Four ICU Covid patients transported in one aircraft
The medical assistance provider shared its experience of co-ordinating a highly complex evacuation of four ICU patients, repatriating the individuals from La Réunion island to Paris, France
The operation was commissioned by the French Ministry of Health and carried out in collaboration with the SAMU, the emergency medical services in France, the Regional Health Agency, Air Austral, and Aéroports de Paris. This is the first time that so many ICU Covid-19 patients have been transported simultaneously on such a long-haul flight.
“Transporting one or two seriously ill patients is part of everyday life. This particular situation was highly unique and even more complex, with all four patients in an unconscious and intubated-ventilated condition. Medical evacuations, particularly during the pandemic, are complex, but this was even more so, requiring an even greater level of care and co-ordination. We were honored to be called on for our expertise and proud to be part of the team that was able to transport the patients safely,” explained Dr Arnaud Derossi, Regional Medical Director at International SOS.
Evacuation details
The chartered Air Austral Boeing 787 took off from Réunion Island at 21:33hrs local time and landed at Paris Charles-de-Gaulle airport on Friday 5 March 2021 at 5:15am local time, after an 11-hour flight. A civil aviation exemption had been necessary to allow Air Austral to have so many patients on stretchers and with such a high volume of oxygen.
The mission was staffed by the SAMU from Paris and La Réunion, with five ICU doctors, five ICU nurses, seven EMTs and one logistician, while International SOS provided a flight nurse and a logistics expert for supporting the various teams and interfacing with the aircraft crew and the International SOS Paris assistance center.
The International SOS Assistance Centre’s role was to interface with the various SAMUs, the airport and the aircraft, under supervision by the Health Ministry crisis center, planning for and managing all requirements. Also, a critical aspect was to be able to quickly react in case of the aircraft diversion due to a technical incident, in order to prepare ground support for the patients. Due to the severity of the disease, advanced equipment was loaded and installed on the aircraft such as portable blood analyzers, ultrasound machine and two ECMO machines [Extracorporeal Membrane Oxygenation], as well as backup ventilators. This represented one ton of medical equipment, along with 9,500 liters of oxygen for each patient.
While air ambulance operators around the world are now very practiced at transporting Covid-19 patients on short and long-haul flights, flying four critical patients at a time represents a new achievement.