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MEDIC’AIR إفريقيا للنقل / H24

African - Middle East Operations :
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40000 Marrakesh - Morocco
T. +212 524 38 13 88
F. +212 524 42 84 36

Exp’Air : a new Medic’Air branch to develop medical escort on commercial airlines for reliable assistance companies.

More infos

News Lett’Air

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.

More and more travelers with a progressive disease (here advanced degenerative neuropathy) travel around the world and to countries with low levels of care. These patients can be hospitalized for pathologies independent of their previously constituted illness and are therefore eligible for repatriation through their assistance contract, especially as the local medical response can shortly be exceeded by the complexity of the case: new acute pathology added to a chronic pathology, aggravating the clinical status.

To meet these demands, embedded technology must continue to progress and "stick" to the performance of our Western hospital resuscitation services ... it is a double investment as a medical team and aeromedical means.