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3) Assess pain control, sedation and need for paralysis. Re-dose medications as
needed in accordance with transferring physician’s orders. Ideally, paralytic
medication should not be administered near the end of the flight. Significant,
adjunctive analgesia may be required to compensate for initial lift, landing and in
flight combat maneuvers, therefore Flight Paramedic/Provider should consider
carrying higher volumes of analgesia that would be normally used in ground
transport or fixed facilities.
4) All events will be addressed with appropriate interventions according to transferring
physician’s orders and protocols. All interventions require reassessment for patient
response to the intervention.
5) All enroute care, including ventilator changes, medications, events, interventions,
and patient’s response will be documented on the appropriate patient care
documentation.
e. Patient Report and Transfer of Care at the Receiving Hospital
1) A verbal and written patient report will be given to the receiving nurse or physician
upon delivery of the patient.
2) Routinely, the responsibility of care will be transferred at the receiving ED. On rare
occasions (i.e. mass casualty incidents, pending emergency flights, etc.), care may
need to be transferred on the helipad rather than at the bedside.
3) For Tail-to-Tail transfers, the Flight Paramedic/Provider initiating transport will send
all documentation from the transferring facility and the patient care documentation
from the first leg of the flight with the Flight Paramedic/Provider completing the
second leg of the transfer. The Flight Paramedic/Provider completing the second leg
nd
of the transfer will initiate their own patient care documentation, circling “2 Leg” at
the top of the form and ensure all documentation is turned over to the MTF upon
arrival and hand off of patient care.
4) The patient care documentation will be completed and left with the patient at the
receiving facility at the time of patient handover. If unable to complete documentation
due to extensive mission requirements, the patient care documentation will be
forwarded to the appropriate medical information receiving facility/person IAW local/
theater policy.
Any in-flight problems should be addressed per appropriate protocol and per written
instruction from transferring physician. Continued problems should prompt contacting
medical control as soon as it is possible.
Document procedure, results, and vital signs.

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