1. Med Unit Deployment and Command Structure

1.1. Med 1 is the primary air medical unit and is operated by a dedicated team.

1.2. Med 2 deployment: a) Med 2 may be deployed in situations requiring rapid response with additional units b) Only Med 1 Command team has the authority to authorize the deployment of Med 2

1.3. Reporting structure: a) All issues related to Med 1 operations should be reported directly to Med 1 Command b) Med 1 Command reports to the EMS Command Team for overall departmental matters

2. Med 1 Utilization

2.1. Med 1 is designated for the following situations: a) Calls in rural areas such as north of Vinewood Hills b) Water rescue operations

2.2. Med 1 is a specialized subdivision within EMS, equipped to handle a variety of calls, with a focus on: a) Responding to patients in locations inaccessible by road b) Transporting patients with injuries that require air transport for safety reasons to prevent further harm

3. Aircraft Operations and Safety Protocols

3.1. Patient-First, Safety-Always Principle: a) The primary mission of Med 1 is to provide swift, effective medical care to patients in need b) All operations must be conducted with the highest regard for the safety of patients, crew members, and civilians c) Decision-making should always balance the urgency of patient care with the safety of all involved

3.2. Pilots must adhere to the following safety guidelines: a) Prioritize safe flying practices at all times, including maintaining appropriate altitude b) Exercise caution around buildings, structures, or areas of potential danger c) Avoid active conflict zones or areas of ongoing violence unless explicitly cleared by authorities

3.3. Crew Responsibilities: a) All crew members are responsible for maintaining situational awareness b) Any crew member may call for abort of a mission if they identify a significant safety risk c) Regular safety briefings and checks should be conducted before and during missions

3.4. Aircraft Models: a) AW139 is the standard aircraft to be used by all personnel

3.5. Active Shooter Situations: a) Med 1 is strictly prohibited from flying over or near active shooter scenes b) The primary objective of EMS is to provide medical care, not to engage in or assist with law enforcement activities c) Med 1 will only approach such scenes once they have been declared safe by law enforcement

3.6. Landing and Rappelling Safety: a) Before landing or initiating rappelling operations, ensure the area is clear of obstacles and hazards b) Establish a safe perimeter around the landing/rappelling zone c) Coordinate with ground units to secure the area if necessary d) Perform a visual inspection of the area before commencing operations e) Abort landing or rappelling if any safety concerns arise

4. Communication Protocols

4.1. Mandatory call-outs must be made: a) When departing from Vespucci or Sandy Shores Medical Center b) When en route to the destination

4.2. Call-out format: "[Unit] departing [Origin] heading for [Destination]" Example: "Med 1 departing Vespucci heading for Paleto Bay"

5. Water Rescue Operations

5.1. For water rescue missions, a diver must accompany Med 1.

5.2. Med 1 is equipped with thermal imaging capabilities to: a) Locate patients in the water b) Monitor the safety of divers during the operation