Aeromedical Staffing Services
ACT Medical Solutions Emergency Paramedics and Nurses are capable to deliver Basic Life Support (BLS) transport in the pre-hospital and interfacility environment. Clinical Crew member, Paramedics and Nurses are national training. Paramedics are board certified as Critical Care Paramedics (FP-C) by the IBSC. Nurses are board Certified Transport Register Nurse (CFRN) by the BCEN.
ACT Clinical Crew can operate the following equipment, procedure, and medications while working in all transport environment.
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Oral/pharyngeal airway
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Pulse oximeter
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Automatic external defibrillator
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Bag-valve mask
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Glucometer
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Adequate oxygen source
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Hemorrhage control supplies/equipment (such as tourniquets, packing materials)
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Depends on state/local or national requirements, or medical director requirements (e.g.,
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auto-injector)
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Bag-valve mask ventilation and oxygenation
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Selective spinal immobilization
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Non-invasive vital sign measurement (e.g., blood pressure, pulse-oximetry)
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Control of bleeding
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Exposure (Infection) control
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Rapid sequence induction (medication facilitated)
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Surgical airway
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Ability to manage tube thoracostomy
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Ability to manage central line
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Blood product infusion
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Continuous temperature management (i.e., therapeutic hypothermia)
ACT Medical Solutions ALS Scope of Care are capable to deliver out-of-hospital care during the acute resuscitation phase before definitive care is provided (e.g. comparable to emergency department stabilizing care or an ICU transfer to more definitive care). ACT Medical Solutions ALS crew are direct patient care provided and can also perform as a vehicle operator. The ALS primary care provider of the clinical crew may be a physician, registered nurse, or a paramedic. The nurse, paramedic who is the primary care provider have 3 years of critical care experience. Critical care experience is defined as no less than 4000 hours’ experience in an ICU or an emergency department. In addition, nurses and paramedics in the primary care provider role have experience in the medications and interventions listed below as well as IABP management (if part of scope of care), central line monitoring, left arterial wedge pressure monitoring and ventilator management. Additionally primary care can work autonomous under any scope of practice from the requesting service.
ACT Medical Solutions ALS can operate all equipment in BLS, ALS and Emergency Critical Care. ACT Medical Solutions ALS can operate multimodality ventilators appropriate to all patient age categories being transported (APRV, reverse I:E). ACT Medical Solutions ALS Crews are to also operate Invasive monitoring including hemodynamic (e.g., pulmonary artery catheters), cardiac (e.g., IABP), and neurological (e.g., intracranial pressure monitors). ACT Medical Solutions ALS Crews medications knowledge includes all medications in ALS and Emergency Critical Care and medication infusion pumps. ACT Medical Solutions ALS Crews interventions includes all interventions in BLS, ALS and Emergency Critical Care plus the ability to perform tube thoracotomy (if in scope of care of requesting service)
All our medical crews are qualified as Rotor or Fix wing Crew and are required to maintain qualification as both areas. All ACT Flight Crew are required to maintain state & system licensure as Registered Nurse and/or Paramedic, Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) National level Critical Care Transport certification – CFRN/FP-C. Competency training in advanced practice skills such as invasive line monitoring, needle thoracotomies, intraosseous line insertion (adult/pediatric), and administration/monitoring of blood products. Advanced airway maneuvers (endotracheal intubation, nasotracheal intubation, surgical airway insertion) and pharmaceutically assisted intubation (aka. Rapid Sequence Intubation). Use of ultrasound device for Point-of-care ultrasound (PoCUS) exam. Night vision goggles (NVGs) qualification.
ACT Flight Crews have additional training in:
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Patient loading and unloading – policy for rapid loading/unloading procedures.
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Refueling policy emergency situations.
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Hazardous materials recognition and response.
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Highway scene safety management.
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Survival training/techniques/equipment (Includes water egress survival training)
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Smoke in the cockpit/cabin, firefighting in the cockpit/cabin.
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Emergency evacuation of crew(s) and patient(s).
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Hands-on practice of survival techniques
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Use of emergency locator transmitter (ELT)
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Altitude physiology.
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Day- and night-flying protocols.
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EMS communications (radios).
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Extrication devices and rescue.
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General aircraft safety.
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Emergency shutdown.
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Aviation terminology, communication, and emergency communications frequency.
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In-flight emergency and emergency landing procedures.
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Safety in and around the aircraft.
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Specific capabilities, limitations and safety measures for most aircraft used in HEMS.
