Refuelling with patient on board air ambulance
Kindly help with the issue of "refuelling with a patient on board an air ambulance." The rules (91.07.13) state that an aircraft must be evacuated when refuelling, but also makes provision for the exception. The problem is that sometimes the refuellers (this was a bit up north) did not want to accept that the patient remained in the aircraft during refuelling.
Plain common sense tells me to do the things least likely to kill the patient, but can anyone point me towards promulgated procedure / law, or expand on 91.07.13? Part 138, Air Ambulance Services, does not adress the issue.
Any ideas, did I miss stuff in the CATS & CARS? All I could fall back on was Cdr's discretion.