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"Walking Wounded", that is,
passengers who are infirm due to
age, ill health or otherwise, may be
carried subject to the approval of the
qualified medical personnel who
should accompany and be
responsible for them. No patients
should be placed near emergency
exits, and wheelchairs, etc. should
not impede escape paths. If your
Company does a lot of medical
work, it may be worth retaining a
doctor to advise on certain cases,
especially where infectious diseases
are concerned. Routes should be
planned to take into account changes
of altitude and rates of descent, and
you will need to accelerate or
decelerate with care.
Aside from the patient's condition,
the consent of both referring and
receiving hospitals is required,
together with confirmed
arrangements for road transport at
the departure and destination
airports. You also need to make sure
that the type of aircraft is what is
wanted, together with the details of
staff and equipment.
Specialised equipment should be
properly installed, and instructions
must be available to all attendants.
Some of it could actually be classed
as Dangerous Goods (say, large
quantities of Aeromedical Oxygen),
so you may need an exemption to
carry it. Anything that needs to be
fixed to the aircraft (e.g. stretchers),
or connected to its systems, must be
through an approved system, as it
must be compatible with the aircraft
environment (for instance, that used
in road ambulances may be
unsuitable for flight).
Oxygen (if used) must cover the
duration of loading, flight, technical
stops and unloading, plus about 1½
hours’ reserve for eventualities.
Patients who can sit should occupy a
seat and use a seat belt, which may
be a little looser than normally
required, except for take-off,
landing, flight in turbulence or
during manoeuvres. Stretcher
patients should be secured by belts
or a harness as per the Flight
Special Use Of Aircraft 207
Manual. Other passengers must be
limited to whatever seats are left
after stretchers have been fitted.
Flight attendants must have proper
experience, and doctors must be
qualified and registered in the States
concerned in the move. In fact, a
doctor is always required on ICT
flights and on ATT flights which are
other than simple escort cases.
Nurses must also be registered in the
relevant States and work under
direct instructions of an
accompanying doctor (or apply
those given before flight by one).
Nurses must not be used on their
own on ICT flights or with any
possibility of the patient's condition
changing. Paramedics may be
employed with the agreement of the
patient's doctor. Their training may
not be valid in some States.
Pleasure Flying
The idea behind this is to carry
groups of people, generally members
of the public who have never flown
before, for a short period, which can
be anything from three to fifteen
minutes, depending on whether
you’re just going round a local show,
the Niagara Falls (9 minutes) or
mountains (here, we’re more
concerned with the former, which
tends to take place on a more
informal basis. Also, the dimensions
for sites given here are largely
applicable to UK, but are still good
to use elsewhere).
It can be very lucrative if the
operation is slick and smoothly
controlled, and it's also an ideal
opportunity to promote aviation in
general, so everyone should take care
to ensure that the customer's
association with aircraft (and the
Company) is a happy one. The
machine must therefore be handled
smoothly with no sharp manoeuvres,
unless they're specifically asked for,
with all passengers being in
agreement. The only types of flying
generally recommended are spot
turns and sideways movement in the
hover and normal climb, descent and
cruise. Oddly enough, hovering
manoeuvres are quite popular, but
not good commercially, as you need
to give them their money's worth, so
you should keep the rhythm going.
Because ground idle isn’t officially
counted, your turnaround time does
not affect the revenue per flying
hour, but, obviously, the quicker you
are, the more cash you have in your
pocket at the end of the day. The
duration of the trip itself is what
determines productivity – the
shorter it is, the more you get, but
regard 2½-3 minutes as the
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