1	Guidelines for Air Medical Dispatch National Association of EMS Physicians 2003 Air Medical Services Task Force
2	Guidelines for Air Medical Dispatch National Association of EMS Physicians 2003 Air Medical Services Task Force
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5	Position Paper Guidelines for Air Medical Dispatch Thomson DP, Thomas SH. For the 2002 – 2003 Air Medical Services Task Force of the National Association of EMS Physicians. Prehospital Emergency Care Vol. 7(2): 265-271, Apr/Jun 2003.
6	Thank You Nicholas Benson, MD Catherine Carruba, MD Dan Hankins, MD Richard Hunt, MD David Wilcox, MD
7	Professional Support Association of Air Medical Services (AAMS) American Academy of Pediatrics (AAP) Air Medical Physicians Association (AMPA)
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20	Perspective Patient EMS System
21	Patient Perspective Does the patient’s clinical condition warrant minimizing time spent in the prehospital setting?
22	Patient Perspective Does the patient require specific time-sensitive evaluation or treatment unavailable at the referring facility?
23	Patient Perspective Does the patient require ongoing life support from advanced critical care specialists en route?
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25	EMS System Perspective Is the patient located in an area which is inaccessible to ground transport?
26	EMS System Perspective Would use of local ground transport leave the local area without adequate EMS coverage?
27	EMS System Perspective If local ground transport is not an option, can the needs of the patient and the system be met by an available regional ground critical care transport service?
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34	Trauma Scene Air Response General / patient condition Mechanism of injury Neurologic Thoracic Abdominal Orthopedic Burns Drowning
35	General / Patient Condition Unstable vital signs Hypotension Tachypnea Trauma score < 12
36	General / Patient Condition Significant trauma in special groups Age < 12 or > 55 Pregnant patients Multisystem injury Two or more long bone fractures Two or more body regions injured
37	Mechanism Ejection from the vehicle Pedestrian or cyclist struck by a motor vehicle Death of another victim in the same compartment as the patient
38	Mechanism Penetrating trauma Head, neck, chest, abdomen, pelvis Crush injury Head, chest, abdomen Fall from a significant height
39	Neurologic Glasgow Coma Scale < 10 Deteriorating mental status Skull fracture Suspected spinal cord injury
40	Thoracic Major chest wall injury Flail chest Pneumothorax Hemothorax Suspected cardiac injury
41	Abdominal / Pelvic Significant abdominal pain Seatbelt sign Rib fractures below the nipple Major pelvic fractures Open book Hypotension
42	Orthopedic / Extremity Limb amputation Partial or total Finger or thumb amputation Reimplantation planned
43	Orthopedic / Extremity Fracture or dislocation with vascular compromise Extremity ischemia Open long-bone fractures
44	Burns > 20% TBSA Location Head, face, hands, feet, genitalia Electrical burns Chemical burns Inhalation injury Burns with associated trauma
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47	Interfacility Air Transfer Trauma Cardiac Critically-ill Medical Surgical Obstetric Neurologic Neonatal
48	Trauma Scene response guidelines Intra-abdominal hemorrhage Aortic injury Spinal fracture
49	Cardiac Acute myocardial infarction Cardiac catheterization, IABP, CABG
50	Cardiac Cardiogenic shock IABP VAD Tamponade Valvular insufficiency Cardiac rupture
51	Critically-Ill Medical or Surgical Airway compromise Angioedema Epiglottitis Severe pulmonary disease requiring special ventilation Inverse-ratio ventilation
52	Critically-Ill Medical or Surgical Resuscitation from Cardiac arrest Respiratory arrest Blood pressure support Gastrointestinal hemorrhage with hypotension
53	Critically-Ill Medical or Surgical Aortic dissection Abdominal aortic aneurysm (AAA) Acute extremity ischemia Critical pediatric patients
54	Critically-Ill Medical or Surgical Urgent dialysis Hyperbaric oxygen therapy (HBO) Gas embolism Necrotizing fasciitis Carbon monoxide Poisoning Overdose
55	Obstetric Premature labor EGA < 34 weeks Fetal weight < 2000 g Eclampsia Severe pre-eclampsia
56	Obstetric Third trimester hemorrhage Fetal hydrops Severe fetal cardiac disease
57	Obstetric Maternal conditions Heart disease Severe metabolic disturbances Diabetes Drug overdose Surgery Appendicitis
58	Neurological Intracranial hemorrhage Ischemic stroke Spinal cord compression Tumor, hemorrhage, abscess Status epilepticus
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61	Neonatal Gestational age < 30 weeks Weight < 2000 g Cardiac or respiratory arrest Hemodynamic instability Sepsis or meningitis Metabolic derangement Temperature instability
62	Neonatal Mechanical ventilation Supplemental oxygen > 60% CPAP Pneumothorax SQ emphysema Extrapulmonary air leak
63	Neonatal Seizures CHF DIC
64	Neonatal Diaphragm hernia Necrotizing enterocolitis Abdominal wall defects Intussusception Volvulus Congenital heart defects
65	Additional Considerations Transplant Donor for organ salvage Recipient to the transplant center Ice-water immersion
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