I've worked a number of helo medevacs when I lived in Colorado in RMNP, Indian Peaks, and other frontrange locations. These crews are top notch. We would often hike in for miles to locate, treat, and stabilize the patient. Then we would often have to carry the patient for miles or a hours in a litter to a suitable LZ. One of the pilots I knew was a former Army 160th SOAR Night Stalker pilot. That guy had mad skills and nerves of steel. It takes a hell of a lot of skill, trust, and coordination when the pilot is holding one skid on a rock while the ground rescue and flight crew work around the aircraft to load a patient in a litter. Props to those who work the ground and in the air.

Wow! My brain hurts just watching this video! Your level of expertise and your ability to clearly and concisely explain all your aircraft's features and your various roles is most impressive. Hopefully, I'll never need your services when we're wheeling out west, but I hope you're the team that arrives if anything serious ever happens. Great video as always! Keep up your amazing work!

Damn this is so bad ass!! I’ve always wanted to be a flight nurse… maybe one day!!

Worked with you guys working in the ER at Ivinson in Laramie, WY. Top notch, professional crews with each and every Lifeline Transfer, rotor or fixed wing. So glad for this channel and your high-quality content.

My brother has been a flight nurse with AM for 5 years now…and on the countdown to under a couple years as he works towards his NP. He started on the Astar and now on a diff base with a 130. I haven’t had to opportunity to tour his craft but since I live in a city with two level ones and he is regionally close, I’ve seen him fly over a few times. This really helped me understand what the work station is and how it all works.

Thank you so much for taking the time to explain all of this to us! Love your vids, you never disappoint and always find a way to explain everything to an understandable level.

I was looking forward to this one - it doesn't disappoint. Many thanks, as ever, for all your videos.

I really appreciate your videos! Thank you so much for taking the time to post these videos!

This is awesome. I always wanted to be a flight nurse. I’ve flown with VCU Critical Care and Vidant Eastcare here in NC/VA or birds are a little different. Our patients are usually on the left side in the middle we load and unload from the very rare. Awesome video. Love the break down of what’s in the trauma bags and the reason for it… best air ambulance video I’ve seen ☺️

This was so awesome. It is amazing to watch your career development over the years. You are an inspiration. 🤙

Just finished Paramedic school, this is my main goal but I need to get my experience. Thank you for taking us on a tour , I would love to just spend a minute in that beauty !

The pilot and nurse are GORGEOUS!

Just saying nice beard

God Bless you guys! Thank you for what you do!

Cool vid and just want to say I appreciate what you folks do., thank you 🙏🏽

This channel is amazing. Thank you for the content.

God bless you guys for all you do, you are awesome thankyou all

That was great Sam! thanks. all your videos are really Excellent!

Your a great roll model.

Nice video. Nice program. H125 just brings back too many memories of Flight For Life.

Interesting, thanks for the Video! In Austria we have a lot of EMS helicopters, but we can´t use AS350s because of safety standards required by EASA. You have to have 2 engines and a CAT A certified airframe. Most of what we use are H135s and some MD902s, some Crtitical Care services use H145s which give a lot of room. The A-Star just seems so impractical and crammed.

if an ambulance costs that much in the US imagine the costs of a helicopter medivac

Mad respect to everybody! Piloting helicopters is insane

Great video like how you were able to summarize the med bags cool items have a great day

The vid we’ve been waiting for

thank you for you're video

I think being a med-transport pilot would be one of the coolest gigs EVER...flying around in a helicopter literally rescuing people? SIGN ME UP!! lol It's interesting how much weight (or lack thereof) is a focus. And, landing on Everest? Pretty awesome! Keep doin' big things!!

I have been watching your videos for years now and just realized that we met and have actually run calls together in the past few months. I am a volunteer firefighter up in one of the mountain communities to your west. We frequently work with lifeline 1 and your crew.

We use Bell 206 helicopters for wilderness rescue because of dense forest and soft terrain/snow. Hard to work on a patient while in flight but it does the job. Would love to fly with an Astar setup like yours. Critical care transports here are all fixed wing. Thank you for the walk around video. I appreciate the content you put out.

Thanks for getting my kit into a professional set up.

This is an amazing video brotha! I'm currently working in the ICU and ED because I want to do flight one day.

Really impressive. Tx

Great video!

Great video Sam...

I've really enjoyed these videos.

Very good job

Very impressive thanks for shareing /NORTHERN ONT. CANADA

Great video! Can you briefly discuss the differences in roles between the flight medic and flight nurse? I'm sure there's a lot of overlap but any info would be awesome!

Seems pretty tight compared to the H145 which is commonly used in germany. My dad loved the SAR UH-1D as medic because it was so spacious.

14:55 - Well, whatever the cuff pressure of an endotracheal tube in the _esophagus_ reads, I'd rather suggest to take it out and push it down the windpipe instead 🤣... - Seriously now, thanks for that video. Here, across the pond (Austria 🇦🇹), the A350 A-stars have been discontinued in HEMS pretty much two decades ago, since EU regulations require a twin-engine aircraft. There have been a few AS355 around though, but nowadays our operators use mostly EC135, and occasionally you would see an MD 902, an EC145, a Leonardo 109 or a Bell 429. The maximum altitude we need to get to is 12,500 ft, hence crew oxygen is not required, but flight medics need also to be trained mountain rescue specialists on top of their medical qualification. Again, thanks for that insight and always happy landings! 🚁

That OB kit is so cute 🤣

Very cool.

Damn... yall got a lot of stuff. Neat.

And a BIG Thank you to your employer!

Awesome beard first off but also could you make a video about the o2 system on the helicopter. Wondering about how different it is from a ground ambulance. Do you guys have a main o2 tank or how does that work?

Awesome video, thank you. I’m starting chromatic school soon, and look forward to hopefully joining you some day up in the skies

Whoa! Last time I saw one of your videos, you were clean shaven

Oh damn, I didnt know you were out of colorado, in the nicest way possible i hope i never have to meet you haha but god forbid if i do im glad im in good hands

1. Well, that was overwhelming. So much stuff in that video! 2. Really happy to see your crew. I'd like to know more about your pilot (cursus, expérience, etc.) and the nurse (and how do you split the work between the two of you, etc). 3. I think that video one of the hell of a Ad for your employer! 4. Keep up the good work. Cheers from Canada.

very good info i wish i woild've stayed in the field. I'm sure you get alot of questions but, mine is simple. After your "handoff" to ER how do you get all off this highspeed gear back to the aircraft?

Hey that was pretty cool never watched the video like this and I was wondering what it's like in one of those. You're a lucky guy that has two cute girls with ya

Hey Sam, Thank You for the video, I had no idea the the helicopter had so much equipment inside! Also My Parents say Hi to your pilot, they went to High School with her. Anyway Thank You for all the educational videos, Keep it up!

People don't realize how much altitude affects rotary aircraft. There were a few times running CASEVAC and SAR in Afghanistan where our Pave Hawks were loaded down with multiple casualties on top of 12K-13K foot topography, and the rotors really couldn't grab enough air to get more than a couple feet of lift, and usually, once you applied any cyclic you were slamming back into the ground. So the pilots had to bunny hop the aircraft down the slope until we could get enough altitude, or until we reached a face, in which case we basically kind of fell off the mountain until we gained lift. Pucker factor through the roof.

I like your funny words medic man

Probably too late, but I highly recommend the McGrath, it's much smaller and easier to carry!

❤to the pilot❤

Amazing all you have to know. Great job all of you.

HEMS humor: A service in Southwestern Wisconsin has “ECNALUMBA” inscribed on its nose. So drivers can tell what’s following them down the road, I suppose. In Minneapolis several years ago, a helicopter made a forced landing on the Hennepin County Medical Center parking lot. Somebody put a parking ticket n it. That was among the funniest news photos that hit the papers a day or so later.

This was great! what radio are you using? it's so much slimmer than the standard apx.

I love the "no smoking" sticker🤣 Do you offer meals or snacks during the flights😜😜⁉️😜😜

Impressive video, how long is the training for the staff on board, and how many hours does each shift cover? Do you ever take a physician on board?

Could you upload a 2021 updated “off duty EDC” video?

Nice helicopter. CHP has an Astar. Didn't know you had that much for a small helicopter 🚁. we have a helipad at hospital

Could you maybe do a video on what are the differences between you and the flight nurse And maybe some of the different scopes of practice and things that you guys do

I was told I was too big for a flight medic, I’m 6’5 and 260lbs so this is as close as I’ll get

omg this is so interesting i have so many questions- is the pilot medically trained as well? and would a lucas device be onboard if not for the weight/bulk of it, or is it not feasible for other reasons? what if compressions are needed- do you have the space and in-flight stability for cpr? and did I miss a portable o2 tank or do you just rely on the helicopter’s o2 system?

Do you carry „mobile“ O2 tanks on the helicopter which you can directly take to the patient? Or are you only able to administer O2 in/near the helo?

Lot different than the Hueys we had to load back in the day

Damn you’re not kidding about it being an ER that can do 120. If weight wasn’t such a concern you could definitely use more than 3 people in the helicopter.

Dang your flight crew is cute as hell

That helicopter has pretty tight quarters between crew, patient, gear and supplies. After you load the patient and crew onboard, where does the orange grab bag reside during the flight?

Is there is a difference in what skills the flight nurse can do versus the medic? Our local Lifeflight also has a flight nurse and a flight medic on the bird and I'm curious what the difference is in what they are allowed to do otherwise why not 2 medics or 2 flight nurses on board? Thanks!

Thank you Sam. Love the video. Of course I have questions. 1. Is your service CAMTS certified. 2. With RN/CCP, who gets the airway. 3. Do you trade seat position based on pt acuity. 4. 2nd person to question the Lifeline vs Reach ownership. 5. Do you usually have long transports? 6th and final... Who is responsible for stocking and maintaining all those meds... That is a lot... Keep up the good vids and safe travels.

You mentioned getting a new laryngoscope- if you have any say in that decision, I can’t recommend enough the McGrath MAC. Much more compact and lightweight compared to the glidescope

My local medflight agency is Survival Flight and they operate red and black Bell 407s here in north Arkansas. They are bad*ss birds.

Hi Sam, I was wondering what radio you had in your Right chest pocket? Is it a Motorola TLK100?

I won’t go into the whole bag since I already have….. then proceeds to re cover what’s inside the entire bag anyway!😂👍

❤

Listening to this makes me fucking livid that in north carolina a flight paramedic makes about as much as a McDonalds manager.

Love the vehicle tours. Curious why blurring out the logos on the helicopter when it says it's operated by reach air?

Neat stuff. I'm surprised at the Zoll though. Why the Zoll over the Lifepak?

Kinda funny that Sam has come full circle. He's done 911, fire, LE/SWAT, SAR, and now he's back in IFT land, albeit at a much higher level.

If y’all are only using straps for your Maquet IABP, then you need to check out the mounting plate for it. REACH should be able to get y’all one since other GMR services are already using them and have been for years.

We’re only carrying fentanyl, versed, and ketamine. We use to carry diazepam, lorazepam, morphine on top of the former; but we didn’t use them as much so we got rid of them.

I heard that tone drop and my heart stopped... we might have similar tones🙃

That is more paralytics than most anesthesia drawers have on hand! Do you ever use Nimbex?

21:40 - Holy crap, PTSD triggered.

Our flight care service will actually come in to help in the ER and help with codes and rapids. Ive actually seen where physicians were taking a bit to long with intubating and our flight care medic was about done with there games and took over lol. What would you say the difference in skill and responsibility between rn and medic on the helicopter, how do you determine who needs to be responsible for what on a patient due to skill set?

Hey out of curiosity, as a reserve LEO, are you allowed to CCW while working in this capacity?

Great job from a paramedic on a children's service.Oops. I am a flight paramedic ..lol

I was surprised to see that you don’t use or keep a automated CPR devise aka a thumper. In my area we have survival flight and they have and use them in their bell 407s as well as on their ground service ambulances.

I was Looking forward for some of your giveaways to celebrate your 244k subscribers

I used to want to be a flight medic the army made we want to do it on the civilian side that's until the first year of civilian ems 3 friends of mine got killed in 3 separate crashes each one of them died during or after flights of perfectly stable patients that could have been interfacility transfered by ground. That really soured it for me

Why do you blur out Uchealth? Aircraft operated by REACH. In the FAA database you can look up the model of the helicopter in an area to see who flies them. N65RX and N68RX are the two operated in Colorado.

What type of hours do you guys work?

I know you mentioned a fully kitted 230 lb max weight requirement, but is there any height requirements? I am 6’3” 200 lbs, I know things would be a little cramped, but would me being a little taller actually bar me from being hired?

For the O2 for the crew, do you just apply a NRB? Or is it a specific mask for the higher altitudes?

Just wondering how you guys fly ECMOs in a Astar? Here in Florida we have multiple programs that do HEMS There a bunch single engines B407s a bunch of EC135s and they will not take a ECMO. There are 3 EC145s which we have 2 of them 1 EC155, 3 S76s and 4 AW139s that will take ECMO. My ? is how do you take a ECMO pt that is a vented train wreck with 10 pumps, Swan, ECMO With a Nurse, Medic and or RT and a Perfusionist? And safely transport them? The Astar is a venerable platform in high altitude but i am just trying to figure out how you are stuffing all that stuff and people in there and getting past w/b safely.

Super Nice video. But I have a little questien so how do you get acces to the patients leg becus its next to the pilot.

I've been exploring careers as a college student in Colorado, and I'm curious about becoming a medevac pilot I just don't know where to start.