heli-samu a écrit:Certes copter, mais dans l'état actuel des choses, qu'est ce qu'un paramedic en france ? Un infirmer ? Impossible car ils dépendent des SAMU et donc de la fonction publique. Un sapeur pompier ? Un secouriste ? Un ambulancier ? Un CAP paramedic ?
Concrètement, en France actuellement, la notion de paramedic est floue a mes yeux... Nous avons déjà un infirmier et un médecin a bord, je pense qu'un membre dequipage (qui, pour moi, devrait être un mécano) avec un niveau AFGSU correspond aux attentes d'un paramedic.
Je le répète, avez vous bien lu les NPA ? Tout y est dit !:
AMC OPS.SPA.001.HEMS(b)(4) Helicopter emergency medical service operations
1.5.2 HEMS Technical crew member
The specific HEMS training programme for technical crew members who perform
assigned duties relating to assisting the pilot in his duties should include the following items in addition to Part-OR:
a. Duties in the HEMS role
b. Navigation (map reading, navigation aid principles and use);
c. Operation of radio equipment;
d. Use of onboard medical equipment
e. Preparing the helicopter and specialist medical equipment for subsequent HEMS departure
f. Instrument reading, warnings, use of normal and emergency check lists in assistance of the pilot as required;
g. Basic understanding of the helicopter type in terms of location and design of normal and emergency systems and equipment;
h. Crew coordination;
i. Practice of response to HEMS call out
j. Conducting refuelling and rotors running refuelling;
k. HEMS operating site selection and use;
l. Techniques for handling patients, the medical consequences of air transport and some knowledge of hospital casualty reception
m. Marshalling signals;
n. Underslung load operations as appropriate;
o. Winch operations as appropriate;
p. The dangers to self and others of rotor running helicopters including loading of patients;
q. The use of the helicopter inter-communications system.
GM2 OPS.SPA.001.HEMS(b)(4) Helicopter emergency medical service operations (HEMS)
1. When the crew is composed of one pilot and one technical crew member, the latter should be seated in the front seat (co-pilot seat) during the flight, so as to be able to accomplish the tasks that the pilot-in-command may delegate, as necessary:
a. Assistance in navigation;
b. Assistance in radio communication/radio navigation means selection;
d. Monitoring of parameters;
e. Collision avoidance;
f. Assistance in the selection of the landing site;
g. Assistance in the detection of obstacles during approach and take-off phases.
2. The pilot-in-command may also delegate to the technical crew member tasks on the ground:
a. Assistance in preparing the helicopter and dedicated medical specialist equipment for subsequent HEMS departure
b. Assistance in the application of safety measures during ground operations with rotors turning (including: crowd control, embarking and disembarking of passengers, refuelling etc.).
3. When a technical crew member is carried it is his/her primary task to assist the pilot-in- command. However, there are occasions when this may not be possible:
a. At a HEMS operating site a pilot-in-command may be required to fetch additional medical supplies, the technical crew member may be left to give assistance to ill or injured persons
whilst the pilot-in-command undertakes this flight. (This is to be regarded as exceptional and is only to be conducted at the discretion of the pilot-in-command, taking into account the dimensions and environment of the HEMS operating site.)
b. After arriving at the HEMS Operating Site, the installation of the stretcher may preclude the technical crew member from occupying the front seat.
c. The medical passenger requires the assistance of the technical crew member in flight
d. In the cases described in a., b. or c. above, reduction of operating minima contained in Table 1 of OPS.SPA.020.HEMS. (GM OPS.SPA.020.HEMS(a) HEMS Operating Minima
REDUCED VISIBILITY. In the rule the ability to reduce the visibility for short periods has been included. This will allow the pilot-in-command to assess the risk of flying temporarily into reduced visibility against the need to provide emergency medical service, taking into account the advisory speeds included in the AMC. Since every situation is different it was not felt appropriate to define the short period in terms of absolute figures. It is for the pilot-in-command to assess the risk to third parties, the crew and the aircraft in comparison to the mission parameters, using the principles of GM OPS.SPA.001.HEMS(a).)should not be used.
e. With the exception of a. above, a pilot-in-command should not land at a HEMS operating site without the technical crew member assisting from the front seat (co-pilot seat).
4. When two pilots are carried, there is no requirement for a technical crew member, provided that the pilot non-flying (PNF) performs the aviation tasks of a technical crew member.Donc cela peut être donc, un(e) IDE, un(e) aide soignant(e), ou un(e) ambulancier(e).
french kiss a écrit:Faudrait déjà que l'employeur fasse passer une visite PN aux crewmembers...
Je considère que le crew Member doit être considéré comme un PN, car en plus des responsabilités paramédicales, il aide le pilote dans des fonctions aéronautiques (tout comme, mon cher Laurent, les PNC
qui s'occupe de la sécurité à bord et des premiers secours à personne)