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Air Ambulances

 
 
We're The Great Old Ones Now
11:06 / 04.02.02
Listening to the radio, I was reminded of the dilemma about Air Ambulances. You know the deal - you get badly injured, a helicopter rushes to your aid, you are shuttled to hospital...etc.

Thing is, they're amazingly expensive and they're only called out in extremis, which means it's often far too late. Motorcycle paramedics can often get there quicker as even helicopters have to land somewhere and take off from a base, not just a local depot...

They're not, apparently, cost effective.

But does that mean they should be scrapped?
 
 
Sax
11:13 / 04.02.02
Not at all. I think air ambulances are invaluable. At my last job, working on a local paper in Lancashire, the air ambulance saved countless lives. True, they perhaps do work better in rural areas (more fields to land in) than heavily-populated urban ones, but so long as there's a playing field or something nearby and a helipad at the hospital (which most have) they can react a lot quicker than earthbound paramedics.

And while paramedics on motorcycles are probably almost as responsive as helicopters, they're not much use if a patient needs getting to hospital immediately.

The cost is awfully expensive, mind, which is why you very often get several ambulance services sharing one - for example, Lancashire, Merseyside and Greater Manchester (I think) used the services of the Lancashire-based one, which is a very big patch to cover.

The cost also means that very often they are sponsorship-funded, which often rankles when you see a supposedly public service with the AA logo stamped on the side. However, in this case it's often the difference between having the facility and not, rather than sponsorship for profit's sake.

So, on balance, yeah, I think they're a great idea and should be retained, and probably funded by the Government. Most of them are run as charities.
 
 
pointless and uncalled for
11:15 / 04.02.02
Hmmm, but motorcycle paramedics can't carry a full range of life-support equipment and are unable to transport a patient to an EMT facility. I'm not underestimating their actual capacity but there are occasions where something like a helicopter is the only thing that will save a persons life.

I love when people refer to these things in terms of cost effectiveness.

At what expense do we determine that a persons life is not worth saving?
 
 
We're The Great Old Ones Now
13:00 / 04.02.02
And that's the issue I really wanted to look at through this lens.

The thing is, of course, that in this particular context, the money may be directly taken from other life-saving activities.

Sax is right to point out sponsorship deals - but would the same companies not sponsor, for example, conventional ambulance teams or kidney machines if there weren't helicopters?

If you don't spend hundreds of thousands on a helicopter, how many more lives can you spend?

And yet, what damage does it do society, the health service, the individuals who genuinely need an air ambulance? What's the cost?
 
 
Shortfatdyke
06:00 / 05.02.02
well as far as i can see - and i have on several occasions seen an air ambulance land in the square near where i work in bloomsbury - air ambulances may not be cost effective, but they can be effective in saving lives, for instance the bloke who fell out of a window and got impaled on railings just around the corner probably would not be able to wait for a regular ambulance to fight through the traffic.

i don't have stats to back this up, but i'm a fan of air ambulances.
 
 
Sax
06:14 / 05.02.02
I can see what Nick's driving at, I think. Dialysis machines and MRI scanners etc probably save many more lives than air ambulances, but they're unlikely to get the same sponsorship from the private sector because there's nothing quite as sexy as a big fuck-off helicopter to slap your logo on the side of. And in PR terms, air ambulances are eminently more photogenic than kidney machines, and more likely to attract charitable funding because the NHS Ambulance Trust can send an air ambulance to land in a field at the local charity fayre, rather than wheeling out a cardiovascular pump or something.
 
 
Shortfatdyke
06:23 / 05.02.02
yes i see that point. virgin has its logo all over the air ambulance near here but not at my local hospital. but i would argue that there is plenty of money in the health service, it's just corrupt. for example, i have heard that if surgeons did nhs work all the time instead of mostly doing private work, then waiting lists for all operations would be cut to around six days.
 
  
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