008: EPICC Review Week 2: CAMTS Review and 11th ed Updates

Week 2 of 52 Weeks of EPICC

CAMTS 11th editions review - Release 1/1/2019

In this week’s show I discuss the latest revision of the CAMTS standards for Air and Surface transport.

I also give a brief summary of those topics that show up most often on the professional certification exams and highlight the topics that changed with the release of the 11th edition.

You can download a copy of the standards by following the link below.

FREE Version - CAMTS 11th ed

CAMTS 11th ed. with highlighted updates

01.00.00 - MANAGEMENT

Criteria for shifts exceeding 12 hours

  • Crew members shall not routinely perform duties beyond those associated with the transport service.

  • Med crews are given permission for uninterrupted rest after daily duties are completed.

  • Staff are provided a place for uninterrupted rest.

    • Each crew member should have their own room.

  • Med Crews have the right to call a “time out” for rest should they (or a team member) feel they are unsafe to perform transport duties.

    • Take care of your entire team and call a “Time Out” if you notice your partner is fatigued.

Shifts greater than 24 hours

  • Allowed to address long commutes

  • Base must average less than 1 transport per day.

  • Crews provided at least 10 hours of rest in 24 hour period

  • Base is remote (1 way commute >2 hours)

  • Fatigue-risk management tool is utilized.

Crew Rest

  • Crews, including ground ambulance operators, must have at least 10 hours of rest without “work-related interruptions” before shift.

    • Examples include other jobs, school requirements, military obligations, or other “fatigue-causing” activities.

Protective Clothing

  • Boots or “sturdy footwear” required

  • Reflective clothing meeting ANSI-SEA 107 standards required for night scene calls

  • Flame-retardant clothing strongly encouraged for flight crews.


Safety Management

  • All Medical Teams Must Carry photo ID while on duty. - FAA Requirement

  • International Flights - DEA Regulation - International law prohibits the transport of controlled substances onto foreign soil. Narcotics must be left on the aircraft while in another country.

  • Helmets are required for RW operations. Helmets must be designated for Aviation Purpose.

  • Crash Resistant Fuel Systems are strongly encourages for RW aircraft.

  • CAMTS Standards - Supplemental Oxygen shall be available to rotorwing pilots who could potentially fly above 9000 ft MSL for greater than 30 minutes.

    • 2019 FAR/AIM Manual - Chapter 8: Flight crews must utilize oxygen after exposure to cabin pressure between 12500 and 14000 for greater than 30 minutes, and immediately for cabin pressures above 14000 feet.

    • (Updated) FAA CFR Part 135.89 - PIlots must utilize oxygen continuously when flying between 10,000 ft and 12,000 ft for greater than 30 minutes, or anytime above 12,000 ft.

    • CAMTS make the requirement to utilize oxygen more strict than FARs

03.00.00 - PATIENT CARE

Orientation, Training, and Continuing EDUCATION

  • FP-C or CCP-C IS still required within 2 years of hire for critical care transport paramedics. CAMTS just move the statement about this requirement to a different section of that standards.

  • Must utilize ETT cuff pressure manometers

  • Must have a minimum of 3 infusion pump

  • Children < 10 pounds may be transported in a car seat so long as the car seat has not passed it’s expiration date AND is FAA approved for air travel

    • Most car seats will have an expiration date on it. If it doesn’t, car seats expired 6 years after the manufacture date.


FAA Part 135

  • Any “patient transport flight” must be operated under Part 135 standards.

    • Definition of “patient transport flight”

      • “Any flight segment conducted by rotor or fixed wing equipment that is necessary for transporting patients and the medical teams required to care for such patients. Flight segments included in this definition are: flights for refueling and repositioning for a specific patient transport (including organ donor transports); picking up and returning medical teams to an assigned base; the actual flight segment involving patient movement; and any time medical teams are on board.”


Pressurized Cabins

  • If conducting a fixed wing transport in an unpressurized aircraft you must consult with a physician who has an understanding of altitude physiology about how this might affect your patient.


Definition - Ambulance - Ground ambulance used for patient transport

Surface Vehicle - Any vehicle other than a helicopter or fixed wing aircraft, ie. snowmobile, boat, etc.

  • Ambulance Operators

    • Must have their driving records checked annually.

    • Must have 2 years experience as a license driver

    • Must have EVOC training every 2 years

    • Ambulance cabin temps must be maintained between 68F-78F.

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I hope you enjoy this episode! Until next time remember...

Education is good, but excellence through collaboration is much better!

Stay Safe, and Live Well!


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