Top 12 Flight Paramedic Skills to Put on Your Resume
In the high-stakes world of emergency medical services, flight paramedics deliver critical care where chaos tries to win. Showcasing the right skills on a resume matters, because air medical work compresses time, space, and options. Precision counts. Judgment under pressure counts even more.
Flight Paramedic Skills
- ACLS (Advanced Cardiovascular Life Support)
- PALS (Pediatric Advanced Life Support)
- ITLS (International Trauma Life Support)
- Ventilator Management
- ECG Interpretation
- Hemodynamic Monitoring
- Critical Care Pharmacology
- Airway Management
- Flight Physiology
- Ultrasound (POCUS - Point of Care Ultrasound)
- Mechanical Ventilation
- CISM (Critical Incident Stress Management)
1. ACLS (Advanced Cardiovascular Life Support)
ACLS is a framework of advanced interventions for cardiac arrest, stroke, and other time-critical emergencies. For a flight paramedic, it’s ACLS in motion—high-quality CPR, advanced airway decisions, vascular access, and medications—delivered inside a cramped, vibrating aircraft with limited gear and no backup down the hall.
Why It's Important
ACLS gives flight paramedics the playbook and the muscle memory to manage catastrophic cardiovascular events at altitude, where seconds feel heavier and missteps echo.
How to Improve ACLS (Advanced Cardiovascular Life Support) Skills
Keep the edge sharp. Refine. Repeat.
Stay current: Review American Heart Association ACLS updates regularly. Protocol drift creeps in fast.
Run scenarios: High-fidelity simulations, deliberate practice, timed drills. Pressure-test your decisions.
Dial in pharmacology: Know indications, dosing, interactions, push times. No guessing.
Strengthen ECG skills: Rapid rhythm recognition and differential diagnoses on the fly.
Lead the room: Team leadership and closed-loop communication—TeamSTEPPS concepts play well in the cabin.
Refresh often: Take periodic renewals and focused refreshers; don’t wait for certification expiration to study.
Debrief cases: Peer review, hot-washes, and near-miss analysis drive real improvement.
Self-check: Use quizzes and practice tests to expose weak spots before they matter.
Consistency builds speed, and speed with accuracy saves lives.
How to Display ACLS (Advanced Cardiovascular Life Support) Skills on Your Resume

2. PALS (Pediatric Advanced Life Support)
PALS centers on recognition and management of pediatric respiratory failure, shock, and cardiac emergencies. In the aircraft, tiny airways and tight margins demand calm hands and quick calls.
Why It's Important
Children decompensate differently, often suddenly. PALS equips flight paramedics to spot subtle deterioration early and intervene decisively during transport.
How to Improve PALS (Pediatric Advanced Life Support) Skills
Review guidelines: Follow updates from the American Heart Association to keep algorithms crisp.
Refresh routinely: Targeted pediatric courses and workshops keep rare-but-deadly scenarios familiar.
Hands-on reps: Scenario-based practice with high-fidelity pediatric manikins—airway, IO, dosing, the works.
Learn together: Case reviews and debriefs with your team sharpen clinical instincts.
Broaden fundamentals: PEARS and other pediatric-focused modules reinforce rapid assessment and early intervention.
Confidence grows when practice outpaces panic.
How to Display PALS (Pediatric Advanced Life Support) Skills on Your Resume

3. ITLS (International Trauma Life Support)
ITLS provides a structured, evidence-informed approach to the first minutes of trauma care—scene to wheels up to touchdown. Rapid survey, priorities, packaging, and movement without missing what matters.
Why It's Important
Standardized trauma assessment and intervention reduce variability in a setting where variables never stop shifting. That consistency improves outcomes during critical transport.
How to Improve ITLS (International Trauma Life Support) Skills
Advance your education: Take refreshers and advanced trauma modules; keep protocol changes on your radar.
Simulate the chaos: Train in motion—noise, vibration, limited lighting, awkward access. Make it real.
Study cases: Dig into Air Medical Journal articles and program case reviews to sharpen decision-making.
Peer exchange: Share tips and pitfalls with colleagues across shifts and services.
Train the body and mind: Strength, mobility, and stress inoculation pay off when extrication gets tricky.
Certify deliberately: Consider FP-C through the International Board of Specialty Certification (IBSC) to validate advanced transport competency.
Network and learn: Attend air medical and trauma conferences to pick up new practices and tools.
Speed is fragile without structure. ITLS gives you both.
How to Display ITLS (International Trauma Life Support) Skills on Your Resume

4. Ventilator Management
Ventilator management in flight means adjusting modes, volumes, and pressures to balance oxygenation and ventilation while respecting the lung. All under the influence of altitude, cabin pressure, and constant motion.
Why It's Important
Altitude tweaks physiology. Gas laws bite back. Without skilled vent management, patients can spiral—hypoxia, hypercapnia, barotrauma—fast.
How to Improve Ventilator Management Skills
Assess relentlessly: Marry clinical signs with capnography, oximetry, and ventilator waveforms. Adjust with purpose.
Study the craft: Review mechanical ventilation concepts from respiratory care and critical care organizations.
Use lung-protective strategies: ARDSNet-style approaches—appropriate tidal volumes and PEEP—tailored to the patient.
Chase synchrony: Troubleshoot asynchrony early to prevent breath stacking and injury.
Prevent VAP: Oral care, head-of-bed elevation, suctioning, and sterile technique—habits, not afterthoughts.
Secure the airway: Confirm tube depth, cuff pressure, and device stability; recheck after movement or altitude change.
Think flight: Account for altitude effects on gas expansion and oxygen delivery. Lean on aeromedical clinical guidelines where available.
Drill scenarios: Practice in-flight ventilator failures, power loss, and circuit issues until the fixes feel automatic.
Protect the lungs, protect the brain, protect the margin.
How to Display Ventilator Management Skills on Your Resume

5. ECG Interpretation
ECG interpretation reads the heart’s electrical story—ischemia, arrhythmias, blocks—when time is painfully short. In a helicopter or fixed-wing cabin, quick pattern recognition guides lifesaving choices.
Why It's Important
Miss a STEMI or misread a wide-complex rhythm and the cascade gets ugly. Early recognition directs reperfusion plans, airway choices, and medication timing.
How to Improve ECG Interpretation Skills
Nail the basics: Anatomy, conduction, intervals, axis, and the meaning behind each segment.
Reps, reps, reps: Daily ECG cases build pattern memory—normal variants, mimics, wolves in sheep’s clothing.
Use simulators: Quick on-the-go rhythm and 12-lead practice locks in speed.
Take focused courses: Workshops from cardiology and emergency medicine groups raise the ceiling.
Keep current: Follow literature on acute coronary syndromes, arrhythmia management, and prehospital ECG activation criteria.
Compare notes: Discuss tough tracings with peers; learn each other’s blind spots.
Fast doesn’t mean rushed. It means prepared.
How to Display ECG Interpretation Skills on Your Resume

6. Hemodynamic Monitoring
Hemodynamic monitoring tracks the circulatory system’s performance—perfusion, preload, afterload, pump function—so you can steer patients away from shock and toward stability.
Why It's Important
Real-time data in transit lets you spot the slide early. Adjust fluids, vasoactive meds, and ventilation to protect organs while the destination gears up.
How to Improve Hemodynamic Monitoring Skills
Level up training: Pursue accredited continuing education in advanced hemodynamics and transport physiology.
Lean on non-invasive tools: NIBP, waveform analysis, and portable ultrasound fit the flight environment well.
Master POCUS: Focused cardiac and IVC assessments inform volume status and shock type in seconds.
Communicate cleanly: Use SBAR or similar frameworks to hand off trends and interventions with zero fog.
Use advanced systems when available: Continuous CO, tissue oxygenation, or cerebral oximetry can add nuance—know how to interpret them.
Simulate the tough calls: Practice mixed-shock scenarios and titration of vasoactives under time pressure.
Numbers tell a story. You translate it into action.
How to Display Hemodynamic Monitoring Skills on Your Resume

7. Critical Care Pharmacology
Critical care pharmacology for flight paramedics means precise dosing and vigilant monitoring of potent medications—sedatives, analgesics, paralytics, vasopressors, antiarrhythmics—inside a moving ICU with limited redundancies.
Why It's Important
Wrong drug, wrong dose, wrong timing—costly in any setting, unforgiving in flight. Fluency with indications and interactions ensures safe, decisive care.
How to Improve Critical Care Pharmacology Skills
Targeted education: Take advanced pharmacology courses geared to critical care and transport.
Simulation reps: Run medication-heavy scenarios—RSI checklists, infusion titration, adverse event management.
Trusted references: Keep current with reputable drug and critical care resources; build quick-reference guides you actually use.
Peer learning: Case conferences, journal clubs, and professional forums surface practical pearls.
Track updates: Follow literature on sedation strategies, shock management, and airway pharmacology.
Clarity under stress starts with preparation at rest.
How to Display Critical Care Pharmacology Skills on Your Resume

8. Airway Management
Airway management in the aircraft spans oxygenation, ventilation, and definitive airway control, adapted to noise, vibration, tight quarters, and changing pressure. From BVM finesse to video laryngoscopy to cricothyrotomy—skills must be crisp.
Why It's Important
Airway failure is unforgiving aloft. Secure oxygenation and ventilation, and everything else gets easier. Miss it, and nothing else matters.
How to Improve Airway Management Skills
Keep training advanced techniques: Regular, structured education and simulation—NAEMT-style courses and program-specific labs—build reliability.
Choose smart equipment: Compact, flight-ready tools like portable video laryngoscopes and supraglottic devices reduce complexity.
Apply difficult airway principles: Incorporate best-practice guidance from airway societies into your checklists and backups.
Plan before rotors turn: Anticipate failure points, pre-brief the plan, assign roles, and prepare rescue options.
Drill team communication: Closed-loop calls, role clarity, minimal words—especially with helmets and rotor noise.
Smooth is fast. Fast is safe.
How to Display Airway Management Skills on Your Resume

9. Flight Physiology
Flight physiology studies how altitude, pressure changes, and acceleration twist normal human function. Hypoxia lurks. Gases expand. Thermoregulation shifts. Your treatment plans must bend accordingly.
Why It's Important
Understanding aviation physiology lets you predict problems before they bloom—oxygen needs, barotrauma risks, cabin pressure effects—and tailor care midair.
How to Improve Flight Physiology Skills
Master the fundamentals: Hypoxia types, Boyle’s and Dalton’s laws, barotrauma, and gas expansion in body cavities.
Analyze altitude impacts: Recognize how cabin pressure affects ventilation, perfusion, and device function.
Pursue specialized courses: FP-C prep and aeromedical programs deepen flight-specific decision-making.
Keep learning: Webinars, workshops, and transport conferences tighten your understanding.
Scenario practice: Simulate altitude-driven complications (pneumothorax, cuff pressure changes, aeromedical hypoxia).
Read aerospace medicine literature: Follow research from flight medicine organizations to refine practice.
Physiology doesn’t pause for transport. You adapt or you chase.
How to Display Flight Physiology Skills on Your Resume

10. Ultrasound (POCUS - Point of Care Ultrasound)
POCUS puts rapid imaging at your fingertips. FAST/eFAST, lung, cardiac, vascular access—clarity without waiting on a scanner that isn’t coming.
Why It's Important
In-flight decisions need speed and evidence. POCUS identifies pneumothorax, tamponade, fluid status, and free fluid in minutes, guiding therapy immediately.
How to Improve Ultrasound (POCUS - Point of Care Ultrasound) Skills
Structured training: Take reputable emergency/critical care ultrasound courses with competency checks.
Hands-on scanning: Log reps on simulation models and real patients under mentorship.
Seek feedback: Regular image review and QA loops sharpen acquisition and interpretation.
Stay current: Track consensus statements and new protocols from emergency and ultrasound societies.
Know your device: Use portable, flight-suitable platforms; learn presets, probes, and limits cold.
Protocol fluency: eFAST, RUSH, and lung ultrasound pathways should feel second nature.
See more, guess less.
How to Display Ultrasound (POCUS - Point of Care Ultrasound) Skills on Your Resume

11. Mechanical Ventilation
Mechanical ventilation supports or replaces a failing respiratory system. In flight, it demands constant vigilance and altitude-aware adjustments to protect lungs and brain alike.
Why It's Important
Manual ventilation during transport is fatiguing and inconsistent. Mechanical ventilation stabilizes gas exchange and frees cognitive bandwidth for the next problem.
How to Improve Mechanical Ventilation Skills
Understand altitude physiology: Anticipate changes in gas volumes and oxygenation as cabin pressure shifts.
Monitor tightly: Capnography, pulse ox, and ventilator waveforms guide adjustments in real time.
Start lung-protective: Appropriate tidal volumes and PEEP tailored to pathology; follow ARDSNet-style principles when indicated.
Prevent asynchrony: Triage triggers, rise times, and sedation needs before problems snowball.
Account for gas expansion: Recheck ETT cuff pressure, device balloons, and closed circuits as you climb.
Treat hypoxemia methodically: FiO2, PEEP, recruitment maneuvers—balanced against barotrauma risk.
Align with standards: Review CAMTS standards and your program’s SOPs; integrate with receiving ICU expectations.
Precision now prevents harm later.
How to Display Mechanical Ventilation Skills on Your Resume

12. CISM (Critical Incident Stress Management)
CISM offers a structured way to prepare for, process, and recover from traumatic calls. It blends education, peer support, and access to professional care to keep providers steady over the long haul.
Why It's Important
The work is relentless. CISM reduces the risk of burnout and PTSD, and supports a culture where asking for help is strength, not a footnote.
How to Improve CISM (Critical Incident Stress Management) Skills
Educate proactively: Learn current CISM strategies and integrate them into onboarding and ongoing training.
Train routinely: Regular practice with debrief formats and crisis intervention skills makes them usable when needed.
Build peer networks: Formal peer support teams and informal check-ins both matter.
Prioritize self-care: Sleep discipline, exercise, nutrition, and mindfulness habits pay dividends.
Use professionals early: Normalize timely access to mental health clinicians after tough calls.
Close the loop: Collect feedback and refine your program based on real-world experiences.
Protect the team, and the team protects the mission.
How to Display CISM (Critical Incident Stress Management) Skills on Your Resume

