Sponsor Message:
Aviation Technical / Operations Forum
My Starred Topics | Profile | New Topic | Forum Index | Help | Search 
Medical Diversions: Getting The PAX Off  
User currently offlineBrenintw From Taiwan, joined Jul 2006, 1625 posts, RR: 1
Posted (7 years 1 week 14 hours ago) and read 2372 times:

This picture was posted in Civ-Av, showing a Virgin Atlantic medical diversion to SLC:


View Large View Medium
Click here for bigger photo!

Photo © Devin B.



You can see that truck-mounted stairs were used to gain access to the cabin (I assume no suitable jetbridge was available.) I have a question: how do you get a passenger on a stretcher down those stairs? (I assume that since the pax was airlifted to hospital, he would have been in no condition to walk down the stairs.)

When I did first aid, I was once called out to stretcher out a spectator at a sports even who'd fallen down some stairs ... there were four of us on the stretcher, and we still struggled with the stairs -- and they were nowhere near as steep as the stairs in the picture.

The EMT at the lead of the stretcher would almost be holding it over his/her head in order to keep the patient more or less level, or those at the rear would be bent double. Could/would a scissor-lift (cargo loader) be used?


I'm tired of the A vs. B sniping. Neither make planes that shed wings randomly!
18 replies: All unread, jump to last
 
User currently offlineBond007 From United States of America, joined Mar 2005, 5408 posts, RR: 8
Reply 1, posted (7 years 1 week 13 hours ago) and read 2362 times:

Use an evacuation chair.

Standard equipment in most ambulances AFAIK.

There isn't even enough room to get a pax on a stretcher in an airliner is there?


Jimbo



I'd rather be on the ground wishing I was in the air, than in the air wishing I was on the ground!
User currently offlineHAWK21M From India, joined Jan 2001, 31667 posts, RR: 56
Reply 2, posted (7 years 1 week 13 hours ago) and read 2357 times:

Quoting Brenintw (Thread starter):
how do you get a passenger on a stretcher down those stairs

The Stretcher has safety restraining belts & its possible to get it down those stairs.However preference would be a vertically moving Truck similiar to the catering truck used to service the Galleys.
regds
MEL



Think of the brighter side!
User currently offlineFr8Mech From United States of America, joined Sep 2005, 5385 posts, RR: 14
Reply 3, posted (7 years 1 week 13 hours ago) and read 2352 times:

Quoting Brenintw (Thread starter):
how do you get a passenger on a stretcher down those stairs?

The same way you get a stretcher down any other set of steps; call the big burly men. All joking aside, big people can carry heavy things...a few big people can carry a stretcher down the stairs. I've even seen a patient carried (cradle carry) by a firefighter down some stairs, not the most advised, though effective. I did have to chew him out. Though expedient, the method was not warrented under the situation.

As stated, a stair chair can be used, if the patient's condition allows it.



When seconds count...the police are minutes away.
User currently offlineBrenintw From Taiwan, joined Jul 2006, 1625 posts, RR: 1
Reply 4, posted (7 years 1 week 13 hours ago) and read 2348 times:

Quoting Bond007 (Reply 1):
There isn't even enough room to get a pax on a stretcher in an airliner is there

I would be surprised if there wasn't.

When I was at university, a classmate was seriously injured when she wrote her BMW off. After spending a few weeks in hospital, she was deemed "safe to fly" -- her father flew down in his twin-prop (Beechcraft I think) that seated about 8. They laid some of the seats flat, and loaded her in the A/C while still on a stretcher for the flight up to her hometown (1.5-hour flight). It wasn't comfortable for her, but it was doable.



I'm tired of the A vs. B sniping. Neither make planes that shed wings randomly!
User currently offlinePilotpip From United States of America, joined Sep 2003, 3150 posts, RR: 11
Reply 5, posted (7 years 1 week 13 hours ago) and read 2341 times:

The reason the aircraft isn't at a jetbridge is also the time it takes to park the plane could mean critical minutes lost. Get the aircraft on a remote parking ramp, shut it down, stairs truck and paramedics can be on in a moments. The ambulance could also have a more direct route off the airport, or in this case, the passenger could have been carried straight from aircraft to the waiting helicopter which is just feet away versus a good distance away due to the commotion around the gates.


DMI
User currently offline57AZ From United States of America, joined Nov 2004, 2550 posts, RR: 2
Reply 6, posted (7 years 1 week 12 hours ago) and read 2325 times:

Quoting Pilotpip (Reply 5):
The reason the aircraft isn't at a jetbridge is also the time it takes to park the plane could mean critical minutes lost.

True. One time when we were flying from Tucson to Huntsville, TX we heard AA make an emergency landing at ABQ for a medical emergency. We monitored their progress and appearently the passenger's condition was extremely grave-the captain told ATC that he was prepared to shut her down on the runway. For an aircrew, it can be a tough call-back some years ago, a DL crew nearly wrote off a MD-88 making a priority landing due to a misdiagnosed medical condition-cabin crew thought that a passenger was having a heart attack (turned out later to be a bad case of heartburn). Runway had less than optimal braking conditions-they blew two tires and nearly overran the runway.



"When a man runs on railroads over half of his lifetime he is fit for nothing else-and at times he don't know that."
User currently offlineBond007 From United States of America, joined Mar 2005, 5408 posts, RR: 8
Reply 7, posted (7 years 1 week 11 hours ago) and read 2310 times:

Quoting Brenintw (Reply 4):
I would be surprised if there wasn't.

When I was at university, a classmate was seriously injured when she wrote her BMW off. After spending a few weeks in hospital, she was deemed "safe to fly" -- her father flew down in his twin-prop (Beechcraft I think) that seated about 8. They laid some of the seats flat, and loaded her in the A/C while still on a stretcher for the flight up to her hometown (1.5-hour flight). It wasn't comfortable for her, but it was doable.

Well, I was somewhat exaggerating, but if you can't roll a small bag down the aisle, it's tough to lay a stretcher down, get medics either side, and get a patient strapped in... not much better in the galley areas. I'm sure it's been done many times though, although unless there are back/neck issues, I guess that a chair is much easier.

Forcing somebody into a Baron in a stretcher is bad enough ... this comparison would be getting a passenger inside your Baron strapped into a stretcher, and then carried out ... ain't gonna happen  Smile


Jimbo



I'd rather be on the ground wishing I was in the air, than in the air wishing I was on the ground!
User currently offlineBrenintw From Taiwan, joined Jul 2006, 1625 posts, RR: 1
Reply 8, posted (7 years 1 week 8 hours ago) and read 2289 times:

Quoting Bond007 (Reply 7):
Forcing somebody into a Baron in a stretcher is bad enough ... this comparison would be getting a passenger inside your Baron strapped into a stretcher, and then carried out ... ain't gonna happen

If someone's got enough space to lie down, you've got enough space to get them on a stretcher -- we were trained how to slide a stretcher under someone from front to back ... it's not an easy process, but doable.



I'm tired of the A vs. B sniping. Neither make planes that shed wings randomly!
User currently offlineKELPkid From United States of America, joined Nov 2005, 6370 posts, RR: 3
Reply 9, posted (7 years 6 days 19 hours ago) and read 2211 times:

Quoting Brenintw (Reply 4):
When I was at university, a classmate was seriously injured when she wrote her BMW off. After spending a few weeks in hospital, she was deemed "safe to fly" -- her father flew down in his twin-prop (Beechcraft I think) that seated about 8.



Quoting Bond007 (Reply 7):
this comparison would be getting a passenger inside your Baron strapped into a stretcher, and then carried out

Sounds more like a Twin Bonanza or a Queen Air, possibly even a 90-series King Air  Wink

A little bit bigger than a Baron, but still not ideally large...  Smile



Celebrating the birth of KELPkidJR on August 5, 2009 :-)
User currently offlineBond007 From United States of America, joined Mar 2005, 5408 posts, RR: 8
Reply 10, posted (7 years 6 days 19 hours ago) and read 2204 times:

Quoting Brenintw (Reply 8):
If someone's got enough space to lie down, you've got enough space to get them on a stretcher -- we were trained how to slide a stretcher under someone from front to back ... it's not an easy process, but doable.

If you're in a Baron (or even a King Air), I guarantee unless they have suspected spinal or neck injuries, you're probably not going to try and get them on a stretcher until they are off the plane.

Quoting KELPkid (Reply 9):
possibly even a 90-series King Air

...or even a 350 ??

...but could be Twin Bonanza  Wink

Jimbo



I'd rather be on the ground wishing I was in the air, than in the air wishing I was on the ground!
User currently offlinePilotpip From United States of America, joined Sep 2003, 3150 posts, RR: 11
Reply 11, posted (7 years 6 days 15 hours ago) and read 2142 times:

There are air ambulance services out there that use model 58 Barons. The cargo door on the right side of those (and bonanzas for that matter) is more than large enough to get somebody on a stretcher through. They're much larger than a king air or citation.


DMI
User currently offlineBond007 From United States of America, joined Mar 2005, 5408 posts, RR: 8
Reply 12, posted (7 years 6 days 14 hours ago) and read 2128 times:

Quoting Pilotpip (Reply 11):
is more than large enough to get somebody on a stretcher through

No doubt ... but I wasn't questioning that. Presumably with seat(s) removed.

Not sure about being larger than a King Air or Citation. I believe the Baron and Bonanza doors are the same size ... about a foot shorter both dimensions than a King Air (52 x 52).

Jimbo



I'd rather be on the ground wishing I was in the air, than in the air wishing I was on the ground!
User currently offlineCanadianNorth From Canada, joined Aug 2002, 3389 posts, RR: 9
Reply 13, posted (7 years 6 days 13 hours ago) and read 2124 times:

Quoting Bond007 (Reply 1):
There isn't even enough room to get a pax on a stretcher in an airliner is there?

I've only seen a strecher patient come off an aircraft once (we were on the bridge waiting to board the aircraft and start grooming it), but the way they did it was parked the stretcher just outside the door on the bridge, put the passenger in a highback wheelchair, rolled him out the door and onto the bridge, and then carefully transfered him to the strecher. It caused him a hell of alot of pain, but overall it seemed like a pretty efficient way of getting the job done.


CanadianNorth



What could possibly go wrong?
User currently offlinePilotpip From United States of America, joined Sep 2003, 3150 posts, RR: 11
Reply 14, posted (7 years 6 days 13 hours ago) and read 2117 times:

Jimbo,

Maybe you're referring to a kingair with a cargo door? Compared to the standard airstairs door, the rear door on the Baron/Bonanza is larger.

Nothing sucks worse than getting an incapacitated fat guy out of a citation or kingair without a modified door. Lears aren't fun but most of them have a wider door to begin with and there are a ton with an even wider, modified door. We got a lot of air ambulance flights at my FBO because of a very good transplant service, and proximity to four hospitals. Winters were the worst. Retirees would go have a heart attack in Vegas or on a cruise and have to get home somehow.



DMI
User currently offlineJkudall From United States of America, joined Mar 2004, 615 posts, RR: 1
Reply 15, posted (7 years 2 days 12 hours ago) and read 1983 times:

Having a background in both the airlines and EMS I can definitely say stretchers will NOT fit down a standard aircraft aisle and in most instances would remain outside of the aircraft altogether. Ambulances do carry chairs which are primarily designed to remove patients from houses with a lot of stairs or apartment buildings w/o elevators or any other situation that would make it difficult or time consuming to use a stretcher.

However, airlines are required to have special chairs called aisle chairs readily available (usually they are found in a jetway or on the ramp) which are designed to move up and down the standard aircraft aisle. They are used to move immobile passengers (i.e. people who are wheelchair bound) to/from their seat but could also be used in an emergency situation and would be my preferred way of doing it unless it was a situation where it couldn't be used such as a spinal injury or cardiac arrest. Other options are to use a backboard or just carry the patient out of the aircraft to the stretcher.


User currently offlineOPNLguy From , joined Dec 1969, posts, RR:
Reply 16, posted (6 years 12 months 4 days 21 hours ago) and read 1866 times:

When I catered for Dobbs @ IAH a couple of centuries ago, one of our guys was pressed into service one time to assist with a flight that had diverted with a medical emergency. Pulled right up to the back galley door of a 722, lifted, rolled the pax off into the truck, lowered, and they picked her up for the last couple of feet to the ground, and then the ambulance. This was back in the days when aisle chairs were a rarity, and as I recall, the pax was on the large side (300 lbs+) to boot.

Looks like they also used a catering-type truck when JFK's body was returned to Andrews AFB...

http://kennedy-photos.blogspot.com/ Scroll about 1/4 of the way down....


User currently offlineBwaflyer From United Kingdom, joined Jun 2004, 689 posts, RR: 0
Reply 17, posted (6 years 12 months 1 day ago) and read 1736 times:

Don't know if they're used much in the states, but normally when you are on a remote stand, wheelchair passengers are often brought out to the aircraft on a hi-lift truck, which rises up to the cabin door (just like a catering truck).

User currently offlineL-188 From United States of America, joined Jul 1999, 29792 posts, RR: 58
Reply 18, posted (6 years 12 months 23 hours ago) and read 1732 times:

Quoting Brenintw (Thread starter):
how do you get a passenger on a stretcher down those stairs?

You carry it.

Quoting Brenintw (Thread starter):
Could/would a scissor-lift (cargo loader) be used?

Sure, I have loaded strechers with a Forklift too, We used bins instead of carts for baggage so we put the guy and the accompaning EMT in one and lifted up to the door.

Quoting Pilotpip (Reply 14):
Nothing sucks worse than getting an incapacitated fat guy out of a citation or kingair without a modified door

Try doing it with a Merlin. Damm narrow door. Once in a while we would be asked to trade out the Merlin for a Metro if it was available because in the Metro we had the medivac configuration was to remove the rear bulkhead and then load them through the big cargo door.

But I can also think of one case where we sent the plane down and then had to give the patient over to the USCG because the pt was too big for the aircraft. PT fit in the back end of a Herk though.



OBAMA-WORST PRESIDENT EVER....Even SKOORB would be better.
Top Of Page
Forum Index

Reply To This Topic Medical Diversions: Getting The PAX Off
Username:
No username? Sign up now!
Password: 


Forgot Password? Be reminded.
Remember me on this computer (uses cookies)
  • Tech/Ops related posts only!
  • Not Tech/Ops related? Use the other forums
  • No adverts of any kind. This includes web pages.
  • No hostile language or criticizing of others.
  • Do not post copyright protected material.
  • Use relevant and describing topics.
  • Check if your post already been discussed.
  • Check your spelling!
  • DETAILED RULES
Add Images Add SmiliesPosting Help

Please check your spelling (press "Check Spelling" above)


Similar topics:More similar topics...
Intercept The ILS Off The Rnav - Question? posted Tue Jul 8 2003 23:22:47 by Mr Spaceman
Can A Pilot Turn Off The Engines .... posted Fri Jul 13 2007 11:27:31 by Samair
Water On Top Of The Wings, Not Blowing Off? posted Mon Mar 5 2007 00:19:31 by CoolGuy
8 Pax With The Air Greenland A332 posted Tue Jan 23 2007 00:02:27 by AbleToFly
Did The Concorde Need A Long Take Off Roll? posted Sat Jul 8 2006 01:46:49 by 747400sp
Can The A380 Land Fully Loaded Pax/fuel Emergency? posted Sat Apr 29 2006 15:37:01 by Julianuk
Take-off & Landing - Another Day At The Office? posted Mon Jan 23 2006 00:48:29 by TimePilot
Concorde Off The Runway? posted Sat May 7 2005 16:33:54 by FutureUApilot
BOH Getting Ready For Pax Number Surge posted Thu Jan 20 2005 22:46:15 by EGHHWizard
Take Off On The Roll posted Fri Dec 31 2004 21:03:56 by Klc317

Sponsor Message:
Printer friendly format