i sunrise at sounion i am dressed in robes of borrowed splendor. what you see in me is figment...
TRANSCRIPT
I SUNRISE AT SOUNIONI am dressed in robes of borrowed splendor.What you see in me is figmentsomething from the sea, from the sun, from you,something from the forest, from night’s essence,and when I die, the elements will take backthe light, the sea, the forest, the moon.Silence will stay in my steadand this soul that I carried in my breastwhen I fell from the sky’s topmost perchwill be scattered in love on the earth.
NIKIFOROS VRETTAKOSTHIRTY YEARS IN THE RAIN
ITIC 17τh inτεrnατionαl confεrεncεNovember 03, 2009
Case Studies of Hot Spots
Presented by
Dr. Gregory Kyriakou
Αθήνα
GREECE
ITIC 17τh inτεrnατionαl confεrεncε Αθήνα
air medical transportation _Greece
coordinates are 39 00 N, 22 00 E is considered to be part of Southern
Europe it is also included as a Western European
nation a total area of 131.940 km2, this includes 1.140
km2 of water
how many islands? 140 inhabited, out of a total of about 3.000
population (2007) 11.192.849
Greece geography
where is Greece ?
where is Greece ?
where is Greece ?
coordinates are 39 00 N, 22 00 E
Greece
140 inhabited islands, out of a total of about 3.000
Greece
air medical transportation _Greece
and this is Greece
air medical transportation _Greece
and this is Greece
air medical transportation _Greece
and this is Greece
air medical transportation _Greece
and this is Greece
air medical transportation _Greece
and this is Greece
air medical transportation _Greece
and this is Greece
the Facts the Health System in Greece
Public Private
the infrastructure ^ peculiarities & uniqueness's
• rural medical cabinets
• health centers
• peripheral hospitals
air medical transportation _Greece
air medical transportation _Greece
air medical transportation _GreeceHealth Center @ PAROS island
air medical transportation _GreeceHealth Center @ PAROS island
air medical transportation _Greece
Lack of modern medical equipment
air medical transportation _Greece
…..and as the time pass
and no airplane at the horizon ……
Athens 2000, Caring in the Skies
Athens 2000, Caring in the Skiesdistinguished speakers
Athens 2000, Caring in the Skiesdistinguished speakers
Athens 2000, Caring in the Skiesdistinguished speakers
Athens 2000, Caring in the Skiesdistinguished speakers
Athens 2000, Caring in the Skiesdistinguished speakers
Athens 2000, Caring in the SkiesTHE speakerMayor of Iraklia island
Athens 2000, Caring in the SkiesTHE speakerMayor of Iraklia island
Athens 2000, Caring in the Skies
“…when on the island we have a patient suffering, first we look to the sky,after we look to the sea,
and then we go to Church and pray …”
THE speakerMayor of Iraklia island
Athens 2000, Caring in the Skies
“…when on the island we have a patient suffering, first we look to the sky,after we look to the sea,
and then we go to Church and pray …”
History of air medical transportation in Greece
air medical transportation _Greece
up to 1977 air-medical transportations under control of Hellenic Red Cross Hospital and the Social Insurance Institute
up to 1983, 8 heli of Olympic Aviation, with the involvement also of military flight means when needed
1985 establishment of EKAB
1994 Olympic Aviation provides a Dornier-228 on a 24 hr availability and 2 helicopters for daylight operationsMilitary aviation provides 2 Agusta, 1 UH-1H; and 1 CH-47D and the navy aviation 1 AB-212 & 1 S-70B for night operations
1999 EKAB owns helicopters 5 Agusta 109-Powerand 1 fix-wind (Jetstream) under wet lease contract
air medical transportation _Greece
• the era of Olympic Aviation
air medical transportation _Greece
• 1999, EKAB owns 5 Agusta 109-Powerafter international tender operation is given to Helitalia
air medical transportation _Greece
the National Center of Immediate Help _EKAB _Εθνικό Κέντρο Άμεσης Βοήθειας
numbers: 2.000 – 2.500 air medical transfers / year
out of 15.531 missions in the last 10 years,
14.794 (35,22%) originated at Cyclades
3.509 (24,40%) originated at Dodecanese
3.254 (22,5%) originated at the rest of Aegean
1.479 (10,2%) originated at Ionian islands
634 (4,3 %) originated at Crete
346 (2,5%) originated at Argosaronikos absolute indication for air ambulance 61%
relative indication 32,8 % 6,2% without any medical necessity or indication
Source: EKAB
air medical transportation _Greece
• three tragic accidents
air medical transportation _Greece
2001, January _Sounion
• three tragic accidents
air medical transportation _Greece
2002, June _Anafi
• three tragic accidents
air medical transportation _Greece
2003, February _Ikaria
• 2003, May _military aviation takes up operation of EKAB heli
the Squadron of Helicopters of Immediate Health is established
air medical transportation _Greece
air medical transportation _Greece
non profit foundations Βελέντζειο Ίδρυμα Προνοίας και Μορφώσεως Πάρου
Paros’ Velentzio Foundation for Providence & Education
air medical transportation _Greece
Βελέντζειο Ίδρυμα Προνοίας και Μορφώσεως Πάρου
Paros’ Velentzio Foundation for Providence & Education
Piper Navajo-Chieftain _SX-BPM
established July 2007 in two years 450 missions day & night flights
from Paros to Athens LGAV / LGEL (30-35 min) or to Syros LGSO (8-10 min)
the municipality of Paros contributes in the operational & maintenance expenses
air medical transportation _Greece
air medical transportation _Greece
ίδρυμα «ΝΟΜΙΚΟΥ» _Σαντορίνη“NOMIKOS” Foundation _Santorini
SX-BLE
air medical transportation _Greece
ίδρυμα «ΝΟΜΙΚΟΥ» _Σαντορίνη“NOMIKOS” Foundation _Santorini
Piper PA31 Navajo Chieftain _SX-BLE
Cessna 402 _SX-APD
private air ambulance aircrafts
Beech 200 King Air _SX-APJ
Piper PA-31-T Cheyenne _SX-FDC
CESSNA 560 CITATION _SX-DCI
Cessna 550 Citation II _SX-FDB
air medical transportation _Greece
air medical transportation _Greece
established 1994Just two years after the deliberation of the air transportation in Greece
air medical transportation _Greece
our small history
SX-BSA
Aegean Aviation
air medical transportation _Greece
our small history
LR35_SX-BNT_AEGEAN AVIATION
air medical transportation _Greece
our small history
LR55_SX-BNS_Aegean Aviation
air medical transportation _Greece
our small history
LR60_D-CSLT _Greek owner, operated FAI
air medical transportation _Greece
our small history
1999, Rally Acropolis
air medical transportation _Greece
our small history
1998, Training visit at INSBRUCK
air medical transportation _Greece
our small history
1998, EURAMI meeting - Helsinki
air medical transportation _Greece reference in cases
03/07/2007 helicopter patient pick up from cruise ship out of Santorini, transfer to Athens for immediate operation (acute abdomen)
reference in cases multiple casualty, from Kalamata to Athens (Dornier 228 -Olympic Aviation)3 stretcher patients
air medical transportation _Greece
air medical transportation _Greece reference in cases 22/11/2008 LGAV > KMIA
• 6 months child, with extended intestinal necrosis
• air medical transfer to specialized transplantation hospital
• wing to wing at Ganderheavy snow at Goos Bay & Ganderthe child admitted overnight at Keflfavik
the problems the operating hours of airports
Kastelorizo _LGKZ
air medical transportation _Greece
the problems the operating hours of airports
Milos _LGML
air medical transportation _Greece
the problems the operating hours of airports
Paros _LGPA
air medical transportation _Greece
the problems the operating hours of airports
Sitia _LGST
air medical transportation _Greece
air medical transportation _Greece
the problems
the operating hours of
airports change often
and the procedure to
take the approval for
extended operating
hours is time consuming
the problems
the operating hours of
airports change often
and the procedure to
take the approval for
extended operating
hours is time consuming
air medical transportation _Greece
the problems lack of heliports in the area of Athenshelicopters have to land at “Eleftherios Venizelos” airport and from
there with ground ambulance to public or private hospitals (ground time distance 40-50 min)
air medical transportation _Greece
the problems lack of heliports in the area of Athens
air medical transportation _Greece
the problems difficulties in communication and gathering medical
information from doctors at hospitals of the periphery
air medical transportation _Greece
the problems difficulties in hiring proper air ambulance medical staff (doctors and paramedics / registered nurses)
training in aviation and travel medicine for the air ambulance medical staff _lack of courses, need of traveling abroad for attending similar courses and gain experience
air medical transportation _Greece
air medical transportation _Greece
costs; quotations; competition; Greek air ambulance companies have to compete Quotations from north Europe which are much cheaperdue to the high utilization of the airplanes / medical staff
evacuation vs repatriation (financial crisis play its role)
air medical transportation _Greece
the TOMORROW substantial improvement in the last 17 years
training, training, training
absolute need of cooperation with organizations in Europe, as EURAMI but also with established and with many years experience air ambulance companies
air medical transportation _Greece
TOMORROW
Βe-200
air medical transportation _Greece
TOMORROW
air medical transportation _Greece
air medical transportation _Greece
air medical transportation activities in Greece,is NOT AN EASY TASK
needs training, training, more training
needs cooperation with established air ambulance operators
needs professionals
more improvement is needed
with the eyes of a ..kid
Xie Xie Xie Xie
Do jeh
Arigat
o
Tak
GrazieGrazie
Komawoyo
tesekkür ederim