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April 2018 Medic’Air International
3 / Sensitive Medevac flight Abidjan / Ivory Coast to Montreal / Canada.
Today the mission for Medic’Air team is to evacuate from West Africa to Canada a young lady with an advanced degenerative neuropathy with malaria access and alteration of consciousness.
Malaria is well covered by Artesunate and pneumopathy by a cocktail of antibiotics, Glasgow score is estimated at 11/15 when the Medic’Air team is living Paris LBG airport to Abidjan.
To perform this evacuation in a safe condition, with a patient suffering from pneumopathy and conscience alteration, the mechanical ventilation – under sedation – is necessary. In this case of amyotrophic lateral sclerosis, sedation for orotracheal intubation and ventilation has heavy consequences and make improbable any return to the initial respiratory state after improvement.
To face to a pulmonary distress on flight, the use of non-invasive ventilation could be the only way to pass the acute phase with all the drawbacks of this technique.
First medical team (MD & RN) boards on the Challenger 604 for this sensitive mission, with 12 000 liters of oxygen available in the cabin and one Elisee 350 ventilator (with large scoop of ventilation ways)
The flight plan was as followed :
Abidjan – Paris, first leg: 6 hours and half length
Stop to fuel, to change pilots and medical crew and if necessary to fill up oxygen cylinders
Paris – Montreal, second leg of eight hours.
Luckily, patient improved with treatment when air ambulance arrived in Abidjan, and except some trouble to swallow because of cough, she didn’t need any ventilation support on flight and remained stable. Flight with patient, medical attendant, relative and including electric personal wheelchair was uneventful.