THE WRITTEN EMERGENCY MEDICINE FELLOWSHIP COURSE
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discussion.

So, hopefully this was a bread and butter question for you all. (It even featured to some extent in the recent Roadblock, but it's just one that you have to be able to answer if it comes up in the exam.) So without further ado, below is our list. There are only three items on it, and it's all pretty straightforward, but you'd be surprised how many people can't reproduce something sensible on an exam. If you think we've missed something, let us know via the VSG.
PLATFORM.


1. ROAD







2. HELICOPTER (Rotary Wing)








3. PLANE (Fixed Wing)



PROS.


Effective range <200km (after this not time effective)
Ambulances are readily available
Least transport risk
More commonly available equipment
Point to point transfer


Effective range <500km (depending on exact platform)
High speed >350km/hr
Point to point transfer
Allows winch retrieval for difficult access
Can potentially transport multiple casualties

Effective range unlimited with refueling stops (Luke has been to Borneo before!)
Fastest through the air >600km/hr
Can be pressurized to take of level if required
Can potentially transport multiple casualties

CONS.


Not suitable for longer range transfers
Limited space for procedures in transfer
Slowest over ground





Difficult environment: limited space, vibrations, temperature control
Cannot be pressurized .: unsuitable for some conditions
Increased transport risk
Requires specialized training and equipment


Difficult environment: limited space, vibrations, temperature control
Requires landing strips at either end .: necessitates road legs (less efficient for shorter journeys)
Requires specialized equipment
Increased activation time compared to road and helicopter.

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