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Medi-Ops Rotor Aircraft Operator
Author Medi-Ops Team Categories Courier Services, Flight Services

Rural Communities & Medical Logistics

One of the best things about Colorado is the mountains and remote locations that the state offers. Mountain communities are secluded and peaceful, making them the perfect places to reside or escape for a weekend. The thing about these rural communities is that access to them can be difficult. This not only impacts the traveler, but also the community’s needs for emergency transport. What does emergency transport look like for these communities? How do they operate and what are the solutions to get these rural hospitals what they need?

Rural hospitals are the backbones of the communities that surround them. With all of the wonderful things these hospitals do, transportation can be a struggle due to factors with location and accessibility. Even with hospitals that involve more difficult access, the need for blood product, specimens, and medical equipment doesn’t decrease! These hospitals still require the same urgent transportation of medical products that any other medical facility would. All those mountain towns mentioned above? Think about the factors that could go into shipments and transportation operations – weather, terrain, distance, urgency, and the list goes on. These are real challenges that communities face, and no one wants to deal with those maddening logistics!

These challenging factors create situations where driving and road transportation might not be the fastest, safest, or most efficient option for medical and urgent transportation. These communities are also decently far from blood banks, distribution centers, and important facilities such as these. One option that stands out as a solution is utilizing commercial aircraft, charter rotor aircraft, or fixed-wing aircraft. These transportation options help to meet the urgent needs of rural communities. 

Once a community decides to explore the option of aircraft transportation, ground transportation is still utilized in order to pick these shipments up from distribution centers or blood banks, bring the product to the airport, and then have another transport pick the product up when it lands and deliver it to the final destination. Managing insurance, TSA qualifications, contracts, and other logistics are important in this process as well to create the safest optimal environment for the product being transported. 

Transportation challenges. Aircraft options. Ground transport logistics. This is still quite a list of things to manage when requiring urgent transport. Thankfully, logistics partners such as Medi-Ops can step into the process and help to manage this transportation network in order to meet the needs of and best serve these communities. With Medi-Ops, these various logistics are all taken care of in creating and executing the optimal transportation plan. Through utilizing relationships with commercial aircraft, shipments can be added to these flights that have excess baggage space through Next Flight Out services. Medi-Ops also has partnerships with rotor aircraft and fixed-wing, creating accessibility to all. Instead of a rural hospital having to set up transportation to pick up a medical shipment, bring it to the airport, coordinate a separate transport to pick it up from the receiving airport, and bring it to the hospital, on top of managing their insurance, various qualifications from the TSA, contracts, and other legal and safety logistics, the rural hospital could just set the trip up with Medi-Ops, who will work alongside them to pick the best methods of transportation for the hospital and their product.

In 2020, Medi-Ops partnered with Heli-Ops to continue providing the best transportation possible. Rotor aircraft are essential in reaching remote areas quickly, as they can land almost anywhere and move at high speeds. These aircraft do have a shorter range than fixed-wing aircraft, making the relationships with both types essential when determining optimal transportation in any situation.

The utilization of these alternate services in transportation, for example, a mountain hospital that is out of blood product, can get the product there in two hours instead of the eight hours that it would take between driving through winter roads, terrain, and other barriers. Medi-Ops has established relationships with rotor aircraft carriers in addition to commercial airlines that create the ideal transportation situations for these rural communities.

Medical transportation, especially to and from rural hospitals and medical facilities, can entail an incredible number of hard-to-sort logistics. Involving logistics partners like Medi-Ops will help to create transportation networks that are of the highest safety, efficiency, and quality. Time is of the essence in transportation situations and Medi-Ops is able to eliminate unnecessary pains in the logistics process, so hospitals can focus on their operations without having to worry as much about transportation and whether or not they are going to have a product on time.

on- board medical courier showing a white cargo plane
Author Medi-Ops Team Categories Blood Bank, Courier Services, Flight Services

On-Board Couriers in Medical Transportation

In the medical world, timing is not always predictable or within a medical professional’s control. When emergency situations arise, means of medical transport can be complicated. Due to this fact, Medi-Ops is quick to respond to calls with various services tailored specifically to meet the needs of any transport situation that may emerge. 

On July 4th of this year, a granulocyte transport for a pediatric lymphoma patient in New Orleans, Louisiana was urgently called in. Granulocytes are the most common white blood cells whose primary function is to fight infection and are used in transfusions to patients with low white blood cell counts. Donors will give granulocytes via blood separation processes and the units of donated granulocytes are only good for 24 hours from the start of the blood draw from a donor. Therefore, this independence day transport call was urgent and extremely time-sensitive. In this case, the granulocyte transport needed to move from Colorado to Louisiana within the 24-hour window. While Medi-Ops would typically handle this call with a Next Flight Out (NFO) service, many airline cargo stations were closed due to the holiday. An NFO service would require cargo stations to be utilized, as a driver drops the product at the airport with the airline, and then a pickup is scheduled on the other end of the flight to transport the product to its final destination. Due to the urgency of this call, an on-board courier method of transportation was required. This way, a Medi-Ops employee could take the product, accompany it onto and during the flight, and quickly transport it to the recipient within the narrow time window. While on-board courier methods are not as common in medical transport, utilizing this service can create ideal conditions for time-sensitive, emergency situations.

What Is On-Board Courier Transport?

The next flight out option with Medi-ops is great for so many reasons. However, sometimes cargo stations are closed on holidays or other occasions, invalidating the option of medical transport via NFO. In these cases, the on-board courier system is used to safely and efficiently transport blood, organs, and other medical specimens. With on-board couriers, a courier professional is physically present with the product throughout the duration of transport. On-board couriers ensure efficiency and safety in a time-sensitive manner. The ability to schedule these trips at the last minute makes on-board couriers ideal for certain urgent emergencies. 

When on-board courier transport is determined to be the most effective method of transportation, what exactly does the process look like? The on-board courier professional that is transporting the product will receive the cargo and accompany it through preflight procedures and onto a passenger flight. When landed, the courier brings the cargo safely through the deplaning process and transports it directly to the final destination, into the hands of medical professionals that will then take the product for its intended use.

On-Board Couriers V.S. Next Flight Out

More commonly, Medi-Ops utilizes the Next Flight Out Service when transporting products via air. An NFO service can be offered through an Indirect Air Carrier such as Medi-Ops. This kind of transport allows for the shipment of medical specimens and products over commercial airlines, providing rapid and secure transport. Through this method, a shipment is picked up and moved to the airport where it is tendered to the airline and monitored using Medi-Ops software during the flight. Post-flight, the shipment is retrieved and delivered to its final destination. The key difference between NFO and on-board couriers is that with an on-board courier there is a professional physically present on the flight and accompanying the product throughout the duration of transport. On-board courier transport tends to be more expensive, however, can be conducted on short notice and with greater flight options.

Safety

As one of the fastest modes of cargo transportation, on-board couriers ensure top-tier safety in medical transport. Because so many transport situations are extremely time-sensitive, on-board couriers are able to create a system where the product is getting exactly where it needs to be in the safest way possible. Since the courier professionals personally accompany the shipment, the product is monitored and watched at all times.

Efficiency

The efficiency of on-board couriers can not be overlooked either! Customs clearance and transport procedures during travel are quick and the products can immediately be available at their final destination. In the case of granulocyte transport previously mentioned, the short shelf life of the product can seemingly produce logistic problems. When granulocytes are extracted from a donor, the short shelf life requires the patient to receive the transfusion within hours. However, since there are rare and urgent needs in this area, granulocytes are often located out of state for certain patients. An efficient transport with an on-board courier can be the means of life or death in these cases. With Medi-Ops, the most efficient method of transport is utilized for each specific call. The option of on-board courier transport with Medi-Ops furthers the ability to address every transport need in the best way possible.

Every situation and call received by Medi-Ops requires evaluation on which means of transport creates the safest, most ideal environment for product, patients, and transportation. In the July 4th call to the pediatric patient, getting a rare and short shelf-life product transported across the United States within a small time window was an incredible accomplishment and couldn’t have been done without the use of on-board courier transport. On-board couriers therefore clearly become an essential means of medical transport when moving time-sensitive products across the country. Using this service ensures safety and efficiency simultaneously, creating the perfect means of emergency medical transport in rare and unique situations.

drone-carrying-medical-supplies
Author Medi-Ops Team Categories Courier Services, Flight Services

How Drones and UAVs are Increasingly Offering Support During Medical Emergencies

Over the years, human beings have been shown to harness technology to meet their needs and wants. This dedication to the betterment of society has defied the limits of human possibility. Technology is increasingly being applied in modern healthcare to tackle some overarching challenges people face today. Much of the attention has been on the use of drones and unmanned aerial vehicles (UAVs) for direct patient intervention and to meet emergency medical supply needs.

Although drone technology was initially intended for aerial and military applications, innovators have since changed the trajectory and customized these systems for healthcare delivery. Already, there have been successful cases of healthcare organizations using drone technology to move laboratory samples, pharmaceuticals, blood products, medical supplies, organs, and vaccines to deserving populations.

This article covers the growing role of drones and UAV support during medical emergencies and what this might mean for the future of healthcare delivery.

The Transportation of Blood and Blood Products

One of the most important issues during medical emergencies is the need for emergency blood supplies to help stop uncontrolled hemorrhage. Because it is one of the primary causes of trauma-induced preventable deaths, stopping uncontrolled hemorrhage on time can greatly improve patient survival.

Patients who have undergone major trauma can be saved through timely blood transfusion. This process can be enhanced by integrating swift and reliable drone transport. An example can be given in Rwanda, where drones are being used to deliver cost-effective blood transportation services during traumatic events such as postpartum hemorrhage. The government has backed the process, which has helped save thousands of lives.

In the United States, the drone delivery of blood and blood products is yet to be successfully implemented due to the high regulation of air traffic. However, given the potential that these technologies have in shaping the future of blood transportation, it is just a matter of time before plans are put into place. 

The Shipping of Automated External Defibrillators (AEDs)

Another fundamental application of drone technology is the delivery of AEDs to emergency locations. Research indicates that over 350,000 people annually experience out-of-hospital cardiac arrests (OHCA) in the United States. The survival rate is extremely low at ten percent.

The problem with OHCA situations is that it takes a while before EMS services arrive, leaving victims at the mercy of bystander conduct. Although bystander fibrillation and cardiopulmonary resuscitation (CPR) can work sometimes, inaccuracies or little delays can prove fatal. 

In many rural areas, EMS services can take long before they arrive at emergency locations due to technical and logistical challenges. An activity that would often take 8 minutes can take up to 30, depending on the setting. Still, recent studies indicate that drones can deliver AEDs swiftly and reliably to where they are needed. The aim is for the AEDs to reach a designated bystander before emergency services arrive.

Therefore, drones have the capability to save lives in OHCA scenarios. If the use of this technology is completely rolled out, then the healthcare industry can improve the survival rate from the current 10%.

The Transportation of Rescue Medications

As earlier stated, drones are being used today to haul medicines and vaccines to deserving populations. 

During the COVID-19 pandemic, some drone companies used these technologies to deliver vaccines to rural locations in Africa. The uptake was immense, and the technology has since been rolled out in the United States to deliver health products to customers once they purchase them on e-commerce platforms. This ideology has also spread to Asia, where Japanese companies use drones to haul medical supplies to clinics and pharmacies within the Goto Islands. 

Although this reality has only been realized as a response to the pandemic, it can be seen that drone transportation of medical supplies has global applicability as the technology can be implemented both in rural and urban areas.

One of the potential application areas in the United States is the transportation of nasal spray naloxone to help manage opioid overdose (OD) cases. The US Food and Drug Administration (FDA) lists cutting opioid addiction rates as one of its key priorities. If drones are to be used to dispatch drones carrying nasal spray naloxone, bystanders would be better equipped to administer the antidote to opioid overdose victims on time.

Search and Rescue

It is vital to note that drones and UAVs have a role in the search and rescue of emergency victims. Because these technologies can fly remotely autonomously or non-autonomously, they can reach remote areas far quicker than humans. Drones and UAVs can also take photos and video recordings in real-time, which helps aid search and rescue (SAR) missions.

At the moment, much of this SAR drone application occurs when saving hikers and skiers in an avalanche, mountainous, and heavy snow regions. Accidents in these areas can greatly reduce survival probabilities meaning that rapid rescue missions are required.

An important point to note is that drones cannot extract victims from such topographical scenarios. However, innovators can integrate multispectral or thermal imaging cameras to identify the presence of gasses which helps locate accident victims.

Here, the aim is to efficiently locate victims and understand their conditions before EMS services can arrive at the emergency locations.

Bottom Line

Given the challenges that have come up in the pandemic era and the need for humans to harness technology for healthcare needs, it can be expected that the use of drones and UAVs will increase.

Drone technology allows healthcare stakeholders to transport blood, blood products, automated external defibrillators (AEDs), rescue medications, and perform search and rescue procedures. With global applicability and confidence increasing across all stakeholders, more utilization of drones and UAVs in healthcare can be expected.

If you are looking for a professional and technology-enabled medical logistics and transportation company to meet your organization’s needs, reach out to us. We offer our customers a unique and innovative perspective on managing their medical supply chains. 

We can manage and coordinate all your medical transportation activities for you. Our specialties include ground and air medical couriers, NEMT transportation, ambulance transportation, and unmanned aerial services.

doctor-holding-a-carrier-for-air-transport-medical-courier-concept
Author Medi-Ops Team Categories Courier Services, Flight Services

Consideration Factors for Air & Ground Medical Courier Operations

When it comes to getting sensitive materials and specimens to their destinations, you want to make sure that everything is handled with care. Regardless of the mode of transport you choose, it’s crucial that medical shipments get to their destinations safely and quickly. There are two distinctive types of medical couriers: ground and air. Before settling on the right method of transport, you need to know how to weigh their pros and cons. Here are some factors you should consider when choosing between ground and air transportation for your medical courier operations. 

Cost

The obvious advantage of ground transportation is its low cost, especially when you factor in fuel prices. Because aviation fuel is much more expensive than conventional gas, flying can drive up your shipping costs.

However, there are some other considerations you should take into account alongside cost. For example, if you need shipment within 24 hours and your product isn’t temperature-sensitive, ground shipping may make more sense in terms of the overall cost. Conversely, if you need overnight delivery, such as human blood samples sent from one hospital to another, it might be worth investing in air courier services.

Turnaround Time

Time is always a significant factor, especially when you are delivering sensitive products that can only be handled by medical professionals. The prompt arrival of critical items could also mean saving someone’s life.

By using air transport, you are generally able to do deliveries faster than would be possible with ground shipping. While ground shipping can be cheaper, it can be effected by weather changes or road conditions such as traffic jams. 

Nevertheless, at Medi-Ops, we have made our ground transportation system as fast as possible through the use of lights and siren couriers. Our AI technology also makes it easy for us to evaluate many different routes and settle on the most appropriate one, avoiding traffic and other potential pitfalls. 

Ability to Track Shipment

The ability to track your shipment via GPS devices is critical when sending medical supplies. Any sort of tracking device, such as those found on airplanes, can be invaluable in preventing you from losing your shipment altogether. 

If you’re carrying blood products, such as platelets and plasma proteins, you need tracking capabilities that will ensure their safety 24/7. Furthermore, if delivery is urgent and an ambulance must be called in an emergency, having at least some level of tracking capability makes it easier for responders to locate your shipment quickly. 

In addition to airplane deliveries, ground couriers now offer smart shipping containers that come equipped with GPS-tracking technology. These units make shipping medical supplies even more reliable.

Regulations

The regulatory environment is changing rapidly across several industries. Government regulations that impact medical courier services include HIPAA (Health Insurance Portability and Accountability Act), OSHA (Occupational Safety & Health Administration), FDCA (Food, Drug, & Cosmetic Act), PHMSA (Pipeline Hazardous Materials Safety Administration), and IMDG / IATA / RID (International Maritime Dangerous Goods Code).

It is important to determine if your items are classified as Hazardous Materials (HazMat). If they are, you will need an FAA license to transport them via air. However, most states require HazMat items to be transported by ground-only couriers. 

Distance

If you’re only transporting your products across town, you’ll probably have a better experience with ground transportation. On the other hand, the big advantage of air transport is that it covers much larger distances faster than ground vehicles. 

Safety

Whenever your medical courier operation involves specimens, sensitive pharmaceuticals, or highly regulated medical devices, you’ll want to choose a mode of transport that minimizes risk. Air carriers are regulated by multiple federal agencies and have strict safety standards in place. For instance, if something goes wrong with a flight transporting samples from an infectious disease lab, pilots must be specially trained on how to handle such situations. On average, ground transportation for these types of shipments isn’t subject to as many safety regulations. 

Weather Considerations

In areas with a high rate of inclement weather, ground travel can be hazardous and risky. Regardless of how careful drivers can be, they could still hit icy patches on roads, causing vehicles to slide off-road. If you’re located in an area prone to snow, rain, and hurricanes, opt for air transport. It will guarantee you more safety, flexibility, and faster delivery time. 

Condition of Item Being Shipped

Temperature-sensitive or otherwise fragile products need special handling. For such shipments, an air courier service is your best bet, particularly if you don’t have time to wait around on ground shipping. For less sensitive items, it’s better to choose ground services and avoid the high costs associated with airline travel.

An Appropriate Solution for Your Medical Courier

There are many factors that you should consider when choosing between ground and air transport for your medical courier operations. Each mode of transportation has its own benefits and limitations. You need to take into account many factors like cost, expected delivery times, distance, regulatory aspects, legal concerns, and more. At Medi-Ops, we provide you with the right ground and air transport services for all your medical needs. Regardless of how complicated your operation is, our team of medical courier professionals can help you take it from conception to completion. We rely on the best technology that includes AI and machine learning to find the right solution for your transportation needs. Contact us today if you have any questions about our courier services.

spinal-injury-patient-being-examined-by-doctors
Author Medi-Ops Team Categories Ambulance Services, Flight Services

Spinal Injury Patients: How to Ensure Safe Transportation

Transporting patients with spine or spinal cord injuries can be a painful and complicated process, especially if the transport is uncurated. Before being admitted to a specialty care center, individuals with acute spinal cord injuries (SCI) must make repeated transfers between rooms, wards, and departments, or even between other hospitals. The goal is to maintain full spinal alignment throughout any movement and handling activities if there is a reasonable suspicion of acute SCI. On every occasion, gentle handling, positioning, and turning can prevent or greatly minimize patient pain and discomfort. It also lowers the risk of skin injury and secondary spinal cord injuries. Here is all you need to know about the transportation of spinal injury patients.

How to Identify a Spinal Injury Patient?

Do not move the person if you suspect a back or neck (spinal) injury. Permanent paralysis and other significant consequences are possible outcomes. Assume a person has a spinal injury if they have any of the following symptoms:

  • There is evidence of a brain injury, as well as a change in the person’s state of consciousness over time.
  • The person is in excruciating agony in his or her neck or back.
  • A significant amount of force has been applied to the back or head as a result of an injury.
  • The person feels weak, numb, or paralyzed, and can’t control his or her limbs, bladder, or intestines.
  • The neck or body is twisted or positioned unusually.

What to Do, if You Suspect Someone to Have a Spinal Injury?

  • Seek immediate medical assistance.
  • Maintain the person’s stillness: To prevent movement, place heavy towels or rolled sheets on both sides of the neck, or keep the head and neck in place.
  • Move your head and neck as little as possible: As much first aid as you can while keeping the person’s head and neck still. Begin CPR if there are no signs of circulation (breathing, coughing, or movement), but do not tilt the head back to access the airway. Gently grab the jaw with your fingers and lift it forward. Start chest compressions if the subject has no pulse.
  • Wear your helmet at all times: Remove the helmet if the person is wearing one. If you need to get to the inside of a football helmet, remove the facemask.
  • Don’t go at it alone: You’ll need at least one other person if you have to roll the individual because he or she is vomiting, choking on blood, or you need to make sure the person is still breathing. Work together to keep the wounded person’s head, neck, and back aligned while rolling them to one side, with one of you at the head and the other at the injured person’s side.

Transporting Patients With Spinal Cord Injuries

Patients who have sustained a serious spinal cord injury may require months of treatment and rehabilitation at spinal cord injury hospitals and treatment facilities. These facilities could be rather far away from the hospital where the patient received their initial treatment. After the patient has been stabilized, MediOps services are the best option for transporting the patient to a new treatment center that is several hours away. To ensure effective transportation, your means of transport should be customized with the following:

1. Firm, Cushioned Surface for Support

The restraints must be firm enough to allow cardiopulmonary resuscitation to be administered, and they must be adjustable to reduce patient movement during transport and side-to-side rotation.

2. Side-to-Side Rotation

The mode of conveyance should allow for side-to-side surface rotation, which is beneficial in reducing pulmonary, cardiovascular, and skin breakdown issues.

3. Trendelenburg/Reverse Trendelenburg

The patient’s head or feet should be able to be elevated and lowered 15 degrees.

4. Integrated Traction

Shall be engineered to sustain consistent force traction when the surface rotates side-to-side, with traction levels ranging from O-65 pounds in 5-pound increments. Traction will be provided for the cervical spine, upper and lower extremities, and will be independent of acceleration.

5. Patient Accessibility

Medical workers must be able to administer routine and emergency nursing care with ease. The surface must allow access to the occipital, thoracic, and rectal areas so that patient care can be performed without removing the patient from the surface or jeopardizing the spine’s stability and alignment.

6. The Radiolucent Surface

Must be built to allow X-rays of the patient’s complete spinal column, chest, and lower abdomen without removing the patient from the surface.

7. Vacuum Mattresses Are Comfortable for Spinal Injury Patients

They reduce tissue interface pressure during the transportation of patients.

8. Spinal Board

A spine board makes it easy to transfer a spinal injury patent from an ambulance stretcher. You might consider having a spinal board while transporting a patient. A patient can be placed on a spine board in a variety of ways. The technique employed will be determined by the amount of space available and the patient’s position inside that space. Throughout the process, use a c-collar or manual cervical in-line stabilization to avoid spinal compression or traction. The patient can be slid onto the backboard, feet first or head first, for lengthwise extrication, such as from a vehicle seat. 

During this procedure, the patient must be moved as a whole. Place one end of the backboard on the automobile’s seat or doorsill. At least two other rescuers move the patient’s body onto the board while one stabilizes the opposite end of the board. 

To preserve neurological function and prevent further injury from spinal instability, it is critical to reducing unintentional spinal motion during transportation of patients with cervical spine injuries.  A variety of transportation methods can be used to deliver injured people to the nearest definitive care facility. The form of transportation chosen is determined by the patient’s overall medical condition, the distance to the next capable facility, and the resources available.

Why Choose Us?

Medi-Ops offers medical services that you can trust. We are a technology-enabled medical logistics and transportation company that brings a fresh approach to medical supply chains. Our objective is to reinvent the business by harnessing our team’s culture of creativity and compassion; producing a more reliable, efficient, and sustainable industry. Our experience is in planning and coordinating all elements of medical transportation, both emergency and non-emergent.  This includes both air and ground medical couriers, ambulance transportation, NEMT transportation, and various professional services. If you need to customize your transportation, contact us today!

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