AirMed makes further fleet changes  E-mail
Friday, 10 February 2012 16:49


Over the past 5 years AirMed has undergone significant development which has seen the introduction of new aircraft, medical equipment and new medical disciplines and expertise. This investment has been extremely successful, with the two Learjet 35As now being the workhorses of the company.

 

“During 2011 the two Learjets flew over 1900 hours and covered over 660,000nm (over 1.2million kms). We had always aimed for them to fly a minimum of 800 hours per year each when we purchased them, but it is always reassuring to find them doing above and beyond what we had predicted”, says Jane Topliss, Director of Business Development. “The assistance industry has also evolved a lot over the past few years and we are seeing increasingly that quality of care for patients really is at the forefront of their decisions. This goes hand in hand with the central belief of our business, that the patient comes first.”

 

G-ZMED Learjet 35A

One of AirMed's Learjet 35As departing Oxford on an air ambulance mission

 

With a much better understanding of patient care requirements within the whole insurance industry and with better control of care provision by Air Ambulance Operators, AirMed believes that there is no longer a requirement for unpressurised piston aircraft to be used for “air taxi” flights. Jane comments that “AirMed started out using unpressurised piston aircraft more than 25 years ago, providing platforms for assistance company medical crews to perform air taxi transfers. However as care provision has developed and AirMed’s ability to provide that has grown, demand for unpressurised piston aircraft has significantly declined to the point where they will be withdrawn from service.”

 

Our decision to cease providing unpressurised piston aircraft is consistent with the EURAMI minimum aircraft requirements. These requirements stipulate a need for a pressurised aircraft, limits on ambient noise and a suitably environmentally controlled cabin. Whilst piston aircraft have in the past been an excellent solution for some transfers, they just cannot provide a suitable environment that is fully controllable for patient comfort. In fact general observations by AirMed’s medical teams over the past two years have certainly led to the conclusion that patient comfort and care provision is somewhat compromised on a piston aircraft.

 

“I have received reports from staff who have worked on the unpressurised aircraft that suggest that the lack of comfort for patients leads to increased stress causing pain and nausea which require drug and patient care intervention from nursing staff – interventions which are less likely to be necessary on a pressurised turboprop.” Reports Dr Jon Warwick, AirMed’s Clinical Director. “This relates to personal experience with increased use of antiemetics and analgesia on the unpressurised piston aircraft where turbulence would be regularly avoided in other aircraft able to fly at higher altitudes. Increased use of medications to compensate for the aircraft’s iatrogenic artefact leads us to our decison. I must stipulate that AirMed has of course never carried complex patients on their piston aircraft, however we firmly believe that moving forward they are not suitable for even the most simple of transfers”.

 

G-BMDK has now been decommissioned

PA34 G-BMDK has now been decommissioned

 

These thoughts and conclusions are also in line with the requirements laid down by the Care Quality Commission in England. It became a legal requirement on 1 April 2011 for all England based air ambulance operators to register with the CQC and within this registration are minimum standards for care provision, treatment, infection control and other areas pertinent to patient transport. “The legally enforceable standards laid down by the CQC have led to our conclusion that unpressurised piston aircraft provide an environment for patients which would not comply with these standards” said David Quayle, AirMed’s Chief Flight Nurse. “Given this, it is difficult to see how any legally compliant English air ambulance operation can operate unpressurised piston aircraft for patient transport”.

 

To this end, AirMed has already decommissioned G-BMDK one of its Piper Seneca aircraft and has put its remaining Seneca and Piper Chieftain up for sale. Whilst they remain to be sold, the aircraft will only be available for cargo and passenger work.

 

“AirMed is very excited about moving into its next phase of development” confirms Rupert Dent, Managing Director. “We can now pool our resources into the best aircraft for the best patient care and make our product delivery even better and more cost effective to our clients. With over a third of our transfers requiring a critical care capability, we need to concentrate on ensuring the best possible care provision.”

 
Coming Soon.......  E-mail
Tuesday, 20 December 2011 12:16



AirMed is delighted to announce that its new purpose built and designed incubator system will be arriving in January 2012. This will be the only incubator of this design and capability available in the commercial air ambulance market today.

 

 

“We have given considerable thought to the re-design and upgrade of the aeromedical incubator system to allow us to transport the sickest of neonates” says Dr Charlotte Bennett, AirMed’s Neonatal Medical Director.  Modifications developed by ParAid and MAC Interiors mirror state-of-the-art developments in neonatal intensive care which have occurred over the last five years”

 

 

AirMed's new incubator system

The diagram shows the set up of the integrated system, comprising of a Drager Incubator, 6 Braun infusion pumps, neonatal ventilator and monitor and integrated mobile nitric oxide system - visuals provided by MAC Interiors

 

The new system will be comprised of an intensive care Drager incubator which is heated and double-walled to allow care of the most premature infants in a thermo-regulated environment. The nitric oxide delivery system and provision of warmed and humidified ventilation gases are integral to the aeromedically certified incubator design. There will also be 6 Braun infusion syringe pumps, not the standard 4 pumps currently seen on aeromedical incubator systems, this will enable AirMed full control of the administration of the precise medication doses that a neonate may require.

 

 

The fully integrated unit has been designed, tested and certified on its sled by MAC Interiors. The trolley unit has been designed and supplied by ParAid. The sled is compatible with the LifePort system so is transferable between the Piper Cheyenne IIIAs and the Learjet 35As on AirMed’s fleet, plus road ambulances and the local Thames Valley HEMS EC135 helicopter. The compatibility across all platforms of transportation was an absolute requirement within the design.

 

 

Incubator detail showing integrated air, oxygen and nitric oxide delivery systems

Diagram showing detail of the air, oxygen and nitric oxide supply system. Visual supplied by MAC Interiors

 

“The introduction of this unit will be the final stage of the full launch of our perinatal service” concludes Jane Topliss, Director of Business Development. “This will enhance our already recognised service and will really allow us the flexibility to provide a world-class service for all neonates that need transporting, not just those above a certain weight.

 

 

To get this design to the exact specification that we wanted has certainly been challenging, but we are now extremely happy with the outcome and feel that it will provide us with the technology we need in order to deliver our clinically-led transfer service to the highest of standards.”

 

 

Clients can be assured that the AirMed medical teams are trained to the very highest standards.  The deployment of the perinatal service is family centred and entirely clinically-led with safety considered as paramount importance.  By having a fully integrated operation which includes on-site medical teams, engineers and operational staff as well as the flight crews, AirMed is in an excellent position to ensure the provision of a top quality service with seamless interactions between all those staff members required to make the missions a success.

 
AirMed transports twins  E-mail
Friday, 11 November 2011 11:28

 

Following the rapid growth of the neonatal service provided by AirMed, this week saw the successful completion of their first twin transfer. The twins were carried on board the Piper Cheyenne IIIA G-GZRP which was in double stretcher configuration with a BabyPod II on each stretcher and they were cared for by one of AirMed's specialist neonatal medical teams.

 

Nurse Gemma Brown provides care in-flight

 

The twins were transferred from London to Liverpool so that they could be nearer to home whilst still being cared for in a specialist neonatal unit.  "Whilst this was a logistically complex transfer due to the requirement for considerable equipment and multiple ground ambulances, this was the best possible way to transfer the twins" said Dr Charlotte Bennett, AirMed's Neonatal Medical Director "when the babies need to be transferred longer distances it is deemed much better for the care of the child to move them by air and reduce their time in transfer. Had this been done by road then they would have been in transit for at least 4 hours and been at the mercy of traffic conditions, this time was halved even when taking into account the road transfer to and from the airport."

 

The twins ready to go in the hospital

 

The transfer was carried out on behalf of the charity Lucy Air Ambulance for Children and with careful planning the teams were able to combine this trip with the repatriation of a third baby back from Liverpool into London. 

 

 

 

 
New Perinatal Service Launched  E-mail
Tuesday, 09 August 2011 10:16

AirMed is delighted to announce the operational launch of their new Perinatal service and successful completion of their inaugural combined obstetric and neonatal transfer. This expansion in capabilities follows on from the extremely high interest in the neonatal service received following the launch in March this year.

 

The new Perinatal Service has been added following a long consultation period with clients regarding their requirements.   This service continues AirMed’s close collaboration with the Oxford Radcliffe Hospital NHS Trust (ORHT), but more specifically this time with their world renowned Obstetric Department including the Fetal Medicine Unit.

 

Baby Max following a successful, if albeit a slightly earlier than planned delivery


The new service will continue under the direction of AirMed Neonatal Medical Director Dr Charlotte Bennett, but will have the full support of Mr Laurence Impey and Miss Rebecca Black who are the Consultant leads in the Fetal Medical Unit at the ORHT, alongside Miss Sally Collins who is a Research Fellow in the same unit.

 

The Perinatal Service comprises of specialties that will provide support not only for the newborn child (neonatal), but will also enable Clients to have access to highly specialised skills required for the aeromedical transfers of pregnant women (i.e. obstetrics and fetal medicine). This is something that has only been available to clients in a fairly limited capacity before and without the direct access to the consultant teams required for this type of complex transfer. Our service will change all that, enabling direct access to the appropriately qualified medical personnel for the movement of patients with complex needs.

 

Following on from this, the service will also provide a link not only with these experts, but also with other affiliated specialties like paediatric surgery, cardiology, respiratory medicine, neurosurgery, ophthalmology, interventional radiology, clinical genetics and anaesthesiology that are all available at the John Radcliffe Hospital in Oxford.

 

This new service has already completed its first successful mission. This involved a woman who had gone into premature labour at 29 weeks whilst travelling abroad.  Following comprehensive planning both medically and operationally, and after close consultation with the treating physician, a combined neonatal and obstetric senior specialist-led team was dispatched on board one of AirMed’s Learjet35As.

 

All eventualities had been planned for, including the necessity to deliver the baby. The Learjet 35A was equipped with double stretchers, including BabyPod, which enabled carriage of both mother and baby post delivery if required.

 

As it turns out, this comprehensive planning and assessment of all potential outcomes was required as after the mother was assessed by AirMed’s team it was agreed that the best course of action was to deliver the baby on site prior to the air ambulance flight home due to the onset of acute sepsis.  With close co-operation from the treating facility, baby Max, all 3lbs of him, was delivered successfully by Miss Sally Collins and subsequently resuscitated and intubated by Dr Charlotte Bennett.

 

Mum and baby doing really well on the flight home


The appropriate travel documents were sourced as quickly as possible and mum and baby were repatriated back to the UK where Max is continuing his care in a specialist neonatal unit. There is no doubt at all that had there been no immediate response from the insurance and assistance company, Mapfre, and the subsequent provision of the expert medical team and aircraft by AirMed, the outcome for both mother and baby would have been very different.

 

“We are all extremely pleased with the successful outcome of this trip, however it highlighted more than ever that in this world of ever changing demographics and travel, there is an absolute requirement for the provision of the most appropriate and specialised medical expertise for all aspects of patient needs.” Says Dr Charlotte Bennett, AirMed’s Neonatal Medical Director. “In light of this we have moved forward with the introduction of this Perinatal transfer service and we look forward to helping our Clients deal with those complex cases requiring a combination of specialised care and specialised personnel.”

 

 
AirMed becomes Jeppesen Launch Customer  E-mail
Friday, 01 July 2011 14:19


(LOCATION), U.K., July 01, 2011 – UK-based air ambulance operator AirMed now uses Jeppesen supplementary information booklets to increase operational efficiency and to integrate the most current paper-based flight information available in the business aviation marketplace.  AirMed recently received operational approval for Class 1 electronic flight bag (EFB) use in the cockpit for its Learjet 35A fleet and partnered with Jeppesen to receive paper-based supplementary information booklets as backup material for text-based flight information.

 

“We are extremely pleased to be able to work so closely with Jeppesen and come up with a solution that not only benefits ourselves, but will also benefit all of our colleagues within the industry,” said Jane Topliss, Business Development Manager, AirMed.  “The time that we will save by not having to file revisions and being able to throw away the out-of-date booklets and replace them with the new ones will be extremely valuable to small operators like us.  Due to the nature of our worldwide air ambulance business and with many of our flights being emergency launches, we need to ensure that we have the best information immediately at our fingertips.”

 

Currently, AirMed carries one EFB unit on board their aircraft and back-up supplementary information needs to be carried, per regulations.  The supplementary information booklet solution from Jeppesen eliminates the need for pilots to file paper-based revisions, saving time and operational cost for the operator.

 

Jeppesen provides supplementary information booklets for tailored digital charting service customers and partnered with AirMed to meet the needs of this critically important business aviation operator.  Jeppesen supplementary information booklets are available with worldwide coverage for business aviation operators.

 
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