i sunrise at sounion i am dressed in robes of borrowed splendor. what you see in me is figment...

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