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  • Originally posted by Graylion View Post
    I prefer the Cork air ambulance that is a private venture. They have basically ICU equipment on board and a doctore flying weith them. This is the wasy to do it. Together with IFR. My suggestion would be to take the 139s and convert them to propeer ambulance choppers, give the pilots night vision goggles so they can operate as close to 24/7 as possible. We'll also need them to transfer patients much more with the plan to have a few specialised trauma centers in the country.

    This sounds like a good use for them. Then buy some real military choppers.
    Does that Cork medevac helicopter service operate as a charitable trust with corporate sponsorship or a corporate outfit set up as a service provider? Down under both the charitable trust approach and service provider model are the common governance model for medevac services.

    Kind of related to this and of possible interest is that last year Starflight one of the OZ aviation service providers who does medevac and firefighting will soon operate ten refurbished and zero-houred ex US Army UH-60's with an option for another ten.

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    • Originally posted by Graylion View Post
      I prefer the Cork air ambulance that is a private venture. They have basically ICU equipment on board and a doctore flying weith them. This is the wasy to do it. Together with IFR. My suggestion would be to take the 139s and convert them to propeer ambulance choppers, give the pilots night vision goggles so they can operate as close to 24/7 as possible. We'll also need them to transfer patients much more with the plan to have a few specialised trauma centers in the country.

      This sounds like a good use for them. Then buy some real military choppers.
      Originally posted by Anzac View Post
      Does that Cork medevac helicopter service operate as a charitable trust with corporate sponsorship or a corporate outfit set up as a service provider? Down under both the charitable trust approach and service provider model are the common governance model for medevac services.

      Kind of related to this and of possible interest is that last year Starflight one of the OZ aviation service providers who does medevac and firefighting will soon operate ten refurbished and zero-houred ex US Army UH-60's with an option for another ten.

      https://www.lockheedmartin.com.au/au.../28072017.html

      My understanding of ICAA is that it is a charitable organisation purely charity funded (no corporate sponsor). They need to raise €1M to get it off the ground and €2M annually to run the service with a EC135.

      Once the Lifeport system and equipment is in a AW139 it has (AFAIK) every it needs. I agree a trauma doctor (and AC AP/crewman) would be a big advantage.

      The pilots already have NVG and are trained in their use.

      Why is EAS daylight only?
      (a) the AC probably doesn’t have enough pilots to do it 24/7
      (b) much more importantly, HEMS type work such as this is the most dangerous type of (civvy) flying possible, doing it at night increases the risk massively.

      If any HEMS service was to do 24/7 they will only ever do it to preselected lit HLZs.

      Blackhawks cost roughly double that of a AW139

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      • Originally posted by DeV View Post
        If any HEMS service was to do 24/7 they will only ever do it to preselected lit HLZs.
        For transports from regular hospitals to traume centres that would do just fine

        Originally posted by DeV View Post
        much more importantly, HEMS type work such as this is the most dangerous type of (civvy) flying possible, doing it at night increases the risk massively.
        one would assume that military personnel should be able to handle dangerous flying and be able to command resources that are not availab;le to civvies? A FLIR pod on the chopper migfht help for instance?

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        • oh and not a trauma doc. An anaestesiologist. Emergency doctors are in the busniess of keeping patients alive, not operating on the spot

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          • Originally posted by Graylion View Post
            For transports from regular hospitals to traume centres that would do just fine



            one would assume that military personnel should be able to handle dangerous flying and be able to command resources that are not availab;le to civvies? A FLIR pod on the chopper migfht help for instance?
            Originally posted by Graylion View Post
            oh and not a trauma doc. An anaestesiologist. Emergency doctors are in the busniess of keeping patients alive, not operating on the spot


            Have a look at the AAIU report

            Hardly any hospitals in this country have their own (proper) helipad - it is normally a nearby airport, park or sports pitch that is utilised. The AW139 has access to FLIR and NVG but NVG at least create depth perception issues and neither will help you see things like wires.

            Just because they are military personnel doesn’t mean they are immune to risk, danger or error. Even if they are the civvy doctor/AP, the patient, the people around the HLZ most certainly aren’t.

            You look at the risks, you assess them, you see what you can do to mitigate them and if it’s still to risky - you don’t do it. We are talking about min 4 people on the helo excluding patient - you don’t risk life unnecessarily.

            Generally doctors used on HEMS flights have 1 of 3/4 specialities (I can’t remember the others), different organisations do it differently

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            • Originally posted by DeV View Post
              I will, thanks


              Originally posted by DeV View Post
              Hardly any hospitals in this country have their own (proper) helipad.
              Yup, this should be changed at the same time, so there is a reasonable network and an ambulance for instance can pick up a patient at night and proceed to the nearest helipad with hospital. Primary care given in ambulance (which also should have a doctor) and local hospital until chopper arrives.

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              • Originally posted by Graylion View Post
                I will, thanks




                Yup, this should be changed at the same time, so there is a reasonable network and an ambulance for instance can pick up a patient at night and proceed to the nearest helipad with hospital. Primary care given in ambulance (which also should have a doctor) and local hospital until chopper arrives.
                There isn’t enough doctors in hospitals.

                NAS needs more APs. Paramedics and APs need to be able to refer and discharge patients within their capabilities

                I like the ICRR model (although it isn’t really fair to rely on good will). I would tend to agree that maybe there should be an AC crewman(AP) and a doctor on EAS

                Comment


                • Only 4 of the countries model 4 hospitals have helipads (2 of them have unrestricted access for IRCG S92s), only 1 operational helipad on campus in Dublin and only 1 helipad in the country that has direct access to A&E

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                  • Originally posted by DeV View Post
                    Only 4 of the countries model 4 hospitals have helipads (2 of them have unrestricted access for IRCG S92s), only 1 operational helipad on campus in Dublin and only 1 helipad in the country that has direct access to A&E
                    To be fixed then.

                    Comment


                    • Originally posted by morpheus View Post
                      would that mean that should the IAC get this role, it is going to paint its existing helis luminous yellow and use them for air ambulance from now on or that they will get a new fleet of air ambulance choppers?
                      with the reduction to a few major trauma centers in the country I'd be very much in favour. Use the 139s for that and buy some proper military choppers.

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                      • What are these words "proper military" I see before me? Are you trying to say that painting something green is insufficient to make it military?
                        For now, everything hangs on implementation of the CoDF report.

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                        • Originally posted by na grohmití View Post
                          What are these words "proper military" I see before me? Are you trying to say that painting something green is insufficient to make it military?
                          *looks innocent*

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                          • We have 6 AW 139, right? Paint 5 bright orance and fit them out permanently as the best air ambulance you can imagine. paint one in a civilian govt livery and fit it out as a VIP transport.

                            Then replace them with a 10t chopper that also replaces the S92s for SAR and bring back SAR to the Air Corps. And buy some more of the same chopper for when we have a ship to put them on (I vote Cougar, but AW 149 and *hawk are options too. AW149 would probably benefit from significant communality with AW 139)

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                            • You were going grand until you decided to bring SAR back to the air corps.
                              For now, everything hangs on implementation of the CoDF report.

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                              • Originally posted by na grohmití View Post
                                You were going grand until you decided to bring SAR back to the air corps.
                                Why not? edumacte me please I am seriously interested.

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