In addition to the standard Operations Manual, the following should be considered or included where appropriate:
- At least one medical attendant should accompany a stretcher patient at all times.
- Generally, two-able bodied persons are given the responsibility of removing a patient from the aircraft in an emergency situation.
- Stretcher cases must only be removed from the aircraft after all passengers not associated with the patient have been evacuated.
- If aircraft fuelling takes place with a stretcher patient on board, an exit must be designated through which the stretcher can e carried in the event of an emergency evacuation.
- The aircraft operator must ensure that, in the event of an emergency evacuation, a jetway or steps are placed at the designated exit for stretcher patients.
- When stretcher cases are on-board an aircraft, an airport fire appliance must be in attendance during a fuelling operation.
- Fuelling with a stretcher patient on-board is not permitted with AVGAS (Aviation Gasoline).
- Some air ambulance flight have a medical requirement to fly as low as possible- the Operations Manual should provide guidance on how this is to be interpreted.
- The Operations Manual should address considerations associated with urgent flight.