What is the role of an ICU doctor on board of an Air Ambulance?

Job, our Chief Medical Officer shares his experience.

Monitoring and stabilizing patients in the air

During a long flight in a private air ambulance, my primary role is to monitor and stabilize the patient’s vital signs. Unlike in a traditional ICU, where I have extensive equipment and a full team, the air ambulance requires quick decisions with limited resources, focusing on maintaining stability in constantly changing conditions.

Preparation starts before takeoff. I review the patient’s records and adapt the medical system to their needs, considering how altitude and air pressure might affect them. For myself, I check equipment, prepare emergency supplies, and mentally prepare for possible complications. Anticipating various scenarios, including worst-case ones, is essential.

Adapting to the airborne ICU environment

Managing a patient in an aircraft demands adaptability. Reliable medical systems are crucial, especially during turbulence. We plan ahead and communicate closely with the pilots to minimize risks, adapting ICU care to a compact, mobile space.

Common emergencies include respiratory issues, hemodynamic instability, and arrhythmias. We prepare by having the right medications and equipment ready and relying on protocols for quick, efficient responses. Accurate monitoring is key to managing these situations.

Staying calm and providing support

Communication is vital. We use clear signals and non-verbal methods when verbal communication is difficult. Coordination with the pilot is essential, especially if flight adjustments are needed during medical emergencies.

One challenging flight involved a patient with unexpected breathing difficulties due to air pressure changes. We quickly adjusted oxygen settings and administered medication, stabilizing the patient and delivering them safely. This underscores the importance of preparation and reliable equipment.

Flights can be stressful for both patients and the medical team. Patients often feel anxious in the unfamiliar environment, so I provide psychological support by staying calm and maintaining reassuring contact. For the team, preparation and mutual support help us stay focused under stress.

To manage stress during long flights, I prioritize self-care, staying well-rested and hydrated, and rely on established routines to reduce stress.

Reflecting on the impact

The handoff at the destination hospital is emotionally charged, with relief and satisfaction in a safe transport, mixed with concern for the patient’s continued care. The handover is systematic to ensure continuity.

What keeps me motivated is knowing I’m making a difference in critical moments. Working in an air ambulance challenges my skills and brings immense satisfaction. It has made me a more versatile healthcare provider, and I’ve learned to stay calm and focused in even the most challenging situations.