Air Medical Transport Midterm Exam 2025

What is the "goal" of critical care transport? - Correct Ans-"ICU to ICU without the patient ever knowing they left the ICU" What is the most common air staff configuration in the US? - Correct Ans-Nurse / paramedic What is the most common air staff configuration in Europe? - Correct Ans-Physician / paramedic What is the best crew configuration? - Correct Ans-One that is able to offer the most optimal care to the patient. In critical care transport, what two things combined can lead to great outcomes? - Correct Ans-High speed transport and advanced skills True or false : CCEMTP personnel can practice without the oversight of a physician. - Correct Ans-False A patient who is stable with no risk for deterioration would receive what kind of treatments during transport? - Correct Ans-Oxygen, monitoring of vital signs, saline lock. A pt who is stable with low risk of deterioration would receive what kind of treatments during transport? - Correct Ans-Running IV, some IV medications including analgesics, pulse oximetry. A patient who is stable with medium risk of deterioration would receive what kind of treatments during transport? - Correct Ans-EKG monitoring, basic cardiac medications A patient who is stable with a high risk of deterioration would receive what kind of treatments during transport? - Correct Ans-Patients requiring advanced airway control (intubated, on a ventilator), patients on multiple vasoactive medications What classifies as a patient who is unstable? - Correct Ans-Those who: -Can't be stabilized by transferring facility -Are actively deteriorating -Are post-resuscitation -Require invasive monitoring -Are on a balloon pump Air Medical Transport Air Medical Transport -Have sustained multiple trauma A patient who is post-resuscitation would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-Unstable A patient who requires invasive monitoring would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-Unstable Patients on a balloon pump would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-Unstable Patients who have sustained multiple trauma would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-Unstable Patients requiring advanced airway management such as intubation would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-High risk Patients on multiple vasoactive medications would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-High risk Patients who require EKG monitoring and basic cardiac medications would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-Medium risk Patients who need a running IV and some IV medications would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-Low risk Patients that require oxygen, a saline lock and monitoring of vitals signs would classify as no risk, low risk, medium risk, high risk, or unstable? - Correct Ans-No risk What are the six inter-hospital transport criteria? - Correct Ans--Referral access -Physician consultation -Bed reservation -Patient stabilization -Transportation -Follow up True or false : There is a complete national count of ground ambulances crashes in the United States. - Correct Ans-False What does federal law require of first responders when operating on roadways? - Correct Ans-Requires that first responders always wear fluorescent and retro-reflective material when operating on roadways. How often must aviation transport report their position? - Correct Ans-Aviation needs to report position every 15 minutes. Air Medical Transport Air Medical Transport How often must ground transport report their position? - Correct Ans-Ground needs to report position every 45 minutes. A transport vehicle fails to report their position. How long after they are due to report is a PAIP actived? - Correct Ans-15 minutes A transport vehicle fails to report their position. After 15 minutes, what is activated? - Correct Ans-Post-accident incident plan (PAIP) How many live intubations does CAMTs require crew members must have every year? - Correct Ans-No fewer than five How many live intubations does CAMTs require crew members must have every quarter? - Correct Ans-At least 1 True or false: A CAMTs paramedic has just completed a 24 hour shift, and has picked up another shift that starts 8 hours from now. This is permitted by his agency. - Correct Ans-False CAMTs requires you to have at least 12 hours of rest after a 24 hours shift before returning to work. CAMTs requires that medical personnel receive how many hours of rest between shifts? - Correct Ans-12 hours This term comes from the radio call sign given to the first air medical helicopter evacuation unit, the 57th medical detachment which arrived in Vietnam in 1962. - Correct Ans-Dustoff This always comes before patient care. - Correct Ans-Safe flight operations Average start up time for a single engine aircraft. - Correct Ans-1-3 minutes Average start up time for a twin-engine aircraft. - Correct Ans-2-6 minutes This type of air medical transport is considered for transports less than 150 nautical miles. - Correct Ans-Rotor wing (RW) Rotor wing aircraft generally operate at sustained speeds of ___ - ___ miles per hour. - Correct Ans-100-200 miles per hour. Rotor wing aircraft generally operate at what altitudes? - Correct Ans-Up to 10,000 feet. True or false: Air Medical Transport Air Medical Transport Rotor wing aircraft are used to serve a large population base. - Correct Ans-True True or false: Rotor wing aircraft can carry more weight than fixed wing aircraft. - Correct Ans-False Air medical transport by rotor wing aircraft generally costs the patient how much? - Correct Ans-$25,000-$50,000 This type of air medical transport is considered for transports greater than 150 nautical miles. - Correct Ans-Fixed wing transport Air transport by fixed wing craft can cost a patient how much? - Correct Ans-$50,000 - $125,000 This type of air medical transport typically involves more planning and usually pre screens patients to approve them for transport. - Correct Ans-Fixed wing air transport In 2002, this was the estimated mortality rate for an HAA member that worked for 20 years averaging 20 hours per week. - Correct Ans-Mortality rate 50% True or false: NRSB lists that aircraft accidents are never caused by one single event. - Correct Ans True This is the single greatest hazard to HAA operations. - Correct Ans-Weather For-profit HAA make up less that 40% of the HAA providers in the US, but account for what percent of HAA crashes? - Correct Ans-80% This act prohibits individual states from placing restrictions on commercial air carriers. - Correct Ans-The Airline Deregulation Act of 1978 A pilot is trying to land when the medical crew on board observes wires crossing over the landing zone. The crew informs the pilot of the situation and the pilot circles the aircraft back around while a different landing zone is established below. The pilot listening to the medical crew's observations of an impending dangerous situation is an example of what? - Correct Ans-Crew resource management (CRM) This is defined as "using all available resources - information, equipment and people - to achieve safe and efficient flight operations". - Correct Ans-Crew resource management (CRM) Air Medical Transport Air Medical Transport Who is obligated to immediately and assertively intervene if the level of skill displayed by the pilot falls below a safe standard? - Correct Ans-The medical crew members (YOU) This occurs when sequential calls are made to numerous air medical providers in an attempt to find a service that will accept a mission request that has been declined by others based on safety factors, including poor weather, limited landing zone availability, and exceptional distances - Correct Ans-Helicopter shopping What is an important thing to remember if you see poles? - Correct Ans-Where there's poles, there's wires. What is the 51% rule? - Correct Ans-The 51% rule allows any crew member the right to decline a flight. A point based system that is used to assess the risk of a flight. Points are assigned based on different factors, including the experience of the pilot and the crew, day versus night flight, and duty hours. - Correct Ans-Risk matrix What is the minimum ground time/distance in which air medical transport is considered to be beneficial to the patient? - Correct Ans-30 miles / 30 minutes It is estimated that what percent of flights are made for patients with non-life threatening injuries, where a helicopter should have never been activated? - Correct Ans-52% 4 absolute contraindications for HAA - Correct Ans--Terminal illness -DNRs -Cardiac arrest w/o ROSC -Morbidly obese patients Title 14 CFR Part 135 aircraft can only perform instrument approaches into airports that have this on site. - Correct Ans-On-site weather reporting facilities Where is the typical approach area of a helicopter