A Statistical Overview of Fixed Wing Air Medical Transportation Operations in the United States (2019-2020)


      Air medical transportation (AMT) services provide the transportation of patients, medical teams, and organs for the US health care system. Interfacility transfers account for 54% of air medical transports, and delivering specialty care and organs accounts for 13% of air medical transports. Interfacility transfer, specialty care, and organ delivery are predominantly conducted using fixed wing aircraft. The AMT fixed wing fleet has grown 2.2% per year over the last decade along with a 3.6% per year expansion in the number of AMT base airports with fixed wing operations. This article aims to characterize the operations of fixed wing AMT in the United States for the period of 2019 to 2020. This information can be used for aircraft design, airport and air traffic control infrastructure assessment and funding, and AMT industry sector analysis and strategic planning. Data from 12 databases were combined to identify AMT flights and generate operational statistics including the number of vehicles; ownership; flight distances; flight frequency; geographic distribution; and the types of airports, air traffic control, and navigation systems used.
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        • Loyd JW
        • Larsen T
        • Swanson D.
        Aeromedical Transport.
        StatPearls Publishing, Treasure Island, FL2021
        • Taylor BN
        • Rasnake N
        • McNutt K
        • McKnight CL
        • Daley BJ.
        Rapid ground transport of trauma patients: a moderate distance from trauma center improves survival.
        J Surg Res. 2018; 232: 318-324
        • Steenhoff TC
        • Siddiqui DI
        • Zohn SF.
        EMS Air Medical Transport.
        StatPearls Publishing, Treasure Island, FL2021
      1. Federal Aviation Administration. General aviation and part 135 activity surveys – CY 2019. Available at: Accessed September 23, 2021.

      2. AAMS. Atlas & Database of Air Medical Services (ADAMS). 2019. Available at: Accessed April 1, 2019.

      3. AAMS. Atlas & Database of Air Medical Services (ADAMS). 2020. Available at: Accessed April 1, 2019.

      4. CUBRC. Atlas & Database of Air Medical Services (ADAMS). 2020. Available at: Accessed April 1, 2019.

      5. Federal Aviation Administration. National Plan of Integrated Airport Systems (NPIAS). Published by the Secretary of Transportation Pursuant to Title 49 U.S. Code, Section 47103 on September 30, 2020. Available at: Accessed July 27, 2021.

        • Government Accountability Office
        Air ambulance: data collection and transparency needed to enhance DOT oversight. Report to the Committee on Transportation and Infrastructure, House of Representatives.
        US Government Accountability Office, Washington, DCJuly 2017
        • Lyng JW
        • Braithwaite S
        • Abraham H
        • et al.
        Appropriate air medical services utilization and recommendations for integration of air medical services resources into the EMS system of care: a joint position statement and resource document of NAEMSP, ACEP, and AMPA.
        Prehosp Emerg Care. 2021; 25: 854-873
      6. ADAC Luftrettung. Multikopter im Rettungsdienst. Machbarkeitsstudie zum Einsatzpotenzial von Multikoptern als Notarztzubringer. Ergebnisbericht. 2020. Available at: Accessed July 1, 2021.

        • Mahvelatishamsabadi P
        • Emadi A.
        Electric propulsion system for exceptionally short takeoff and landing electric air vehicles.
        IEEE Trans Transp Electrification. 2020; 6: 1562-1576