iMER - International Medical Evaluation and Referral
   
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Medical Evacuation
What is Medical Evacuation?
Medical evacuation, often abbreviated as "MEDEVAC", is the timely and efficient transport with expert en-route medical care, of a patient being moved to a suitable medical facility for treatment, using medically equipped vehicles (road ambulances or air ambulances).
When do you need Medical Evacuation?
When the available medical services cannot provide the treatment required
When the patient’s conditions preclude him from using regular road or airline transportation
When time lost may mean increased morbidity or mortality…
iMER MEDEVACS
iMER will transport you, as soon as possible, to the appropriate Medical Center
iMER Medical Evacuations include all ground transportation in the best equipped ambulances and our fully equipped iMER Air Ambulances.
iMER Air Ambulance Service
iMER Air Ambulance Service
The uniqueness of the iMER Ambulance Service is best characterized by:
Association with the Hadassah Medical Center
iMER association with Hadassah enables us to draw from the Hadassah Medical Center expertise to handle each case, most times the treatment begins when the patient boards our planes.
iMER Medical Director
Prof. D. Linton, iMER co-founder, is an internationally acknowledged expert in air ambulance transport of critically ill patients. Professor Linton is an Instrument Rated Commercial Pilot with more than 1,500 hours. He was the Honorary Medical Director of the Red Cross Air Mercy Service in South Africa for 10 years prior to starting work in Jerusalem in 1996, when he started to organize the first Dedicated Air Ambulance service in the Middle East.
Prof. Linton organized and leads the National training courses for Medical and Para-medical personnel for Air Ambulance Service in Israel. He has already trained more than 300 Specialist Doctors, Intensive Care Nurses and Paramedics who currently provide medical escort services in the region.
Suitable dedicated Air Ambulance aircraft used by iMER
Lear Jet 35/31, with range of 1,700 nm
Cessna Citation, with range of 900 nm
Piper Cheyenne, with range of 750 nm
Piper Navajo, with range of 400 nm
Partners
iMER Air Ambulances are available 24 hours a day / 7 days a week
The iMER Air Ambulance Service is always ready, day or night, to bring you wherever you may recover your health.
Airborne Equipment
Intensive care unit (ICU)
Critical Care Unit (CCU)
Neonatal ICU
Cases treated by the iMER Air Ambulance Service
The iMER Air Ambulance Service is critical for patients where the immediate access to the specialized Medical center was key to the recuperation and rehabilitation of the patient.
We have succeeded in saving the lives of patients with the following problems:
Patients suffering from acute trauma or coma
Traumatic and neurological Paralysis
Spinal injury including neck and pelvic injuries
Aortic Aneurysms and Arterial dissections
Neurosurgery for brain tumors including gamma knife and navigational neurosurgery
Cardiac Surgery including thoracic aneurysms
Septic Shock
Treatment to avoid Amputations.
Whipples surgery for stomach cancer and pancreatic cancer
Interventional radiological procedures for internal bleeding
CT guided needle aspirations of liver abscess and other internal collections
Air Ambulance Q&A
Is there a medical team that escorts the patient in a MedEvac?
The iMER Aviation Medical Director will review the case in real time, and decide upon the size and composition of the medical team that will escort the patient during the MedEvac.
The airborne medical flight crew usually includes:
Two Pilots trained in air ambulance operations*
A flight physician who is a Specialist in the patient's injury or illness, and trained in air ambulance activities*.
An Intensive Care Nurse or Flight Paramedic trained for airborne care of patients*.
All iMER Air Ambulance flight crew members have completed courses, accredited by the Ministry of Transport, to treat patients during flight.
A reassurance to the quality of our MedEvac services, is that Prof. David Linton, the iMER Academic Medical Director, is the head of the Israeli accreditation program for airborne medical doctors, nurses and paramedics.
What kind of equipment is available on iMER Air Ambulance?
iMER Air Ambulances have:
Lifeport stretchers with built in electrical power supply points, oxygen and compressed air supply points
Stretcher Units with loading ramps for ease of loading and unloading patients on life support systems.
Emergency resuscitation equipment.
Additional life support equipment and any specialized equipment, according to the patient's needs, is available from the University Hospital.
The iMER Air Ambulance can be equiped as a flying Intensive Care Unit, Neonatal Intensive Care Unit, Paediatric Intensive Care Unit, as required.
How long will it take until the Air Ambulance will arrive?
The factors that may influence the time for the Air Ambulance aircraft to arrive for the MedEvac include:
Administrative aspects e.g. Passport or travel permits; VISA (iMER will help you in the procedures to get a Visa); Medical reports and discharge authorization from the referring institution, acceptance at the receiving Hospital; facility (iMER can help with these arrangements); Financial commitment, etc. Once all the above mentioned procedures and authorizations are solved, the iMER Air Ambulance will be flying within 3-4 hours from the final time of approval of the flight.
Who will check the patient’s condition before the flight?
An iMER Aviation Medical Specialist will evaluate the patient before the flight, and only after the iMER Specialist considers the patient fit for flight in the air ambulance will the MedEvac be authorized.
The iMER Specialist will discuss the case with the patient's referring and receiving physicians in order to determine the best conditions for the patient's travel by road and air ambulance.
The iMER Specialist may state special conditions for the flight e.g. in some cases he may limit the altitude for the flight, so that the cabin can be kept at the same altitude from which or to which the patient is flying.
Is it possible to have a physician evaluate the patient’s condition
      before the flight?
Yes, of course. In case the patient and/or his family will request so, iMER will bring a specialist to check the patient at home and then decide if he is fit to travel abroad for treatment.
Is there a stretcher on the iMER Air Ambulance?
The iMER Air Ambulance is equipped with all equipment necessary for the safe travel of the patient - from a stretcher with Oxygen to a fully equipped airborne Intensive care Unit.
How many relatives can join the patient during the Air Evac?
The number of relatives flying with the patient depends on the type and size of the special equipment necessary to support the patient during the flight and the size of the escorting Medical Team.
iMER always provides for at least one relative to fly with the patient.
An additional relative may be able to join the patient, on the basis of available space.
However, the size and weight of the patient's and accompanying relatives luggage is always limited to 2 cabin sized (hand luggage) bags with maximum weight of 10 kg each.
Will there be someone speaking my language on the iMER Air
      Ambulance?
iMER will ensure that there will always be at least one person of the Air Ambulance Team on board who will speak the patients language, to ensure a safe and comfortable flight.
For more information click here.

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