Re: Advice / Opinions

[Ken Lawson-Williams <Macgyver@FlightMedicMail.com>]

More info that may help clarify some options. Program runs single or double medical crew depending on nature of patient needs. 40% are 2-crew (RN/RN or RN/MD or RN/Medic). Only 3 staff available (rest out of town on days off) and scheduled to staff 2x24 hour aircraft. At time of call one RN/EMT was on another flight, other RN timex after 27 of last 36 hours on missions. Ground transfer time would be 6.5 hours (including 2 on gravel and 0.5 on an ice road) to recieving, 10 to Trauma centre/teaching hospital. No OR facility in sending, surgery would have to be done on a gurney in the outpatients dept. Also no anesthesia equipment or surgeon, only a second GP who doesn't do much obstetrics. No OR trained RN's, in fact only general duty and long term care RN's other than the 3 RN's already called in to be with patient in OPD (only one with ACLS, one with with BTLS/NRP and one with BTLS/ENPC.) Aircraft has over 4' wide cargo door for loading 
( http://www.airtindi.com/html/beech_200c_super_king_air.html )
and pilots all high time with 2500+ hours of northern bush cargo experience and very experienced in securing odd sized/shape loads for charter tourism and mining/exploration industry. As it was we had to leave incubator behind after loading accomplished (no space, would have obstructed emergency exits).

KLW

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