What the one has to do if he needs air ambulance?

Введение

Air ambulance in Kazakhstan has started to operate in 2011. Air ambulance is a special, socially oriented health facility, the effectiveness of which largely depends on the preservation of health and life of the population.

During the 12-year period from 2011 to 2022, the National Coordination Center for Emergency Medicine carried out 22,957 sorties, provided 35,135 medical services. In this material, we will describe in detail the cases when a decision to use air ambulance is made.

What is air transportation for?

This type of care is provided by RSEE “National coordination center for emergency medicine” of the Ministry of Health of the Republic of Kazakhstan, which provides the provision and development of emergency and emergency medical care to patients in the form of medical aviation in order to increase the availability, timeliness and safety of medical services provided. Areas of activity of medical aviation:

  • Patient transportation
  • Conducting face-to-face consultations
  • Conducting remote medical services
  • Participation in the organization of operations
  • Transportation of donor organs and biomaterial

 

Who is provided with the air ambulance care?

Medical care in the form of air ambulance under the Guaranteed State Benefit Package (GSBP).

The grounds for providing medical care in the form of medical aviation using a specialized or specially prepared aircraft are:

  • transportation, according to a letter from the authorized body, to medical organizations of regions, cities of republican significance and the capital of citizens of the Republic of Kazakhstan and ethnic Kazakh ("kandas") who are in foreign medical organizations, without independent breathing, in a coma; patients in need of medical support, victims of an accident and injuries whose condition does not allow transportation by land transport and on an aircraft of regular civil aviation flights, may be accompanied by one relative;

What is MAAB?

In each region, to ensure timeliness and accessibility at the regional and municipal emergency care stations, a MD coordinator of the Air ambulance department is involved.

In the emergencies, a call-up for air ambulance is done by health staff, victims or eyewitnesses that were in the scene of the accident through a call by any type of telephone to the emergency service "112", service "103" or to the special air ambulance dispatch service.

The Mobile Medical Aviation Brigade (MBMA) is a structural and functional unit of medical aviation that directly provides emergency medical care, as well as specialized, including high–tech medical care by qualified specialized specialists. The MAAB staff includes a doctor and a paramedic and is composed in accordance with the patient's pathology discipline. If necessary, the brigade may also include an anesthesiologist/resuscitator and other specialists.

Round-the-clock dispatch posts are organized in the coordinating organization and air ambulance departments which maintain constant communication between each other, health facilities, aircraft operators, aircraft pilots, mobile air ambulance brigades.

Areas of work of air ambulance

The patients are transported from the regions to the republican or regional centers, where they are provided with high-tech medical care.

Face-to-face consultations. The National Emergency Medicine Coordination Center provides the delivery or transportation of the qualified discipline specialists to the health facility where the patient is located or to the appropriate health facility for the face-to-face consultation within guaranteed state benefit package using the air ambulance.

Provision of remote medical services;

Surgery operations. If the patient is not transportable, in the severe condition, and the regional specialists are not sufficiently qualified with the health techniques or qualifications, then highly qualified specialists from the Republican health facilities and the cities of Astana and Almaty are delivered to perform surgery operations at the place.

Transportation of the donor organs and biomaterial.

Key Reasons to use the Air ambulance

Most patients who are provided with air ambulance medical care are the patients with severe injuries, including those that occurred in the traffic accidents, as well as the children and newborns, pregnant women and patients with cardiovascular pathologies and other diseases (Covid – 19).