Air ambulance operations are considered public transport flights. They are distinct from Helicopter Emergency
Medical Services (HEMS), where additional risks are defined and the relevant requirements applied.
The approval of a stretcher installation will generally constitute a Major Modification. Alterations to previously
approved existing modifications may be classed as a Minor Modification.
An approval is not required for the carriage of Dangerous Goods in flight for
the purpose of providing medical aid to a patient.
CAP 371 - "Avoidance of Fatigue in Air Crews" specifies limits on Flight Duty Periods (FDPs)
for these operations, and the circumstances under which they can be increased.
In addition to the standard Operations Manual, the following should be considered or included where appropriate:
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