Pediatric emergency medicine trisk 0339 0339

dangers, and gravitational forces Helipad availability, landing zones, and other issues of aircraft accessibility must also be determined Although these logistical issues are ultimately the responsibility of the air transport service and are usually predetermined for the interfacility transport, additional or updated information should be provided by the referral center personnel On the helipad or tarmac, one must be especially careful around aircraft with engines running (“hot loading”) The helicopter’s tail rotor and plane’s propellers are often invisible when turning but capable of inflicting severe damage upon those who venture too close Loose clothing, medical equipment, and stretcher pads can become entangled in a helicopter’s rotors, causing severe damage to the aircraft and to the passengers/staff of the transport In general, only crew and specifically trained personnel should approach an aircraft, especially if the engines are running or potentially starting Approach to the aircraft should always be done under the direction of the flight crew or designated flight safety personnel MEDICAL–LEGAL ISSUES Patient transport is governed by a variety of federal, state, and local statutes Transport teams and their members may be sued for malpractice under traditional tort law Therefore, it is important that all members of the transport team understand applicable regulations and avoid unnecessary medical–legal risk Timely, legible, and complete documentation is imperative This includes not only the team members onsite, but also the communications personnel and the medical team receiving information or giving advice This documentation should professionally address any decision points and inconsistencies in standard of delivery of care, including responsiveness, mode of transport, personnel notification, preparation for patient’s needs, and any delays that may be anticipated or encountered