Requesting Us

Our bases are staffed 24 hours a day, 7 days a week.

To request a flight dial 1-800-HEL-EVAC (435-3822)

To assist EMS providers and transferring institutions in determining the appropriate utilization of our services, we have provided the following Guidelines for Use of Air Medical Services*. If you have any questions and or require any clarification, please call us for assistance.


  • Systolic blood pressure less than 90 mm Hg or requiring aggressive fluid therapy to maintain above 100 mm Hg
  • Severe hemorrhage
  • Sustained tachycardia
  • Penetrating trauma to head, neck or torso
  • Age < 12 or > 55 with multiple trauma
  • Burns > 20 % of body surface area, electrical in origin, or with respiratory involvement


  • Glasgow Coma Scale < 12
  • Lateralizing neurological findings
  • Penetrating or depressed skull fracture
  • CT showing subdural or epidural hematoma
  • Spinal cord injury or unstable spine fractures


  • Airway compromise
  • Need for mechanical ventilation
  • Substantial chest wall injury
  • Evidence of aortic or great vessel injury


  • Evidence of intra-abdominal trauma, such as rigidity, bruising, or a positive diagnostic study
  • Grossly bloody urine, stool or emesis
  • Pelvic fracture


  • Limb amputation
  • Contaminated, open long bone fractures


  • Continuous intravenous vasoactive medications
  • Mechanical ventilation
  • Unstable airway or potential need for mechanical ventilation
  • Acute ischemic event (extremities or intestinal) requiring urgent diagnostic and therapeutic treatment
  • Aortic aneurysm, dissection or rupture
  • Significant gastrointestinal hemorrhage
  • Unstable poisonings requiring critical care stabilization
  • Uncontrolled seizure activity
  • Decompression illness requiring hyper baric therapy
  • Time dependent issue surrounding organ transplants
  • Severe hypothermia (<82 F)


  • Cardiogenic Shock
  • MI patients with thrombolytic contraindications or who have failed thrombolytics or otherwise determined to be a primary angioplasty candidate
  • Patients requiring acute intervention not available at referring┬áinstitution


  • Patients experiencing or at high-risk for respiratory failure
  • Need for invasive airway procedures
  • The following unstable vital signs:
    • Respiratory rate < 10 and > 60
    • Systolic blood pressure < 60 in neonate
    • Systolic blood pressure< 65 between 3 months and 2 years
    • Systolic blood pressure < 75 between 2 and 5 years
    • Systolic blood pressure < 80 between 6 and 12 years
  • Near drowning with signs of hypoxia or altered mental status
  • Status epilepticus
  • Acute bacterial meningitis
  • Unstable toxicological syndrome
  • Hypothermia
  • Multiple trauma


  • Anticipated need for NICU services beyond the capacity of referring institution
  • Premature labor or rupture of membranes less than 34 weeks or estimated fetal weight less than 2000g
  • Severe pre-eclampsia or eclampsia
  • Abruptio placenta or placenta previa
  • Fetal hydrops


  • Respiratory distress/airway obstruction
  • Respiratory failure with actual or potential need for mechanical
    • ventilation or CPAP
  • Shock/significant acidosis
  • Status epilepticus
  • Multiple organ system failure
  • Need for specialty referrals/evaluations requiring immediate
    • ┬áinterventions due to life threatening conditions

*As defined by the National Association of EMS Physicians and the Association of Air Medical Services

**Guidelines for Air and Ground Transport of Neonatal and Pediatric Patients, American Academy of Pediatrics