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Spring 2004

Just A Phone Call Away

The Ritters and their twins
The Autolaunch program establishes protocols for 911 dispatchers to send the helicopter to the scene of certain severe traumas, including major motor vehicle accidents, amputations and severe head injuries.
It might be a frantic phone call from a mother whose child found a loaded handgun. It might be a summons from a motorist who witnessed a massive car accident. With Air Life's Autolaunch program, those heartbreaking calls from community members can be enough to set the helicopter in motion.

In most emergency situations, 911 operators dispatch the closest ground ambulance crew to the scene. However, Air Life's Autolaunch program gives dispatchers the option of sending Air Life's helicopter crew simultaneously in cases where air transport is most likely to make a difference.

"With many types of trauma, the ground crew will respond first and then call us to the scene if they think the patient should be flown," explained flight nurse Grant Boswell, RN, CRFN, Air Life's Autolaunch coordinator. "Though that's still the best option in many cases, there are some situations where we know at the outset that the patient will benefit from Air Life arriving on scene sooner."

Some instances where Autolaunch would be appropriate include:
  • Major motor vehicle accidents, particularly those involving head-on collisions, passenger ejections, semi-trucks or any street
  • Any trauma involving prolonged extrication in a remote geographic area
  • Severe head injury
  • Amputation of arm or leg
  • Penetrating trauma (i.e. stabbing, shooting or impaled objects) between the groin and head
  • Major burns covering 25 percent of the body
  • Near drowning
  • Mass casualty incidents
  • Industrial or logging accidents

Currently, the Autolaunch program is limited to agencies in Bend, Redmond, La Pine, Sunriver, Sisters, Black Butte, Prineville, Madras and Warm Springs. Though Autolaunch has existed since 2001, Air Life has recently been working to increase awareness about the program and offer additional training to dispatchers who might be called upon to make a decision to launch the helicopter.

The Ritters and their twins
So far, the program has been well received by ground ambulance providers and dispatchers alike. Air Life is the first program in Oregon to implement such a program and one of only a handful of elite air ambulance services around the nation to do so. According to Air Life Medical Director Helenka Marcinek, MD, it all comes down to offering what's best for the patient.

"The statistics we've gathered so far indicate that it's very valuable to reduce the amount of time in the field for severely injured patients," Marcinek explained. "The sooner you can get a trauma patient to a facility where they can get definitive care, the better the outcome is likely to be."

 

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