S-SV EMS Agency
Sierra-Sacramento Valley EMS Agency
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Policy Manual
Table of Contents
100 – State Law & Regulation
200 – Local EMS Agency (LEMSA)
300 – Hospitals
400 – Provider Agencies
500 – Patient Destination
600 – Documentation & QI
700 – Equipment & Supplies
800 – Field Policies & Treatment Protocols
900 – EMS Personnel
1000 – Training Programs
1100 – Procedure Policies
Protocols (ALS/BLS)
Cardiovascular (ALS/BLS)
Respiratory (ALS/BLS)
Medical (ALS/BLS)
Neurological (ALS/BLS)
OB/GYN (ALS/BLS)
Environmental (ALS/BLS)
Trauma (ALS/BLS)
Pediatric (ALS/BLS) Protocols
Protocols (LALS)
Cardiovascular (LALS)
Respiratory (LALS)
Medical (LALS)
Neurological (LALS)
OB/GYN (LALS)
Environmental (LALS)
Trauma (LALS)
Pediatric (LALS) Protocols
HPP
HEMS Aircraft Aborted Flight Reporting Form
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Form Instructions
Utilize this form to report HEMS aircraft aborted flights - Defined as any 'accepted' scene/911 HEMS aircraft emergency response request that is unable to be completed by the accepting HEMS aircraft and was not cancelled by the requesting entity
Layout
Provider Agency
*
Select One
CALSTAR
Care Flight
Enloe Flighcare
PHI
REACH
Other
Reporting Party Name
*
Incident Date
*
Incident County
*
Select One
Butte
Colusa
Glenn
Nevada
Placer
Shasta
Siskiyou
Sutter
Tehama
Yuba
Aircraft Unit ID
*
Reporting Party Email Address
*
Incident #
*
Aircraft Responding From
Select One
Base
Other (provide detail in the 'Additional Comments' box below)
Send Notification to Additional Email Recipients?
Yes
No
Additional Email Recipient #1 (Optional)
Additional Email Recipient #2 (Optional)
Abort Reason
*
Select One
Weather At Base
Weather Enroute To Scene
Weather At Scene
Mechanical Failure of Aircraft
Mechanical Failure of Equipment
Other (provide details in 'Additional Comments' box below)
Did aircraft make a precautionary/emergency landing?
*
Yes
No
Additional Comments
Submit