SMA News Digest (Summer 2014): V54, I2 | Page 28

Saskatchewan Air Ambulance CLASSIFIEDS supporting rural physicians and their patients for 68 years By Maria Derzko / Photocredit SAA First Officer Mark Psutka “Two summers ago there was a multi-vehicle accident with multiple patients involved,” says Dr. Reid McGonigle, EMS Medical Director for Keewatin-Yatthee RHA and family physician to the residents of remote northern reserve, Ile-a-laCrosse, “Seven needed transportation to Saskatoon and two of these were critically injured patients.” The community of Ile-a-la-Crosse is almost 500 kilometers from Saskatoon and timely land transport to a Saskatoon hospital for any of its approximately 1600 residents is impossible. “Saskatchewan Air Ambulance (SAA) came immediately to pick up the two most acute patients and came back twice to transport the others over the next few hours,” says Dr. McGonigle. “It’s difficult to imagine how we would manage our most challenging patients without SAA,” he adds, “There simply are not any alternatives to SAA currently in place in our province.” Such scenarios are just part of the job for the staff and crew of Saskatchewan Air Ambulance, the provincial air ambulance service and oldest non-military air ambulance service in the world. Its flight nurses, critical car paramedics and flight crew perform nearly 50 per cent of emergency and nonemergency air patient transport in the province and have been quietly serving the physicians of Saskatchewan and their patients since 1946. Equipped with three King Air 200 fixed-wing aircraft, a crew that includes flight nurses, advance care paramedics, captains and first officers, operating 24 hours per day, 365 days per year, SAA rushes to pick up patients at an average of 26 SMA NEWS DIGEST | SUMMER 2014 275 knots (315 mph) - over double the speed of other air ambulance services capable of red patient transport in the province. These versatile twin engine aircraft allow SAA to regularly fly into communities as small as Maidstone and Unity, as remote as Wollaston Lake and Ile-a-la-Crosse, and as far away as Vancouver, Edmonton and London, ON, in most weather conditions. Their expert crew safely transported 1653 patients (1031 CTAS 1 & 2) last year – an average of 4.5 patients per day - to tertiary care centres. 140 patients were transported out of Ile-a-la-Crosse alone during that period where, according to Dr. McGonigle, he and the other physicians in the community rely on the services of SAA for safe rapid transport of their patients anywhere from two to three times per week, up to two to three times per day. “SAA provides an absolutely essential service,” continues Dr. McGonigle, “Due to geography and the distances involved in a place like Saskatchewan, fixed-wing air transport is essential.” The 500 km to the community is well out of range of the STARS helicopter and the medical crew on other fixed wing air ambulance services do not have the same level of critical care training and experience as those at SAA, so they are not an option for transporting critically ill or injured patients. “The SAA staff do more than just transport patients,” emphasizes Dr. McGonigle, “They are highly-trained and experienced medical professionals who help to stabilize and manage very sick and potentially unstable patients before and during their transport to a more advanced level of care.”