Commercial medical transport is a form of transportation, which is provided in non-emergency situations to people who require special medical attention. The goal of the transport is to get the client from one location to another while providing medical support.
Candidate for medical transport is an individual who is medically and hemodynamically stable. Reasons for a medical transport by Sky Nurses include but are not limited to:
- Cardiopulmonary complications (example: Post Myocardial Infarction or Pneumonia)
- Neurological complications (example: CVA)
- Gastrointestinal (example: Post Small Bowel Obstruction)
- Endocrine (example: Diabetes)
- Fractures or Repair (example: Stable Femur Fracture or ORIF)
- Mental Health (example: Alzheimer’s or Dementia)
- Motor Vehicle Crash (MVC)
Our Steps in Caring for the Patient
Request for a Commercial Medical Escort
The patient is assigned an RN Coordinator that will monitor the patient's medical status until the patient arrives at the assigned destination. If the patient is located in a hospital, the RN Coordinator will call the assigned Case Manager and/or Primary Nurse and obtain a daily update on the patient's status. Based on the information received, the RN Coordinator will update the patient's "Plan of Care" to reflect the physical needs of the patient. If the patient is located at home, the RN Coordinator will call the patient at home and obtain a full medical history and any cultural needs that the patient may have.
Escorting the Patient
All patients are escorted by a qualified clinician with extensive training in medical transports. All medical treatment administered while accompanied by a medical escort is based on Sky Nurses standing orders provided by our Medical Director, airline policy and procedures, American Heart Association Basic Life Support standards and recommendations by CAMTS.
On the day of departure, a full assessment by the medical escort is completed and a report is obtained from the physician or nurse caring for the patient. The "Plan of Care" is reviewed and changed to meet the physical needs of the patient during flight.
During the Flight
The patient's vital signs and pain are assessed frequently. Vital signs are recorded on ascent and descent and every four hours while in flight and as needed. During the flight, the patient is assisted with performing exercises that will prevent DVT during International flights.
Upon arrival to the patient's destination, the clinician will provide a detailed report to the receiving medical facility or family member.
In-flight medical emergencies are uncommon, generally non-lethal events. In fatal cases, the most common cause of death is a sudden cardiac arrest (SCA).AED use in Commercial Air Transport
Utilizing an appropriately trained medical escort, aeromedical transportation of a patient after a myocardial infarction can safely be undertaken earlier than 14 days after initial presentation.
Sky Nurses can provide an experienced ACLS critical care nurse or physician to transport a patient with an AED . Patients with respiratory compromise or who are recently transitioned off a ventilator and out of the ICU will require additional equipment such as portable oxygen concentrator (POC).Providing access to an AED with a critical care experienced RN can offer more options for the acutely ill traveler when traveling home via commercial airline.