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The Next Outbreak: How Well do We Disinfect Our Medical Equipment and Transport Vehicles?

Ronald Estanislao  BA, NRP, FP-C, C-NPT Boston Medflight

The healthcare industry paradigm is to provide high quality patient care while preventing nosocomial infection and disease. It is also well known in the industry that medical equipment and hospitals are harbingers of infectious agents. Therefore, it is vital that we adopt the best practices for infection control and disinfection. There are very clear vectors and infectious agents that cause infections in patients as well as healthcare workers. There are documented studies regarding medical equipment disinfection and environment cleaning in the hospital environment, but very little if any studies exist for the prehospital arena. How well do we really disinfect our medical equipment and transport vehicles in the air medical transport industry?

Helicopter Air Ambulance And Weather Related Accidents
Bryan Butler, PHI Air Medical

2000-5, a Simple Solution to Weather Related Helicopter Air Ambulance Fatal Accidents

Error Medical Adventures
K.C. Jones,  CMTE , MTSP-C,  Med-Trans Corporation

Error Medical Adventures (EMA) will focus on the risky behaviors and distractions flight crews encounter each day. Case studies, and industry surveys will be highlighted to help crew members better recognise and combat at risk attitiudes, and behaviors in themselves and others. Examples of common work place situations will be presented to emphasize how easily we can be  distracted from tasks at hand.

From Tragedy to Recovery:  Anatomy of the Mercy Air Med Crash- 1/2/2013
Bryan Williams  RN, BSN Mercy Air Med

Bryan Williams, Chief Flight Nurse, brings a detailed account of the Mercy Air Med Crash that occurred 1/2/2013 in a field in northern Iowa.  He will give a first-hand account of the heartache that was experienced, and the process by which the department was pieced back together.

Helmet Fire
James Marshall, Enloe FlightCare

Task saturation is having to much to do without enough time, tools, or resources to do it.  As task saturation increases a flight crew member(s) may be unable to continue performing efficiently.  Until an organization recognizes this risk they cannot effectively address it.

OSI-HEMS: Its Not How Safe You Fly, Its How you Fly Safe
Ira Blumen , MD

Vision Zero must be our ultimate objective, but it is more than not having an accident. It’s not how safe you fly, but it’s how you fly safe. While it may never be possible to prevent all helicopter EMS (HEMS) accidents, we may, however, be putting our crews and patients at unnecessary risk if we miss opportunities that could reduce the number of accidents and save lives. Since 1972, there have been over 340 HEMS accidents in the U.S. – over 220 since 1998. Over one-third of the accidents resulted in one or more fatalities. Over a 20 period, these accidents have killed more than 160 of our colleagues and 21 patients whose lives were entrusted to us. This presentation will review the findings of the most extensive HEMS safety research to date. During this multi-year study, more than 40 air medical and aviation professionals spent more than 13,000 cumulative hours to analyze 144 HEMS accidents. The team reviewed nearly 3,000 electronic NTSB containing more than 12,500 pages and pictures. Following this extensive root cause analysis, the research group identified interventions and mitigating factors that may have prevented these accidents. Finally, objective recommendations will be made to provide decision-makers with an opportunity to determine how and where to make safety-related improvements that may prevent future accidents and save lives.

5 to Go: 1 to Say No
Sunshine McCarthy, MA, BS Baldwin Safety & Compliance

The idea behind this safety philosophy is a strong one. Everyone on the team (pilot, paramedic, flight nurse, maintenance technician and operation control specialist) agrees on an acceptable level of risk, allowing the transport to proceed.   However, what does it really take to say NO. Studies have shown that by nature we don’t like to standout, make waves, or secondguess others with more experience or authority.  So how then do we raise concerns when we have them? This session will address: What’s behind the fear of speaking up, Why it’s critical for everyone involved to take responsible and share concerns, The type of organizational cultural necessary to make this process successful,Skills to effectively communicate a concern and the benefits of performing a Post-Flight Debriefing

Safety Culture: How We Lead
Tom Baldwin  MBA-HCA, NRP, CMTE Air Evac Lifeteam

The term Safety Culture has become rather ubiquitous in recent years.  This lecture examines the foundations of safety cultures and includes a multifaceted look at the basic fundamentals of developing, maintaining, and measuring a safety culture in your organization with an emphasis on the tenets of a Just Culture and Safety Management Systems.

You Survived The Crash, Now What?
Carroll Ward, NREMT-P,  Scott Nance and Lisa Scott BSN, RN, CEN Nightingale Regional Air Ambulance

Crew Survival Training. The intent of this session is to stress the importance of when to plan for an emergency, what equipment may be needed in any given emergency and how to use it. Also what the aircraft and its parts can be used for in a survival situation

Rock It Like Sully! CRM Tools We Can Take Away From The Miracle On The Hudson
Randy Mains, BA, ATP, CRMI, EM. Oregon Aero

Captain Chesley Sully Sullenberger was a crew resource management (CRM) instructor for fourteen  years prior to saving the lives of 155 people when he made the decision to land on the Hudson River.  He followed a decision-making tool called Risk Resource Management developed by Mr. John Ross at US Airways, created to turn around an unacceptable accident rate in the airline back in the 90’s.  If the tool wasn’t easy to use and understand, the air crews wouldn’t use it, Ross says.  In this presentation we will review and discuss the presentation Ross gave to new Southwest Airline pilots detailing a step-by-step case study of Sully’s famous flight describing the decisions he made using the mental tool from engines flaming out to touch down.  A discussion will follow how integrate the tool applied to air medical resource management (AMRM).

Flight Data Monitoring: Creating, Managing and Utilizing
Jeff Currin and  Matt Hilton Truth Data Insights

As the 2018 deadline to equip air medical aircraft with flight data recorders looms, this course seeks to provide an opportunity to look at many of the elements that make up a flight data program. The session will touch on a number or topics from, program startup components, data management tasks and the many considerations needed when doing analysis of flight data. Most importantly, the discussion will provide successful examples on how organizations can learn from using flight data in a Safety Management System.

Putting Professionalism Back into Aviation Decision Making!
Rex Alexander  BS, AMM HeliExperts International LLC

In 2011 the National Transportation Safety Board (NTSB) (US) added Pilot and Air Traffic Controller Professionalism to their top ten most wanted list.  The NTSB cited a disturbing number of individual incidents of noncompliant behavior, intentional misconduct, or lack of commitment to essential tasks.  In this session we will review ten undesirable attitudes that everyone must guard against, not only in themselves but in their organizations that can destroy professionalism and negatively impact pilot decision making.