part 138: now and the future - aeromed africa · part 138: now and the future ... part 91: general...
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PART 138: NOW AND THE FUTURE
Dr Emily K. Modutwane
MB ChB (UCT); DipForMed (Path) SA (WITS); BSc(Hons) (Distinction) Aerospace Med (UP)
Senior Medical Advisor
SACAA
OVERVIEW
1. ICAO
2. NDOT
3. SACAA
4. AVMED
5. Part 138- Now
6. Part 138- Future
ICAO
ICAO
• International Civil Aviation Organization
• Chicago Convention (1944) (52 states)
• a means to secure international co-operation and highest possible degree of uniformity in regulations and standards, procedures and organisation regarding civil aviation matters.
Standards and Recommended Practices
Annexes
ICAO
• South Africa is a signatory
• Advantages:
Can fly to other countries since they know our standards
Can allow other countries to fly in our airspace since we know their standards
ICAO Audit S.A. 2012
DELEGATION OF
AUTHORITY
SACAA
ICAO
RSA
NDoT
ICAO
Picture
NDoT
• SACAA is an agency for NDoT dealing with
aviation
• Parastatal organization (agency)
• Tasked with overseeing aviation safety
• Report to the Minister of Transport through the
Director for Civil Aviation (DCA)
SACAA
• Aviation Act of 2010 (amended 1972 Act)
• South African Civil Aviation Authority Act,
No.40 of 1998
• The Act provides for the establishment of a
stand-alone authority charged with promoting,
regulating and enforcing civil aviation safety and
security.
SACAA
• Mandate: “Regulating the civil aviation
industry to ensure security and safety by
complying with International Civil Aviation
Organisation (ICAO) and taking into
consideration the local context.”
SACAA
• All actions and decisions governed through Civil
Aviation Regulations, 1997 (CARs)
• Parts to the CARs:
Part 91: General rules of the air
Part 61: Airman licensing
Part 67: Medical certification
Part 121: Large Commercial aircraft
Part 135: Small Commercial aircraft
Part 127: Commercial helicopter operations
SACAA
• How is the SACAA structured in order to fulfill
its mandate (aviation safety)?
• Components of flight:
Human (Pilot)
Machine (Aircraft)
Infrastructure (Airport).
SACAA
• .
SACAA
INFRASTRUCTUREASOASI
SUPPORTAVSEC
AS
AVMED
• Aviation Medicine Department (ASO Dept)
• Responsible for all medical aspects of aviation
safety
• Duties:
Medical certification processes (Part 67)
Medical aspects of accident investigations (Part
12)
Cabin crew AVMED and first aid training
processes (Part 64)
AVMED
Oversight of airport clinics (Part 139)
CAPSCA
Oversight on air ambulance operations (Part 138)
PART 138
• AVIATION
• MEDICAL
PART 138
APPLICABILITY:
All aircraft registered in SA
Foreign-registered aircraft uplifting patients
from the country
Crew and medical personnel
PART 138
AVIATION (OPERATOR)
• Class III G7 License (Air Services
Licensing Council)
• AOC (SACAA)
PART 138
QUALIFICATIONS:
• Pilots: Valid license and ratings
• Medical: Registration with relevant body
(HPCSA)
TRAINING:
• Part 138
MOP
PART 138
Medical crew are deemed to be passengers
on the flight
PART 138
AVIATION (OPERATOR)
• Aircraft
Configuration: Able to accommodate volumetrically a stretcher and two medical personnel
Entry allows patient loading without excessive manoeuvring
Modifications: (Modification approvals)
PART 138
EQUIPMENT:
• Lighting
• Electrical power for equipment
• Communication systems
• Stretcher/ incubator and restraint systems
PART 138
MEDICAL EQUIPMENT:
• Certified for use in aircraft, no
interference with avionics
• Oxygen: Certified for use in an aircraft,
restraint
• Access to medical equipment and oxygen
PART 138
CONTROL OF OPERATIONS:
• Medical service provider
• Aero-medical consultant (Dr. trained in
aerospace medicine)
PART 138
CONTROL OF OPERATIONS:
• Dispatching base
• Records of road landings
• Records of hot loading/ unloading
• Infection control
• SOPs
PART 138: The Future
PART 138: The Future
General:
• Prevent spread of communicable diseases
(CAPSCA)
Currently foreign operators monitored only
through Ports Health Authorities (DoH)
PART 138: The Future
General:
• Foreign-based operators (unable to comply to
current requirements)
• Surf rescue operations
• Off-shore operations (e.g. oil-rig evacuations)
• Rescue operations
• Repatriations
PART 138: The Future
Training:
• Medical crew:
Aerospace medicine training
Emergency medicine / Advanced life support
training
Survival training
Use of nurses
PART 138: The Future
Equipment:
• Minimum equipment list
• Type of equipment (e.g. air-driven)
Night operations and NVGs
PART 138: The Future
Proactive!
• Co-operation between NDoT and NDoH
PART 138: The Future
PART 138: The Future