Paul sounds a decent reason for the thread.
I haven’t needed an air ambulance, but did get retrieved by a fire land-rover and an ambulance working together at Swinley earlier this year, when I knocked myself out for a while….
I think Air Ambulances are a great innovation… but,
1) Still some that do not have night flying capability.
2) We seem stuck in a very county/locality/charity based model, when – with the smallness of the UK – it might be better to have a National Service.
3) Also we don’t have level of high speed road trauma, and gunshot wounds that some countries have where a rapid retrieval system makes such a difference.
4) I believe there are still some issues about getting Air Ambulances to do expedited transfers between hospitals, where they could be really really useful…
5) Evidence of effectiveness of HEMS services in the UK setting in altering outcomes is still not brilliant.. Even the Air Ambulance Association report of 2008 seems to admit that.
I have worked in a hospital where we had our own neonatal retrieval helicopter, and also did an elective on a trauma team where we spent a lot of time dealing with people coming in in choppers, but that was Oz, and the distances made it necessary. I have also spent time dealing with sick patients in small planes, and in 4 hr plus ambulance journeys in Canada, and can see how helicopters might have done both rather better. So I can see why Scotland absolutely needs the service. And I love flying in helicopters 😀
So – not sure what the answer is – and this doesn’t really help does it?!