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Miami Valley Nonprofi t Organization IN THIS ISSUE CareFlight Air and Mobile Services U.S. Postage Paid One Wyoming St. Dayton, OH 45409 Dayton, OH 45409 Permit Number 79 CareFlight Adds Aircraft Base

ADDRESS SERVICE REQUESTED New Mobile Intensive Care Units COVID-19 Mitigation Risk CareFlight Air and Mobile App CareFlight Reunion Distance Learning CareFlight Air and Mobile Services FALL 2020

CareFlight Air and Mobile Services Brings New MICUs On Board By Jennifer Schueler, MSN, APRN, NREMT-P, CEN, Flight Nurse TOLEDO 2 CLEVELAND March 2020 brought many changes to our world time around, allowing each MICU to be placed into 7 that will undoubtedly remain etched into our service in early March. 71 memories. While the COVID-19 pandemic within Aside from ODPS inspection, the MICU also had to 11 the was just starting to ramp up, meet all24 standards set forth by the Commission of the CareFlight Air and Mobile Services quietly focused 20 33 Accreditation of Medical Transport Systems (CAMTS).23 on acquiring new Mobile Intensive Care Unit The accrediting body of CAMTS is dedicated to 18 Miami Valley Hospital (MICU) vehicles. ensuring that each patient will receive quality and 250 One Wyoming Street CareFlight Air and Mobile Services Adds American Medical Response (AMR) is the ground safe care within the transport environment no Distance Learning (continued) Dayton, 45409 medical transportation division of Global469 Medical matter if transported by air or a critical care ground 224 CareFlight Fourth Aircraft Base in Darke County 15 (800) 251-2273 Response (GMR) and serves as the vendor for the unit. All vehicles operated by CareFlight Air and We started small. Miami Valley Hospital South’s By Jennifer Schueler, MSN, APRN, NREMT-P, CEN, Flight Nurse FORT WAYNE 75 62 new vehicles. Each new Ford E-450 MICU vehicle Mobile Services meet the CAMTS requirements. trauma medical director, Dr. Alyssa Gans, was Candy Skidmore adheres to a rigorous maintenance schedule 30 11 Vice President Service willing to teach a sepsis lecture to the Fairborn Integration Emergency/ Expansion of CareFlight Air and saw on the program’s MICU will now requiring multi-point inspections that includes an 30 Trauma/CareFlight Fire Department via distance (online) learning Mobile Services occurred in March be providing the same level of care in a oil change, cabin fi lter change, and tire rotation 250 Beth Calcidise, RN – three platoons over three days. It went so well with the addition of a fourth aircraft helicopter. Overall, the addition of the every 3,500 to 4,000 driven miles. That service CareFlight and Premier MICU vehicles remain at: that we added a few more departments to the Transportation Director base. CareFlight 4 is now housed at fourth aircraft base will expedite the is handled by two designated mechanics at the 23 mix the following week. Then it became apparent Mandy Via, RN the Darke County Airport enabling ability of the patient to receive rapid 30,000-square-foot AMR maintenance facility in 127 Miami Valley Hospital Outreach Manager that we could bring these classes to just about a quicker response to those in the life-saving services and access to Miami TOLEDO Huber Heights. The proximity of that maintenance 33 Angela Sebald, RN 2 CLEVELAND Miami Valley Hospital North anyone simultaneously and record it for later 7 northern Miami Valley. The new Valley Hospital’s Level I . 71 OHIO Editor facility is instrumental in keeping the MICU vehicles 11

INDIANA viewing for those who might miss it in part or 27 Miami Valley Hospital South 71 base will also expand the 150-mile 24 20 mission-ready and within69 the geographic service Elizabeth Beam 33 23 entirely for whatever reason, like responding to a Nancy Bowman 18 Miami Valley Hospital 36 fl ight radius service area into 250 area, thus eliminating unnecessary out-of-service 469 224 911 call. Joe Burdick 15 Jamestown Emergency Center Andrew C. Hawk, MD and upper Ohio, and is part of a FORT WAYNE 75 62 time. Two back-up vehicles are available 24/7 as 30 11 We have continued to grow each week. There are We know that the vast majority of caregivers Nick Magoteaux collaboration with Versailles-based 30 well as an on-duty supervisor. Along with the 36 Jennifer Schueler 250 65 The service area of the MICU attempts to now more than 1,100 people viewing these online want fewer lectures and more hands-on training. Midmark Corp. The 24-hour staffed 23 36 Contributing Writers mechanics, they can obtain information regarding 161 127 limit those assets to serve patients within a We look forward to the day when it can safely 33 270 continuing education classes (either live or at Darke County base will house a OHIO

Kelly Spitler INDIANA 74 each vehicle via an internal fl eet tracking system. CareFlight now has 69 27 71 75-mile radius of Miami Valley Hospital in Dayton. theirCOLUMBUS convenience). We have brought our training happen. We also anticipate that distance learning Graphic Design Dauphin model aircraft capable of 36 465 DAYTON Expediting the preparation of these new vehicles four bases of operation:65 36 to three times as many people as we did in the will be here long-term to help our continuing Miami Valley 36 161 70 transporting two patients, should the 270 74 COLUMBUS gives credit to a few dedicated and experienced Hospital Mission 465 DAYTON 70 same period last year. We are humbled by the education program fulfi ll its mission. need arise. Additionally, each aircraft Miami Valley Hospital 70 We will improve the health 70 staff members of the CareFlight Air and Mobile range of participants, too. They come from small of the communities we is staffed with one pilot and two fl ight INDIANAPOLIS INDIANAPOLIS 35 Lebanon-Warren County Airport 675 23 Services program. Within a few short weeks they serve with others who 70 rural communities and large urban departments, nurses. Many of the program’s Mobile 52 33 share our commitment 75 readied each vehicle for a careful inspection by the 35 To be added to the distance Urbana-Grimes Airport 675 23 from all over Ohio and at least 6 other states. to provide high-quality, Intensive Care Unit (MICU) nurses are learning email list visit: 74 275 32 70 Ohio Department of Public Safety’s (ODPS) Division cost-effective health 65 421 50 They are joining together to learn and better in the process of transitioning into a Darke County Airport CINCINNATI 32 33 care services. of Emergency Medical Services.52 All MICU vehicles prepare for the next call. tinyurl.com/Premier-EMS-Signup fl ight line, so many famiilar faces you 50 35 75 Operated By 32 passed that inspection with fl ying colors the fi rst M-C-CFT03975-9/20 23

74 275 32 65 421 50 CINCINNATI 32 50 35

32 23 Miami Valley Hospital Nonprofit Organization IN THIS ISSUE CareFlight Air and Mobile Services U.S. Postage Paid One Wyoming St. Dayton, OH 45409 Dayton, OH 45409 Permit Number 79 CareFlight Adds Aircraft Base

ADDRESS SERVICE REQUESTED New Mobile Intensive Care Units COVID-19 Mitigation Risk CareFlight Air and Mobile App CareFlight Reunion Distance Learning CareFlight Air and Mobile Services FALL 2020

CareFlight Air and Mobile Services Brings New MICUs On Board By Jennifer Schueler, MSN, APRN, NREMT-P, CEN, Flight Nurse TOLEDO 2 CLEVELAND March 2020 brought many changes to our world time around, allowing each MICU to be placed into 7 that will undoubtedly remain etched into our service in early March. 71 memories. While the COVID-19 pandemic within Aside from ODPS inspection, the MICU also had to 11 the United States was just starting to ramp up, meet all24 standards set forth by the Commission of the CareFlight Air and Mobile Services quietly focused 20 33 Accreditation of Medical Transport Systems (CAMTS).23 on acquiring new Mobile Intensive Care Unit The accrediting body of CAMTS is dedicated to 18 Miami Valley Hospital (MICU) vehicles. ensuring that each patient will receive quality and 250 One Wyoming Street CareFlight Air and Mobile Services Adds American Medical Response (AMR) is the ground safe care within the transport environment no Distance Learning (continued) Dayton, Ohio 45409 medical transportation division of Global469 Medical matter if transported by air or a critical care ground 224 CareFlight Fourth Aircraft Base in Darke County 15 (800) 251-2273 Response (GMR) and serves as the vendor for the unit. All vehicles operated by CareFlight Air and We started small. Miami Valley Hospital South’s By Jennifer Schueler, MSN, APRN, NREMT-P, CEN, Flight Nurse FORT WAYNE 75 62 new vehicles. Each new Ford E-450 MICU vehicle Mobile Services meet the CAMTS requirements. trauma medical director, Dr. Alyssa Gans, was Candy Skidmore adheres to a rigorous maintenance schedule 30 11 Vice President Service willing to teach a sepsis lecture to the Fairborn Integration Emergency/ Expansion of CareFlight Air and saw on the program’s MICU will now requiring multi-point inspections that includes an 30 Trauma/CareFlight Fire Department via distance (online) learning Mobile Services occurred in March be providing the same level of care in a oil change, cabin fi lter change, and tire rotation 250 Beth Calcidise, RN – three platoons over three days. It went so well with the addition of a fourth aircraft helicopter. Overall, the addition of the every 3,500 to 4,000 driven miles. That service CareFlight and Premier MICU vehicles remain at: that we added a few more departments to the Transportation Director base. CareFlight 4 is now housed at fourth aircraft base will expedite the is handled by two designated mechanics at the 23 mix the following week. Then it became apparent Mandy Via, RN the Darke County Airport enabling ability of the patient to receive rapid 30,000-square-foot AMR maintenance facility in 127 Miami Valley Hospital Outreach Manager that we could bring these classes to just about a quicker response to those in the life-saving services and access to Miami TOLEDO Huber Heights. The proximity of that maintenance 33 Angela Sebald, RN 2 CLEVELAND Miami Valley Hospital North anyone simultaneously and record it for later 7 northern Miami Valley. The new Valley Hospital’s Level I Trauma Center. 71 OHIO Editor facility is instrumental in keeping the MICU vehicles 11

INDIANA viewing for those who might miss it in part or 27 Miami Valley Hospital South 71 base will also expand the 150-mile 24 20 mission-ready and within69 the geographic service Elizabeth Beam 33 23 entirely for whatever reason, like responding to a Nancy Bowman 18 Miami Valley Hospital 36 fl ight radius service area into Indiana 250 area, thus eliminating unnecessary out-of-service 469 224 911 call. Joe Burdick 15 Jamestown Emergency Center Andrew C. Hawk, MD and upper Ohio, and is part of a FORT WAYNE 75 62 time. Two back-up vehicles are available 24/7 as 30 11 We have continued to grow each week. There are We know that the vast majority of caregivers Nick Magoteaux collaboration with Versailles-based 30 well as an on-duty supervisor. Along with the 36 Jennifer Schueler 250 65 The service area of the MICU attempts to now more than 1,100 people viewing these online want fewer lectures and more hands-on training. Midmark Corp. The 24-hour staffed 23 36 Contributing Writers mechanics, they can obtain information regarding 161 127 limit those assets to serve patients within a We look forward to the day when it can safely 33 270 continuing education classes (either live or at Darke County base will house a OHIO

Kelly Spitler INDIANA 74 each vehicle via an internal fl eet tracking system. CareFlight now has 69 27 71 75-mile radius of Miami Valley Hospital in Dayton. theirCOLUMBUS convenience). We have brought our training happen. We also anticipate that distance learning Graphic Design Dauphin model aircraft capable of 36 465 DAYTON Expediting the preparation of these new vehicles four bases of operation:65 36 to three times as many people as we did in the will be here long-term to help our continuing Miami Valley 36 161 70 transporting two patients, should the 270 74 COLUMBUS gives credit to a few dedicated and experienced Hospital Mission 465 DAYTON 70 same period last year. We are humbled by the education program fulfill its mission. need arise. Additionally, each aircraft Miami Valley Hospital 70 We will improve the health 70 staff members of the CareFlight Air and Mobile range of participants, too. They come from small of the communities we is staffed with one pilot and two fl ight INDIANAPOLIS INDIANAPOLIS 35 Lebanon-Warren County Airport 675 23 Services program. Within a few short weeks they serve with others who 70 rural communities and large urban departments, nurses. Many of the program’s Mobile 52 33 share our commitment 75 readied each vehicle for a careful inspection by the 35 To be added to the distance Urbana-Grimes Airport 675 23 from all over Ohio and at least 6 other states. to provide high-quality, Intensive Care Unit (MICU) nurses are learning email list visit: 74 275 32 70 Ohio Department of Public Safety’s (ODPS) Division cost-effective health 65 421 50 They are joining together to learn and better in the process of transitioning into a Darke County Airport CINCINNATI 32 33 care services. of Emergency Medical Services.52 All MICU vehicles prepare for the next call. tinyurl.com/Premier-EMS-Signup fl ight line, so many famiilar faces you 50 35 75 Operated By 32 passed that inspection with fl ying colors the fi rst M-C-CFT03975-9/20 23

74 275 32 65 421 50 CINCINNATI 32 50 35

32 23 CareFlight Reunion By Nancy Bowman

The life-saving efforts of those who came to Steve Keiser’s assistance when he went into cardiac arrest leave him practically speechless. Keiser, 67, was brought back to life three times June 3 after collapsing at his North Star home after Photo by Steve Baker, WHIO-TV suffering chest pains while mowing. He had the chance this summer to meet the crew Keiser’s stopped three times and was started from CareFlight who came to his aid following again by responders. At the hospital, Keiser received intervention by local fi rst responders. three stents and was on the road to recovery – and an opportunity to thank the responders who had Although he initially thought the chest pain was cared for him during that critical trip to the hospital. due to acid reflux, Keiser soon realized that the situation was more serious. The reunions with patients and families often provide clarity for the patient, said Mandy Via, CareFlight He walked in the back door, asked wife Angela outreach coordinator. to call 911 and passed out. The next thing he CareFlight and COVID-19: Mitigating Risk remembered, Keiser was at Miami Valley Hospital, The reunion with CareFlight nurses Audrey Wood and By Andrew C. Hawk, MD with his family at his side. Anna Ludewig was their first. In between, he was tended to by Jared Widener, “There were tears everywhere. This gives them the Eight or nine months ago, most of us had never information was being applied to the entire an off-duty EMT and Vandalia firefighter who lived opportunity to fi ll their cup, gives them a reminder heard of the novel coronavirus “2019-nCoV.” Flash program to mitigate risk. Four internal clinical Premier Health CareFlight Air and Mobile App nearby and started CPR on arrival, and Jim Rismiller, that we take care of patients in critical times and forward to the ongoing pandemic. Not a day (or documents were created and have become the By Nick Magoteaux, Premier Health System Transportation Manager a local fi refi ghter who retrieved an AED. They kept sometimes we can bring them back to the an hour) goes by without COVID-19 being thrust foundation of CareFlight’s COVID-19 clinical Keiser alive until Ansonia life squad transported community. That is huge,” Via said of the reunions. into our lives, both as caregivers and potential response. These documents address our general him to a CareFlight helicopter waiting at the local “I can’t thank them enough. I don’t know what to say,” victims. As I write this, there have been more than approach to the COVID-19 situation, including fi re department. Keiser said. 2 million confi rmed COVID-19 cases in the United PPE, clinical care specifi cs of the COVID-19 States, and more than 115,000 deaths – with more patient, helicopter-specifi c PPE, and transporting Earlier this year, we were proud to announce that expected. Everyone wants to provide excellent the prone patient. These documents mitigate CareFlight Air and Mobile had an app built for our service medical care. And no one wants to be infected by risk. And with constant review, they will be area’s EMS agencies and dispatch centers. This app can COVID-19. updated as necessary as we learn more and move help speed up next-level care to any patient in your According to dictionary.com, the word mitigation through this pandemic. community. means “... to lessen the ... intensity of something In mid-March, CareFlight transported its fi rst This app enters your incident directly into CareFlight’s unpleasant...” Certainly, the COVID-19 pandemic pre-transport confi rmed positive COVID-19 Communication Center, allowing for seamless dispatching is to the extreme of “something unpleasant.” patient. Overall, the CareFlight air and MICU of our helicopters. Signing up is easy! Mitigating risk is lessening risk – because risk program has transported more than 200 possible, Create your account at never goes to zero. CareFlight’s risk mitigation probable, presumed, or positive COVID-19 patients. Using the app is easy; you can either search the built-in PremierHealth.FlightCall.FlightVector.com specifi c to COVID-19 began in January. Remember, This includes more than 40 pre-transport Google map for your incident or use the GPS on your or by downloading the app on your phone. at that time, there were no reported COVID-19 confi rmed positive COVID-19 patients, most on phone while on scene. cases in Ohio. CareFlight confi rmed their plan of The organization password is a90aca. ventilators, with many more patients testing Once you identify the location of the incident, just answer action to mitigate risk, including utilization of PPE Premier Health’s EMS Center of Excellence positive post-transport during hospitalization. a few simply questions about the incident. Your responses Android or iPhone appropriate for a new virus that had potential for CareFlight has mitigated risk to transport are sent to CareFlight’s Communications Center to be Point your phone’s camera Off ers Distance Learning airborne transmission. these high-risk COVID-19 patients. And we will dispatched. Once dispatched by CareFlight’s at the QR codes to connect By Elizabeth Beam and Joe Burdick, EMS Coordinators Mitigating risk requires continue to mitigate risk today and in the future, Communications Center, you will be able to see in real to the app to download. constant review and during this pandemic and the next. time which helicopter is coming and their real time ETA. adaptation. As more Once your helicopter departs the scene, you’ll be able Or, search for “CareFlight” Being responsive to the needs of fi rst responders most fi re and EMS stations. We hoped by offering Android iPhone was learned about to track them until they arrive at the hospital with the on the Apple Store or has always been a mission of Premier Health. The some form of education, we could provide a COVID-19, CareFlight’s patient. Google Play Store. EMS Center of Excellence sought ways to reach out glimpse of normalcy in the midst of a chaotic and risk mitigation evolved. Andy Hawk, MD to more EMS providers long before the COVID-19 stress-filled world. As partners with EMS, Premier During inclement weather and air transport is not possible, Daily noon conference Medical Director lockdown. Then everything happened at once. Due Health recognizes that training leads to better we are able to utilize the app for MICU transports. The app calls among the CareFlight Air and Mobile Services to social distancing guidelines from the State of outcomes for the patients and better retention of allows for continued communication, no matter the mode Once your account is verifi ed, you’ll be able to request a CareFlight administrative Ohio, we could not visit our frontline friends at the valued EMS personnel. (937) 208-6633 of transport. helicopter directly to the scene. staff ensured the most [email protected] fi re houses. However, we knew the need for EMS up-to-date COVID-19 education was still there. Training is a way of life at (continued on back page) CareFlight Reunion By Nancy Bowman

The life-saving efforts of those who came to Steve Keiser’s assistance when he went into cardiac arrest leave him practically speechless. Keiser, 67, was brought back to life three times June 3 after collapsing at his North Star home after Photo by Steve Baker, WHIO-TV suffering chest pains while mowing. He had the chance this summer to meet the crew Keiser’s heart stopped three times and was started from CareFlight who came to his aid following again by responders. At the hospital, Keiser received intervention by local fi rst responders. three stents and was on the road to recovery – and an opportunity to thank the responders who had Although he initially thought the chest pain was cared for him during that critical trip to the hospital. due to acid reflux, Keiser soon realized that the situation was more serious. The reunions with patients and families often provide clarity for the patient, said Mandy Via, CareFlight He walked in the back door, asked wife Angela outreach coordinator. to call 911 and passed out. The next thing he CareFlight and COVID-19: Mitigating Risk remembered, Keiser was at Miami Valley Hospital, The reunion with CareFlight nurses Audrey Wood and By Andrew C. Hawk, MD with his family at his side. Anna Ludewig was their first. In between, he was tended to by Jared Widener, “There were tears everywhere. This gives them the Eight or nine months ago, most of us had never information was being applied to the entire an off-duty EMT and Vandalia firefighter who lived opportunity to fi ll their cup, gives them a reminder heard of the novel coronavirus “2019-nCoV.” Flash program to mitigate risk. Four internal clinical Premier Health CareFlight Air and Mobile App nearby and started CPR on arrival, and Jim Rismiller, that we take care of patients in critical times and forward to the ongoing pandemic. Not a day (or documents were created and have become the By Nick Magoteaux, Premier Health System Transportation Manager a local fi refi ghter who retrieved an AED. They kept sometimes we can bring them back to the an hour) goes by without COVID-19 being thrust foundation of CareFlight’s COVID-19 clinical Keiser alive until Ansonia life squad transported community. That is huge,” Via said of the reunions. into our lives, both as caregivers and potential response. These documents address our general him to a CareFlight helicopter waiting at the local “I can’t thank them enough. I don’t know what to say,” victims. As I write this, there have been more than approach to the COVID-19 situation, including fi re department. Keiser said. 2 million confirmed COVID-19 cases in the United PPE, clinical care specifics of the COVID-19 States, and more than 115,000 deaths – with more patient, helicopter-specifi c PPE, and transporting Earlier this year, we were proud to announce that expected. Everyone wants to provide excellent the prone patient. These documents mitigate CareFlight Air and Mobile had an app built for our service medical care. And no one wants to be infected by risk. And with constant review, they will be area’s EMS agencies and dispatch centers. This app can COVID-19. updated as necessary as we learn more and move help speed up next-level care to any patient in your According to dictionary.com, the word mitigation through this pandemic. community. means “... to lessen the ... intensity of something In mid-March, CareFlight transported its fi rst This app enters your incident directly into CareFlight’s unpleasant...” Certainly, the COVID-19 pandemic pre-transport confirmed positive COVID-19 Communication Center, allowing for seamless dispatching is to the extreme of “something unpleasant.” patient. Overall, the CareFlight air and MICU of our helicopters. Signing up is easy! Mitigating risk is lessening risk – because risk program has transported more than 200 possible, Create your account at never goes to zero. CareFlight’s risk mitigation probable, presumed, or positive COVID-19 patients. Using the app is easy; you can either search the built-in PremierHealth.FlightCall.FlightVector.com specifi c to COVID-19 began in January. Remember, This includes more than 40 pre-transport Google map for your incident or use the GPS on your or by downloading the app on your phone. at that time, there were no reported COVID-19 confirmed positive COVID-19 patients, most on phone while on scene. cases in Ohio. CareFlight confirmed their plan of The organization password is a90aca. ventilators, with many more patients testing Once you identify the location of the incident, just answer action to mitigate risk, including utilization of PPE Premier Health’s EMS Center of Excellence positive post-transport during hospitalization. a few simply questions about the incident. Your responses Android or iPhone appropriate for a new virus that had potential for CareFlight has mitigated risk to transport are sent to CareFlight’s Communications Center to be Point your phone’s camera Off ers Distance Learning airborne transmission. these high-risk COVID-19 patients. And we will dispatched. Once dispatched by CareFlight’s at the QR codes to connect By Elizabeth Beam and Joe Burdick, EMS Coordinators Mitigating risk requires continue to mitigate risk today and in the future, Communications Center, you will be able to see in real to the app to download. constant review and during this pandemic and the next. time which helicopter is coming and their real time ETA. adaptation. As more Once your helicopter departs the scene, you’ll be able Or, search for “CareFlight” Being responsive to the needs of fi rst responders most fi re and EMS stations. We hoped by offering Android iPhone was learned about to track them until they arrive at the hospital with the on the Apple Store or has always been a mission of Premier Health. The some form of education, we could provide a COVID-19, CareFlight’s patient. Google Play Store. EMS Center of Excellence sought ways to reach out glimpse of normalcy in the midst of a chaotic and risk mitigation evolved. Andy Hawk, MD to more EMS providers long before the COVID-19 stress-filled world. As partners with EMS, Premier During inclement weather and air transport is not possible, Daily noon conference Medical Director lockdown. Then everything happened at once. Due Health recognizes that training leads to better we are able to utilize the app for MICU transports. The app calls among the CareFlight Air and Mobile Services to social distancing guidelines from the State of outcomes for the patients and better retention of allows for continued communication, no matter the mode Once your account is verifi ed, you’ll be able to request a CareFlight administrative Ohio, we could not visit our frontline friends at the valued EMS personnel. (937) 208-6633 of transport. helicopter directly to the scene. staff ensured the most [email protected] fi re houses. However, we knew the need for EMS up-to-date COVID-19 education was still there. Training is a way of life at (continued on back page) CareFlight Reunion By Nancy Bowman

The life-saving efforts of those who came to Steve Keiser’s assistance when he went into cardiac arrest leave him practically speechless. Keiser, 67, was brought back to life three times June 3 after collapsing at his North Star home after Photo by Steve Baker, WHIO-TV suffering chest pains while mowing. He had the chance this summer to meet the crew Keiser’s heart stopped three times and was started from CareFlight who came to his aid following again by responders. At the hospital, Keiser received intervention by local fi rst responders. three stents and was on the road to recovery – and an opportunity to thank the responders who had Although he initially thought the chest pain was cared for him during that critical trip to the hospital. due to acid refl ux, Keiser soon realized that the situation was more serious. The reunions with patients and families often provide clarity for the patient, said Mandy Via, CareFlight He walked in the back door, asked wife Angela outreach coordinator. to call 911 and passed out. The next thing he CareFlight and COVID-19: Mitigating Risk remembered, Keiser was at Miami Valley Hospital, The reunion with CareFlight nurses Audrey Wood and By Andrew C. Hawk, MD with his family at his side. Anna Ludewig was their fi rst. In between, he was tended to by Jared Widener, “There were tears everywhere. This gives them the Eight or nine months ago, most of us had never information was being applied to the entire an off-duty EMT and Vandalia fi refi ghter who lived opportunity to fi ll their cup, gives them a reminder heard of the novel coronavirus “2019-nCoV.” Flash program to mitigate risk. Four internal clinical Premier Health CareFlight Air and Mobile App nearby and started CPR on arrival, and Jim Rismiller, that we take care of patients in critical times and forward to the ongoing pandemic. Not a day (or documents were created and have become the By Nick Magoteaux, Premier Health System Transportation Manager a local fi refi ghter who retrieved an AED. They kept sometimes we can bring them back to the an hour) goes by without COVID-19 being thrust foundation of CareFlight’s COVID-19 clinical Keiser alive until Ansonia life squad transported community. That is huge,” Via said of the reunions. into our lives, both as caregivers and potential response. These documents address our general him to a CareFlight helicopter waiting at the local “I can’t thank them enough. I don’t know what to say,” victims. As I write this, there have been more than approach to the COVID-19 situation, including fi re department. Keiser said. 2 million confi rmed COVID-19 cases in the United PPE, clinical care specifi cs of the COVID-19 States, and more than 115,000 deaths – with more patient, helicopter-specifi c PPE, and transporting Earlier this year, we were proud to announce that expected. Everyone wants to provide excellent the prone patient. These documents mitigate CareFlight Air and Mobile had an app built for our service medical care. And no one wants to be infected by risk. And with constant review, they will be area’s EMS agencies and dispatch centers. This app can COVID-19. updated as necessary as we learn more and move help speed up next-level care to any patient in your According to dictionary.com, the word mitigation through this pandemic. community. means “... to lessen the ... intensity of something In mid-March, CareFlight transported its fi rst This app enters your incident directly into CareFlight’s unpleasant...” Certainly, the COVID-19 pandemic pre-transport confi rmed positive COVID-19 Communication Center, allowing for seamless dispatching is to the extreme of “something unpleasant.” patient. Overall, the CareFlight air and MICU of our helicopters. Signing up is easy! Mitigating risk is lessening risk – because risk program has transported more than 200 possible, Create your account at never goes to zero. CareFlight’s risk mitigation probable, presumed, or positive COVID-19 patients. Using the app is easy; you can either search the built-in PremierHealth.FlightCall.FlightVector.com specifi c to COVID-19 began in January. Remember, This includes more than 40 pre-transport Google map for your incident or use the GPS on your or by downloading the app on your phone. at that time, there were no reported COVID-19 confi rmed positive COVID-19 patients, most on phone while on scene. cases in Ohio. CareFlight confi rmed their plan of The organization password is a90aca. ventilators, with many more patients testing Once you identify the location of the incident, just answer action to mitigate risk, including utilization of PPE Premier Health’s EMS Center of Excellence positive post-transport during hospitalization. a few simply questions about the incident. Your responses Android or iPhone appropriate for a new virus that had potential for CareFlight has mitigated risk to transport are sent to CareFlight’s Communications Center to be Point your phone’s camera Off ers Distance Learning airborne transmission. these high-risk COVID-19 patients. And we will dispatched. Once dispatched by CareFlight’s at the QR codes to connect By Elizabeth Beam and Joe Burdick, EMS Coordinators Mitigating risk requires continue to mitigate risk today and in the future, Communications Center, you will be able to see in real to the app to download. constant review and during this pandemic and the next. time which helicopter is coming and their real time ETA. Or, search for “CareFlight” adaptation. As more Once your helicopter departs the scene, you’ll be able Being responsive to the needs of fi rst responders most fi re and EMS stations. We hoped by offering Android iPhone was learned about to track them until they arrive at the hospital with the on the Apple Store or has always been a mission of Premier Health. The some form of education, we could provide a COVID-19, CareFlight’s patient. Google Play Store. EMS Center of Excellence sought ways to reach out glimpse of normalcy in the midst of a chaotic and risk mitigation evolved. Andy Hawk, MD to more EMS providers long before the COVID-19 stress-fi lled world. As partners with EMS, Premier During inclement weather and air transport is not possible, Daily noon conference Medical Director lockdown. Then everything happened at once. Due Health recognizes that training leads to better we are able to utilize the app for MICU transports. The app calls among the CareFlight Air and Mobile Services to social distancing guidelines from the State of outcomes for the patients and better retention of allows for continued communication, no matter the mode Once your account is verifi ed, you’ll be able to request a CareFlight administrative Ohio, we could not visit our frontline friends at the valued EMS personnel. (937) 208-6633 of transport. helicopter directly to the scene. staff ensured the most [email protected] fi re houses. However, we knew the need for EMS up-to-date COVID-19 education was still there. Training is a way of life at (continued on back page) Miami Valley Hospital Nonprofi t Organization IN THIS ISSUE CareFlight Air and Mobile Services U.S. Postage Paid One Wyoming St. Dayton, OH 45409 Dayton, OH 45409 Permit Number 79 CareFlight Adds Aircraft Base

ADDRESS SERVICE REQUESTED New Mobile Intensive Care Units COVID-19 Mitigation Risk CareFlight Air and Mobile App CareFlight Reunion Distance Learning CareFlight Air and Mobile Services FALL 2020

CareFlight Air and Mobile Services Brings New MICUs On Board By Jennifer Schueler, MSN, APRN, NREMT-P, CEN, Flight Nurse TOLEDO 2 CLEVELAND March 2020 brought many changes to our world time around, allowing each MICU to be placed into 7 that will undoubtedly remain etched into our service in early March. 71 memories. While the COVID-19 pandemic within Aside from ODPS inspection, the MICU also had to 11 the United States was just starting to ramp up, meet all24 standards set forth by the Commission of the CareFlight Air and Mobile Services quietly focused 20 33 Accreditation of Medical Transport Systems (CAMTS).23 on acquiring new Mobile Intensive Care Unit The accrediting body of CAMTS is dedicated to 18 Miami Valley Hospital (MICU) vehicles. ensuring that each patient will receive quality and 250 One Wyoming Street CareFlight Air and Mobile Services Adds American Medical Response (AMR) is the ground safe care within the transport environment no Distance Learning (continued) Dayton, Ohio 45409 medical transportation division of Global469 Medical matter if transported by air or a critical care ground 224 CareFlight Fourth Aircraft Base in Darke County 15 (800) 251-2273 Response (GMR) and serves as the vendor for the unit. All vehicles operated by CareFlight Air and We started small. Miami Valley Hospital South’s By Jennifer Schueler, MSN, APRN, NREMT-P, CEN, Flight Nurse FORT WAYNE 75 62 new vehicles. Each new Ford E-450 MICU vehicle Mobile Services meet the CAMTS requirements. trauma medical director, Dr. Alyssa Gans, was Candy Skidmore adheres to a rigorous maintenance schedule 30 11 Vice President Service willing to teach a sepsis lecture to the Fairborn Integration Emergency/ Expansion of CareFlight Air and saw on the program’s MICU will now requiring multi-point inspections that includes an 30 Trauma/CareFlight Fire Department via distance (online) learning Mobile Services occurred in March be providing the same level of care in a oil change, cabin fi lter change, and tire rotation 250 Beth Calcidise, RN – three platoons over three days. It went so well with the addition of a fourth aircraft helicopter. Overall, the addition of the every 3,500 to 4,000 driven miles. That service CareFlight and Premier MICU vehicles remain at: that we added a few more departments to the Transportation Director base. CareFlight 4 is now housed at fourth aircraft base will expedite the is handled by two designated mechanics at the 23 mix the following week. Then it became apparent Mandy Via, RN the Darke County Airport enabling ability of the patient to receive rapid 30,000-square-foot AMR maintenance facility in 127 Miami Valley Hospital Outreach Manager that we could bring these classes to just about a quicker response to those in the life-saving services and access to Miami TOLEDO Huber Heights. The proximity of that maintenance 33 Angela Sebald, RN 2 CLEVELAND Miami Valley Hospital North anyone simultaneously and record it for later 7 northern Miami Valley. The new Valley Hospital’s Level I Trauma Center. 71 OHIO Editor facility is instrumental in keeping the MICU vehicles 11

INDIANA viewing for those who might miss it in part or 27 Miami Valley Hospital South 71 base will also expand the 150-mile 24 20 mission-ready and within69 the geographic service Elizabeth Beam 33 23 entirely for whatever reason, like responding to a Nancy Bowman 18 Miami Valley Hospital 36 fl ight radius service area into Indiana 250 area, thus eliminating unnecessary out-of-service 469 224 911 call. Joe Burdick 15 Jamestown Emergency Center Andrew C. Hawk, MD and upper Ohio, and is part of a FORT WAYNE 75 62 time. Two back-up vehicles are available 24/7 as 30 11 We have continued to grow each week. There are We know that the vast majority of caregivers Nick Magoteaux collaboration with Versailles-based 30 well as an on-duty supervisor. Along with the 36 Jennifer Schueler 250 65 The service area of the MICU attempts to now more than 1,100 people viewing these online want fewer lectures and more hands-on training. Midmark Corp. The 24-hour staffed 23 36 Contributing Writers mechanics, they can obtain information regarding 161 127 limit those assets to serve patients within a We look forward to the day when it can safely 33 270 continuing education classes (either live or at Darke County base will house a OHIO

Kelly Spitler INDIANA 74 each vehicle via an internal fl eet tracking system. CareFlight now has 69 27 71 75-mile radius of Miami Valley Hospital in Dayton. theirCOLUMBUS convenience). We have brought our training happen. We also anticipate that distance learning Graphic Design Dauphin model aircraft capable of 36 465 DAYTON Expediting the preparation of these new vehicles four bases of operation:65 36 to three times as many people as we did in the will be here long-term to help our continuing Miami Valley 36 161 70 transporting two patients, should the 270 74 COLUMBUS gives credit to a few dedicated and experienced Hospital Mission 465 DAYTON 70 same period last year. We are humbled by the education program fulfi ll its mission. need arise. Additionally, each aircraft Miami Valley Hospital 70 We will improve the health 70 staff members of the CareFlight Air and Mobile range of participants, too. They come from small of the communities we is staffed with one pilot and two fl ight INDIANAPOLIS INDIANAPOLIS 35 Lebanon-Warren County Airport 675 23 Services program. Within a few short weeks they serve with others who 70 rural communities and large urban departments, nurses. Many of the program’s Mobile 52 33 share our commitment 75 readied each vehicle for a careful inspection by the 35 To be added to the distance Urbana-Grimes Airport 675 23 from all over Ohio and at least 6 other states. to provide high-quality, Intensive Care Unit (MICU) nurses are learning email list visit: 74 275 32 70 Ohio Department of Public Safety’s (ODPS) Division cost-effective health 65 421 50 They are joining together to learn and better in the process of transitioning into a Darke County Airport CINCINNATI 32 33 care services. of Emergency Medical Services.52 All MICU vehicles prepare for the next call. tinyurl.com/Premier-EMS-Signup fl ight line, so many famiilar faces you 50 35 75 Operated By 32 passed that inspection with fl ying colors the fi rst M-C-CFT03975-9/20 23

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