Implementation of a Level 7 FTD for Air Evac

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Implementation of a Level 7 FTD for Air Evac Tim Pickering, JD, CMTE, EMT-P (R) Director of Government Affairs Air Medical Group Holdings With Appreciation: The Sim Guys, Stephen Tink Sullivan & Theophil Theo Kulczak

The more you sweat in peace, the less you bleed in war. Gen. Norman Schwarzkopf

Air Evac Lifeteam 1985-2016 Now 140 bases in 15 states Completed more than 368,000 Patient Flights 2015 37,100 Patients, 2016 projected 41,300 2.8 million Members 2500+ Employees Mission: To Provide A.C.C.E.S.S. to Healthcare Accountability, Commitment, Community, Excellence, Safety, and Stewardship

Air Evac Aviation 650 Pilots Average Pilot experience = 5,200 Hours Base = 4 pilots on 12 hour shifts Pilot Training New Pilots to Air Evac = 18 + days of ground school Procedure training in Base FTD Advanced training in Cueing FTD 12-15 hours in Day and Night flight orientation and check rides 12 Instructors/Check Airmen

Air Evac Aviation Annual Recurring Pilot Training Bell Factory School Quarterly FTD Procedure Training. IIMC Annual Checkride, full touchdown autorotation Part 135 Operations (On Demand Air Taxi, Air Med Ops) 100 % NVG Ops 2010 140 + Bell 206 derivatives (L1+/L3+/L4), 15 Bell 407. 70% Aircraft converted to Glass Cockpit and 2 Axis Helisas Garmin 500H and 650 and Cobham (Genesys) Internal Maintenance 2015 Total Flight Hours 66,627.6 388,730 Takeoff/Landings in 2015

Footprint Big or Smaller?

Flight Training Device Simulator? Not Quite, Technically 8 FTDs 6 Trailer FTDs Procedure Trainers 1 Frasca Level 4 FTD (2005) Similar to a Cockpit Procedures Trainer (CPT), helicopters only. This level does not require an aerodynamic model, but accurate systems modeling is required. 1 Frasca Level 7, Qualifying for Level B Model specific, helicopter only. All applicable aerodynamics, flight controls, and systems must be modeled. A vibration system must be supplied. This is the first level to require a visual system FAA FFS Level B - Requires three axis motion and a higher-fidelity aerodynamic model than does Level A. The lowest level of helicopter flight simulator.

2005 Investment $1m in Level 4 FTD Goals: Hot Starts Aircraft has a fully modulated start, Procedure Training Scenario based training based on Field Experience Within one year achieved first level of benefit 2006-2010 Integrated Medical Crew scenario Training

2012 Move Level 4 to new facility 2013 Begin to assess need for more robust device Hurdles Footprint Useability NVG Concurrent glass cockpit Concurrent 2 axis autopilot 2014 Contract for New Tech Solution 2015 Build 2016 Implementation @ $3M US

Goals new device More realistic NVG capability Train on NVG failures and emergencies Accurate cockpit reflective of fleet Glass cockpit transition 2 Axis Autopilot/Helisas Autopilot transition Autopilot failures IIMC attitude and procedure training

Newly Developed Technology Applications Critical Vestibular Feedback Cueing and Vibration Cueing Motion Cues provide pilots more realistic flight experience and to naturally react as in flight 6 Degree of Freedom Motion Base adapted from Level D Sims = 6-8 /150-203mm Vibration for Aircraft Feel

Requirements for Certification as Level 7 SQMS Master Quality Test Guide Matches all Aircraft Data to the FTD Daily Calibration 15-30 minutes Quarterly Analysis Of MQTG FAA Quarterly Review Objective to Move to Level B Qualifying to do Certain Part 293 and 299 Check Rides in Device

Scenarios Change on Flight Operations Quality Assessments Change on direct feedback from OCC and Flight Ops Seasonality Exposure and Risk Every Approach is a Good Approach

Emulator Training Buttonology Procedure Training Familiarity with Device Function Allows free time Experimenting Touch and Context Training

Maxims For Procedures B-206 PreStart Fatal Four Rotor Untied Swung 90 Brake Up and Locked Throttle Full Open Full Closed Fuel Switch On AIM Definitions Land As Soon As Possible Land Without Delay Nearest Suitable Area Land As Soon As Practicable Landing Site and Duration at Pilot s Discretion, Continuing Beyond Nearest Approved Landing Area Not Recommended

2016 Procedure Training Scenarios New Hire Day One Multiple Starts with Malfunction Fatal Four Everytime Unusual Attitudes with IIMC, Helisas on and off New Hire Day Two Unusual Attitudes with IIMC, GPS Approach, InFlight Diversions with Line Oriented Flight Training Introduction New Hire Day Three Analog Gauge Refresher Buttonology

2016 Procedure Training Scenarios Recurrent Training Garmin 650/500 H Refresher Demonstration of Unusual Attitudes with IIMC, Helisas On and Off Current Field Scenarios LTE Brown Out/White Out GPS Approaches

Scheduling and Ops Operates currently 12 hours a day 6 days a week Requires Daily Calibration 15-30 Minutes Weekly Master Quality Test Guide 1-2 Hours Quarterly Verification of SMQS to FAA Annual Certification by FAA

Results First 6 Months Combination of FTDs Level 4 and 7 Achieved Transition Training to Glass Cockpit Achieved Ability to Train Emergencies Unaided AND Aided Varying climate, sun, moon, day and night emergencies Currency in both Analog and Glass for 400 Pilots Monthly New Pilot Training for 10-15 Scenario Review Incident Review which will couple with FDM Installation 2017 Approval 8/24/16 For Recordable training Hours and Evaluation Checkrides NOT intended as a substitute for minimum flight hours

You are professionals trained to deal with three things that can kill you: gravity, combustion, and inertia. Keep them under control, and you'll die in bed. Sailor Davis, long-time TWA ground school instructor. What is the cause of most aviation accidents: Usually it is because someone does too much too soon, followed very quickly by too little too late. Steve Wilson, NTSB investigator, Oshkosh, WI, August, 1996