Collective Air Medical Evacuation: The French Tool

Borne, Marc; Tourtier, Jean Pierre; Ramsang, Solange; Grasser, L.; Pats, B.

doi:10.1016/j.amj.2011.09.002

Cited by 18 publications

(4 citation statements)

References 23 publications

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“…Ultrasonography avoided a Medical Evacuation (Medevac) in 4% (0–20%) of examinations performed, and prompted one in 7% of cases, on average. We believe that taking into account all the parameters related to medevac (cost, risk-taking in the conflict situation and in submarine environment, delayed mission, etc), it argues strongly in favour of the provision of ultrasound in isolated locations 27 28. Without ultrasound, it would probably have led to excessive and expensive evacuations 29.…”

Section: Discussionmentioning

confidence: 99%

French military general practitioner: ultrasound practice

et al. 2013

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Section: Discussionmentioning

confidence: 99%

French military general practitioner: ultrasound practice

et al. 2013

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“…The French Army's Health Service has been since 2006 a collective strategic air medical evacuation capability known as Morphée (Module de Réanimation Pour Haute Élongation d'Évacuation) [14]. Aboard an Airbus A330 MRTT Phénix, it may accommodate 6 to 12 patients over a 10,000 km range.…”

Section: Military Vs Civilian Concept For Collective Evacuationsmentioning

confidence: 99%

Collective Critical Care Ambulance: an innovative transportation of critical care patients by bus in COVID-19 pandemic response

Lentz

Groizard

et al. 2021

Scand J Trauma Resusc Emerg Med

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Background During the COVID-19 pandemic, as the number of available Intensive Care beds in France did not meet the needs, it appeared necessary to transfer a large number of patients from the most affected areas to the less ones. Mass transportation resources were deemed necessary. To achieve that goal, the concept of a Collective Critical Care Ambulance (CCCA) was proposed in the form of a long-distance bus re-designed and equipped to accommodate up to six intensive care patients and allow Advanced Life Support (ALS) techniques to be performed while en route. Methods The expected benefit of the CCCA, when compared to ALS ambulances accommodating a single patient, was to reduce the resources requirements, in particular by a lower personnel headcount for several patients being transferred to the same destination. A foreseen prospect, comparing to other collective transportation vectors such as airplanes, was the door-to-door capability, minimalizing patients’ handovers for safety concerns and time efficiency. With the project of a short-distance transfer of several Intensive Care Unit (ICU) patients together, the opportunity came to test the CCCA under real-life conditions and evaluate safely its technical feasibility and impact in time and resources saving, before it could be proposed for longer distances. Results Four COVID-19 patients were transported over 37 km. All patients were intubated and under controlled ventilation. One of them was under Norepinephrine support. Mean loading time was 1 min 39 s. Transportation time was 29 min. At destination, the mean unloading time was 1 min 15 s. No serious adverse effect, in particular regarding hemodynamic instability or ventilation disorder, has been observed. No harmful incident has occurred. Conclusions It was a very instructive test. Collective medical evacuation by bus for critically ill patients under controlled ventilation is suitable and easy to implement. Design, ALS equipment, power autonomy, safety and resources saving, open the way for carrying up to 6 ICU-patients over a long distance. The CCCA could bring a real added-value in an epidemic context and could also be helpful in many other events generating multiple victims such as an armed conflict, a terrorist attack or a natural disaster.

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“…The French Army's Health Service has been developing since 2006 a collective strategic air medical evacuation capability known as Morphée (Module de Réanimation Pour Haute Élongation d'Évacuation) [14]. Aboard an Airbus A330 MRTT Phénix, it may accommodate 6 to 12 patients over a 10,000 km range.…”

Section: G) Military Vs Civilian Concept For Collective Evacuationsmentioning

confidence: 99%

Collective Advanced Life Support Ambulance An Innovative Transportation of Critical Care Patients by Bus in COVID-19 Pandemic Response

Lentz¹,

Groizard²,

A³

et al. 2020

Preprint

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Background: During the COVID-19 pandemic, as the number of available Intensive Care beds in France did not meet the needs, it appeared necessary to transfer a large number of patients from the most affected areas to the less ones. Mass transportation resources were deemed necessary. To achieve that goal, the concept of a Collective Advanced Life Support Ambulance (CALSA) was proposed in the form of a long-distance bus re-designed and equipped so as to accommodate up to six intensive care patients and allow Advanced Life Support (ALS) techniques to be performed while en route.Methods: The expected benefit of the CALSA, when compared to ALS ambulances accommodating a single patient, was to reduce the resources requirements, in particular by a lower personnel headcount for several patients being transferred to the same destination. A foreseen prospect, comparing to other collective transportation vectors such as airplanes, was the door-to-door capability, minimalizing patients’ handovers for safety concerns and time efficiency. With the project of a short-distance transfer of several Intensive Care Unit (ICU) patients together, the opportunity came to test the CALSA under real-life conditions and evaluate safely its technical feasibility and impact in time and resources saving, before it could be proposed for longer distances.Results: Four COVID-19 patients were transported over 37 km. All patients were intubated and under controlled ventilation. One of them was under Norepinephrine support. Mean loading time was 1min 39s. Transportation time was 29 min. At destination, the mean unloading time was 1min 15s. No serious adverse effect, in particular regarding hemodynamic instability or ventilation disorder, has been observed. No harmful incident, in particular no accidental extubation, has occurred.Conclusions: It was a very instructive test. Collective medical evacuation by bus for critically ill patients under controlled ventilation is suitable and easy to implement. Design, ALS equipment, power autonomy, safety and resources saving, open the way for carrying up to 6 ICU-patients over a long distance. The CALSA could bring a real added-value in an epidemic context and could also be helpful in many other events generating multiple victims such as an armed conflict, a terrorist attack or a natural disaster.

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Collective Air Medical Evacuation: The French Tool

Cited by 18 publications

References 23 publications

French military general practitioner: ultrasound practice

French military general practitioner: ultrasound practice

Collective Critical Care Ambulance: an innovative transportation of critical care patients by bus in COVID-19 pandemic response

Collective Advanced Life Support Ambulance An Innovative Transportation of Critical Care Patients by Bus in COVID-19 Pandemic Response

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