Medical Helicopter Crashes: Turning Injuries into Fatalities

John Demas
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Posted by John DemasFebruary 18, 2009 2:30 PM

Although the sounds of the circulating blades of an approaching medical helicopter are of great comfort to someone who’s been seriously injured, more and more of these flying machines are coming under greater scrutiny due to their increasing number of crashes. In February of 2009, the National Transportation Safety Board (NTSB) held hearings for four days looking into this growing national problem.

During those hearings, the NTSB stated it had recently reviewed a specific twelve- month period when “nine fatal medical helicopter accidents . . .killed 35 people.” The NTSB went on to note that between January 2002 and January 2005, there were fifty-five deaths and eighteen serious injuries that could have been prevented if these helicopters had observed higher standards.

Numbers like these clearly indicate that there’s a need for new guidelines to govern when these helicopters may go out on rescue missions. Furthermore, they should also remind every injured citizen that he or she should have the right to choose emergency ground transportation instead. We’re not only losing or impairing the valuable lives of our everyday citizens, we’re also risking the lives of the highly trained professionals who fly these helicopters and stand ready to administer medical care aboard
them.

In light of the recent NTSB hearing testimony, both private and government-run medical facilities need to re-think a variety of factors before putting pilots, on-board medical personnel and all injured persons at further risk.

By carefully revising guidelines concerning each of the following factors, hopefully our government can start immediately decreasing all medical helicopter accidents.

• Strict logs should be kept noting the exact weather conditions existing at the proposed helicopter launching site – as well as those prevailing where the injured party is waiting. If both sets of weather conditions do not meet pre-set minimum standards, then emergency ground transportation should be sent as opposed to a medical helicopter.

• Only the most experienced helicopter pilots should be allowed to fly on these missions. They must meet a stringent, minimum number of flying hours before handling this critical service.

• When transport organs need to be flown to a waiting recipient and the weather conditions are very poor, that party may have to consider another donor organ from a different medical facility. Alternatively, perhaps a hospital employee could fly on a major airline with the organ, if it appears that the larger aircraft might be able to provide a more stable flight during sub-standard weather.

• Pilots must routinely submit to random alcohol and drug tests . Furthermore, they should not be allowed to fly for an excessive number of hours without rest. Fines should be imposed on all employers who try to force pilots to fly their medical helicopters for unreasonably long hours.

• Certain serious but non-critical injuries may need to be routinely handled by emergency ground transportation

• Strict medical helicopter maintenance records must be kept and subject to regular government review. Hospitals and other medical facilities should only be allowed to contract out their medical helicopter needs with companies that have already met stringent government standards.

Hopefully, if these and other factors are carefully considered, we will start to see an immediate decrease in the number of injuries being turned into fatalities by wayward medical helicopters. Both the National Transportation Safety Board (NTSB) and the Federal Aviation Administration (FAA) need to work closely together to create proper standards for these critical flights. They should also offer to regularly consult with state and local governments that need help with drafting supplemental guidelines.

3 Comments

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Mac Garrison
Posted by Mac Garrison
February 19, 2009 1:16 PM

Several of your suggestions are already in place and are nothing new. Pilots are considered DOT employees, so we are subject to FAA mandated pre-employment, post-accident, and random drug screenings.

The FAA also mandates duty hours and flight hours for all Part 135 operations. Since flying a patient onboard constitutes operating under FAR Part 135, pilots are subject to a 14 hour duty limitation and are limited to 8 hours of flight time per 24 hour period.

I have never heard of any company forcing a pilot to fly an EMS helicopter "an unreasonable" amount of flight hours. The regulations are clear, any pilot violating the flight hour and duty hour restrictions are subject to having their licenses suspended and/or revoked. Companies intentionally violating these regulations are also already subject to strict punishment, including having their certificates revoked.

Maintenance records are already subject to review at any time. The FAA can walk into any flight operation at anytime and inspect any maintenance record that they want to. Faulty maintenance has happened in the past, but it hasn't contributed to the latest rash of accidents.

The points you have made are valid, but these policies and procedures are already in place. I doubt that many of them are being willfully violated by pilots and operators. I am also unaware of any of the issues that I have just mentioned are contributing to or causing any of the most recent accidents.

Mac Garrison
Kingwood TX

Amber Wheat
Posted by Amber Wheat
February 19, 2009 6:23 PM

Interesting article. Thank you for the reassurance Mac, it is nice to know that regulations are already in place. As a pilot, what do you think is causing the increase in crashes? Is it a fluke? Is there anything we can do about it? I mean, if it's an issue of funding or manpower, I would like to know. Medical helicopter transportation saves so many lives, I hope that the programs are a priority. I look forward to seeing how the hearings impact the situation.

Mike Bryant
Posted by Mike Bryant
February 20, 2009 5:15 PM

Interesting topic. Hopefully, we will see improvement the more that this issue is looked at.

Comments for this article are closed.

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