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Reply To Topic Topic: Helicopter EMS Issues
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Posted By on 11 Apr 2009 08:38 AM
I've only been in the HEMS industry for a little over 2 years, so I don't know what it was like before that time. I've heard stories of the past and I have my own experiences, so I'll address my comments from that point of view.

My take on HEMS is that aviation is not the driving factor. It is a means to an end and it is reactionary, not proactive. I think I'm pretty accurate in my analysis, judging from the previous comments. From the type of aircraft, supplemental equipment (NVG's, TAWS, GPS, Wx data, automated flight control systems, etc), crew composition, duty day-length, pay, training, quarters, regulations and policies, we all have our own ideas on what we (aviators) think is necessary, but we are not the decision makers. CEO's, hospital staff, the government and the free-market dictate what we get, how much we get and when we get it. From what I've seen, aviators are not in the higher management positions; they're medical people (again, from what I've seen). Therefore, there is more "catering" to the medical side of our industry.

Now, I understand that if you go by numbers, the medical people make-up the larger portion of our companies (2:1 on average), so there would seem to be justification in management being heavy on the medical side. But I look at it from a "risk" perspective, and my (biased) conclusion is that avaition inherently has more risk than the medical side. As I chide my med crews, "You only work 1/3 of the flight...I work the whole flight." (based on the average 3-leg flight). I, therefore, believe that more aviators need to be in the higher management positions.

The current situation puts in management individuals with no aviation experience in charge of making aviation decisions. When (or maybe I should say "if") they do their risk:cost:benefit analysis, they will go for the smallest gun with the biggest bang. That usually leaves us with the short end.

Now some programs have the dual-engine, pilot & co-pilot, IFR & NVG systems and are living high, but I know most programs don't have those luxuries. And they are luxuries when you look at the market. Should they be the standard? Perhaps. But I feel you'd be asked to "do more with less." There would be less competition, individual companies would have fewer bases, so you'd have to do more flights to pay for those types of aircraft/systems and the end result is fewer job opportunities. I unequivocally do not suggest compromising safety for job opportunities. Some operations do not need all of the above mentioned equipment.

I would suggest that if your program doesn't have NVG's, then you are restricted to inter-facility transfers and/or scene responses to improved areas (airport/heliport or base) only when flying at night.

If your aircraft is VFR-rated, then the weather minimums need to be increased (AO21 good start but...). Same if you are single-pilot IFR.

I would like to see the avionics become more helicopter-friendly. While the Garmin 430/530 are good systems, they are made for fixed-wings. They require too much attention be practical, especially when things go pear-shaped. Same with some of the other radios. We need GPS's & radios that are a couple of button pushes to get our necessary info to us. Putting in a lat/long while flying towards cumulo-granite at night or when you get an LZ change is not fun, nor safe. Oh, and the buttons need to be bigger so you can see them at night...same for theose damn Kolsman window numbers...(I hate getting old!)

I also agree with Chprsafety in that the FAA needs to set-up a low-flying system (like they have in the UK) that is structured to handle the helicopter and General Aviation community.

I've ranted enough...for now.
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RE: Helicopter EMS Issues
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