This past Saturday, four people were killed when a helicopter operated by the Marlyand State Police went down in a park in suburban Washington, D.C. This was the eighth fatal medical helicopter crash in the past year in the United States. According to the National Transportation Safety Board (NTSB), the accident rate for medical helicopters is far too high.
A 2006 report published by the NTSB investigated 55 EMS aircraft accidents that occurred between January 2002 and January 2005. The NTSB found that 29 of the 55 accidents could have been prevented. One technology that could undoubtedly improve safety of EMS pilots is the use of night-vision goggles which would improve visibility for pilots flying in darkenss. The importance of night-vision goggles cannot be overstated; the NTSB report found that while only 38% of all helicopter EMS flights occur at night, a whopping 49% of accidents occurred at nighttime. The high rate for nighttime accidents can be explained by the lack of night-vision technology. Presently, fewer than one-third of 800 EMS helicopters in the United States have such technology. Unfortunately, there is a shortage of night-vision goggles due to the wars in Iraq and Afghanistan.
Moreover, while the NTSB can offer recommendations, as it did in 2006, only the Federal Aviation Administration can mandate such technology. As of yet, no such regulations have been enacted and the FAA does not currently have a timeframe for implementing night-vision technology in EMS helicopters. The FAA's inaction is even more striking in light of the fact that since the NTSB's 2006 recommendations, 52 more people have died in EMS flight accidents and nearly two-thirds of those fatalities involved nighttime or poor-visibility results.
EMS pilots, in particular, have advocated strongly for night-vision technology. A survey performed by the National EMS Pilots Association (NEMSPA) found that 82% percent of pilots prefer to use night-vision equipment. This is understandable; one respondent commented, "Night-vision goggles (NVGs) are the most significant improvement in night EMS history. To limit their use with unrealistc requirements just puts more Air Medical crews at risk. I hope the FAA will listen to Industry where the preponderance of the Generation 3 NVG experience is, and agree on realistic rules, regulations and guidelines that can be universally accepted and applied." Another respondent said that "NVGs have significantly improved our safety and crew comfort level while flying at night. Use of NVGs have improved our ability to complete more missions safely and that equates to more lives saved." Others echoed these sentiments and noted, "At night there is no greater tool than NVGs. A pilot is better off in every night situation wearing and using night vision goggles."
EMS helicopters are invaluable in emergency situations, but it is ironic, at best, that these life-saving vehicles can actually produce opposite results...results that can easily be prevented with the proper equipment and technology.
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