County Medical Control Authority
State Model Protocol
and LANDING ZONE ( LZ ) POLICY
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Page: F - 12.1
M B S
P I. Indications for Use – in the presence of one or
any combination of the following:
guidelines are offered as examples of patients who might benefit from helicopter
transport. Additional considerations would include the physical exam, additional
contributing factors such as age, mechanism of injury and the level of care
available in the area.
with prolonged extrication
circumstances, if in the estimation of the paramedic, that the use of
helicopter resources would be beneficial to patient outcome.
helicopter service response may be approved by medical control or by medical
control pre-approved guidelines.
helicopter by medical control or dispatch procedure.
be prepared for transport by air in the following manner:
- Patient should be stabilized and immobilized with ground ambulance
equipment per existing protocol.
- Ground ambulance personnel will stay with the patient until released by
the helicopter personnel.
- Communication with the helicopter dispatch should include information
regarding location, identifying marks or vehicles and landing sites.
- Helicopter dispatch will request pertinent medical information to relay
to the flight crew.
- Communications between the helicopter and ground ambulance shall be
coordinated through dispatch.
- Landing Site:
- Locate a level, 100 x 100 area clear of obstacles (i.e. wires, trees)
- Mark landing zone with a marker at each corner and one upwind.
- Public safety vehicles should leave on flashers to assist in identifying
site from the air.
- Identify obstacles close to the landing zone and communicate all
pertinent information about the landing zone to the flight crew.
personnel will communicate by radio with the flight crew.
- Under no circumstances should the helicopter be approached unless
signaled to do so by the pilot or flight crew.
- Always approach the helicopter from the front. Under no circumstances
should the helicopter be approached from the rear due to the extreme
danger of the tail rotor.
- Loading and unloading of the patient is done at the direction of the
- Crews should crouch down when in the vicinity of the main rotor blades.
Patient will be transported to appropriate facility as directed by medical
- Helicopter services will forward copies of their patient care record to
the Medical Control Authority for each scene call. The Medical Director
will review all helicopter activations for appropriateness.