MedEvac Transport

Guidelines for Air/Ground Use

For ground or air transport call: 800.888.8056
For intercepts, call 911

Our goal is to improve local access to Advanced Life Support(ALS) and provide rapid air/ground transport for patients suffering from acute, severe illness or injury.

In the situations listed below, there is a significant likelihood for the need for rapid transport.  Aspirus MedEvac requests that first responders and/or law enforcement notify 911 at the time of initial dispatch, in addition to the traditional ground EMS response, for any of the situations listed below.

Activate Aspirus MedEvac for the situations listed below with >30 minute transport time without ALS  (or) >45 minute transport time to closest appropriate facility.

Click here for the Medical Transport Justification form. This form must be completed and signed by the attending physician prior to any MedEvac transport. Give completed form to MedEvac personnel.

General

  • Patient requires critical care life support
  • Ground transport time is >45 minutes
  • Potential delays associated with ground transport
  • Time sensitive medical issues
  • Leaving local service area without EMS coverage
  • Decrease out of hospital time
  • Hazardous road conditions
  • Advanced airway management
  • Invasive monitoring
  • Vasoactive medications
  • Blood administration
  • Ventilator management
  • Specialty transports (NICU, PEDS, high risk OB)

 

Medical

  • Unstable vital signs: hypotension, tachycardia, respirations <10 or >30
  • Suspected new CVA (stroke) with symptoms < 3 hour onset
  • Post Cardiac Arrest
  • Chest pain (age at or greater than 40)
  • Allergic reaction with Shortness of Breath
  • Difficulty breathing
  • Submersion injury
  • Other major medical illness per caller’s report

  

Neurological

  • Glasgow Coma Scale <10
  • Deteriorating mental status
  • Skull fracture
  • Presentation suggestive of spinal cord injury

 

Abdominal/Pelvic

  • Abdominal aneurysm
  • Major pelvic fractures
  • Significant abdominal pain after blunt trauma
  • Rib fracture below nipple line
  • Acute abdominal surgery requirements

 

Trauma

  • Amputations or near amputation
  • Gunshot or stab wound to head, neck, or torso
  • Penetrating injury – mid thigh to head
  • Burns
  • Unrestrained occupant in overturned vehicle
  • MVC with patient entrapment, ejection or death
  • in same compartment
  • Auto vs. pedestrian
  • Motorcycle accident
  • Mass casualty incident
  • Falls greater than >10 feet

 

Once an EMS provider has arrived on scene, if the clinical situation does not require additional ALS resources or transportation by air, they have the option of simply notifying dispatch to cancel the ALS air/ground, without cost to the patient or EMS providers. 

 

MedEvac helicopter services are operated by PHI Inc.