FAA issues fact sheet on Helicopter Emergency Medical Service (HEMS) operations

Paul

Veteran
Nov 15, 2005
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EMS Helicopter Safety

Helicopter Emergency Medical Service (HEMS) operations are unique due to the emergency nature of the mission. In August 2004, the FAA initiated a new government and industry partnership to improve the safety culture at EMS operators and recommend short- and long-term strategies for reducing accidents. While the FAA has not ruled out proposing new or changing existing rules, the agency has prompted significant short-term safety gains that do not require rulemaking. The FAA’s immediate focus has been on:

*Encourage risk management training to flight crews so that they can make more analytical decisions about whether to launch on a mission.
*Better training for night operations and responding to inadvertent flight into deteriorating weather conditions.
*Promote technology such as night vision goggles, terrain awareness and warning systems and radar altimeters.
*Provide airline-type FAA oversight for operators. Identify regional FAA HEMS operations and maintenance inspectors to help certificate new operators and review the operations of existing companies.

Background

There are approx. 650 emergency medical service helicopters operating today, most of which operate under Part 135 rules. HEMS operators may ferry or reposition helicopters (without passengers/patients) under Part 91.

The number of accidents nearly doubled between the mid-1990s and the HEMS industry’s rapid growth period from 2000 to 2004. There were 9 accidents in 1998, compared with 15 in 2004. There were a total of 83 accidents from 1998 through mid-2004. The main causes were controlled flight into terrain (CFIT), inadvertent operation into instrument meteorological conditions and pilot spatial disorientation/lack of situational awareness in night operations. Safety improvements are needed.

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