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Regulations and the air ambulance.

H L Gibbons

    Aviation, Space, and Environmental Medicine
    |March 1, 1984
    PubMed
    Summary

    Air ambulance regulations are lacking, with the Federal Aviation Administration (FAA) overestimating state-level rules. This review highlights the need for federal oversight to ensure patient safety in air medical services.

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    A nationwide survey of civilian air ambulance services.

    Aviation, space, and environmental medicine·1985

    Area of Science:

    • Aviation Medicine
    • Biopolitical History
    • Regulatory Affairs

    Background:

    • The development of air ambulance services has a complex history involving various regulatory bodies.
    • Interactions between the Aerospace Medical Association, Federal Aviation Administration (FAA), and Civil Aeronautics Board have shaped current policies.
    • A critical review of past regulatory actions and their basis is necessary.

    Purpose of the Study:

    • To review the biopolitical history of air ambulance development.
    • To assess the need for enhanced regulations in air ambulance operations.
    • To compare regulatory actions with actual state-level data.

    Main Methods:

    • Review of historical documents and regulatory filings.
    • Analysis of Federal Aviation Administration (FAA) advanced notices and proposed rulemakings.
    • Comparison of FAA assumptions regarding state regulations with available data.

    Main Results:

    • The FAA incorrectly assumed a majority of states had enacted air ambulance regulations.
    • Actual data shows only seven states have regulations and two have guidelines.
    • The Aerospace Medical Association and National Highway Traffic Safety Administration have developed robust guidelines.

    Conclusions:

    • The Federal Aviation Administration (FAA) has a precedent for establishing air ambulance regulations.
    • Existing guidelines from other organizations are well-documented.
    • Physiological training provided by the FAA is beneficial for patient protection in air ambulance operations.

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