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Castle is a dynamic team, and nothing illustrates that quite like days like today. While responding to our cardiac patient discussed in our previous blog entry the same on ground partner alerted us to another immediate for a critical medical transport for a construction worker who had amputated their hand.

The team immediately went back to the sandbox. This operation required a longer range airframe than the previous mission due to a need to return the construction worker to Montreal, Canada. Each taking a operate part of the problem that we specialized in we went back to it. A receiving hospital was located, insurance was approved, possible airframes were identified and alerted. Within 20 minutes we had the operation turn key ready for launch and were awaiting approval from our on ground partner to launch. 

We were coming up on a hard deadline. The airport normally closes at 2000 (8PM) local time, however our partner in the past has managed to cultivate a relationship with the government that allows them to keep the airport open for emergency flights through our organization. It's notable that this is a partnership and service we have cultivated with numerous global locations and governments, part of the secret that is our ability to respond anywhere in the globe on a moments notice.  Awaiting confirmation and approval that the facilities we would need to support our flight would be available we took another dry run through the entire operation:

Upon confirmation of launch order plane will be airborne in less than 30 minutes, en-route with all required supplemental medication and equipment to restock the ground team. 

At 30 minutes from landing the ground team will depart the hospital with patient and hold at the tarmac for our airframe to arrive. Once plane is on ground and fueled the patient will be loaded and secured for transport. Our aeromedical crew takes charge of treatment from our ground partner and makes the patient comfortable for transport.

Upon landing our ground ambulance team will be standing by for the transport from the Montreal Airport to our patient's identified hospital. 

Granted there are more steps than this involved in positioning the plane and preparing a hospital to receive a patient but the intricate details cannot occur without the transport plan in place. Another benefit of working with a true global provider is our ability to work alongside all insurance providers. The medical industry is a notoriously difficult to navigate field domestically, adding international medical policy support into the equation makes it infinitely more difficult. 

A stock photo from our ground ambulance partner from a previous evacuation

A stock photo from our ground ambulance partner from a previous evacuation

Our patient spent 2 hours on cow path's that barely counted as roads before they reached a clinic where he could be stabilized for shock, pain relievers barely tame the pain, worst of all the patient has time to process everything that has occurred. Amputations are traumatic injuries physically and emotionally, in the United States there are response times and protocols that enable a patient to be sedated rapidly and treated in supportive environments. In this case it would be at least 3 hours before a patient would see a doctor, 6 hours before they would reach their home hospital, the entire time not able to be completely sedated, receiving only painkillers instead. 

At the end of the day our patient made it home alive and well, treated the entire way with the best medicine we could provide. Castle Medflight prides itself in providing the most trusted critical care, anywhere, even where there are no roads.