(c)  
Medical patient. Notwithstanding CAT.OP.MPA.170, a briefing shall only be conducted if the medical condition makes this practicable.

SPA.HEMS.140 Information and documentation
(a)  
The operator shall ensure that, as part of its risk analysis and management process, risks associated with the HEMS environment are minimised by specifying in the operations manual: selection, composition and training of crews; levels of equipment and dispatch criteria; and operating procedures and minima, such that normal and likely abnormal operations are described and adequately mitigated.

(b)  
Relevant extracts from the operations manual shall be made available to the organisation for which the HEMS is being provided.

SPA.HEMS.145 HEMS operating base facilities
(a)  
If crew members are required to be on standby with a reaction time of less than 45 minutes, dedicated suitable accommodation shall be provided close to each operating base.

(b)  
At each operating base the pilots shall be provided with facilities for obtaining current and forecast weather information and shall be provided with satisfactory communications with the appropriate air traffic services (ATS) unit. Adequate facilities shall be available for the planning of all tasks.

SPA.HEMS.150 Fuel supply
(a)  When the HEMS mission is conducted under VFR within a local and defined geographical area, standard fuel planning can be employed provided the operator establishes final reserve fuel to ensure that, on completion of the mission the fuel remaining is not less than an amount of fuel sufficient for:
(1)  
30 minutes of flying time at normal cruising conditions; or

(2)  
when operating within an area providing continuous and suitable precautionary landing sites, 20 minutes of flying time at normal cruising speed.

SPA.HEMS.155 Refuelling with passengers embarking, on board or disembarking
When the commander considers refuelling with passengers on board to be necessary, it can be undertaken either rotors stopped or rotors turning provided the following requirements are met:
(a)  
door(s) on the refuelling side of the helicopter shall remain closed;

(b)  
door(s) on the non-refuelling side of the helicopter shall remain open, weather permitting;

(c)  
fire fighting facilities of the appropriate scale shall be positioned so as to be immediately available in the event of a fire; and

(d)  
sufficient personnel shall be immediately available to move patients clear of the helicopter in the event of a fire.