Atlas and Database of Air Medical Services (ADAMS) - Helicopter ...

Atlas and Database of Air Medical Services (ADAMS)
FOREWORD
On behalf of the Association of Air Medical Services (AAMS) and CUBRC’s Center for Transportation
Injury Research (CenTIR), we are pleased to present the 9th Edition of the Atlas and Database of Air Medical
Services (ADAMS). The following pages contain national and state maps which show the locations of air medical
rotor and fixed wing bases and aircraft in the U.S. in 2011. Summary tables for each state are also provided. This
information is a subset of the information contained in the full ADAMS Geographic Information System (GIS),
available on the password-protected website at http://www.ADAMSairmed.org.
ADAMS is a result of a project partnership between AAMS in Alexandria, VA and CUBRC in Buffalo,
NY. AAMS is an international, non-profit professional organization that serves both air and ground ambulance
transport services. CUBRC is a not-for-profit research organization that performs systems-oriented research to
reduce the occurrence, severity and consequences of motor vehicle crash injuries. ADAMS is currently funded by
the Federal Highway Administration (FHWA).
Initially, emphasis in the ADAMS project was placed on collecting data on rotor wing (helicopter) services
which respond to trauma scenes. However, ADAMS was subsequently expanded to include rotor wing services
which perform inter-hospital emergency transports as well as fixed wing services which perform longer distance
transports.
ADAMS was originally conceived as part of an effort to improve delivery of emergency medical care to car
crash victims in order to reduce the average (over last 5 years) of 40,000 deaths and 250,000 serious injuries
occurring each year along U.S. roads. It is well known that motor vehicle crashes kill more children and young
adults than any other single cause in the United States (http://www.cdc.gov/ncipc/duip/mvsafety.htm). It is
believed that many crash victims who suffer injuries that currently result in death or serious disability, could benefit
from the more timely delivery of available emergency care resources. Smart use of communications, automated
message routing (supported by information from ADAMS) as well as the expanded use of automatic crash
notification (ACN) technologies, offer the opportunity to reduce the high personal and economic costs of motor
vehicle crashes injuries.
Motor vehicle crash injuries represent just a portion of the injuries seen in the US each year. Statistics from
the Centers for Disease Control (CDC) [http://www.cdc.gov/nchs/fastats/injury.htm] and the National Safety Council
(NSC) [http://www.nsc.org/news_resources/injury_and_death_statistics/Documents/Summary_2010_Ed.pdf],
indicate that in a typical year, there are:
• 124,000 unintentional injury deaths
• 26 million disabling unintentional injuries
• 3 million (inpatient) hospital discharges
• 42 million emergency department visits
According to the NSC, the economic impact of these fatal and nonfatal unintentional injuries amounted to
$702 billion in 2008.
Over the past twenty years, organized regional and statewide trauma systems have been developed to
address the unacceptably high costs of all types of injuries. Air medical services, performing trauma scene and interfacility
transports, are an important element in this everyday trauma system response. In addition, air medical
services play an increasingly important role in the response to natural and man-made disasters. It is our hope that
this edition of ADAMS will prove useful in the continuing the effort to more effectively and efficiently employ air
medical resources, wherever and whenever they are needed.
Marie Flanigan & Alan Blatt Dawn Mancuso
Center for Transportation Injury Research, CUBRC Association of Air Medical Services
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PREFACE
Air medical rotor wing services are often called to the scene of serious motor vehicle crashes. Such crashes
are the cause of about 40,000 deaths, 500,000 hospitalizations and more than 250,000 serious injuries per year in
this country. With the growing availability of automatic crash notification (ACN) technology, there may soon be
new opportunities to reduce crash-related deaths and injuries, especially in rural areas. To maximize the benefits of
this technology however, ACN crash alert messages must be automatically routed to the appropriate 911 center
within minutes of a crash. Although actual dispatch decisions would still remain local, providing an additional alert
to both the air medical service and receiving hospital in the crash vicinity, could enable preparations at these
locations to begin earlier and could well shorten the timeline for getting crash victims to definitive care.
Implementation of this automatic ACN message routing to air medical services requires a national geographic
database containing the exact locations of all air medical Rotor Wing bases which support scene response and
emergency inter-hospital transport. In anticipation of this need, USDOT has supported the development of ADAMS
to provide this critical element in the public safety / emergency message and data routing infrastructure.
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ACKNOWLEDGEMENTS
This Atlas could not have been compiled without the support of Dr. Kunik Lee from FHWA, the
knowledgeable assistance of Dawn Mancuso and her staff at AAMS and the interest and cooperation of the air
medical services whose many members provided inputs. We further thank the Federal Highway Administration
(FHWA) for its generous financial support.
Special acknowledgement this year goes to the ADAMS technical team, in particular Maile Miller, Kevin
Majka, Rachel Case and Nicole Ganger from CUBRC, and Dale Wiles from General Dynamics Advanced
Information Systems. From a historical perspective, we also acknowledge Mr. Louis V. Lombardo (National
Highway Traffic Safety Administration (NHTSA, retired) who provided the original vision for this project.
This work was conducted at CUBRC in Buffalo, NY as part of the Center for Transportation Injury
Research (CenTIR) Project and is based upon work supported by the FHWA under Cooperative Agreement No.
DTFH61-07-H-00023 from FHWA to CUBRC. Any opinions, findings and conclusions or recommendations
expressed in this report are those of the authors and do not necessarily reflect the view of the Federal Highway
Administration.
Marie C. Flanigan, PhD Alan J. Blatt, MS
Principal Investigator Director
Center for Transportation Injury Research Center for Transportation Injury Research
CUBRC CUBRC
userreg@adamsairmed.org 4455 Genesee St., Buffalo, NY 14225
http://www.ADAMSairmed.org http://www.cubrc.org
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TABLE OF CONTENTS
FOREWORD .................................................................................................................................................................... 1
PREFACE ......................................................................................................................................................................... 3
ACKNOWLEDGEMENTS .............................................................................................................................................. 5
1 INTRODUCTION ................................................................................................................................................... 9
2 DATA PROCESSING ............................................................................................................................................. 9
3 ORGANIZATION OF ATLAS ............................................................................................................................... 9
4 NATIONAL & STATE OVERVIEW OF AIR MEDICAL COVERAGE IN 2011 ............................................. 10
4.1 Service Provider ID .......................................................................................................................................... 15
4.2 Pediatric Air Medical Transport Services ......................................................................................................... 15
4.3 Comparison with Previous Year ....................................................................................................................... 16
5 AIR MEDICAL ROTOR WING COVERAGE OF U.S. ROADWAY SYSTEM & POPULATION ................ 17
5.1 Highway Coverage ........................................................................................................................................... 17
5.2 Population Coverage ......................................................................................................................................... 18
6 DESCRIPTION OF STATE MAPS & TABLES ................................................................................................ 19
6.1 State Maps ...................................................................................................................................................... 19
6.2 State Data Tables .............................................................................................................................................. 19
7 ATLAS OF STATES 2011.................................................................................................................................... 21
Alabama ………………………………………………………………………………........ 22
Alaska ………………………………………………………………………………........ 24
Arizona ………………………………………………………………………………........ 26
Arkansas ………………………………………………………………………………........ 30
California ………………………………………………………………………………........ 32
Colorado ………………………………………………………………………………........ 36
Connecticut ………………………………………………………………………………........ 38
Delaware ………………………………………………………………………………........ 40
District of Columbia ………………………………………………………………………………........ 42
Florida ………………………………………………………………………………........ 44
Georgia ………………………………………………………………………………........ 48
Hawaii ………………………………………………………………………………........ 50
Idaho ………………………………………………………………………………........ 52
Illinois ………………………………………………………………………………........ 54
Indiana ………………………………………………………………………………........ 56
Iowa ………………………………………………………………………………........ 58
Kansas ………………………………………………………………………………........ 60
Kentucky ………………………………………………………………………………........ 62
Louisiana ………………………………………………………………………………........ 64
Maine ………………………………………………………………………………....... 66
Maryland ………………………………………………………………………………........ 68
Massachusetts ………………………………………………………………………………........ 70
Michigan ………………………………………………………………………………........ 72
Minnesota ………………………………………………………………………………........ 74
Mississippi ………………………………………………………………………………........ 76
Missouri ………………………………………………………………………………........ 78
Montana ………………………………………………………………………………........ 80
Nebraska ………………………………………………………………………………........ 82
7

Nevada ………………………………………………………………………………........ 84
New Hampshire ………………………………………………………………………………........ 86
New Jersey ………………………………………………………………………………........ 88
New Mexico ………………………………………………………………………………........ 90
New York ………………………………………………………………………………........ 92
North Carolina ………………………………………………………………………………........ 94
North Dakota ………………………………………………………………………………........ 96
Ohio ………………………………………………………………………………........ 98
Oklahoma ………………………………………………………………………………........ 100
Oregon ………………………………………………………………………………........ 102
Pennsylvania ………………………………………………………………………………........ 104
Rhode Island ………………………………………………………………………………........ 108
South Carolina ………………………………………………………………………………........ 110
South Dakota ………………………………………………………………………………........ 112
Tennessee ………………………………………………………………………………........ 114
Texas ………………………………………………………………………………........ 116
Utah ………………………………………………………………………………........ 120
Vermont ………………………………………………………………………………........ 122
Virginia ………………………………………………………………………………........ 124
Washington ………………………………………………………………………………........ 126
West Virginia ………………………………………………………………………………........ 128
Wisconsin ………………………………………………………………………………........ 130
Wyoming ………………………………………………………………………………........ 132
APPENDIX
A. Summary of State Traffic Fatalities and Fatality Rates
B. Alphabetical List of Air Medical Service Providers with Service Provider ID # and Corporate Location
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1 INTRODUCTION
ADAMS
The “Atlas and Database of Air Medical Services” (ADAMS), is a compilation of information on air
medical services in the United States who respond to the scene of a trauma or medical emergency, or who provide
emergency (or scheduled) inter-hospital transport. ADAMS currently contains detailed descriptive and geographic
information on air medical rotor wing (RW) and fixed wing (FW) services, including information on their corporate
office, airport and helipad bases, communication center, rotor wing and fixed wing aircraft and the major hospitals
and trauma centers which receive their emergency transports. It is believed that more than 95% of RW services and
90% of FW services are included in ADAMS. The ADAMS database includes all types of air medical organizations
including for-profit and not-for profit, dual-use public service (police/fire), as well as several military units who
routinely provide transport for civilian victims in remote areas or during poor weather conditions.
ADAMS is more than a standard tabulation of air medical services. First, ADAMS includes both corporate
and satellite base locations for each service as well as the FAA registration numbers (N#) for all RW and FW
aircraft utilized for trauma scene response and inter-hospital transport. Second, ADAMS is structured as a
relational database, an important distinction since it allows data to be accessed, extracted or reassembled in many
different ways without having to reorganize the original database tables. Third, the relational database has been
imported into a Geographic Information System (GIS), a software program which enables the user to view the
database in a map context and link various mapped objects with text information.
ADAMS is currently implemented in a web-based GIS. Password-protected portions of the ADAMS
website (containing descriptive data and interactive maps) are made available to registered air medical service
providers, regular AAMS members, Automatic Crash Notification (ACN) technology developers, disaster response
and homeland security groups, emergency medical and trauma system researchers, flight safety personnel and
researchers, and various public health and safety agencies. In addition, the ADAMS website contains data collection
web forms which enable registered air medical services (with appropriate password) to edit or add data for their own
service at any time. Modifications made on these webforms are regularly incorporated into the GIS.
This document is the 9th edition of the publicly available Atlas which contains national and state maps
showing air medical rotor and fixed wing base locations along with summary tables for each state. This document
is available on the public portion of the ADAMS website located at http://www.ADAMSairmed.org.
2 DATA PROCESSING
ADAMS data was collected using web forms customized for each Air Medical Service. The data were
subsequently imported into Microsoft ACCESS (relational database software) and then into the ESRI ARCView 8.3
GIS program. Street locations were geo-coded using the ArcView software coupled with the Arc GIS StreetMap
USA (2003) streets database. This geo-coding process essentially converts a street address to a latitude/longitude
and assigns an identifier to both a map feature and to a data record. The elevation data used to produce
topographical maps came from ESRI Data & Maps (2003). Finally, all maps were projected using the North
American Equidistant Conic Projection.
The maps shown here were created on a PC desk-top computer running Windows XP. The web-based
GIS contains a subset of the full ADAMS database and was created using ESRI ArcGIS Server (Version 9.3).
3 ORGANIZATION OF ATLAS
Section 4 provides a national map illustrating air medical rotor wing service coverage and fixed wing base
locations throughout the United States. In addition, a summary table and several bar charts provide detail on the
number of services in each state as well as the number of RW and FW bases and aircraft in each state. Also in Section
4 is a brief discussion of pediatric transport services. At the end of the section, two maps which highlight the changes
in the number of RW bases and RW aircraft (since last year) are presented.
One of the objectives for developing ADAMS is to help improve emergency medical response to car crash
scenes, given that such crashes are the leading cause of trauma in this country. Toward that end, Section 5 provides
two national maps showing current coverage of major roadways and current coverage of the US population by air
medical RW services. Section 6 provides a description of the individual state maps and state data tables which make
up the major portion of the Atlas. The actual maps and tables showing RW and FW base locations are provided in
Section 7. Finally, Appendix A provides statistics on the number of fatalities from car crashes during the last several
years. An alphabetical listing of all air medical services currently included in ADAMS is provided in Appendix B.
9

4 NATIONAL & STATE OVERVIEW OF AIR MEDICAL COVERAGE IN 2011
Figure 1 is a map of the United States showing main and satellite base locations of all the Rotor Wing and
Fixed Wing Air Medical Services in the US in 2011. The gold stars indicate main office locations and the orange
circles indicate 10 minute fly circles around each base where a RW is stationed 1 . The size of the 10 minute fly
circle varies with the cruise speed of the particular RW make and model resident at that base. The white blocks
show bases (airports) where Fixed Wing aircraft are based. Summary statistics on numbers of services, bases and
aircraft are provided at the bottom of the figure.
Figure 1. Air Medical Service Corporate & Satellite Rotor & Fixed Wing Base Locations.
Table 1 lists the number of air medical services headquartered in each state as well as the number of out-ofstate
services with bases in that state. This is followed by the number of bases with RW, the number with FW and the
total number of bases in the state. Note that if a single air medical service has a base with both RW and FW, the base is
included in the RW base inventory and in the FW base inventory, but included once in the total base inventory. For
this reason, the sum of ‘Bases with RW’ and ‘Bases with FW’ may or may not equal ‘Total Bases’ in the state.
In addition to an inventory of bases, Table 1 also includes data on the number of RW and FW aircraft in each
state. To place all these figures in context, state populations and geographic area are provided for reference. National
totals for each category are provided at the bottom of the table.
Figures 2 and 3 are bar charts which graphically display the information in Table 1. Finally, Table 2 lists the
number of each type of service (RW only, RW/FW, FW only) headquartered in each state.
1 Note that a 10-minute fly circle actually translates into a ~20 minute response time since 7 to 12 minutes are usually required for initial preflight
and launch.
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Table 1. 2011 State Summary of Air Medical RW & FW Services, Bases & Aircraft Currently in ADAMS.
State
Services
Headqrtd
in State
Out of
State
Services
w/Bases
in State
Bases
with
RW
Bases
with
FW
Total
Bases
(a)
11
RW
Aircraft
(b)(c)
FW
Aircraft
(b)(c)
Total
Aircraft
(b)
State
Population
(Y2000)
Total
State
Area
(Sq Mi)
(d)
Alabama 4 2 14 2 16 16 3 19 4,779,736 52,423
Alaska 13 1 10 21 27 34 36 70 710,231 656,425
Arizona 9 3 51 15 62 59 20 79 6,392,017 114,006
Arkansas 4 2 13 2 15 13 7 20 2,915,918 53,182
California 32 2 65 13 74 101 23 124 37,253,956 163,707
Colorado 6 2 17 6 22 15 13 28 5,029,196 104,100
Connecticut 1 0 2 0 2 2 0 2 3,574,097 5,544
D.C. 2 1 2 0 2 4 0 4 601,723 68
Delaware 2 0 4 0 4 6 0 6 897,934 2,489
Florida 29 1 35 8 43 44 27 71 18,801,310 65,758
Georgia 8 3 23 4 27 26 19 45 9,687,653 59,441
Hawaii 3 1 3 7 10 3 8 11 1,360,301 10,932
Idaho 2 1 9 4 11 10 4 14 1,567,582 83,574
Illinois 11 4 19 3 22 24 6 30 12,830,632 57,918
Indiana 6 2 18 2 20 19 2 21 6,483,802 36,420
Iowa 6 4 11 2 13 11 4 15 3,046,355 56,276
Kansas 4 0 9 7 15 12 8 20 2,853,118 82,282
Kentucky 2 3 27 1 27 28 1 29 4,339,367 40,411
Louisiana 3 1 10 1 10 14 5 19 4,533,372 51,843
Maine 1 0 3 0 3 2 0 2 1,328,361 35,387
Maryland 2 3 13 1 13 18 2 20 5,773,552 12,407
Massachusetts 2 0 3 1 3 4 1 5 6,547,629 10,555
Michigan 7 2 11 4 14 12 15 27 9,883,640 96,810
Minnesota 3 1 11 3 13 18 4 22 5,303,925 86,943
Mississippi 3 3 10 0 10 10 0 10 2,967,297 48,434
Missouri 8 3 31 3 33 31 3 34 5,988,927 69,709
Montana 7 0 5 5 10 5 7 12 989,415 147,046
Nebraska 3 2 6 1 7 6 1 7 1,826,341 77,358
Nevada 3 2 6 6 12 7 9 16 2,700,551 110,567
New Hampshire 1 0 2 0 2 3 0 3 1,316,470 9,351
New Jersey 4 1 7 0 7 10 0 10 8,791,894 8,722
New Mexico 4 4 11 7 16 11 13 24 2,059,179 121,593
New York 11 0 20 2 20 33 3 36 19,378,102 54,475
North Carolina 10 0 17 2 18 21 4 25 9,535,483 53,821
North Dakota 3 0 4 1 5 4 1 5 672,591 70,704
Ohio 9 3 36 1 37 40 2 42 11,536,504 44,828
Oklahoma 3 2 19 2 21 19 6 25 3,751,351 69,903
Oregon 5 1 7 6 12 7 11 18 3,831,074 98,386
Pennsylvania 10 0 39 0 39 48 0 48 12,702,379 46,058
Rhode Island 0 0 0 0 0 0 0 0 1,052,567 1,545
South Carolina 6 2 9 2 11 10 3 13 4,625,364 32,007
South Dakota 4 0 4 3 6 4 4 8 814,180 77,121
Tennessee 5 1 25 1 26 28 1 29 6,346,105 42,146
Texas 22 3 68 13 78 72 19 91 25,145,561 268,601
Utah 3 1 9 3 12 10 4 14 2,763,885 84,904
Vermont 0 0 0 0 0 0 0 0 625,741 9,615
Virginia 8 1 16 0 16 20 0 20 8,001,024 42,769
Washington 2 1 8 4 9 10 8 18 6,724,540 71,303
West Virginia 1 1 10 0 10 11 0 11 1,852,994 24,231
Wisconsin 8 2 11 2 13 13 2 15 5,686,986 65,503
Wyoming 1 1 1 2 3 1 2 3 563,626 97,818
Totals 306 73 764 173 901 929 311 1240 308,745,538 3,787,419
a) If a single air medical service has a base with both RW and FW, the base is included in RW base inventory and in FW base inventory but included once in
Total Bases. Therefore, sum of ‘Bases with RW’ and ‘Bases with FW’ may or may not equal ‘Total Bases’ in State.
b) State RW/ FW totals for Alaska and North Carolina include aircraft from selected military units which are routinely used in civilian rescue. Alaska: 17 RW
& 8 FW from Air National Guard and Coast Guard; North Carolina: 3 RW from Marine Corps Air Station.
c) Throughout fleet, 50 RW and 5 FW are listed as SPARES.
d) State total area (land & water) from http://www.netstate.com which references World Almanac of the USA by A.Carpenter and C.Provorse, 1996.

Figure 2. Bar Chart Showing Number of Bases with RW and Bases with FW by State in 2011.
Figure 3. Bar Chart Showing Number of Aircraft by Type (RW & FW) and by State in 2011.
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Figure 4. Number of Rotor Wing Bases and Rotor Wing Aircraft by Year (ADAMS 2004-2011)
13

Table 2. Service Types Headquartered in Each State in 2011
RW only RW / FW FW only Total Services
State
Services
Services Services Hdqrt in State
Alabama 2 0 2 4
Alaska 2 6 5 13
Arizona 4 5 0 9
Arkansas 2 0 2 4
California 22 5 5 32
Colorado 2 3 1 6
Connecticut 1 0 0 1
Delaware 2 0 0 2
Dist. of Columbia 2 0 0 2
Florida 21 1 7 29
Georgia 4 1 3 8
Hawaii 2 0 1 3
Idaho 0 2 0 2
Illinois 9 0 2 11
Indiana 5 1 0 6
Iowa 6 0 0 6
Kansas 2 2 0 4
Kentucky 1 1 0 2
Louisiana 2 1 0 3
Maine 1 0 0 1
Maryland 1 1 0 2
Massachusetts 1 1 0 2
Michigan 4 2 1 7
Minnesota 1 2 0 3
Mississippi 3 0 0 3
Missouri 5 3 0 8
Montana 2 3 2 7
Nebraska 3 0 0 3
Nevada 1 0 2 3
New Hampshire 1 0 0 1
New Jersey 4 0 0 4
New Mexico 0 2 2 4
New York 9 2 0 11
North Carolina 9 1 0 10
North Dakota 2 1 0 3
Ohio 8 1 0 9
Oklahoma 2 0 1 3
Oregon 0 3 2 5
Pennsylvania 10 0 0 10
Rhode Island 0 0 0 0
South Carolina 6 0 0 6
South Dakota 1 3 0 4
Tennessee 4 1 0 5
Texas 12 5 5 22
Utah 0 2 1 3
Vermont 0 0 0 0
Virginia 8 0 0 8
Washington 0 2 0 2
West Virginia 1 0 0 1
Wisconsin 7 0 1 8
Wyoming 0 1 0 1
Totals 197 64 45 306
Total Services with RW = 261 / Total Services with FW = 109
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4.1 Service Provider ID
Within the database, each service provider in the country is assigned a five character ‘Service Provider ID’
(SPID) which is the ‘home’ state abbreviation (where main office is located) followed by 3 numeric digits (e.g.,
AL001, NY001, NY002, etc.). This unique SPID is used to label all bases for a given air medical service, whether
these bases be in their home state or another state. (See Appendix B for an alphabetical listing of all Air Medical
Services in ADAMS and their assigned SPID numbers.)
4.2 Pediatric Air Medical Transport Services
With few exceptions, pediatric transport services perform emergency inter-hospital transports only (i.e., no
scene response.) Since emergency interfacility transports from a local hospital emergency room to a trauma center
are an important part of the trauma system response, these services were included in ADAMS starting in 2005.
Table 3 lists the pediatric services which have their own in-house, dedicated, air medical RW or FW. There are a
number of other pediatric transport services which are basically ground transport services which utilize other local
RW services when they receive a request for air transport. Table 4 lists these pediatric transport services along with
the outside air medical service which they utilize. The blue shaded columns in both tables highlight the air medical
services included in ADAMS.
Table 3. Pediatric Transport Services with In-House Air Medical Rotor or Fixed Wing Aircraft
(Included in ADAMS)
ADAMS Children’s Transport
Facility City State # # # Emerg Scene
ID#
Service
Bases RW FW Interfacility
AR003 Angel One Transport Arkansas Children’s
Hospital
Little Rock AR 2 2 Yes No
CA005 Children’s Hospital of Los Children’s Hospital Van Nuys CA 1 1 Yes No
Angeles Emerg. Transport of Los Angeles
CA025 Air George Children’s Hospital
of Central California
Madera CA 1 1 Yes No
GA004 Children’s Transport Air of Children’s
Atlanta GA 2 2** Yes Yes
Atlanta
Healthcare of Atlanta
FL010 Life Flight (Miami
Miami Children’s Opa Locka FL 1 2 Yes No
Children’s)
Hospital
MO005 Children’s Mercy Critical Children’s Mercy Kansas MO 2 1* 1 Yes No
Care Transport
Hospital
City
OH008 Air Bear Akron Children's
Hospital
Akron OH 1 1 Yes No
TX013 Children’s Medical Center
Dallas Transport Service
Dallas Love Field Dallas TX 1 1 2** Yes No
TX023 Teddy Bear Transport Cook Children’s
Medical Center
Ft. Worth TX 2 1 1 Yes No
** One is a SPARE. Shares RW and RW base with Lifeflight Eagle (MO009).
Table 4. Pediatric Transport Services Utilizing Another Air Medical Rotor Wing Service Already in ADAMS
Children’s Transport Service
(NOT Listed as Service in ADAMS)
City State Air Medical RW Service
Supporting Children’s
Transport *
15
ADAMS RW
Service ID
Children’s Hospital Neonatal/Pediatric Transport
Program
Columbus OH Medflight of Ohio OH004
Children’s Hospital Transport Program Boston MA Boston Medflight MA001
Children’s Medical Center Dayton OH Careflite (Dayton) OH001
Children’s Memorial Transport Team Chicago IL UCAN or Loyola Lifestar IL010, IL008
Driscoll Children’s Hospital Corpus Christi TX Halo Flight TX008
Methodist Children’s Hospital Transport Services San Antonio TX San Antonio Airlife TX015
PANDA Transport / OHSU Transport Portland OR Lifeflight Network OR002
* Medical Crew Provided by Children’s Transport Service or Outside Air Medical Service

4.3 Comparison with Previous Year
Between September 2010 and September 2011, the total number of air medical services in ADAMS
decreased by three from 309 to 306. The total number of bases with RW increased by 33 (from 731 to 764) while
the number of RW aircraft increased by 29 (from 900 to 929). 2 The number of bases with FW increased by 8 (from
165 to 173) and the number of FW aircraft stayed the same (311).
Figure 5 shows the states where the total number of RW bases and/or RW aircraft changed since last year.
Twenty-two states showed an increase in RW bases and twenty-one states showed an increase in RW aircraft
serving the state. Four states showed a decrease in the number of RW bases and six states showed a decrease in the
number of RW aircraft. Currently, 50 (or 5.4%) of the 929 RW aircraft in ADAMS are specifically labeled as a
‘spare’ or ‘backup’ RW.
Figure 5. Change in Number of RW Bases (top) and Number of RW Aircraft (bottom) by State since
September of Last Year.
2 Included in these RW aircraft totals are RW which are listed as SPARES; these increased from 27 last year, to 47 this year. The number of
FW listed as SPARES decreased from 5 last year, to 4 this year.
16

5 AIR MEDICAL ROTOR WING COVERAGE OF U.S. ROADWAY SYSTEM & POPULATION
5.1 Highway Coverage
Motor vehicle crashes are the major cause of trauma in this country. Each year, an average 40,000 people
die on the nation’s highways and over 3 million people are injured. Two million of these injuries are disabling and
250,000 are life-threatening. This translates into an enormous cost, not only personally and financially for those
involved, but economically for the entire country as well. Optimizing the placement of trauma system resources
(such as air medical services), can help improve emergency medical response to these car crash scenes.
ADAMS 2011 data was used to examine current air medical rotor wing coverage of the nation’s highway
system. Figure 6 shows interstate highways, principal arterials and minor arterials from the FHWA National
Highway Planning Network (NHPN). The NHPN consists of over 400,000 miles of the nation's highways which are
comprised of National Highway System routes, urban principal arterials, rural arterials and other smaller roads.
Overlaid on the three major types of roadways in Figure 6 are the 10 minute fly circles (showing nominal 20 minute
response areas) derived from the ADAMS September 2011 dataset. Calculations indicate that across the 50 states
and the District of Columbia, 65.6% of interstate, 60.2% of principal arterial and 50.0% of minor arterial miles are
now within a nominal 20 minute air medical RW response.
Figure 6. Air Medical RW Coverage of the Nation’s Highway System – Nominal 20 Minute Response.
ADAMS data is being used to support research directed at reducing the numbers of fatalities and serious
injuries on the nation’s highways 3 . To highlight the magnitude of the traffic safety problem in the United States,
3
"Assessment of Air Medical Coverage Using the Atlas and Database of Air Medical Services and Correlations with Reduced Highway Fatality
Rates." Marie Flanigan, Alan Blatt, Louis Lombardo, Dawn Mancuso, Maile Miller, Dale Wiles, Herbert Pirson, Julie Hwang, Jean-Claude Thill,
Kevin Majka. Air Medical Journal, July-August 2005, p151.
17

Appendix A summarizes the most recent data that is available on state traffic fatalities and fatality rates. It is
provided to complement the state air medical service coverage data provided in this Atlas.
5.2 Population Coverage
Figure 7 shows a national view of population (from the new Y2010 census) and 2011 RW base locations.
The RW bases are at the center of each of the 10 minute fly circles. Population clusters are shown as small dark
gray dots, where each dot represents 10,000 people. Note that the locations of these population clusters are
approximate. The position of each gray dot is randomized within the zip code area (boundaries not shown) where
the population represented by the dot resides. This randomization technique is used to minimize overlap of the dots
in congested areas and thereby enhance dot visibility. This type of map is called a dot density map. Using this
year’s fly circles, it is estimated that 249.7 million people or 79.9% of the U.S. population (Y2010 census) are
within a 10 minute fly circle corresponding to a nominal 20 minute air medical response. An estimated 62.8 million
people reside outside this response area.
Figure 7. Population Dot Density Map with 10 Minute Fly Circles Around RW Base Locations.
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6 DESCRIPTION OF STATE MAPS & TABLES
This section provides an introduction and brief overview of the state maps and data tables which are
contained in the major part of the Atlas (Section 7). There are at least two pages for each state - a map page and a
table page.
6.1 State Maps
6.1.1 Service Provider / Topographical Map
The top map for each state shows a topographical (elevation) map with 5 additional data layers. These
layers include: 1) the main office locations for all air medical RW and FW services headquartered in that state
(marked with a yellow star and service provider name), 2) all RW and FW base locations for both in-state and outof-state
service providers (marked with an orange square), 3) ten minute Rotor Wing fly circles around each RW
base, 4) the interstate highway network, and 5) three to five of the largest cities in the state. The size of the 10
minute fly circle around a RW base is determined by the cruise speed of the RW aircraft based there. (Bases with
FW only are shown with the orange square but no fly circle.)
Each RW and FW base is labeled with the Service Provider Identifier (SPID) of the air medical service
which operates out of that base. The first two letters in the SPID indicate whether the base is operated by an in-state
or out-of-state service. In congested regions of the map, some base labels may not be visible. However, all bases
are listed in the adjacent data table on the next (facing) page.
6.1.2 Hospital / County / Population Map
The bottom map shows county 4 boundaries in the state, 10 minute fly circles around the RW bases and the
locations of major hospitals (H) which receive air medical scene transports. Note that not all hospitals in the state
are shown, but rather a subset identified by the air medical services as the major destinations for trauma or
emergency medical transports. This map shows RW fly circles only (no FW bases).
The color coding of the counties indicates population level (Year 2010 census) with the population color
scale defined as shown in the map legend. The first color category is for populations of 50,000 or less, which
indicates a rural county. The same population color scale is used for all states. Note that if a county is completely
covered by a fly circle (which is a transparent gray), the ‘apparent’ population color is lighter than actual.
6.2 State Data Tables
The page opposite the state map page shows four data tables. The top table lists the type and number of air
medical services headquartered in the state as well as the number of out-of-state services with RW and/or FW bases
in the state. The state area and population (Y2010 census) are also provided for reference.
The second table summarizes the total number of rotor and fixed wing bases and aircraft operating in the
state. If a single air medical service has a base with both RW and FW aircraft types, the base is included in the RW
base inventory AND in the FW base inventory, but included only once in the total RW & FW base inventory. Thus,
the total bases in the state may (or may not) equal the sum of RW bases and FW bases.
The third table lists all Rotor Wing Services operating in the state along with the names of each base in the
state (with city and zip code). RW services headquartered in the state (as indicated by the SPID) are listed first,
followed by out-of-state services with bases in the state. The number of RW aircraft stationed at each base is
provided as well. If the RW service also operates FW, the names of FW bases and the number of FW aircraft at
each base are also listed. An indication of whether the base is located at an airport, a hospital or a stand-alone
helipad is included. The actual number of aircraft at a given base at any given time can of course, fluctuate
depending on need, maintenance schedules, etc. For the purposes of this inventory, each RW and FW aircraft,
identified uniquely by aircraft N# (not shown here), is ‘assigned’ to a specific base.
The fourth table provides a list of ‘Fixed Wing Only’ services operating in the state. Again, services
headquartered in the state are listed first. Following the FW service name, the base name, city, zip code and number
of FW stationed at the base are provided.
The Atlas of States for ADAMS 2011 is presented in the next section.
4
Except in Louisiana and Alaska where parishes and boroughs respectively are shown.
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7 ATLAS OF STATES 2011
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