New technology to aid COVID-19 air transfers

The Scottish Ambulance Service is utlilising the latest medical technology to aid in the safe transfer of COVID-19 patients using air ambulance.

The ‘epishuttle’ technology allows patients to be placed in a sealed adult sized incubator for transfer by air ambulance, providing protection for both patients and staff in complex cases.

To date, eight of these shuttles have been purchased, two of which have been received and are being tested for a go-live date on 3 April. A further two will be received on 17 April and another four by Mid-May.

The investment, of more than £500,000, will allow the Service to ensure patients receive the highest possible standards of care whilst increasing capacity for complex transfers involving COVID-19 patients, such as those from remote and Island communities.

The Scottish Ambulance Service is working in partnership with Transport Scotland, Loganair and the RAF to increase the range of transport options available for COVID-19 transfers.

Pauline Howie, Chief Executive of the Scottish Ambulance Service, said: “This is an unprecendented situation and our staff across the country are doing a fantastic job in caring for patients across Scotland.

“The fight against COVID-19 has required the NHS to think differently and to move at pace. By adapting our approach and using this latest available technology, we are taking  swift action in the best interests of patients and our hardworking staff – whilst increasing our capacity.

“The introduction of epishuttles will increase the range of options available to us as a Service as we deal with COVID-19 cases, particularly for rural and island communities.

“I’d also like to thank our colleagues at Transport Scotland, Loganair and the RAF who have been offered fantastic assistance to us through aircraft and staff. It has been a real team effort and means we have the full range of resources available to us to enable us to react to any situation as we continue to help communities across Scotland in the months ahead.”

Health Secretary Jeane Freeman said: “We’ve been working closely with the Scottish Ambulance Service to significantly increase capacity for airlifting patients off the islands and to ensure that any patients from our island communities with COVID-19 can be transported to receive the appropriate healthcare when they need it.

“The first batch of Epishuttles will be available from this Friday, with plans well underway to increase the number of these single patient isolation pods in the coming weeks. Epishuttles are designed to protect patients and crew from potential infection and safely transport patients on fixed wing aircraft.

“In the meantime, SAS is working with the RAF who are currently providing cover for transfers off the islands, using three puma helicopters based at Kinloss which can transfer some patients without Epishuttles.

“Our NHS is on an emergency footing and all health boards have been undertaking extensive work across Scotland to maximise the capacity available to manage expected rise in demand due to COVID-19. We can all play our part and ease pressure on services by staying at home, except for key workers, essential shopping, reasonable exercise or caring for the vulnerable.”

Mum thanks ambulance service after collapsing at gym

A mum said she owes her life to the Scottish Ambulance Service when she collapsed at the gym after being struck down with an exercise-related medical condition.

Vicky Tallentire, from Corstorphine, became unwell while on a treadmill at a city gym.

She was suffering  from a rare disorder in which anaphylaxis occurs after physical activity and was unresponsive after having collapsed. She was rushed to Edinburgh Royal Infirmary by ambulance crew Mark Ferrier and Alex Vesco.

Since the incident, she has been reunited with both on separate occasions.

Vicky, a medical consultant of Acute Receiving at Western General Hospital, said: “It was a Saturday morning and I was at the gym. 

“I was on a treadmill when I started to feel really unwell. I went downstairs with my husband Mike, who was with me and I collapsed in quite a confined bathroom area of the gym, with what evolved into an episode of anaphylaxis. I have had one previous episode of anaphylaxis and I sort of recognised some of the symptoms.” 

She “very rapidly” started to lose consciousness and added: “My husband, who is a doctor as well, phoned 999. I don’t remember much about the intervening period between the phone call going out and me kind of regaining consciousness in the emergency department in the Royal Infirmary. I do remember a crew arriving and having a sense I was being managed really well.  

“My husband, an ICU consultant, thought I was going to [cardiac] arrest.  I was in a small toilet area of the gym, making logistical issues even more challenging.” 

An ambulance crew was soon dispatched, staffed by Mark and Alex. 

Vicky said: “The crew were everything I could have asked for – efficient, effective and kind, all at the same time.  I didn’t care much about kind words; I knew I needed adrenaline and fluids and hospital.  

“But whenever I was conscious I felt a sense of control by the crew; I heard specific and effective communication, I heard rapid decision-making under pressure and I knew I was in safe hands. 

“I have only ever been in an ambulance transferring patients between hospitals, never as a patient myself.

 “I know I owe my life to that crew – being at the front line is tough.  I know, I live it.  But just occasionally you do get to make a real difference to someone’s life.”

Accompanied by her son Wilson, Vicky recently met up with paramedic Alex just before Christmas. She also ran into Mark earlier this month while at work.

Wilson also thanked the crews: “Thank you for having my mum back for Christmas.”

On meeting Vicky again, Alex said: “It was a real unique experience to meet a patient after the event, it’s not something we commonly get to do, and quite often we don’t get to find out how are patients are after we take them into the Emergency Department, so this has been really good to have an informal debrief, and ask each other questions, so it was really nice to meet up.”

Vicky has since made a very full recovery and added: “I really can’t express how grateful I am to both of the crew involved, and also the amazing team at Royal Infirmary of Edinburgh ED. From the bottom of my heart, I am so immensely grateful to everyone involved.”

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