Montana Facility & Air Medical Resource Guide

Transcription

1 Montana Facility & Air Medical Resource Guide

2 COMMUNITY HOSPITAL OF ANACONDA ANACONDA, MT. Main Number: ED Direct Number: St. Patrick Hospital=100 miles Routine Flight Service( s) rthwest Med Star. Life Flight Network, Eagle Med, Summit Air, Mercy Flight Anaconda/Deer Lodge County BLS, Sleeping Giant BLS, A1 ALS, MESI ALS 4 O+, 4 A+, 4 O- Community Trauma Hospital beds In-house 24/7 CRNA & Anesthesiologist CT 48 slice Number of ED Beds/Bays 6 Ultrasound Fast Exams MRI Physician in-house 24/7 1-RN 24/7, 2-RNs 9a- 11p In-house: 6a-midnight On-call: midnight to 6a, except holidays are 7p-7a

3 ST. JAMES HEALTHCARE BUTTE, MT. Main Number: ED Direct Number: (Regional/ Level II Trauma Center and/level I Center) St. Patrick Hospital=120 miles St. Vincent s Hospital=195 miles Salt Lake City=360 miles Life Flight Network Eagle Med BLS & ALS: A-1 Ambulance Whitehall t-for-profit PRBC s all types, FFP, Platelets, Area Trauma Hospital ACS Level III Cryoprecipitate beds 5 rooms CRNA & Anesthesiologist In-house 24/7 Number of ED Beds/Bays 15 CT 64 slice Neurosurgery Available 1 MD 24/7, 1 mid-level 12 hrs 2-5 RN s at all times Ultrasound MRI In-house 24/7 Additional Services 24/7 General Surgery, Orthopedic surgery, Orthopedic Traumatologist on staff to address advanced pelvis & spine orthopedics, Interventional Radiology: Angiography, Embolization, Endovascular Surgery

4 DEER LODGE MEDICAL CENTER DEER LODGE, MT. Main Number: ED Direct Number: St. Patrick Hospital, Missoula=81 miles rthwest MedStar Life Flight Summit Air BLS 4 O+, 4 O-, 4 A+ FFP Trauma Receiving Facility 16 In-house: 6:30a-6p On-call: 6p-6:30a Number of ED Beds/Bays 4 CT 16 slice Ultrasound On-Call w/15 min. response time 2 RN s 24/7 (Float to ED from M/S) In-house: M-F 8a-5:30p On-call: M-F 5:30p-8a and weekends

5 BARRETT HOSPITAL & HEALTHCARE DILLON, MT. Main Number: ED Direct Number: St. James Healthcare, Butte=65 miles St. Patrick Hospital=138 miles Summit Life Flight Network Eagle Med rthwest MedStar Air Idaho BLS, ALS w/rn: Beaverhead BLS only: Grasshopper, Wisdom, Lima, Ruby Valley Trauma Receiving Facility Must order platelets 18 --special care monitoring available CRNA 24/7 Number of ED Beds/Bays 7 CT 32 slice MD or PA Ultrasound MRI Mon-Fri only 1 RN In-house: Mon-Fri: 7a-12a Other 1-ED Tech On-call: Mon-Fri: 12a-7a Sat-Sun: 24 hours

6 MADISON VALLEY MEDICAL CENTER ENNIS, MT. Main Number: ED Direct Number: (nurses station) Billings Clinic or St. Vincent Healthcare, Billings=195 miles Bozeman Deaconess=55 miles Summit Air Ambulance, Air Idaho, Life Flight Network BLS PRBC s: 2O+, 1 O-, 2 A+ Trauma Receiving Facility 9 w/endoscopy room (negative pressure) In-house: Mon-Fri: 8a-5p On-Call: Mon-Fri: 5p-8a & Weekends Number of ED Beds/Bays 3 (can use endoscopy room as a 4th) CT 20 slice 1 (MD or PA) 2 RN s or 1 RN/1 LPN In-house: Mon-Fri: 8a-5p On-Call: Mon-Fri: 5p-8a & Weekends

7 MARCUS DALY MEMORIAL HOSPITAL HAMILTON, MT. Main Number: ED Direct Number: Distance to closest Trauma Center (Area Trauma Hospital and/ St. Patrick Hospital, Missoula=48 miles rthwest MedStar ALS w/ Critical Care Capability PRBC s & FFP *Limited blood bank supply ne (size= Community Trauma Hospital) 25 5 beds CRNA In-house: 24/7 *Neurosurgical Capability Number of ED Beds/Bays 12 beds w/4 Observation beds CT 64 slice Ultrasound MRI : Board Certified Emergency Physicians 1-2 MD s In-house 24/7 In-house: 24/7 except on-call 4a-6a 2-3 RN s 24/7

8 KALISPELL REGIONAL MEDICAL CENTER KALISPELL, MT. Main Number: ED Direct Number: All transfers from outlying areas are handled by ED. Call ED directly and ask to speak with ED physician or Charge RN St. Patrick Hospital=123 miles Spokane, WA= 148 miles Seattle, WA= 373 miles ALERT Air Ambulance ALS: Kalispell Fire Dept. Evergreen Fire Dept. t-for-profit PRBC s all types, FFP, Platelets Area Trauma Hospital ACS Level III beds (no critical pediatrics or burns) Anesthesiologist In-house: 24/7 Number of ED Beds/Bays 14 CT 64 slice Ultrasound 1 3 MD s 4-7 RN s MRI Interventional radiology In-house: 24/7 Surgical & Other Services Available 24/7 General Surgery, Orthopedic surgery, Neurosurgery, Facial/plastics, Neurology, Vascular Surgery, Cardiac Cath Lab. Other: NICU, In-patient Rehab

9 CABINET PEAKS MEDICAL CENTER LIBBY, MT. Main Number: ED Direct Number: Kalispell Regional Medical Center=90 miles St. Patrick Hospital=190 miles Spokane, WA= 150 miles Routine Flight Service( s) ALERT rthwest Med Star BLS: Libby Volunteer & Troy Volunteer Ambulance 8 A+, 8 O+, 4 O-, 2 B+, 2 AB- 20 units FFP ne (Size=Trauma Receiving Facility) 25 CRNA In-house: 24/7 Number of ED Beds/Bays 5 CT 64 slice Ultrasound MD in-house 24/7 MRI 2- RNs 7a-7p, 1- RN 7p -7a, Nuclear Medicine In-house: 7a-7p On-call: 7p-7a

10 COMMUNITY MEDICAL CENTER MISSOULA, MT. Main Number: ED Direct Number: Distance to closest Trauma Center (Area Trauma Hospital and/ St. Patrick Hospital=5 miles Seattle, WA= 395 miles rthwest MedStar ALS: Missoula, Ronan, Polson, Hamilton BLS: Superior, Drummond, Philipsburg t-for-profit, 10 O+, 8 O-, 8 A+, 2 A-, 15u FFP, Community Trauma Hospital *B/AB & platelets available via Red Cross 4 pedi-pack FFP, Cryoprecipitate beds, 2 PICU 9 rooms Anesthesiologist (In-house 24/7) (In-house 24/7) In-house: 24/7 Number of ED Beds/Bays 14 Other 1 2 MD s 2-6 RN s Clerk 2- CT 64 slice & 128 slcie Ultrasound MRI, PET Nuclear Med, Fluoro In-house: 24/7 Core Competencies & Abilities Primary care, Women s care, Neonatal Care Level IIIB NICU, Pediatric care, Oncology, Rehabilitation (10 beds), Available 24/7: Interventional Cardiology (no open heart), ICU & peds intensivists, fluoro/endo/bronch

11 PROVIDENCE ST. PATRICK HOSPITAL MISSOULA, MT. Main Number: ED Direct Number: Distance to closest Level I Trauma Center Seattle 390 miles Salt Lake City 435 miles Routine Flight Service( s) rthwest MedStar Missoula EMS: ALS t-for-profit PRBC s all types, FFP, Platelets, Cryoprecipitate Regional Trauma Center: ACS Level II Cardiac Center Accredited Stroke & Chest Pain Center beds In-house 24/7 Number of ED Beds/Bays 21 : All providers board certified emergency physicians Single coverage from 1a-11a, double coverage 11a-1a. 4-8 RN s at all times CT 64 slice Ultrasound: FAST Exams MRI In-house 24/7 Surgical Services Cardiothoracic, surgical capability 24/7; vascular, general surgery, metabolic surgery, bariatric surgery, neurosurgery, gynecology, ophthalmology, orthopedics, otolaryngology (ENT), facial plastics and reconstructive surgery, podiatry, urology.

12 GRANITE COUNTY MEDICAL CENTER PHILIPSBURG, MT. Main Number: Distance to closest Trauma Center (Area Trauma Hospital and/ St. Patrick Hospital, Missoula=76 miles rthwest MedStar Life Flight Eagle Med Granite County BLS, Drummond BLS, Sleeping Giant ALS ne ne (Size=Trauma Receiving Facility) 25 Available 24 hrs/day : ABGs available Number of ED Beds/Bays 2 X-ray portable 1 provider 1 RN Available 24 hrs/day

13 CLARK FORK VALLEY HOSPITAL PLAINS, MT. Main Number: ED Direct Number: Kalispell Regional Medical Center=58 miles St. Patrick Hospital, Missoula=58 miles ALERT rthwest MedStar BLS: Plains Community Ambulance, Thompson Falls Ambulance, Hot Springs Ambulance 4 A+, 4 O+, 4 O-, 2 B+, 2 A- 15u FFP, 2 Cryoprecipitate Community Trauma Hospital 16 2 beds (limited ability for ventilator, vasoactive drugs etc..) CRNA In-house: 24/7 Number of ED Beds/Bays 4 1 MD In-house w/oncall backup at night 1 RN (support from M/S RN) On-call RN-9p-7a CT 16 slice Ultrasound MRI In-house: 24/7 except on-call Sun 5:30p to Mon. 7a

14 PROVIDENCE ST. JOSEPH MEDICAL CENTER POLSON, MT. Main Number: ED Direct Number: Kalispell Regional Medical Center=52 miles St. Patrick Hospital=71 miles Routine Flight Service( s) rthwest Med Star ALERT Polson EMS BLS, ALS & Critical Care 4 O+, 4 A+, 2 B+, 2 O-, 2 A-, 8 AB Trauma Receiving Facility FFP 22 CRNA In-house 24/7 Number of ED Beds/Bays 4 MD or PA in-house 24/7 CT 16 slice Ultrasound Fast Exams MRI (1) RN 7a-7p, (1) RN 7p -7a, (1) RN 10a-10p In-house: 7a-7p Other ED Tech 24/7 On-call: 7p-7a

15 ST. LUKE COMMUNITY HOSPITAL RONAN, MT. Main Number: ED Direct Number: St. Patrick Hospital, Missoula=55 miles Community Medical Center, Missoula=55 miles Kalispell Regional Medical Center= 65 miles ALERT rthwest MedStar Ronan/Polson Ambulance: ALS, Paramedic, Critical Care Medic Mission Ambulance: ALS w/ paramedic PRBC s,: 20 units Community Trauma Hospital 25 CRNA FFP: 6 units In house: 24/7 Number of ED Beds/Bays 10 Decontamination unit in ED 1 MD 24/7 1 RN 12a-12p 2 RNs 12p-12a CT 80 slice Ultrasound MRI Weekdays: In house 7:30amidnight then on-call Weekends: In-house 24/7

16 RUBY VALLEY HOSPITAL SHERIDAN, MT. Main Number: ED Direct Number: St. James Healthcare, Butte=61 miles Bozeman Deaconess: 90 miles St. Patrick Hospital=138 miles Summit Air Ambulance Life Flight Network Eagle Med BLS: Ruby Valley Ambulance 2 O-, 2 O+ ne (Size=Trauma Receiving Facility) FFP or Platelets 10 On-call: Number of ED Beds/Bays 3 portable vent available CT 16 slice Other MD/DO or mid-level 1 RN & 1 CNA 1-Call RN (1-LPN available daytime hours) On-call:

17 MINERAL COMMUNITY HOSPITAL SUPERIOR, MT. Main Number: St. Patrick Hospital= 55 miles Life Flight Network rthwest MedStar Superior Area Ambulance Service 4 O- ne (size= Trauma Receiving Facility) Must send runners to Missoula if more is needed. 25 Other Services available DOT Drug Testing (PRN only) BIPAP available 24/7 (on-call nights & weekends) Number of ED Beds/Bays 3 MD or Mid-levels 24/7 coverage 12 hr. shifts covers acute care, out patient and ER CT 16 slice Ultrasound (if tech available) **NO Fast Scans Mammography Other CNA 24/7 (on-call nights & weekends)

18 NORTH VALLEY HOSPITAL WHITEFISH, MT. Main Number: ED Direct Number: Kalispell Regional Medical Center= 15 miles St. Patrick Hospital=140 miles ALERT rthwest MedStar ALS: Whitefish Fire Dept., TREMS, Big Mountain Fire & Rescue BLS: Olney, Eureka PRBC s, FFP Community Trauma Hospital 25 4 beds (uncomplicated vents only) 8 units In-house: 24/7 anesthesiologist Number of ED Beds/Bays 8 CT 64 slice 1 3 MD s in-house 2-4 RN s Ultrasound MRI- (Mon-Fri only) In-house: 24/7 Ultrasound On-call

19 BIG SANDY MEDICAL CENTER BIG SANDY, MT. Main Number: Benefis Healthcare, Great Falls=80 miles Transport time from Benefis ER & return: Mercy Flight Roto=122 minutes Fixed Wing=143 minutes BLS ne (size= Trauma Receiving Facility) 8 Can do ABGs and limited rapid drug testing Cardiac Monitor from ED only In-house: Mon-Fri. 7:30a-5:30p On-call: Mon-Fri. 5:30p-7:30p and weekends Number of ED Beds/Bays 2 1 mid-level 1 RN & 1 LPN 24/7

20 ROCKY BOY HEALTH CLINIC BOX ELDER, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings=170 miles (ground) HELP Flight MedFlight Jesse Ambulance Service: BLS Custer County Ambulance: Miles City Hours of Operation Outpatient Clinic with Urgent Care 8am-4:30pm ne ne 0 t available on site ABG s Call Number of Urgent Care Beds 2 X-ray ( Portable) Staffing Levels Ultrasound 5 clinical nurses & up to 5 providers call

21 BLACKFEET COMMUNITY HOSPITAL BROWNING, MT. Main Number: ED Direct Number: Benefis Healthcare, Great Falls=130 miles Kalispell Regional Medical Center= 100 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight, ALERT Roto=162 minutes Fixed Wing=161 minutes BLS with ALS in Cutbank Indian Health Service PRBCs, Platelets, FFP (Size=Trauma Receiving Facility) 23 Available 24/7 -CRNA Number of ED Beds/Bays 10 1 MD at all times, 1 mid-level 10a-10p 2 RNs at all times, 1 RN mid-shift CT 64 slice Available 24/7

22 LIBERTY MEDICAL CENTER CHESTER, MT. Main Number: or Regional Trauma Center) Benefis Healthcare, Great Falls=90 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=122 minutes Fixed Wing=143 minutes BLS: Liberty County, Hill County ALS: Liberty County w/rn, if available 2 A+, 3 O+, 3 O-, 4 FFP Trauma Receiving Facility 25 Number of ED Beds/Bays 2 t available on-site Drug Testing 24/7 1 MD or midlevel oncall 1 RN in-house 24/7 1 RN on-call CT 16 slice 24/7

23 TETON MEDICAL CENTER Main Number: CHOTEAU, MT. ED Direct Number: Benefis Healthcare, Great Falls=56 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=97 minutes Fixed Wing=131 minutes BLS, Volunteer Only 2 A+, 2 O+, 2 O-, 1 A-, 2 FFP Trauma Receiving Facility 10 *NO ABGs Available In-house: Mon-Fri 7:30a-5p Otherwise on-call Number of ED Beds/Bays 2 1 Mon-Fri 8a- 5p and then on-call 2 In-house: Mon-Fri: 7:30a-5p Otherwise on-call

24 PONDERA MEDICAL CENTER CONRAD, MT. Main Number: ED Direct Number: or Regional Trauma Center) Benefis Healthcare, Great Falls=60 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=105 minutes Fixed Wing=135 minutes BLS & ALS w/paramedic: Pondera Ambulance 14 units PRBC s & 2 units FFP Trauma Receiving Facility 20 Mon-Fri. Only 7:30a-4p In-house: 7a-6p On-call: 6p-7a Number of ED Beds/Bays 3 1 mid-level w/ physician back-up CT 16 slice (located in basement) 2 nurses on duty 24/7 Ultrasound-limited availability In-house: 7a-6p Other 1 medic On-call: 6p-7a

25 NORTHERN ROCKIES MEDICAL CENTER CUTBANK, MT. Main Number: Benefis Healthcare, Great Falls=110 miles Routine Flight Service( s) Mercy Flight, ALERT ne (Size=Trauma Receiving Facility) 14 In-house: Then on-call Number of ED Beds/Bays 2 CT 4 slice 1 (on-call) 2 In-house: Then on-call

26 MISSOURI RIVER MEDICAL CENTER Main Number: FORT BENTON, MT. ED Direct Number: or Regional Trauma Center) Benefis Healthcare, Great Falls= 40 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=88 minutes Fixed Wing=127 minutes Fort Benton Memorial Ambulance: BLS, Volunteer only ne ne (size =Trauma Receiving Facility) 7 t available on-site ABG s, limited drug testing In-house: Mon-Fri : 7a-6p On-call: M-F: 6p-7a & Weekends Number of ED Beds/Bays 3 1 MD or midlevel oncall 1 RN in-house 24/7 1 RN on-call CT single slice 24/7

27 BENEFIS HOSPITAL GREAT FALLS, MT. Main Number: ED Direct Number: Patient Transfer (Dispatch) Number: or Distance to closest Level I Trauma Center Seattle 516 miles Salt Lake City 572 miles Mercy Flight ALS t-for-profit PRBC s all types, FFP, Platelets, Cryoprecipitate Regional Trauma Center ACS Level II Beds: Neuro, cardiac/pulmonary, medical & trauma In-house: 24/7 Number of ED Beds/Bays : All board certified or board eligible Anesthesiologist 19 beds 2 MD s Minimum 5 RN s 24/7 CT 64 slice Ultrasound MRI Angio Interventional In-house: 24/7 Except angio & interventional radiology: On-call after 5pm Surgical & Other Services General surgery and specialized procedures including general surgery, orthopedic surgery, bariatric surgery, podiatric medicine, urology, OB/GYN, ENT, cosmetic surgery, oral surgery, dialysis, inpatient mental health & addiction

28 FORT BELKNAP HEALTH CENTER HARLEM, MT. Main Number: ED Direct Number: Benefis Healthcare, Great Falls=156 miles Mercy Flight, Stat Air, Med Flight BLS ne ne (Size Trauma Receiving Facility) 6 In-house: 7a-5p On-call: 5p-7a Number of ED Beds/Bays 2 1 MD or Midlevel *Weekends and holidays are covered by locum tenens (Fri. 4p Sun. 4p) 2 RN s In-house: 7a-5p On-call: 5p-7a

29 NORTHERN MONTANA HEALTHCARE HAVRE, MT. Main Number: ED Direct Number: or Regional Trauma Center) Benefis Healthcare, Great Falls=110 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=156 minutes Fixed Wing=158 minutes BLS & ALS Acute Care PRBC s & FFP Community Trauma Facility 49 6 beds -CRNA In-house 24/7 Number of ED Beds/Bays 9 CT 160 slice Ultrasound MRI 1 MD in-house 1-3 RNs In-house: 7a-1a On-call: Mon-Thurs: 1a-7a Sun-Mon 5a-7a

30 ST. PETER S HOSPITAL HELENA, MT. Main Number: ED Direct Number: Benefis Healthcare, Great Falls=90 miles St. James, Butte=60 miles Bozeman Deaconess=90 miles Routine Flight Service( s) Summit Air Transport time from Benefis ER & return: Mercy Flight rthwest MedStar Roto=118 minutes Fixed Wing=141 minutes t-for-profit St. Peter s Ambulance: ALS/ Paramedic Area Trauma Hospital 4-6 A+, 4-6 O+, 20 O-, 4-6 A-, beds *Access to VA Blood supply, if needed B+, 2 B-, 2 AB+, 30 FFP Platelets -- CRNA & Anesthesiologist TXA Availale Interventional Cardiology available 24/7 (except open heart) In-house 24/7 Number of ED Beds/Bays General Surgery coverage 24/7 2 CTs 64 slice MRI 1 MD 24/7 Midlevel 10a-10p 3-6 RNs Ultrasound In-house 24/7

31 MARIAS MEDICAL CENTER SHELBY, MT. Main Number: ED Direct Number: or Regional Trauma Center) Benefis Healthcare, Great Falls=88 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=126 minutes Fixed Wing=145 minutes BLS: Toole County EMS ALS: Glacier County EMS 4 O and other various units Trauma Receiving Facility FFP 25 2 beds (limited ICU, no ventilators) In-house: Mon-Fri 6a-5p On-call: Mon-Fri 5p-6a & Weekends -CRNA Number of ED Beds/Bays 3 CT 32 slice 1 MD (On-call) 2-3 RNs Ultrasound MRI In-house: Mon-Fri 6a-5p On-call: Mon-Fri 5p-6a & Weekends

32 BROADWATER HEALTH CENTER TOWNSEND, MT. Main Number: Benefis Healthcare, Great Falls=120 miles Routine Flight Service( s) Mercy Flight, Summit Air BLS,: Broadwater ALS: ST. Peter s (Helena) ne (Size=Trauma Receiving Facility) 9 2 O- Vitamin K only *NO Blood Alcohol Available In-house: Mon-Fri 7a-7p Then on-call Number of ED Beds/Bays 2 CT 16 slice 1 Mon-Fri 8a- 5p and then on-call MRI 1 In-house: Mon-Fri: 7a-7p Then on-call

33 MOUNTAINVIEW MEDICAL CENTER Main Number: WHITE SULPHUR SPRINGS, MT. ED Direct Number: ext. 113 or Regional Trauma Center) Benefis Healthcare, Great Falls=100 miles Routine Flight Service( s) Transport time from Benefis ER & return: Mercy Flight Roto=122 minutes Fixed Wing=143 minutes BLS RBCs Trauma Receiving Facility 25 In-house: 7a-5p On-call: 5p-7a Number of ED Beds/Bays 3 1 provider (On-call 24/7) 6a-6p: 1 RN & 1 LPN (1 RN on-call) 6p-6a: 1 RN (1 RN oncall) CT 16 slice Ultrasound (available for provider use only) * special procedures In-house: 7a-5p On-call: 5p-7a

34 FALLON MEDICAL COMPLEX BAKER, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings=224miles (ground) HELP Flight MedFlight BLS: Fallon Medical Complex ne (size=trauma Receiving Facility) 10 In-house 7a-5p On-call: 5p-7a Number of ED Beds/Bays 2 Ultrasound (1 day/week) MRI truck (2 days/month) On-call 24/7 (covers clinic during clinic hours) CT In-house: 7a-5p 1 RN & 1 CNA On-call: 5p-7a

35 PIONEER MEDICAL CENTER BIG TIMBER, MT. Main Number: St. Vincent or Billings Clinic, Billings, MT=82 miles Summit Air HELP Flight MedFlight Sweet Grass Ambulance ALS w/ Paramedic 24/7 1 O-, 1 O+ Trauma Receiving Facility 25 *NO Drug Testing Available NO In-house: Mon Fri 7a-5p On-Call: 5p-7a and weekends Number of ED Beds/Bays 3 CT 16 slice : All ATLS cert. 1 MD, 2 Mid-levels 2 RNs (with additional on-call) ACLS/PALS/ TNCC In-house: Mon Fri 7a-5p On-Call: 5p-7a and weekends

36 BILLINGS CLINIC BILLINGS, MT. Main Number: ED Direct Number: Patient Transfer: Distance to closest Level I Trauma Center Salt Lake City 390 miles Denver 450 miles Routine Flight Service( s) Billings Clinic MedFlight Summit HELP Flight AMR: ALS Lockwood Fire & Rescue: ALS Eaglemed: BLS t-for-profit PRBC s all types, FFP, Platelets, Cryoprecipitate Regional Trauma Center: ACS Level II 285 Skilled Level III NICU Certified Primary Stroke Center 24 beds 90 beds In-house 24/7 Number of ED Beds/Bays 35 : All providers board certified emergency physicians Other: Patient Care Techs Single coverage from 2a-9a, double coverage 9a-2a RN s at all times 3-10 at all times CT 64 slice Ultrasound: FAST Exams 2- MRI s In-house 24/7 Surgical Services Cardiac, thoracic, vascular, general surgery, gynecologic oncology, metabolic surgery, neurosurgery, OB/GYN, ophthalmology, orthopedics, otolaryngology (ENT), facial plastics and reconstructive surgery, podiatry, urology.

37 ST. VINCENT HEALTHCARE BILLINGS, MT. Main Number: ED Direct Number: One-Call Phone Number: or Distance to closest Level I Trauma Center Salt Lake City 390 miles Denver 450 miles Routine Flight Service( s) HELP Flight AMR: ALS /Paramedic t-for-profit PRBC s all types, FFP, Platelets, Cryoprecipitate Regional Trauma Center: ACS Level II Skilled Level III NICU St. Vincent Children s Healthcare beds 90 beds 20 beds 5 PICU beds In-house 24/7 Hyperbaric Chamber Number of ED Beds/Bays 25 CT 320 slice Ultrasound: FAST Exams : All providers board certified emergency physicians Other: ED Techs 5 physicians 12 RN s 9 2- MRI s In-house 24/7 Surgical Services Cardiac, thoracic, vascular, general surgery, gynecologic oncology, metabolic surgery, neurosurgery, OB/GYN, ophthalmology, orthopedics, orthopedic trauma, otolaryngology (ENT), facial plastics and reconstructive surgery, podiatry, urology. Designat-

38 BOZEMAN DEACONESS HOSPITAL BOZEMAN, MT. Main Number: ED Direct Number: St. Vincent Healthcare or Billings Clinic, Billings=140 miles Summit Air Medical ALS: AMR, Big Sky Fire Dept. BLS: Three Forks, Whitehall, Ennis t-for-profit PRBC s all types, FFP, Plate- Area Trauma Hospital lets, Cryoprecipitate ACS Level III 86 Hyperbaric Chamber 7 rooms Anesthesiologist In-house: 24/7 Number of ED Beds/Bays 21 beds/ 2 trauma bays 1 2 MD s and midlevel CT 64 slice Ultrasound 2-4 RN s and Triage RN & Charge RN MRI, In-house: 24/7 Surgical Services General surgery and specialized procedures including general surgery, orthopedic surgery (general, spine, upper extremity, joint replacement and sports medicine), podiatric medicine, urology, OB/GYN, ENT, cosmetic surgery, oral surgery and ophthalmology.

39 POWDER RIVER MEDICAL CLINIC BROADUS, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings=170 miles (ground) HELP Flight MedFlight Jesse Ambulance Service: BLS Custer County Ambulance: Miles City Outpatient Clinic Only ne Hours of Operation 8am-12pm & 1pm- 5pm ne 0 t available on site ABG s, drug testing, most labs sent out except CLIA ap- proved (strep, UA, preg) Call Number of ED Beds/Bays 0 Staffing Levels X-ray 1 FNP full-time Call 1 part-time MD, one afternoon/month call

40 MCCONE COUNTY HEALTH CENTER CIRCLE, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings= 240 miles (ground) STAT Air HELP Flight MedFlight Redwater Valley Ambulance: BLS Number of ED Beds/Bays 2 ne (size=trauma Receiving Facility) 25 NO ABGs, NO Ventilator ne: staff & providers after hour lab t available: CBC, ABG, Toxicology, CMP, LFT Only IStat testing X-ray, no portable 1 mid-level provider 1 RN & 1 Nurse Asst. 24/7

41 COLSTRIP MEDICAL CENTER COLSTRIP, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=120 miles (ground) HELP Flight MedFlight BLS: Colstrip Ambulance Limited Access Urgent Care ne Trauma Receiving Facility 0 t available on site ABG s, drug testing, no services other than CLIA approved after hours In-house 8a-5:30p Call Number of ED Beds/Bays 2 X-ray 1 physician or 2 midlevel: on-call 5:30p-8a 3 RN s: on-call 5:30p- 8a 1 Rad Tech, 3 limited techs On-call: 5:30p-8a

42 STILLWATER BILLINGS CLINIC COLUMBUS, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=43 miles HELP Flight Medflight Summit ALS: Columbus Fire & Rescue, Absarokee EMS, Stillwater Mine Ambulance BLS: Park City Ambulance 2 O+, 2 A+, 1 O- Trauma Receiving Facility 10 *additional PRBC s & FFP available within 20 min 24/7 In-house during clinic hours then on-call Number of ED Beds/Bays 5 1 physician or midlevel 1 RN & 1 LPN CT 16 slice Ultrasound (available 1x/week) FAST Exams 24/7 In-house during clinic hours then on-call

43 CROW NORTHERN CHEYENNE IHS HOSPITAL CROW AGENCY, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=60 miles HELP Flight Big Horn County EMS: BLS, ALS, Critical Care Paramedic 2u FFP; 2 O-, 4 O+, 4 A+; Trauma Receiving Facility * Platelets Available 24 (non-emergent, scheduled cases only) In-house: CRNA (not oncall) On-call: Dependent on staffing Number of ED Beds/Bays 7 *Dependent upon staffing * FAST Exams 1 Family Practice MD or PA-C In-house: Other: 1-2 RNs Registration Clerk & CNA On-call: Dependent on staffing

44 ROOSEVELT MEDICAL CENTER Main Number: CULBERTSON, MT. Billings Clinic or St. Vincent Healthcare, Billings=250 miles MedFlight, HELP Flight, STAT Air, rthstar Criticare (Minot, ND) BLS only 3u FFP; 2 O-, 2 O+, 2 A+; Platelets Trauma Receiving Facility 25 In-house: 8a-5p On-call: 5p-8a & weekends Number of ED Beds/Bays 3 1 MD or PA-C Ultrasound 1 RN In-house: 8a-5p On-call: 5p-8a & weekends

45 DAHL MEMORIAL HEALTHCARE ASSOC. EKALAKA, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings=260 miles (ground) Rapid City, SD=165 miles HELP Flight MedFlight Stat Air Carter County Ambulance Service BLS ne (size=trauma Receiving Facility) 8 ne In-house Mon-Fri: 8a-5p On-Call: 5p-8a & Weekends Number of ED Beds/Bays 3 1 PA-C Available Only: All others mail-out CBC, Chem, PT/INR, Trop, UA, ESR, BNP, Rapid strep/ influenza and urine preg. 1 RN or LPN (also works at the nursing home and CAH nurse) Alternative Coverage Waiver: PA-C can go off-call for up to 72 hours during which only a RN is on-call. All ambulances bypass DMHA and go to FMC (Baker). Walk-ins are evaluated by RN. FMC on-call provider provides orders and transfer. X-ray In-house Mon-Fri: 8a-5p On-Call: 5p-8a & Weekends

46 ROSEBUD HEALTH CARE CENTER FORSYTH, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=100 miles (ground) HELP Flight MedFlight ALS primarily: Rosebud County 2 O+, 2 O-, 2 A+ FFP Trauma Receiving Facility 11-1 bed In-house Mon-Fri: 8a-5p On-Call: 5p-8a & Weekends Number of ED Beds/Bays 3 CT 16 slice Ultrasound 1 provider in house 8a- 5p then on-call 1 RN 24/7 1 RN & 1CNA at night In-house Mon-Fri: 8a-5p On-Call: 5p-8a & Weekends

47 FRANCES MAHON DEACONESS HOSPITAL Main Number: ED Direct Number: GLASGOW, MT. Billings Clinic or St. Vincent Healthcare, Billings=277miles Benefis, Great Falls=271miles NEMT STAT Air Ambulance Coop. STAT Ground Ambulance: BLS w/ AEMT s 16 units FFP, 10 O+, 6 O-, 10 A+, 4 A-, 2 B+, 2 B- ne (size=community Trauma Hospital) 25 In-house: Mon-Fri 7a-5p - 2 beds On-call: Mon-Fri 5p-7a & weekends/holidays CRNA Number of ED Beds/Bays 4 CT 16 slice Ultrasound: FAST exams 1 mid-level (PA-C) oncall with hospitalist backup 1 RN w/1-2 in house MRI (M-F only, non-emergent) In-house: Mon-Fri 7a-5p On-call: Mon-Fri 5p-7a & weekends/holidays

48 GLENDIVE MEDICAL CENTER GLENDIVE, MT. Main Number: ED Direct: Billings Clinic or St. Vincent Healthcare, Billings=220miles (ground) MedFlight, Valley Med, HELP Flight Glendive EMS: BLS RBCs, FFP, Platelets ne (Size=Community Trauma Hospital) Unk. 25 : 3 beds In house: 7a-10p On-call: 10p-7a : CRNA Number of ED Beds/Bays 1 CT: 128 slice 1 PA-C or FNP 1 RN 24/7 In house: 7a-7p On-call: 7p-7a

49 BIG HORN HOSPITAL ASSOCIATION HARDIN, MT. Main Number: St. Vincent Healthcare or Billings Clinic, Billings= 50 miles St. Vincent HELP Flight Big Horn County Ambulance: BLS & ALS w/ Critical Care Paramedics FFP, 6 O-, some type-specific blood Trauma Receiving Facility 9, 2 delivery rooms (scheduled on Tuesdays and emergent C- sections only) In-house: 6a-2a On-call: 2a-6a & Weekends CRNA Number of ED Beds/Bays 3 1 provider in-house: Mon -Fri: 8a-4p On-call: Mon-Fri: 4p- 8a & Weekends 1 RN 24/7 2 RN s 12p-12a CT 32 slice Ultrasound: FAST exams MRI In-house: Mon-Fri 24/7 On-call: Weekends

50 WHEATLAND MEMORIAL HEALTHCARE HARLOWTON, MT. Main Number: ED Direct Number: Distance to closest Trauma Center (Area Trauma Hospital and/ St. Vincent or Billings Clinic, Billings, MT=90 miles HELP Flight MedFlight Wheatland County Ambulance: BLS AMR (Billings): ALS w/paramedics 2 O+, 2 O-, 2 A+ Trauma Receiving Facility 25 Number of ED Beds/Bays 2 Drug testing available except acetaminophen and digoxin levels Available 24 hrs./day CT 4 slice 1 Other 1 RN 1-2 CNAs Available 24 hrs./day

51 GARFIELD COUNTY HEALTH CENTER JORDAN, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings= 170 miles (ground) HELP Flight MedFlight BLS ne (size=trauma Receiving Facility) 4 24/7 t available: CBC, ABG, Toxicology, CMP, LFT Only IStat testing Number of ED Beds/Bays 1 * Avera E-Emergency available On-call/Emergency Telemedicine 1 RN X-ray, no portable ne: ER performs

52 NORTHERN CHEYENNE SERVICE UNIT LAME DEER, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=100 miles HELP Flight, MedFlight Big Horn County EMS: BLS, ALS, Critical Care Paramedic Ambulatory & Urgent Care Center ne 0 ABG s available ne After hours no d-dimer, ETOH and INR In-house: Mon-Thurs. 8a-7p Number of ED Beds/Bays 4 bays Fri: 8a-4:30p On-call: ne 1 OB bay 1 MD or Midlevel *Weekends and holidays are covered by locum tenens (Fri. 4p Sun. 4p) X-ray Portable Day shift: 2 RNs, 1 tech In-house: Mon-Thurs. 8a-7p Night shift: 1 RN, 1 tech On-call: ne Fri: 8a-4:30p

53 CENTRAL MONTANA MEDICAL CENTER LEWISTOWN, MT. Main Number: ED Direct Number: or Regional Trauma Center) Benefis Healthcare, Great Falls=104 miles Billings Clinic or St. Vincent Healthcare, Billings=114 miles Routine Flight Service( s) Mercy Flight MedFLight HELP Flight ALS: CMMC Ambulance (RN, CC EMT-P, AEMT available) 20 units PRBC s 8u FFP Community Trauma Facility t Available at this site: Lactic Acid 25 2 beds -CRNA (on-call 7p-7a) In-house: 24/7 Number of ED Beds/Bays 4 CT 64 slice 1 provider In-house *Telestroke available Ultrasound 1 RN 24/7 2 RN s : Fri-Sun. 11a-7p **NO Fast Exams MRI In-house: Mon-Fri: 7a-5p On-call: 5p-7a & Weekends

54 LIVINGSTON HEALTHCARE LIVINGSTON, MT. Main Number: ED Direct Number: or Regional Trauma Center) Billings Clinic or St. Vincent Healthcare, Billings=115 miles Routine Flight Service( s) MedFLight HELP Flight Summit Air Ambulance ALS: Livingston Fire & Rescue 4 O+, 2 O-, 4 A+, 2 A-, 2 B+ 10u FFP Community Trauma Facility 25 4 beds -CRNA In-house: 6a-11p On-call: 11p-6a Number of ED Beds/Bays 6 beds (2 trauma) CT 32 slice Ultrasound 1 MD In-house 1 RN 24/7 2 RN s : Fri-Mon. 11a-11p Portable US/FAST Exams MRI In-house: 7a-9:30p On-call: 9:30p-7a

55 PHILLIPS COUNTY HOSPITAL Main Number: MALTA, MT. ED Direct Number: Distance to closest Trauma Center (Area Trauma Hospital and/ Benefis Healthcare, Great Falls=200 miles St. Vincent or Billings Clinic, Billings, MT=207 miles Transport time from Benefis ER & return: Stat Air, HELP Flight, Med Flight Mercy Flight Roto=222 minutes Fixed Wing=189 minutes Phillips County Ambulance: BLS & ALS 1 A+, 4 O+, 3 O-, 1 A- Trauma Receiving Facility 6 In-house: 7a-5p Otherwise on-call Number of ED Beds/Bays 2 3 providers (1 MD, 1 NP, 1 PA) 1-2 licensed staff CT 4 slice Ultrasound Fast Exams Other 1 CNA In-house: Mon-Fri: 7a-5p Additional RN & CNA on-call Otherwise on-call

56 HOLY ROSARY HEALTHCARE MILES CITY, MT. Main Number: ED Direct Number: Distance to closest Trauma Center (Area Trauma Hospital and/ St. Vincent Healthcare or Billings Clinic, Billings=144 miles St. Vincent HELP Flight Billings Clinic MedFlight ALS Paramedic: Miles City Fire Dept. 10 O+; 10 A+; 4 O-; 2 B+; 3 A-; ne FFP: 10u A; 10u AB (size=community Trauma Hospital) 25 5 beds 3 CRNA s 24/7 Number of ED Beds/Bays 8 CT 64 slice Other 1 MD or mid-level 1 RN ED Tech (part-time) Ultrasound MRI 24/7

57 SHERIDAN MEMORIAL PLENTYWOOD, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=355 miles MedFlight, Valley Medical BLS only 4u FFP; 4 O-, 4 O+, 4 A- Trauma Receiving Facility Platelets 19 1 bed (full monitoring, glidescope, transport vent) In-house: 7a-5p On-call: 5p-7a Number of ED Beds/Bays 2 1 MD or PA-C CT 16 slice 2 RN s In-house: 7a-5p On-call: 5p-7a

58 NORTHEAST MONTANA HEALTH SERVICES POPLAR, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=330 miles STAT Air Poplar Ambulance Service: ALS 12 units PRBCs, 6 FFP Trauma Receiving Facility 20 In-house: 7:30a-3:30a On-call: 3:30a-7:30a Number of ED Beds/Bays 4 1 MD or PA-C CT 16 slice 3 RN s scheduled at facility In-house: 7a-5p On-call: 5p-7a

59 BEARTOOTH BILLINGS CLINIC RED LODGE, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=60 miles HELP Flight Red Lodge Fire & Rescue: BLS & ALS (5 Critical Care Medics) PRBC s: 4 units Trauma Receiving Facility 10 Unable to test on-site Ammonia, Lactic Acid; Aspirin In-house: Mon-Fri: 6a-6p On-Call: Mon-Fri: 6p-6a & Weekends Number of ED Beds/Bays 3 CT 16 slice 1 Ultrasound (Tues-Fri 7:30a-6p) Other 2 RN s 2 Ward Clerks 12p-10p 1 Ward Clerk 10p-12p In-house; Mon-Fri: 7:30a-6p On-Call: Mon-Fri: 6p-7:30a & Weekends

60 ROUNDUP MEMORIAL HEALTHCARE ROUNDUP, MT. Main Number: ED Direct Number: St. Vincent Healthcare or Billings Clinic, Billings= 60 miles HELP Flight ALS: Musselshell County Ambulance 1 O-, 2 O+, 2 A+, FFP ne Platelets (size= Trauma Receiving Facility) 5 On-call: After 6p Number of ED Beds/Bays 4 Ultrasound 1 MD or PA-C 2 RN s CT-2 slice On-Call: After 6p

61 DANIELS MEMORIAL HEALTHCARE CENTER SCOBEY, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=255 miles MedFlight, STAT Air, ALS: Daniels County Ambulance 4 O- Trauma Receiving Facility 24 24/7 Number of ED Beds/Bays 2 1 physician or FNP oncall 1 RN in-house w/ 1 RN on-call 24/7 CT 16 slice Ultrasound

62 Sidney Health Center Sidney, MT. Main Number: ED Direct Number: Billings Clinic or St. Vincent Healthcare, Billings=270miles (ground) Valley Med Flight (rth Dakota) HELP Flight MedFlight BLS: Richland County EMS 10 O+, 6 O-, 10 A+, 6 A-, 4 B+ ne 14 units FFP (size= Community Trauma Hospital) 25-3 beds. invasive monitoring In-house 7a-7p On-Call: 7p-7a : CRNA : In-house 7a-7p then on call Number of ED Beds/Bays 4 ED beds 2 Trauma Bays CT 160 slice Ultrasound: FAST available 1 provider MRI: n-emergent only 1 RN & 1CNA each shift with LPN/RN M-F 9a-5p In-house 7a-5:30p On-Call: 5:30p-7a

63 PRAIRIE COMMUNITY HOSPITAL TERRY, MT. Main Number: Billings Clinic or St. Vincent Healthcare, Billings=185 miles (ground) MedFlight BLS ne Must come from Miles City 37 miles away Trauma Receiving Facility 22 RN s run labs when laboratory personnel is not available Number of ED Beds/Bays 1 1 PA-C or FNP 1 RN 24/7 Available 24/7

64 NEMHS TRINITY HOSPITAL WOLF POINT, MT. Main Number: ED Direct Number: St. Vincent or Billings Clinic, Billings, MT=210 miles Stat Air HELP Flight MedFlight BLS w/als auth. Only transfer patients w/in 100 miles 6 O+, 2 A-, 2 O-, 6 A+ and 6 FFP Trauma Receiving Facility 22 1 bed (limited) (C-sections & minor surgery) CRNA In-house: Mon Fri 7a-7p On-Call: 7p-7a and weekends Number of ED Beds/Bays 6 CT 16 slice 1 Ultrasound Other 1 RN (with 3 RN s available to assist) Echo, Mammo, Dexa In-house: Mon Fri 8a-5p On-Call: 5p-8a and weekends

65 A.L.E.R.T. BASE LOCATION: KALISPELL, MT. (Across from Kalispell Emergency Dept.) DISPATCH: CHIEF FLIGHT NURSE: Response & Staffing Services Available Response Times: See attached times Scene: All patients Rotor: 350 mile radius Obstetrics & combination teams Fixed-wing Fly at 290 mph Neonatal Staffing Levels: 24/7 availability 8 full time Flight RN s (2 PRN s) Pediatric Trauma 7 full time Medics (^ PRN s) Limitations 5 rotor pilots 5 fixed-wing pilots Rotor: weight limit is 350 lbs. (for safety purposes, information on height and girth may be required for patients over 300 lbs.) Fixed Wing: weight limit is 400 lbs. Types of Aircraft Equipment & Abilities ALERT I: 407 Bell Critical Care meds ALERT II: Passengers al- Rotor Wing Night vision goggles Search & Rescue assistance lowed if weight limit not exceeded ALERT II: Pilatus, PC -12/45

66 ALERT Response area with approximate times: ROTOR: ALERT I Sandpoint 46 min. Eureka 25 min. Bonners Ferry 43 min. Libby 25 min Coeur d Alene 54 min. Spokane 1 hour 6 min. Thompson Falls 31 min. Plains 28 min. Polson 16 min. Ronan 20 min. St. Ignatius 27 min. Missoula 41 min. Browning 28 min. Cutbank 42 min. Shelby 50 min. Conrad 48 min. Choteau 45 min. Great Falls 1 hour 5 min. Hamilton 59 min. FIXED WING: ALERT II KGPI Glacier Park International to: KBFI Boeing Field = 1:37 KGTF Great Falls International = 39 min KMSO Missoula International = 29 min KCTB Cut Bank Municipal = 27 min K8S0 Starr-Browning = 20 min KBIL Billings Logan international = 1:14 KBZN Bozeman Yellowstone International = 57 min KHLN Helena Regional = 42 min KHVR Havre City-County = 51 min KOLF L M Clayton (Wolf Point) = 1:28 KBTM Bert Mooney (Butte) = 48 min K6S5 Ravalli County (Hamilton) = 40 min KAPA Centennial Denver = 2:40 KDEN Denver International = 2:37 KSFF Felts Field (Spokane WA) = 41 min KGEG Spokane International = 44 min KRST Rochester International (MN) = 3:29

67 AIR IDAHO RESCUE BASE LOCATION: WEST YELLOWSTONE, MT. Main Number: SEASONAL BASE FROM MAY TO SEPTEMBER Response & Staffing Services Available Response Times Respond to all Interfacility and scene requests within 150 nm radius of base Scene: All patients High risk OB Pediatric Critical Care Staffing Levels: 9a-9p daily 1 Flight Registered Nurse Limitations 1 Flight Paramedic Seasonal, 12 hr. base 9a-9p Weight Limit: Types of Aircraft Equipment & Abilities Bell 407 Critical Care meds Passengers allowed if Night vision goggles weight limit not exceeded

68 BENEFIS MERCY FLIGHT BASE LOCATION: GREAT FALLS, MT. (Benefis Emergency Dept.) DISPATCH: CHIEF FLIGHT NURSE: Response & Staffing Services Available Response Times: Scene: All patients Rotor: Fixed-wing 150 mile radius. Avg. speed kts Pacific rthwest primary Dedicated high risk obstetrics Neonatal: Offer Inhaled Nitric Oxide (INO) for NICU transport Nation-wide secondary Pediatric Avg. speed kts Trauma Limitations Staffing Levels: 24/7 availability Flight RN & Paramedic Dedicated OB and NICU RNs for specialty care RT available, as needed Rotor: weight limit is 350 lbs. (for safety purposes, information on height and girth may be required for patients over 300 lbs.) Do not take IABP patients on the pump Do not have high frequency ventilation Types of Aircraft Equipment & Abilities EC 135 P2+ RW: holds 3 person critical care team Cessna Citation Mustang C510 Critical Care meds Night vision goggles Portable lab capability Sepsis protocol with full antibiotic capability Passengers allowed if weight limit not exceeded FW

69 BILLINGS CLINIC MEDFLIGHT BASE LOCATION: BILLINGS, MT. (LOGAN FIELD AIRPORT) DISPATCH: Response & Staffing Services Available Response Times: See attached sheet All Adults 300 mile radius around Billings Pediatrics High Risk OB Staffing Levels: NICU All flights have 2 pilots for increased safety Flight RN/RT teams Duty: 7a-7p Limitations 24 hour on-call: 5a-5a Weight limit is 350 lbs. Width 27 at widest point Types of Aircraft Equipment & Abilities 2: Beech Craft King Air 200 s Ventilator Passengers allowed if Modified for takeoff & landing on shorter rural runways Balloon pump Ability to carry blood products, weight limit not exceeded including FFP (additional time for thawing) TXA Coumadin/anticoagulant reversal drugs on request

70 Sending airport Taxi to Arrive Airport Baker, MT 0:47 Basin, WY 0:28 Big Sandy, MT 0:42 Bozeman, MT 0:40 Buffalo, WY 0:42 Butte, MT 0:52 Chester, MT 0:55 Circle, MT 0:47 Cody, WY 0:29 Colestrip, MT 0:27 Culbertson, MT 1:01 Dillon, MT 1:13 Ekalaka, MT 0:42 Ennis, MT 0:45 Forsyth, MT 0:32 Fort Benton, MT 0:50 Gillette, WY 0:45 Glasgow, MT 0:49 Glendive, MT 0:48 Great Falls, MT 0:45 Greybull, WY 0:32 Harlem, MT 0:52 Harlowton, MT 0:28 Havre, MT 0:50 Helena, MT 0:49 Jordan, MT 0:36 Lame Deer, MT 0:27 Lander, WY 0:56 Lewistown, MT 0:32 Livingston, MT 0:30 Lovell, WY 0:23 Malta, MT 0:52 Miles City, MT 0:36 Plentywood, MT 1:03 Poplar, MT 0:54 Powell, WY 0:23 Riverton, WY 0:44 Roundup, MT 0:16 Scobey, MT 1:00 Sheridan, WY 0:34 Sidney, MT 0:58 Terry, MT 0:43 Thermopolis, WY 0:38 Williston, ND 0:54 Wolf Point, MT 0:52 Worland, WY 0:38

71 LIFE FLIGHT NETWORK BASE LOCATION (S): BUTTE, MT. ; POCATELLO, SANDPOINT, COEUR D ALENE & LEWISTON, ID. Main Number: Response & Staffing Services Available Response Times See attached page: Time is factored from the flight request to the arrival of helicopter and crew at your facility Scene: All patients High risk OB Neonate Pediatric Adult Medicine/Trauma Staffing Levels: 1 Flight Registered Nurse 1 Flight Paramedic Interfacility Transfer: All patients except NICU (see Limitations) Dedicated intra-arterial balloon pump teams Limitations Patients requiring an isolette (generally less than 28 days of age) for inter-hospital transfers Weight Limit: Types of Aircraft Equipment & Abilities Augusta 119Kx 2 units O Neg PRBC s Passengers allowed if Perform tube thorocostomy weight limit not exceeded AW 109 RSI aided laryngoscopy Surgical cricothyrotomy Critical Care meds 2 patient transfer capability on RW aircraft Ventilator management non-invasive & invasive Pilatus PC-12 Night vision goggles

72

73 EAGLEMED BASE LOCATION (S): BUTTE, MT. & CODY, WY. Main Number: Response & Staffing Services Available Response Times Response area is 150 nautical mile radius (approx. 175 statute miles) from Butte miles from Cody, WY. See attached page Scene Response: All patients High-Risk Obstetrics Cardiac STEMI Pediatric Interfacility Transports Neurovascular Emergency head trauma and/or stroke Staffing Levels: 1 Flight Registered Nurse (CCRN, CFRN or CEN) Backcountry scene extraction, High-Altitude Landing Zone Search/Rescue Mission Assistance 1 Critical Care Flight Paramedic or PA-C Limitations Neonatal patient <5kg (neonatal isolette required) Weight Limit: 400 lbs. Types of Aircraft Equipment & Abilities Eurocopter Airbus, AS350 B3e Critical Care meds Invasive pressure monitor- IV Vasoactive drips & blood ing products Advanced ventilator Night vision goggles capability: Intubated or NIPPV

74 Primary 911-Response Area Are The Fifteen Counties Of West-Southwest Montana Saint James Hospital-Butte: 5min Barrett Medical Center-Dillon: 25min Community Health Center Anaconda: 10min Deer Lodge Medical Center- Deer Lodge: 15min Granite County Medical Center-Philipsburg: 20min Ruby Valley Medical Center-Sheridan: 20min Saint Peter s Community Hospital-Helena: 23min Bozeman Deaconess Hospital-Bozeman: 32min Madison Valley Medical Center-Ennis: 25min Saint Patrick s Hospital-Missoula: 40min Community Hospital-Missoula: 40min Benefis Healthcare-Great Falls: 55min Saint Vincent s-billings: 1hr 25min Deaconess Medical Center-Billings: 1hr 25min Kalispell Regional Hospital-Kalispell: 1hr 20min Eastern Idaho Medical Center-Idaho Falls: 1hr 20min West Yellowstone Area: 50min Wisdom Area: 22min Hamilton Area: 35min Lima Area: 40min (All times are flight times from Butte s Bert Mooney Airport)

75 NORTHEAST MONTANA STAT AIR AMBULANCE COOPERATIVE (Malta, Poplar, Wolf Point, & Glasgow) BASE LOCATION: GLASGOW, MT. DISPATCH: Response & Staffing Services Available Response Times: rtheast Montana Severe cardiac crisis, severe pulmonary crisis, multi-system Off-ground to referring facility within 30 min. trauma, spinal cord injury, life-threatening pediatric injury (age 2 and above), limb amputation and reattachment, severe burns, other life threatening ailments\ Staffing Levels: 6 pilots Minimum staffing is 1 pilot, 2 RN s High risk OB Bariatric patients ( lbs.) 8 RN s Limitations 3 PA s 1 MD Will not transport active labor with imminent delivery or 1 specialty member (Logistics) fetal distress t capable of transporting 2 stretcher bound patients in same aircraft Types of Aircraft Patients with suspected TB or other infectious diseased that may pose a risk to transport personnel Pilatus PC-12 All weather, known icing aircraft. Pressurized turboprop with 290 mph air speed. Advanced life support medical Equipment & Abilities interior designed as a mobile ICU/ER unit. State-of-the art avionics and navi- Passengers allowed if weight limit not exceeded and do not gation systems pose a threat to team, aircraft or themselves. Cessna 421 All weather, known icing aircraft. Pressurized twin supercharged/fuel injected engines with 240 mph air speed. Five foot loading door for bariatric patients with hydraulic no -lift arm capable of patient loads in excess of 500 lbs. Advanced life support medical interior. State-of-the-art avionics.

76 NORTHWEST MEDSTAR BASE LOCATION: MISSOULA, MT. (AIRPORT) & SPOKANE, WA. DISPATCH: BUSINESS LINE: Response Times: Response & Staffing Services Available Scene: All patients, Full services Critical Care Transport Services. Cover all of Montana from bases in Missoula & Spokane Dedicated high risk obstetrics Neonatal Pediatric Staffing Levels: Missoula: 2 teams: Flight RN & Paramedic: Transport >28 days old & all OB Trauma Limitations 1 team: Dedicated NICU RN/RN team Rotor: weight limit is 400 lbs. Spokane 3 Adult teams: RN/ RRT (cross-trained as NREMT-P & EMT). Transports >8 years old. 2 Perinatal Pediatric specialty team: RN/ RRT. Transport newborn to 8 years. Fixed: weight limit is 400 lbs. As a general guideline, the widest part of the patient s upper torso cannot exceed 28 inches for all aircraft. The axial plane (total height) cannot exceed 17 inches for the patients transported in the EC 135 RW Equipment & Abilities Types of Aircraft Critical Care meds Passengers allowed if Missoula: EC 135 RW King Air 90 Night vision goggles Invasive & non-invasive ventilation weight limit not exceeded Spokane: EC 135 RW Pilatus PC12 Balloon pump Nitric oxide administration MOBI Ventricular Assist Device transports

77

78 HELP FLIGHT BASE LOCATION: BILLINGS, MT. Main Number: Response & Staffing Services Available Response Times: Rotor: Fixed-wing Staffing Levels: 150 mile radius around Billings. 10 min. lift-off goal. Service to East/NE MT., rthern Wyoming & Central MT. 1 Flight Registered Nurse & 1 Flight Paramedic on all adult/ pediatric flights. Scene: All patients High risk OB Neonate: 2 patient transports possible for neonatal team (i.e. twins) Pediatric Adult Medicine/Trauma Limitations RT available as needed for resp. and/or vent.patients. OB RN available for all high risk OB transports NICU RN & RT for all neonatal transports Weight Limit: 350 lbs Types of Aircraft Equipment & Abilities EC 135 Rotor Critical Care meds Passengers allowed if Wing Night vision goggles weight limit not exceeded Beechcraft King Blood products available Nitric oxide administration for NICU Air 200

79 HELP Flight Response Times: Sending airport Taxi to Arrive Airport Baker, MT 0:47 Basin, WY 0:28 Big Sandy, MT 0:42 Bozeman, MT 0:40 Buffalo, WY 0:42 Butte, MT 0:52 Chester, MT 0:55 Circle, MT 0:47 Cody, WY 0:29 Colestrip, MT 0:27 Culbertson, MT 1:01 Dillon, MT 1:13 Ekalaka, MT 0:42 Ennis, MT 0:45 Forsyth, MT 0:32 Fort Benton, MT 0:50 Gillette, WY 0:45 Glasgow, MT 0:49 Glendive, MT 0:48 Great Falls, MT 0:45 Greybull, WY 0:32 Harlem, MT 0:52 Harlowton, MT 0:28 Havre, MT 0:50 Helena, MT 0:49 Jordan, MT 0:36 Lame Deer, MT 0:27 Lander, WY 0:56 Lewistown, MT 0:32 Livingston, MT 0:30 Lovell, WY 0:23 Malta, MT 0:52 Miles City, MT 0:36 Plentywood, MT 1:03 Poplar, MT 0:54 Powell, WY 0:23 Riverton, WY 0:44 Roundup, MT 0:16 Scobey, MT 1:00 Sheridan, WY 0:34 Sidney, MT 0:58 Terry, MT 0:43 Thermopolis, WY 0:38 Williston, ND 0:54 Wolf Point, MT 0:52

80 MONTANA MEDICAL TRANSPORT BASE LOCATION: HELENA, MT. DISPATCH: or Response & Staffing Services Available Response Distance: 1653 miles Adult patients (age 12 and older) Staffing Levels: NREMTs: AEMT Emergent and non-emergent transports throughout rth America and Canada BLS & ALS Paramedics Critical Care Critical Care Paramedics Registered Nurses Trauma, Cardiac, Pulmonary, n Trauma Neuro, n Trauma, Surgical, Burns, Other Medical Physician Transports 7 days/week Bedside to bedside care as needed. Ground transport for departure and arrival as needed. Types of Aircraft Limitations Learjet (Turbo jet) Max speed : 535 mph Economical crusing speed: 507 mph IABP High Risk OB Pediatric (newborn to 12 years of age) as defined by Montana Medical Transport Protocols Neonate Morbidly Obese Beechcraft King Air C-90 Cessna 421 Economical crusing speed: 275 mph Economical crusing speed: 275 mph Equipment & Abilities Advance Cardiac Life Support certification for paramedics and registered nurses National Registry of Emergency Medical Technicians Training in flight physiology Aircraft safety training Proficiency training on all medical equipment used by Montana Medical Transport.