2. I SUNRISE AT SOUNION I am dressed in robes of borrowed splendor. What you see in me is figment something from the sea, from the sun, from you, something from the forest, from nights essence, and when I die, the elements will take back the light, the sea, the forest, the moon. Silence will stay in my stead and this soul that I carried in my breast when I fell from the skys topmost perch will be scattered in love on the earth. NIKIFOROS VRETTAKOS THIRTY YEARS IN THE RAIN

4. ITIC 17τh inτεrnατionαl confεrεncε November 03, 2009 Case Studies of Hot Spots Presented by Dr. Gregory Kyriakou Αθήνα GREECE

5. 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 km 2, this includes 1.140 km 2 of water how many islands? 140 inhabited, out of a total of about 3.000 population (2007) 11.192.849 Greece geography

6. where is Greece ?

8. coordinates are 39 00 N, 22 00 E

9. Greece

10. 140 inhabited islands, out of a total of about 3.000 Greece

11. air medical transportation _Greece and this is Greece

12. air medical transportation _Greece and this is Greece

13. air medical transportation _Greece and this is Greece

14. air medical transportation _Greece and this is Greece

15. air medical transportation _Greece and this is Greece

16. air medical transportation _Greece and this is Greece

17. 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

19. Health Center @ PAROS island

20. air medical transportation _Greece Health Center @ PAROS island

21. air medical transportation _Greece Lack of modern medical equipment

22. air medical transportation _Greece …..and as the time pass and no airplane at the horizon ……

23. Athens 2000, Caring in the Skies

24. distinguished speakers

25. Athens 2000, Caring in the Skies distinguished speakers

26. Athens 2000, Caring in the Skies distinguished speakers

27. Athens 2000, Caring in the Skies distinguished speakers

28. Athens 2000, Caring in the Skies distinguished speakers

29. Athens 2000, Caring in the Skies THE speaker Mayor of Iraklia island

30. Athens 2000, Caring in the Skies THE speaker Mayor of Iraklia island

31. 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 speaker Mayor of Iraklia island

32. 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 …

33. History of air medical transportation in Greece air medical transportation _Greece

34. u p 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 operations Military 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-Power and 1 fix-wind (Jetstream) under wet lease contract air medical transportation _Greece

35. the era of Olympic Aviation air medical transportation _Greece

36. 1999, EKAB owns 5 Agusta 109-Power after international tender operation is given to Helitalia air medical transportation _Greece

37. 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

38. three tragic accidents air medical transportation _Greece 2001, January _Sounion

39. three tragic accidents air medical transportation _Greece 2002, June _Anafi

40. three tragic accidents air medical transportation _Greece 2003, February _Ikaria

41. 2003, May _ military aviation takes up operation of EKAB heli the Squadron of Helicopters of Immediate Health is established air medical transportation _Greece

42. non profit foundations Βελέντζειο Ίδρυμα Προνοίας και Μορφώσεως Πάρου Paros Velentzio Foundation for Providence & Education air medical transportation _Greece

43. Βελέντζειο Ίδρυμα Προνοίας και Μορφώσεως Πάρου Paros Velentzio Foundation for Providence & Education Piper Navajo-Chieftain _SX-BPM established July 2007in 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

44. ίδρυμα «ΝΟΜΙΚΟΥ» _Σαντορίνη NOMIKOS Foundation _Santorini SX-BLE

45. air medical transportation _Greece ίδρυμα «ΝΟΜΙΚΟΥ» _Σαντορίνη NOMIKOS Foundation _Santorini Piper PA31 Navajo Chieftain _SX-BLE Cessna 402 _SX-APD

46. 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

47. established 1994 Just two years after the deliberation of the air transportation in Greece

48. air medical transportation _Greece our small history SX-BSA Aegean Aviation

49. air medical transportation _Greece our small history LR35_SX-BNT_AEGEAN AVIATION

50. air medical transportation _Greece our small history LR55_SX-BNS_Aegean Aviation

51. air medical transportation _Greece our small history LR60_D-CSLT _Greek owner, operated FAI

52. air medical transportation _Greece our small history 1999, Rally Acropolis

53. air medical transportation _Greece our small history 1998, Training visit at INSBRUCK

54. air medical transportation _Greece our small history 1998, EURAMI meeting - Helsinki

55. 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)

56. reference in cases multiple casualty, from Kalamata to Athens (Dornier 228 -Olympic Aviation) 3 stretcher patients air medical transportation _Greece

57. 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 Gander heavy snow at Goos Bay & Gander the child admitted overnight at Keflfavik

58. the problems the operating hours of airports Kastelorizo _LGKZ air medical transportation _Greece

59. the problems the operating hours of airports Milos _LGML air medical transportation _Greece

60. the problems the operating hours of airports Paros _LGPA air medical transportation _Greece

61. the problems the operating hours of airports Sitia _LGST air medical transportation _Greece

62. the problems the operating hours of airports change often and the procedure to take the approval for extended operating hours is time consuming

63. 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

64. the problems lack of heliports in the area of Athens helicopters 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

65. the problems lack of heliports in the area of Athens air medical transportation _Greece

66. the problems difficulties in communication and gathering medical information from doctors at hospitals of the periphery air medical transportation _Greece

67. 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

68. costs; quotations; competition; Greek air ambulance companies have to compete Quotations from north Europe which are much cheaper due to the high utilization of the airplanes / medical staff evacuation vs repatriation (financial crisis play its role)

69. 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

70. air medical transportation _Greece TOMORROW Βe-200

71. air medical transportation _Greece TOMORROW

72. air medical transportation _Greece

73. 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

74. with the eyes of a..kid

77. Xie Xie Do jeh Arigato Tak Grazie Komawoyo tesekkür ederim