Narrative:

I was on an emergency medical flight in an EMS configured small transport helicopter X. Our destination was ZZZ, approximately 10 NM northeast of xyz air traffic area. I contacted approach 20-30 mi south and advised controller of my destination. I received confirmation and radar advisories to my destination. Upon departure from my destination, I was not able to establish communication in time while departing ZZZ on a south heading en route to trauma center. I was informed that I was within air traffic area prior to establishing proper communications and clearance. Corrective actions: course flown when departing hospital in ZZZ needs to be extended further east. Monitor DME readout closer while departing south. Use alternate frequencys when attempting to make contact and allow time to climb to higher altitude. Don't let patient need for rapid transport override proper decision making and control crew internal communications.

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Original NASA ASRS Text

Title: EMS HELICOPTER ON RETURN FLT WITH URGENT TREATMENT PATIENT PENETRATES ATA WITHOUT COM.

Narrative: I WAS ON AN EMER MEDICAL FLT IN AN EMS CONFIGURED SMT HELI X. OUR DEST WAS ZZZ, APPROX 10 NM NE OF XYZ ATA. I CONTACTED APCH 20-30 MI S AND ADVISED CTLR OF MY DEST. I RECEIVED CONFIRMATION AND RADAR ADVISORIES TO MY DEST. UPON DEP FROM MY DEST, I WAS NOT ABLE TO ESTABLISH COM IN TIME WHILE DEPARTING ZZZ ON A S HDG ENRTE TO TRAUMA CENTER. I WAS INFORMED THAT I WAS WITHIN ATA PRIOR TO ESTABLISHING PROPER COMS AND CLRNC. CORRECTIVE ACTIONS: COURSE FLOWN WHEN DEPARTING HOSPITAL IN ZZZ NEEDS TO BE EXTENDED FURTHER E. MONITOR DME READOUT CLOSER WHILE DEPARTING S. USE ALTERNATE FREQS WHEN ATTEMPTING TO MAKE CONTACT AND ALLOW TIME TO CLB TO HIGHER ALT. DON'T LET PATIENT NEED FOR RAPID TRANSPORT OVERRIDE PROPER DECISION MAKING AND CTL CREW INTERNAL COMS.

Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.