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Home My WebLink About202.015m - Medical Aid Responses at Fresno Yosemite International Airport STANDARD OPERATING PROCEDURES TACTICAL OPERATIONS 202.015m MEDICAL EMERGENCY RESPONSES AT FRESNO YOSEMITE INTERNATIONAL AIRPORT EFFECTIVE: MARCH 2010 Current Revision Date: 06/06/19 Next Revision Date: 06/06/22 Author’s Name/Rank: Keola Park, Fire Captain Review Level: 2 Administrative Support: Tammy Williams Management Analyst II Section 202.015m Page 1 of 7 PURPOSE The purpose of this policy is to define the Fresno Fire Department’s (FFD or Department) response procedures for medical emergency calls at Fresno Yosemite International (FYI) Airport, including issues related to communications, common terminology, and interoperability with outside agencies. APPLICATION This policy outlines the appropriate response procedures to be taken by the FFD, Police Department (PD), California Air National Guard (CANG), and the contract ALS ambulance company (EMS) during medical emergency responses to FYI. These responses include: • In-flight medical emergency • Medical emergency at the FYI air terminal • Medical emergency to all other areas of the airport property OPERATIONAL POLICY The Department’s Airport Rescue Fire Fighting team (ARFF) is the primary responder to all medical emergencies at FYI. In addition to ARFF, other fire units and agencies may also respond. Communication, common terminology, and interoperability are vital in order to provide optimum service. Treatment of all patients shall be in accordance with the Central California Emergency Medical Services Agency (CCEMSA) policies and protocols. Medical emergency calls are divided into two categories: In-flight Medical Emergency and Ground Based Medical Emergency. Section 202.015m Page 2 of 7 In-flight medical emergencies include all medical calls that originate onboard aircraft, in-flight or under the direct supervision of the Air Traffic Control Tower (ATCT). Ground-Based medical emergencies are all other areas of FYI including the air terminal. OPERATIONAL GUIDELINE In-Flight Medical Emergency: The FFD Air Rescue Station (ARS) should be notified of all in-flight medical emergencies by ATCT , Control-2, or FFD Dispatch. The ATCT ring-down phone simultaneously contacts the following entities when there is an in-flight medical emergency. ARS FFD Communications Center Control-2 CANG FFD Response Plan to In-Flight Medical Emergency: 2 AR Apparatus. 1 engine or truck company. Note: AR units should ensure one ARFF unit is readily available to respond to aircraft emergencies at all times to meet ARFF Index B requirement. ATCT should provide the following information in their notifications: Nature of emergency Estimated time of arrival to the airport Landing information Final stopping destination FFD AR units and Rescue 29 should respond to the designated stopping location of the aircraft or other area designated by the ATCT. The responding AR unit should contact the FFD Communications Center and confirm they have been notified of the in-flight medical emergency. The Section 202.015m Page 3 of 7 Communications Center should receive all the information contained in the ATCT notifications, as well as the following: AR units responding Staging area for EMS or other responding emergency apparatus Responding units should report to Vehicle Gate 3, unless otherwise directed. Units should be escorted by an APS unit, AP 21, or given other directions from a designated person on scene. If no escort is waiting at Vehicle Gate 6 when responding apparatus arrive, FFD units should contact an AR unit and inform them they are waiting for an escort. EMS and other outside agencies should contact the FFD Communication Center to request an escort. The Communications Center is to contact an AR unit. Once contacted, the AR unit should notify Control-2 and request an officer to respond to Vehicle Gate 6, to escort personnel/equipment. When the aircraft arrives at its designated stopping location, FFD and CANG personnel should treat the patient and remove the patient from the aircraft. The patient should be transferred to the waiting EMS unit where FFD and CANG units may be released by EMS when appropriate. Ground Based Medical Emergency: The ARS is notified of ground-based medical emergencies in multiple ways: 911 to FFD Communications Center Control-2 Portable radio Land line Upon notification of a ground based medical emergency call, AR units should contact the FFD Communications Center and advise them AR units are responding to a ground based medical emergency call. The responding units should provide the following information: Nature of the call Location of the incident Best staging location for EMS AR unit response to a medical emergency within the FYI air terminal should be requested by Airport Public Safety Airport 21, Control-2, or the 9-1-1 system. Control-2 should initiate a medical emergency response via the 9-1-1 system for off airport resources. Section 202.015m Page 4 of 7 FFD Response Plan to Ground-Based Medical Emergency: 2 AR apparatus 1 engine or truck company Note: AR units should ensure one ARFF unit is readily available to respond to aircraft emergencies at all times to meet ARFF Index B requirement. The responding AR unit may contact Control-2 and request a medical emergency response from CANG with Rescue 29. The exact location and nature of the medical emergency call should be given to the CANG. PROCESS Staging locations for non-ARFF units: Non-ARFF units responding to medical emergency within the air terminal building are to be given a staging location by the Communications Center. Depending on the location of the call, responding units are to be directed to stage outside the front of the air terminal building or at Vehicle Gate 6. Units are to be escorted from their staging location by a PD unit, AP 21, or given directions from a designated person on scene. Responding units are to be directed to stage in front of the air terminal building when the medical emergency is located between the front doors of the air terminal building and the TSA check point. This includes the passenger pick up, baggage claim, and airline check-in areas. Responding units are to be directed to stage at Vehicle Gate 6, when the medical emergency is located between the TSA check point and the passenger loading gates. If no escort is waiting at Vehicle Gate 6, when responding apparatus arrive, FFD units are to contact an AR unit and inform them they are waiting for an escort. EMS and other outside agencies need to contact the FFD Communication Center to request an escort. The Communications Center is to contact an AR unit. Once contacted the AR unit is to notify Control-2 and request an officer to respond to Vehicle Gate 6, to escort personnel/equipment. The ARS is not to be dispatched to medical emergency outside of the FYI. The closest FFD apparatus or EMS unit is to be dispatched using the current standards for priority dispatching of multiple calls. Section 202.015m Page 5 of 7 If a second medical-emergency incident occurs while AR units are committed to a prior incident or if multiple calls occur simultaneously, company officers are to immediately request additional resources through the Communications Center. If the situation dictates, AR units can request the responding CANG unit divert to cover the second medical-emergency call. If the ARS is operating with only one AR unit, the Communications Center is to dispatch the nearest FFD unit to all medical emergency calls Code 3. Patient released at scene: AR units respond to all medical emergency calls, regardless of priority level, at FYI. This can expose the AR units to a high occurrence of patients, who do not want, need, or desire medical help. Refer to Central California Emergency Medical Services Agency, Section 812, First Responder Pre-Hospital Care Report, regarding documentation of patient care and Central California Emergency Medical Services Agency, Section 544, Patient Refusal of Care and Transportation Screening Form. INFORMATION This section intentionally left blank. DEFINITIONS PD Fresno Police Department Officers on contract with FYI APS,AP 21 Airport Public Safety Officer, Airport 21 (available 24 hours) ARFF Aircraft Rescue Firefighting ARS Air Rescue Station, housing AR units AR 1 Air Rescue 1, FFD ARFF Company Officer on duty AR 2 Air Rescue 2 CANG California Air National Guard. Landline phone 454-5145 or 454-5146 CCEMSA Central California Emergency Medical Services Agency Section 202.015m Page 6 of 7 Control-2 Airport Public Safety Dispatch Center EMS Contract ALS Ambulance Company FAT FAA designator for Fresno Yosemite International Airport ATCT Air Traffic Control Tower FBO Fixed Base Operations includes all aircraft hangers and small aircraft parking areas located within the fenced in airport property. FFD Fresno Fire Department FYI Fresno Yosemite International Airport. All fenced in airport property; including air terminal building, ATCT, and the FBO. Does not include unfenced vehicle parking areas. In-flight Emergency An airborne aircraft experiencing a problem, which may impede its ability to land safely. These are categorized as Alert 1, Alert 2, and Alert 3 depending on severity of the emergency. In-flight Medical Emergency A person needing medical attention onboard an aircraft in-flight or an aircraft that has left the FBO or air terminal building and is in direct control of the ATCT. Rescue 29 California Air National Guard rescue vehicle Ring-down Phone A direct phone to the ATCT for the purposes of dispatching fire and rescue apparatus to an emergency involving an aircraft under ATCT direct supervision. SIDA Security Identification Display Area TSA Transportation Security Administration Vehicle Gate 6 Located at North Ashley and East Andersen Avenues. This is the gate into the SIDA area located south of the Air Rescue Fire Station (ARS). Section 202.015m Page 7 of 7 CROSS-REFERENCES Central California Emergency Medical Services Agency (CCEMSA) Section 544, Patient Refusal of Care and Transportation Screening Form Section 812, First Responder Pre-Hospital Care Report Air Rescuing Firefighting Response Plan