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<div class=3DSection1>

<p class=3DMsoNormal><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:18.0pt;font-family:Arial;mso-no-proof:yes'>Air Transport=
</span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:18.0pt;font-=
family:
Arial'><o:p></o:p></span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><o:p>&nbsp;=
</o:p></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Poli=
cy:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'>Air transportation should be used whenever patient care =
can
be improved by decreasing transport time to the most appropriate facility o=
r by
giving advanced care not available from ground <st1:place w:st=3D"on">EMS</=
st1:place>
services.<b><i><span style=3D'mso-spacerun:yes'>&nbsp; </span>This policy d=
oes
not address every possible situation, thus the attending paramedic may devi=
ate
as necessary based on the situation.<span style=3D'mso-spacerun:yes'>&nbsp;
</span>All deviations from the policy must have the prior approval of medic=
al
control.<o:p></o:p></i></b></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Purp=
ose:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>The
purpose of this policy is to:<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<ul style=3D'margin-top:0in' type=3Ddisc>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Provide
     rapid transport to an appropriate medical facility<o:p></o:p></span></=
li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Improve
     patient care in the prehospital setting<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Allow
     for expedient transport in serious, mass casualty situations<o:p></o:p=
></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l1 level1 lfo1;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Provide
     life-saving treatment such as blood transfusion<o:p></o:p></span></li>
</ul>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><b><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>Proc=
edure:<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>1.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>Air medical transportation sh=
ould
be considered if any of the following criteria apply:<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<ul style=3D'margin-top:0in' type=3Ddisc>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>High
     priority patient with &gt; 20 minute time from arrival on the scene un=
til
     expected arrival at a local medical facility<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Multiple
     casualty incident with red / yellow tag patients<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l0 level1 lfo2;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Multi-trauma
     or medical patient requiring life-saving treatment not available in
     prehospital environment (blood transfusion, operative intervention,
     etc&#8230;)<o:p></o:p></span></li>
</ul>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>2.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>Patient transport by ground
ambulance will not be delayed more than 5 minutes while waiting for air med=
ical
transportation.<span style=3D'mso-spacerun:yes'>&nbsp; </span>If the patien=
t is
packaged and ready for transport and the helicopter is not on the ground, or
within 5 minutes, the transportation will be initiated by ground ambulance.=
<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>3.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>If a potential for air transp=
ort is
anticipated, but not yet confirmed, an air medical transport service will be
placed on stand-by at the request of the attending paramedic after consulta=
tion
with first responders on the scene or based on initial dispatch information=
.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>4.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>The attending paramedic will
request air medical transportation through the <st1:place w:st=3D"on"><st1:=
PlaceName
 w:st=3D"on">Catawba</st1:PlaceName> <st1:PlaceType w:st=3D"on">County</st1=
:PlaceType>
 <st1:PlaceName w:st=3D"on">Communications</st1:PlaceName> <st1:PlaceType w=
:st=3D"on">Center</st1:PlaceType></st1:place>.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>The attendi=
ng
paramedic will provide a minimum of the following information to the <st1:p=
lace
w:st=3D"on"><st1:PlaceName w:st=3D"on">Catawba</st1:PlaceName> <st1:PlaceTy=
pe
 w:st=3D"on">County</st1:PlaceType> <st1:PlaceName w:st=3D"on">Communicatio=
ns</st1:PlaceName>
 <st1:PlaceType w:st=3D"on">Center</st1:PlaceType></st1:place>:<o:p></o:p><=
/span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<ul style=3D'margin-top:0in' type=3Ddisc>
 <li class=3DMsoNormal style=3D'mso-list:l2 level1 lfo3;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Number
     of patients<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l2 level1 lfo3;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Age
     of patients<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l2 level1 lfo3;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Sex
     of patients<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l2 level1 lfo3;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Weight
     of patients<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l2 level1 lfo3;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Mechanism
     of injury (MVC, fall, etc&#8230;)<o:p></o:p></span></li>
 <li class=3DMsoNormal style=3D'mso-list:l2 level1 lfo3;tab-stops:list .5in=
'><span
     style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'=
>Location
     of the helispot (GPS coordinates or street address)<o:p></o:p></span><=
/li>
</ul>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:1=
0.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'>The EMS Manager will be
notified.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span><=
/p>

<p class=3DMsoNormal style=3D'margin-left:.25in'><span style=3D'font-size:1=
0.0pt;
mso-bidi-font-size:12.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>5.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>Pre-established helispots (ie:
H-50, Marshall Steam Plant, Propst EMS Base, <st1:place w:st=3D"on"><st1:Pl=
aceName
 w:st=3D"on">Hickory</st1:PlaceName> <st1:PlaceType w:st=3D"on">Airport</st=
1:PlaceType></st1:place>,
etc) may be used as appropriate.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>6.<s=
pan
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>If the scene or patient situa=
tion
changes after activation of the air medical service and air transport is not
appropriate (or is not appropriate from the scene), the attending paramedic=
 may
cancel the request for air medical transportation or may divert the helicop=
ter
to a local helipad. <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:.25in;text-indent:-.25in'><span
style=3D'font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p=
>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;mso-bidi-font-size:12.=
0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

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