Flightmed archive for March-2001
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Flightmed archive for March-2001

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RE: request for advise


An alternative to starting your own airmedical
transport/Part 135 service would be to lease the
aircraft to a local already established service. A
look in your local yellow pages or a call to a few
local airports should yield some contact information.
It doesn't hurt for an operator to have a diverse
selection of aircraft to choose from for a particular

At least in my area of the country, fixed wing
transport can be a pretty cutthroat business, and not
well regulated for assurance of quality. If your
aircraft owner doesn't want to let him or herself in
for that, leasing the aircraft may be the best

Good luck!

Laurie Romig, MD
Bayflite, St. Pete, FL
(and former fixed wing medical director)
--- OliverBohnsack <oliverbohnsack@earthlink.net>
> Thank you so very much for your advice and input.
> I truly appreciate this greatly!
> Yes, I am aware that it takes a lot more than just
> putting a stretcher into
> a plane. And I am in the process of finding out
> exactly how much more it
> takes.
> I will try to locate your article and read it with
> much anticipation.
> Thank you.
> Oliver Bohnsack, MD MBA
>  Healthcare Solutions
>  Consulting
>  tel.: (310) 791 - 9029
>   visit our home page
> <http://home.earthlink.net/~obohnsack/cessna.html>
> -----Original Message-----
> From: John Welton [mailto:WELTON@son.umaryland.edu]
> Sent: Wednesday, March 07, 2001 1:16 PM
> To: 'flightmed@flightweb.com'
> Subject: RE: request for advise
> Oliver,
> I can not advise you on the need for fixed-wing
> services in CA but I can
> point you to an article I wrote a few years ago
> about starting an air
> ambulance program:
> Welton, J. M. (1989). Going into business as a
> nurse... Medevac. American
> Journal of Nursing, 89, 1639-1641.
> As for the Cessna 414, let me make a few brief
> remarks about aircraft
> selection in fixed-wing aeromedical transport. The
> aircraft should be chosen
> to meet patient need. The 414 is a relatively good
> aircraft, pressurized,
> not too difficult to load, and has STC'd stretcher
> kits. It is a
> turbocharged piston twin but is slower than a
> turboprop or small jet and can
> not fly as high. Also, relative cabin altitude is
> lower in the 414 than
> turboprops/jets for a given cruise altitude. In
> certain circumstances, you
> may need to restrict your cabin altitude during
> patient transport and that
> may put you in a very difficult position when
> travelling over mountainous
> terrain or in certain weather conditions in this
> particular aircraft (for
> example, flying from LA to Denver).
> Can the Cessna 414 be used in many situations for
> patient transport -
> probably. Will the Cessna 414 be suitable in all
> fixed-wing aeromedical
> transport situations - no. So the caveat is to know
> when this particular
> aircraft is appropriate and when it is not - a topic
> well beyond the scope
> of this email. I'll defer to the other expert list
> members for comments on
> setting up a Part 135 operation, air ambulance
> licensing issues in CA, or
> adding this aircraft to an existing 135 certificate
> (expect that there will
> be both initial expenses for making a private
> aircraft 135 ready and higher
> variable costs compared to private ownership and
> use).
> Finally, fixed-wing aeromedical transport is not
> simply a matter of putting
> a stretcher and some medical equipment in an
> airplane and hiring a nurse
> and/or paramedic to fly with the patient. I hope you
> will advise your client
> that a quality air ambulance program requires a
> substantial understanding of
> the nature of aeromedical transport, experience,
> support, as well as
> reasonable critical judgement in knowing the
> limitations of your crew and
> aircraft.
> Good luck and best regards,
> John
> (formerly President, National Medevac, Inc. and
>  Chief Flight Nurse, Mission Air - Air Ambulance
> Service).
> John Welton, PhD, RN
> University of Maryland
> School of Nursing
> Assistant Professor
> Department of Education, Administration,
> Health Policy and Informatics
> Phone:  410-706-2986
> Email:  welton@son.umaryland.edu
> Web URL:
> -----Original Message-----
> From: OliverBohnsack
> [mailto:oliverbohnsack@earthlink.net]
> Sent: Wednesday, March 07, 2001 2:47 PM
> To: flightmed@flightweb.com
> Subject: request for advise
> Hello Air Med Experts,
> If you find a minute, I would like to ask you for
> your help, please.
> I use this e-mail to ask you for your advise.
> I am doing a feasibility study for a client of mine.
> He owns and operates
> privately a Cessna 414, twin turbo prop,
> pressurized, in Southern
> California. This $ Million asset is sitting in his
> hanger and does not get
> sufficient flight time. I trust you know that this
> is not advisable for
> airplane engines.
> I am interested to find out on his behalf:
> -       if his plane could be equipped for Air Med
> Transport
> -       if this plane can be integrated into a fleet
> of an Air Ambulance
> service
> -       if there is demand for such a plane out of
> Southern CA
> -       if so, which service might be interested in
> expanding their fleet
> -       what regulations need to be fulfilled
> -       which special licenses and permits need to
> be obtained
> -       and most importantly  whom to talk to to
> get further info
> -       etc., etc. 
> Please give me any help, advise and info that you
> are willing to share with
> me. I assure you this is not a scam e-mail request.
> I myself am an MD. However I am not interested in
> running for Med. Director.
> I am doing this private study on a consultant base
> to obtain as much info as
> possible and to find out if this plane can be
> utilized for Air Transport.
> Any advice will be greatly appreciated. Thank you
> very much.
> You may reply to this e-mail address or call me any
> time. I live in Los
> Angeles.
> Please visit our web page for further info.
> Oliver Bohnsack, MD MBA
>  Healthcare Solutions
>  Consulting
>  tel.: (310) 791 - 9029
>   visit our home page
> <http://home.earthlink.net/~obohnsack/cessna.html>

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