Royal Canadian Air Force Doctrine Applied to Saskatchewan Medevac: Examining the Use of a Centralized Command

Q3 Nursing

Air Medical Journal Pub Date : 2026-07-01 Epub Date: 2026-04-08 DOI:10.1016/j.amj.2026.03.049

Mark W. Biernacki CD, MD, MASc, BEng

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引用次数: 0

Abstract

Saskatchewan relies extensively on air transport to deliver acute care to remote regions. This article applied Royal Canadian Air Force air power doctrine to evaluate and optimize the province’s civilian medevac system.

Doctrinal analysis was used to assess existing medevac coordination structures. Operational modeling, including an optimized combined air operations model, was developed to compare the efficiency of fixed- and rotary-wing transport across representative provincial locations. Data were analyzed for time to tertiary care.

The application of air power principles, including centralized control, decentralized execution, and a common operating picture, identified significant opportunities to enhance responsiveness and increase efficiency. Modeling showed that the correct selection of transport modality improves efficiency by up to 42%, with fixed-wing aircraft favored beyond approximately 150 miles from Saskatoon.

The analysis demonstrates that Saskatchewan’s current air medical system could achieve improved safety, timeliness, and efficiency through a centralized command structure. Establishing a provincial medevac operations center would enable real-time tasking, integrated situational awareness through a common operating picture, and better alignment of air assets with clinical needs.

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加拿大皇家空军理论适用于萨斯喀彻温省医疗后送：中央指挥的使用审查。

萨斯喀彻温省广泛依赖空运向偏远地区提供紧急护理。本文运用加拿大皇家空军空中力量理论对该省的民用医疗后送系统进行了评估和优化。理论分析用于评估现有的医疗后送协调结构。开发了运营模型，包括优化的联合空中运营模型，以比较具有代表性的省级地区固定翼和旋翼运输的效率。对数据进行三级护理时间分析。空中力量原则的应用，包括集中控制、分散执行和共同的操作画面，确定了增强响应能力和提高效率的重要机会。模型显示，正确选择运输方式可将效率提高42%，固定翼飞机在距离萨斯卡通约150英里的地方更受欢迎。分析表明，萨斯喀彻温省目前的空中医疗系统可以通过集中指挥结构提高安全性、及时性和效率。建立省级医疗后送行动中心将实现实时任务，通过共同的操作图像集成态势感知，并更好地将空中资产与临床需求结合起来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Air Medical Journal Nursing-Emergency Nursing

CiteScore

1.20

自引率

0.00%

发文量

112

审稿时长

69 days

期刊介绍： Air Medical Journal is the official journal of the five leading air medical transport associations in the United States. AMJ is the premier provider of information for the medical transport industry, addressing the unique concerns of medical transport physicians, nurses, pilots, paramedics, emergency medical technicians, communication specialists, and program administrators. The journal contains practical how-to articles, debates on controversial industry issues, legislative updates, case studies, and peer-reviewed original research articles covering all aspects of the medical transport profession.