Trauma Star Air Ambulance

Trauma Star LR WOperations

Monroe County owns and operates an emergency air-ambulance helicopter service called Trauma Star. The service is a joint effort of Monroe County Fire Rescue and the Monroe County Sheriff’s Department.

Trauma Star is the only air ambulance service in Monroe County.

For an island chain that is isolated from the mainland by distance and a busy single highway – Trauma Star saves critical minutes for patients to receive life-saving interventions. These precious minutes saved decrease the loss of heart and brain tissue, which reduces or eliminates permanent disabilities.

The Trauma Star program has two twin-engine Sikorsky helicopters. They are staffed by highly-trained critical-care nurses, firefighters/paramedics and pilots. Each helicopter can transport up to two critically injured or ill patients at a time.

There are no out-of-pocket costs for County residents who use the life-saving service. In the past, private air ambulances in the Keys have charged County residents tens of thousands of dollars in out-of-pocket costs for transport to mainland hospitals.

Since the program began in 2001, Trauma Star has transported more than 3,500 patients to critical care not available in the Keys. Over the past few years, the need for the service by residents and visitors has increased dramatically due to the increase in tourism and the increased amount of traffic on Keys’ roads.

2017 was another record year. Trauma Star flew 917 patients to mainland facilities:196 for trauma, 29 for stroke, 27 for heart attacks and 3 first response flights to the Dry Tortugas. The remaining 662 transports were hospital-to-hospital transfers of critically ill patients that required specialty care not available at Keys hospitals.

In January 2017, the BOCC approved the purchase of a second Sikorsky S76C+ helicopter. In June 2017, a second Trauma Star base was opened in Key West at the Lower Keys Medical Center.

Trauma Star has been in the forefront of new standards of quality care, with a direct affiliation with the University of Miami Miller School of Medicine and the Army Trauma Training Department (ATTD), located at the Ryder Trauma Center.

Trauma Star was the first air ambulance service to provide immediate access to the highest level of care to patients experiencing a myocardial infarction (heart attack) and has since flown more than 125 heart attack patients directly from the field.

Trauma Star was the first air ambulance service in the United States to transport patients exhibiting signs of a Neurological deficit (stroke) to a comprehensive stroke center for immediate interventions and has since flown more than 180 stroke patients directly from the field.

Trauma Star was the first air ambulance service in the United States to combine the use of Telemedicine in the field to perform neurological examinations by stroke physicians. It now is in the final stages of implementing new ultrasound transmission capabilities for trauma patients via Telemedicine to surgeons at Ryder Trauma Center.


Trauma Star has bases in Marathon and Key West, both staffed around the clock to be ready for launch at a moment’s notice. Trauma Star’s primary mission is to provide emergency helicopter transportation for individuals who are critically injured either by natural causes such as heart attacks or stroke, or by other causes such as a vehicle crash or criminal action.


Trauma Star’s response is initiated through the emergency 911 system, and the helicopter often times will land at the accident scene to provide the quickest response to qualified medical facilities in south Florida.

Monroe County Residents

There are no out-of-pocket costs for Monroe County residents

View the application form for the resident fee waiver (PDF). If you qualify for the resident fee waiver, Monroe County will continue to seek reimbursement from any private insurance companies, but any remaining unpaid fees would be waived.

Types of Transports

If you have a severe auto accident or suffer any severe trauma, Trauma Star will fly you from your location directly to a Level One Trauma Center in approximately 45 minutes from anywhere in the Keys, including the Dry Tortugas. If you are having a heart attack or brain attack (stroke) and call 911, Trauma Star will fly you from your location directly to a fully staffed cardiac or stroke treatment center on the mainland. There are no trauma, therapeutic cardiac, or neurosurgical service centers within the Florida Keys.

In addition to the primary mission of providing critical trauma-related transports, Trauma Star also assists local hospitals by providing hospital-to-hospital transfers. If you are at an area hospital and require a critical care interfacility hospital transport, you or your representative can request the services of Trauma Star through the hospital staff (provided you meet the State of Florida interfacility transfer guidelines).

Transportation Services

Monroe County Trauma Star is committed to providing the highest quality air ambulance transport care. Trauma Star is staffed with highly-trained flight nurses, flight Firefighter/Paramedics, and helicopter pilots. Hiring requirements exceed industry standards and Trauma Star’s safety record is exemplary.

The twin engine Sikorskys cruise at 150 knots, making them the fastest rotor craft in the Florida Keys. The Trauma Star helicopter is fully configured to carry two critical patients, and the Trauma Star program has been recognized by the State of Florida and the FAA as professional and fully compliant with all regulatory standards.

Additional Information

For more information about Trauma Star or the Resident Fee Waiver Program, contact Monroe County Fire Rescue at 305-289-6010.

Trauma Star Statistics