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Helicopter can't climb

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Old 24th April 2025 | 20:02
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Helicopter can't climb


Hi,

I just heard this clip and I’ve got a few questions for the helicopter pilots.

Why would he be unable to climb from 700ft to 2000ft?

When told to remain west, id have expected him to enter a hover. Is there a reason he’d start circling instead of hovering?

Not throwing stones. Just questions from someone who’s never flown a helicopter.
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Old 24th April 2025 | 20:24
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Check Airman:

I have put you in touch with the Rotary Wing brethren who can clear up your questions.

Note to all; please be gentle.
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Old 24th April 2025 | 21:39
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He's got a medevac patient on board, sometimes the patient has a bleeding problem, others a breathing problem, and climbing, even though the change in air pressure is small, can make a big difference.

Hovering requires much more power than cruising, and he might have been so heavy that a hover would be a problem. Also at 700' there are reduced hover references, and it is possible to end up going backwards into the relative wind, which causes stability and control problems. Small gentle orbits is the usual way to do it.

That's why he said he would talk on the phone and not over the radio.
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Old 24th April 2025 | 21:40
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Medevac Altitude

There are certain medical conditions and inflight treatments that require transporting the patient at as low an altitude as possible. As far as circling instead of hovering, fuel consumption is a lot lower when circling and the ride may be smoother. Also in the event of an engine failure, 500 feet is just above the top of some height-velocity curves at a hover (and below some depending on the type and gross weight), which means you have very limited options of where to land (worse case, look between your feet because that's where you're going).

Last edited by Tailspin Turtle; 24th April 2025 at 22:20.
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Old 24th April 2025 | 21:46
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Not throwing stones. Just questions from someone who’s never flown a helicopter.
You just answered your own question - that’s not how it works.

Climb issues already answered - 2,000’ could be a major issue for various injuries.
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Old 24th April 2025 | 21:58
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Pilot did well to stay calm- I have been involved in an almost exact same issue.
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Old 24th April 2025 | 22:24
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Originally Posted by Hangarless
Pilot did well to stay calm- I have been involved in an almost exact same issue.
ATC guy sounded fairly agro. But isn't it possible for helo pilot to explain that he is unable to climb to requested altitude for a medical reason? Surely explaining so doesn't breach medical privacy of a patient? Helo pilot initially says he will try to climb to requested altitude. So does that suggest he might have been checking with medical personnel on board whether a climb was possible?
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Old 24th April 2025 | 23:06
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So does that suggest he might have been checking with medical personnel on board whether a climb was possible?
More than likely.

ATC was very busy but the pilot did tell him that he was active medical. It is a fine line but in theory the heli should get priority but on the other hand it is difficult and costly to make airliners do go rounds. It requires give and take.

The ATC going on at a pilot as a backseat crewman is not really appropriate and the pilot response of I'll speak on the phone later is the correct response.

A recording of the phone call would likely have been quite entertaining.

Last edited by Hangarless; 24th April 2025 at 23:29.
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Old 25th April 2025 | 03:32
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Thanks for the information all. I have a better understanding of the pilot's perspective now.
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Old 25th April 2025 | 07:16
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Minimum power speed for most helicopters is around 60/70 kts, meaning lowest fuel consumption. As 212 stated, hovering outside ground effect (HOGE) uses much more power and fuel and is more difficult to maintain accurately, because it requires an instrument scan in addition to ground references. Having said that, subject to prevailing wind velocity and visual references I would sometimes prefer to hover because I could place the aircraft to face a constant direction, such as towards the airfield or another aircraft on final approach. If doing the latter, the other pilot is more likely to get early visual contact with my landing lights, rather than a nav light. If orbiting it’s as likely as not that a controller will urgently require the pilot to acknowledge visual contact with an aircraft that is presently in the 6 o’clock position! Other pilots may not be so happy to hover, depending on their personal experience.
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Old 25th April 2025 | 11:49
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Sorry AC your first paragraph is incorrect. Decompression to 8000 feet as in FW can be a significant issue for spontaneously breathing patients and those with air inside cavities in the wrong place such as the abdomen, but below 3000 feet there is no clinical reason at all not to climb to 3000 ish. I will leave the aviation aspects to my esteemed colleagues
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Old 25th April 2025 | 12:33
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Originally Posted by ShyTorque
Minimum power speed for most helicopters is around 60/70 kts, meaning lowest fuel consumption. As 212 stated, hovering outside ground effect (HOGE) uses much more power and fuel and is more difficult to maintain accurately, because it requires an instrument scan in addition to ground references. Having said that, subject to prevailing wind velocity and visual references I would sometimes prefer to hover because I could place the aircraft to face a constant direction, such as towards the airfield or another aircraft on final approach. If doing the latter, the other pilot is more likely to get early visual contact with my landing lights, rather than a nav light. If orbiting it’s as likely as not that a controller will urgently require the pilot to acknowledge visual contact with an aircraft that is presently in the 6 o’clock position! Other pilots may not be so happy to hover, depending on their personal experience.
Out of ground effect
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Old 25th April 2025 | 13:01
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Originally Posted by Radgirl
Sorry AC your first paragraph is incorrect. Decompression to 8000 feet as in FW can be a significant issue for spontaneously breathing patients and those with air inside cavities in the wrong place such as the abdomen, but below 3000 feet there is no clinical reason at all not to climb to 3000 ish. I will leave the aviation aspects to my esteemed colleagues
I respectively disagree.

Whilst not helicopter related I know of one instance of a patient having to be evacuated from A-B by fixed wing.

Luckily Pont A to B was mostly close to sea level and most of the flight actually across the sea.

Medical advice to the flight crew was do not go above 1000'.

Mostly uncontrolled airspace.




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Old 25th April 2025 | 13:13
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Originally Posted by Radgirl
Sorry AC your first paragraph is incorrect. Decompression to 8000 feet as in FW can be a significant issue for spontaneously breathing patients and those with air inside cavities in the wrong place such as the abdomen, but below 3000 feet there is no clinical reason at all not to climb to 3000 ish. I will leave the aviation aspects to my esteemed colleagues
Once flying medivac, decending to 3,000ft was still too high for our patient and we had to divert and land, so I leave those decisions to the medics on board.
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Old 25th April 2025 | 14:52
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Originally Posted by Hangarless
ATC was very busy but the pilot did tell him that he was active medical. It is a fine line but in theory the heli should get priority but on the other hand it is difficult and costly to make airliners do go rounds. It requires give and take..
Looking at the playback, there were 7 aircraft in the departure queue for 1R and in excess of 20 aircraft in the queue for 30 so, yes, the airport was busy. N305PH (along with N302PH) operate nearly daily in the DC airspace so I suspect this pilot was familiar with runway 30 being in use for departures.

The flight track shows N305PH came within about 0.7 nm of the runway 30 centerline at the closest point of his 360, which seems reasonable. Had the pilot followed ATC’s amended instructions to hold between 1C and 1R, 305PH would have been much closer to departing traffic on 1R than to 30 with his 360.

Perhaps the coordination between PCT and the LC was poor and the LC expected something different when 305PH checked in. This is a case of, had either ATC or the pilot communicated with more clarity, the situation could likely have been avoided.
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Old 25th April 2025 | 15:42
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Originally Posted by Hangarless
More than likely.

ATC was very busy but the pilot did tell him that he was active medical. It is a fine line but in theory the heli should get priority but on the other hand it is difficult and costly to make airliners do go rounds. It requires give and take.

The ATC going on at a pilot as a backseat crewman is not really appropriate and the pilot response of I'll speak on the phone later is the correct response.

A recording of the phone call would likely have been quite entertaining.
In the UK, the callsign has a suffix which denotes whether a helimed is enroute to an incident, enroute to hospital with a casualty, or just in transit to base (see https://www.caa.co.uk/publication/do...%2001%E2%80%9D). I would hope, but don't know for sure, that when a casualty is onboard, some kind of priority will be assigned to the flight.
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Old 25th April 2025 | 16:29
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Originally Posted by Radgirl
Sorry AC your first paragraph is incorrect. Decompression to 8000 feet as in FW can be a significant issue for spontaneously breathing patients and those with air inside cavities in the wrong place such as the abdomen, but below 3000 feet there is no clinical reason at all not to climb to 3000 ish. I will leave the aviation aspects to my esteemed colleagues
Many years ago, when the Earth was cooling, I was flying a casevac from Norn Iron with a life-threatening gunshot wound to the head. I picked up at Northolt and was told by the doc to proceed direct line, as low as possible to the designated hospital. When I queried this he just said “Do it!”, so I did. LHR cleared it and 20’ over Buckingham Palace at 120kts, avoiding the flagstaff was quite something - there never was a complaint.

Mog

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Old 25th April 2025 | 16:30
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What happened to the good old Lifeguard status, wasn't that in the pilot-controller glossary?
I flew EMS in a fairly busy area and we had specific assigned transponder codes, so ATC knew who we were and were pretty good at allowing us in between fixed wing traffic, even with the field IMC.
Rarely I had to push Lifeguard to get through, maybe a couple of times, and ATC never questioned our altitude restrictions because we regularly met with the ATC folks in Approach and TWR.

I see a few factors possibly affecting the above situation.
1) the fairly recent midair in DC between the Army Blackhawk and the regional jet
2) The EMS pilot not being deliberate in requesting Lifeguard and THAT leading to him not explaining the reason for not being able to climb (perceived HIPPA limitations?)
3) Pilot fairly new to the area of operations
4) The controller arrogant attitude.

Like someone posted above, I would really like to listen to the taped phone call.
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Old 25th April 2025 | 16:36
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The medevac pilot not wanting to climb to 2000 feet could be related to the patient. I know our crews where I work, if the patient is on a balloon pump, they try to stay within 1000 feet of sending hospital (where the balloon pump is "installed"). It is my understanding that the higher altitude changes are possible, but the balloon pump machine will sound an alarm and the med crew may have to either re-program the balloon pressure or something along those lines (not a medical professional myself).

Balloon pump is a helium balloon inserted thru a leg artery and run up into the aorta to help the heart pump blood after a cardiac event or heart surgery.
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Old 25th April 2025 | 16:41
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From: Den Haag
Originally Posted by Radgirl
Sorry AC your first paragraph is incorrect. Decompression to 8000 feet as in FW can be a significant issue for spontaneously breathing patients and those with air inside cavities in the wrong place such as the abdomen, but below 3000 feet there is no clinical reason at all not to climb to 3000 ish. I will leave the aviation aspects to my esteemed colleagues
I'm very surprised to hear that - there are published academic studies on the effects of altitude on patients, with studies of outcomes for patients with a Cabin Altitude Restriction of 5,000 ft or lower.
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