....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... certificate holder may assign a helicopter flight crewmember, and no flight crewmember may accept an...

  10. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 14 Aeronautics and Space 3 2014-01-01 2014-01-01 false Helicopter hospital emergency medical....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... certificate holder may assign a helicopter flight crewmember, and no flight crewmember may accept an...

  11. 14 CFR 135.271 - Helicopter hospital emergency medical evacuation service (HEMES).

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Helicopter hospital emergency medical....271 Helicopter hospital emergency medical evacuation service (HEMES). (a) No certificate holder may... certificate holder may assign a helicopter flight crewmember, and no flight crewmember may accept an...

  12. Clinical handover of patients arriving by ambulance to the emergency department - a literature review.

    PubMed

    Bost, Nerolie; Crilly, Julia; Wallis, Marianne; Patterson, Elizabeth; Chaboyer, Wendy

    2010-10-01

    To provide a critical review of research on clinical handover between the ambulance service and emergency department (ED) in hospitals. Data base and hand searches were conducted using the keywords ambulance, handover, handoff, emergency department, emergency room, ER, communication, and clinical handover. Data were extracted, summarised and critically assessed to provide evidence of current clinical handover processes. From 252 documents, eight studies fitted the inclusion criteria of clinical handover and the ambulance to ED patient transfer. Three themes were identified in the review: (1) important information may be missed during clinical handover; (2) structured handovers that include both written and verbal components may improve information exchange; (3) multidisciplinary education about the clinical handover process may encourage teamwork, a shared common language and a framework for minimum patient information to be transferred from the ambulance service to the hospital ED. Knowledge gaps exist concerning handover information, consequences of poor handover, transfer of responsibility, staff perception of handovers, staff training and evaluation of recommended strategies to improve clinical handover. Evidence of strategies being implemented and further research is required to examine the ongoing effects of implementing the strategies. Copyright © 2009 Elsevier Ltd. All rights reserved.

  13. 78 FR 9634 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ...-0119; Directorate Identifier 2011-SW-034-AD] RIN 2120-AA64 Airworthiness Directives; Eurocopter France...). SUMMARY: We propose to adopt a new airworthiness directive (AD) for Eurocopter France (Eurocopter) Model... helicopter. FAA's Determination These helicopters have been approved by the aviation authority of France and...

  14. 77 FR 5991 - Airworthiness Directives; Eurocopter France Helicopters

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-07

    ... Airworthiness Directives; Eurocopter France Helicopters AGENCY: Federal Aviation Administration (FAA... airworthiness directive (AD) for the Eurocopter France (ECF) Model AS332L2 helicopter and superseding an AD for... of France and are approved for operation in the United States. Pursuant to our bilateral agreement...

  15. METABOLIC SYNDROME AND DAILY AMBULATION IN CHILDREN, ADOLESCENTS, AND YOUNG ADULTS

    PubMed Central

    Gardner, Andrew W.; Parker, Donald E.; Krishnan, Sowmya; Chalmers, Laura J.

    2012-01-01

    Purposes To compare daily ambulatory measures in children, adolescents, and young adults with and without metabolic syndrome, and to assess which metabolic syndrome components, demographic measures, and body composition measures are associated with daily ambulatory measures. Methods Two-hundred fifty subjects between the ages of 10 and 30 years were assessed on metabolic syndrome components, demographic and clinical measures, body fat percentage, and daily ambulatory strides, durations, and cadences during seven consecutive days. Forty-five of the 250 subjects had metabolic syndrome, as defined by the International Diabetes Federation. Results Subjects with metabolic syndrome ambulated at a slower daily average cadence than those without metabolic syndrome (13.6 ± 2.2 strides/min vs. 14.9 ± 3.2 strides/min; p=0.012), and they had slower cadences for continuous durations of 60 minutes (p=0.006), 30 minutes (p=0.005), 20 minutes (p=0.003), 5 minutes (p=0.002), and 1 minute (p=0.001). However, the total amount of time spent ambulating each day was not different (p=0.077). After adjustment for metabolic syndrome status, average cadence is linearly associated with body fat percentage (p<0.001) and fat mass (p<0.01). Group difference in average cadence was no longer significant after adjusting for body fat percentage (p=0.683) and fat mass (p=0.973). Conclusion Children, adolescents, and young adults with metabolic syndrome ambulate more slowly and take fewer strides throughout the day than those without metabolic syndrome, even though the total amount of time spent ambulating is not different. Furthermore, the detrimental influence of metabolic syndrome on ambulatory cadence is primarily a function of body fatness. PMID:22811038

  16. Prevalence of PTSD and common mental disorders amongst ambulance personnel: a systematic review and meta-analysis.

    PubMed

    Petrie, Katherine; Milligan-Saville, Josie; Gayed, Aimée; Deady, Mark; Phelps, Andrea; Dell, Lisa; Forbes, David; Bryant, Richard A; Calvo, Rafael A; Glozier, Nicholas; Harvey, Samuel B

    2018-06-05

    There is increasing concern regarding the mental health impact of first responder work, with some reports suggesting ambulance personnel may be at particularly high risk. Through this systematic review and meta-analysis we aimed to determine the prevalence of mental health conditions among ambulance personnel worldwide. A systematic search and screening process was conducted to identify studies for inclusion in the review. To be eligible, studies had to report original quantitative data on the prevalence of at least one of the following mental health outcome(s) of interest (PTSD, depression, anxiety, general psychological distress) for ambulance personnel samples. Quality of the studies was assessed using a validated methodological rating tool. Random effects modelling was used to estimate pooled prevalence, as well as subgroup analyses and meta-regressions for five variables implicated in heterogeneity. In total, 941 articles were identified across all sources, with 95 full-text articles screened to confirm eligibility. Of these, 27 studies were included in the systematic review, reporting on a total of 30,878 ambulance personnel. A total of 18 studies provided necessary quantitative information and were retained for entry in the meta-analysis. The results demonstrated estimated prevalence rates of 11% for PTSD, 15% for depression, 15% for anxiety, and 27% for general psychological distress amongst ambulance personnel, with date of data collection a significant influence upon observed heterogeneity. Ambulance personnel worldwide have a prevalence of PTSD considerably higher than rates seen in the general population, although there is some evidence that rates of PTSD may have decreased over recent decades.

  17. Lightweight Boom For Rescue Helicopter

    NASA Technical Reports Server (NTRS)

    Haslim, Leonard A.

    1993-01-01

    Telescoping boom and associated mechanisms attached to helicopter aid rescue operations by extending lifeline beyond sweep of main rotor. Pilot observes rescuee and control position of helicopter more effectively than if rescuee directly below and hidden from pilot's view. Rescuee outside downdraft of rotor, which is often powerful enough to blow away or submerge someone in water. Used for marine or land operations. Boom thin and lightweight because it need not support weight of rescuee. Lifeline pulls away from boom after secured around rescuee, who is lifted directly into cabin by winch. Potential application for in situ erection of telescopic space structures.

  18. Basic Helicopter Handbook, Revised. AC 61-13A.

    ERIC Educational Resources Information Center

    Federal Aviation Administration (DOT), Washington, DC. Flight Standards Service.

    This technical manual was designed to assist applicants preparing for the private, commercial, and flight instructor pilot certificates with a helicopter rating. The chapters outline general aerodynamics, aerodynamics of flight, loads and load factors, function of controls, other helicopter components and their functions, introduction to the…

  19. Evaluation of insight training of ambulance drivers in Sweden using DART, a new e-learning tool.

    PubMed

    Albertsson, Pontus; Sundström, Anna

    2011-12-01

    The aim of the study was to evaluate whether a new e-learning tool for insight training of ambulance drivers can have an effect on drivers' driving behaviors, perceived driving competence, competence to assess risks, self-reflection, and safety attitudes. A quasi-experimental study design, with participants nonrandomly assigned into a control and intervention group, was used. The intervention group participated in the insight-training course and the control group did not. Both groups completed a self- and peer assessment online questionnaire before and after the training. The main finding is that the ambulance drivers assessed themselves through the instruments after the training, with the e-learning tool Driver Access Recording Tool (DART), as safer drivers in the areas of speed adaptation, closing up, and overtaking. In the answers from the group-based evaluation, the ambulance drivers responded that they were more reflective/analytical, had increased their risk awareness, and had changed their driving behaviors. After insight training, the ambulance drivers in this study assessed themselves as safer drivers in several important areas, including speed adaptation, closing up, and overtaking. In future training of ambulance drivers there should be more focus on insight training instead of previous training focusing on maneuvering capabilities.

  20. Study on advanced life support devices in the ambulances for emergency cases in Klang Valley, Malaysia.

    PubMed

    Ismail, M S; Hasinah, A B; Syaiful, M N; Murshidah, H B; Thong, T J; Zairi, Z; Idzwan, Z; Herbosa, T J; Johar, M J; Ho, S E; Das, S

    2012-01-01

    In an effort to improve pre-hospital care, the authors assessed the availability and utility of ambulance devices. The study aimed to identify commonly used devices for managing emergency cases in Klang Valley of Malaysia. This was a prospective study comprising of 1075 emergency ambulances running on 30 days. The study analyzed the availability and utilization of life support equipment in nine ambulance providers of Klang Valley in Malaysia. The devices were classified into: (a) airway and ventilation, (b) immobilization and haemorrhage control and (c) communication. The percentage of device utilization was analysed using computerised software. Results showed only one ambulance service had complete equipment in accordance to international standards. In term of utilisation of life support equipment, oxygen delivery devices were used in 493 (45.86%) runs. The most used devices in immobilisation and haemorrhage control were:- (a) scoop stretcher in 321 (29.86%) runs, (b) wound dressings in 250 (23.26%) runs and (c) rigid spinal board in 206 (19.16%) runs. Two-way radios were used in 745 (69.30%) runs while mobile phones were used in 429 (39.91%) runs. In conclusion, ambulances in Klang Valley had a large variation in the availability of life support devices. This emphasizes a need for standardization of equipment.