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.

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Presentation transcript:

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

ITIC 17τh inτεrnατionαl confεrεncε November 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 N, E is considered to be part of Southern Europe it is also included as a Western European nation a total area of km 2, this includes km 2 of water how many islands? 140 inhabited, out of a total of about population (2007) Greece geography

where is Greece ?

coordinates are N, E

Greece

140 inhabited islands, out of a total of about 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

Health PAROS island

air medical transportation _Greece Health 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

distinguished speakers

Athens 2000, Caring in the Skies distinguished speakers

Athens 2000, Caring in the Skies distinguished speakers

Athens 2000, Caring in the Skies distinguished speakers

Athens 2000, Caring in the Skies distinguished speakers

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

Athens 2000, Caring in the Skies THE speaker Mayor 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 speaker Mayor 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

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

the era of Olympic Aviation air medical transportation _Greece

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

the National Center of Immediate Help _ EKAB _Εθνικό Κέντρο Άμεσης Βοήθειας numbers: – air medical transfers / year out of missions in the last 10 years, (35,22%) originated at Cyclades (24,40%) originated at Dodecanese (22,5%) originated at the rest of Aegean (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

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 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

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

established 1994 Just 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

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

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

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 Athens helicopters have to land at Eleftherios Venizelos airport and from there with ground ambulance to public or private hospitals (ground time distance 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

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)

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 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 Do jeh Arigato Tak Grazie Komawoyo tesekkür ederim