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Author: Subject: Air Ambulance and Evac
Alm
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[*] posted on 6-15-2017 at 11:32 AM


Quote: Originally posted by shari  
Quote: Originally posted by bajaguy  
I remember reading about one incident where it took almost 8 hours from the call requesting an evac to wheels up with the patient.


and that would be on a good day with the stars aligned!

A record low time indeed.
One thing to remember about DAN (if it was DAN) is that they won't necessarily whisk you up to the US. As I remember from their Member's Handbook, their obligation is to take you to "closest capable" hospital. Some others give you a choice of a destination hospital.
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dizzyspots
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[*] posted on 6-15-2017 at 11:55 AM


SPOT satellite messenger also provides (extra cost) $100,000 medevac policy....
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pacificobob
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[*] posted on 6-15-2017 at 12:02 PM


medevac aircraft have a very bad safety record. many insurance carriers(aircraft insurance) require both pilots be type rated (captain qualified) and often disallow night ops. these rules especially apply to small medevac jets.
when reading posts on this topic i always am waiting for stories of how a helo swooped out of the blue and whisked the injured party to a stateside university medical school hospital. i would agree with the two posters who suggested either driving, or charter locally and hope to be reimbursed by the insurance carrier.
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[*] posted on 6-15-2017 at 12:49 PM


Quote: Originally posted by pacificobob  
. i would agree with the two posters who suggested either driving, or charter locally and hope to be reimbursed by the insurance carrier.


every situation is different. really depends on the nature of the medical problem, and the location of the patient. helps to first reach out to local medical care -- there is pretty competent medical care available in la paz and ensenada - and most air evac insurers typically wont dispatch a plane until their docs/nurses/case managers have consulted with the local medical provider providing initial care of patient, able to vouch for patient being stable to transport, etc.

what nomad needs is a list of competent clinics in each city, and a list of clinics to avoid (like the predatory facility in Cabo that occasionally fleeces tourists unfortunate to need care in cabo).
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Alm
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[*] posted on 6-15-2017 at 08:12 PM


Quote: Originally posted by mtgoat666  

what nomad needs is a list of competent clinics in each city, and a list of clinics to avoid

... and charters. Giving a yell to your neighbor so that he'll start calling around while you're squirming in pain, and will hopefully find a plane with pilot within 200 miles that is ready to leave like in the incident described earlier by Pescador... Like Dirty Harry says - Do you feel lucky?

About SPOT - they are inexpensive, yes. I only remember something that wasn't quite right, like 69 years eligibility limit (don't see it now), or the requirement to initiate the service through SOS button of SPOT - you can't just make a phone call. Never trusted email-based messaging anyway. At least few times a year have my home emails lost or delayed for several hours.
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[*] posted on 6-15-2017 at 08:35 PM


Quote: Originally posted by woody with a view  
Anyone have recommendations on rattlesnake bites? Is antivenom locally available? Try to arrange a charter or just haul ass to the border?


I have not been able to find the thread, but I remember reading on this forum about someone getting anti venom from a medic at a military check point.

Anyone else recall that post?




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Alm
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[*] posted on 6-15-2017 at 08:53 PM


Quote: Originally posted by woody with a view  
Anyone have recommendations on rattlesnake bites? Is antivenom locally available?

Make a phone call, but I wouldn't count on it. I remember an incident in Vancouver BC, 2 years ago. The guy walked/crawled into emergency, fresh from the airport from Costa Rica. Doctors at that dream retirement destination, with jungles and snakes abundant, were incapable of diagnosing a snake bite. So he was getting worse, and his guts told him "RUN". He got on the plane some 20-30 hours later. Vancouver General Hospital had to airlift antivenom from Seattle WA. Can't blame Canadian system, it's not like Vancouver is in tropics with snakes, but neither is Seattle. Don't know what snake.
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woody with a view
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[*] posted on 6-16-2017 at 07:19 AM


Make a call to whom? My doctor said haul ass to the closest ER on this side of the border, unless antivenom is known available. 9 hours is a long time to drive with venom coursing thru the veins. I guess there's no other options as phone service in central Baja is not a given.

Edit: not planning on being bitten, I just like to plan ahead.

[Edited on 6-16-2017 by woody with a view]




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[*] posted on 6-16-2017 at 07:34 AM


Quote: Originally posted by SFandH  




Interesting info, thanks, and the prices certainly seem reasonable.

I'm wondering why the person with the broken leg didn't get it fixed in Santa Rosalia or perhaps Guerrero Negro.
I take it that you have not visited the hospital in Santa Rosalia. We had a woman who had a car accident and they pinned her leg. They are great for fishhooks and pregnancy, but not so good when it comes to pinning a broken leg. In two of the cases, we knew up front that surgery was going to be required, so it was "prudent" to head for the US. One of the things we live with here is the knowledge that in a serious emergency, it may be better to head to the states, Tijuana, or La Paz.




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[*] posted on 6-16-2017 at 12:06 PM


For those interested here is a list of Emergency Air Evacuation companies. I just updated some of the phone numbers. Please feel free to add to it or warn against any of them. I personally have never used any of them nor do I know of anyone who has.

Emergency Air Evacuation Companies
6/16/2017

Air-Evac International (24/7)
Chula Vista, CA, Phone 619-754-6755, Toll Free USA 888-761-2253, Mexico 001-888-276-4052

Air Ambulance Medical Transportation (24/7)
Air and Ground, 800-971-4550, International 001-941-556-6717

Angel Med Flight (24/7)
Scottsdale, AZ 844-798-3788, International 480-634-8017

Advanced Air Ambulance (24/7)
Miami, FL 800-633-3590, International 305-232-7700

Bi-national Emergency Medical Committee (24/7) U.S. and Mexico
Chula Vista, CA 619-425-5080 Note: BEMC helps in the coordination of a medical emergency

Divers Alert Network (DAN) (24/7)
Durham, NC, Emergency Hotline 919-684-9111
Non-emergencies 800-446-2671
Note: You do not need to be a diver to join DAN and use their services


[Edited on 6-17-2017 by TMW]
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Alm
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[*] posted on 6-16-2017 at 02:01 PM


Quote: Originally posted by woody with a view  
Make a call to whom? My doctor said haul ass to the closest ER on this side of the border, unless antivenom is known available. 9 hours is a long time to drive with venom coursing thru the veins.

A call to the closest big hospital to find if they have antivenom. La Paz, Ensenada, Tijuana. I wouldn't waste time on Sta Rosalia, their clinic is a joke.

In 9 hours they are more likely to bring you to hospital alive than dead. There are no hard numbers, can take 6 or 60 hours to die.

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Alm
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[*] posted on 6-16-2017 at 02:25 PM


Good job, TMW.

But let's not forget that if you call a carrier directly, you'll pay $$$ out of pocket. (I doubt it will be as little as $1,200 - Pescador probably meant a ground ambulance). To use an air evac plan, you have to call the contacts in your plan, they will call the carrier after they've received a confirmation from your Dr and don't know what else. It takes forever.
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[*] posted on 6-16-2017 at 02:46 PM
AAA plans


From AAA web-sites

Reading it, it sounded pretty good but when I saw the last line it made me wonder how to find out what those "restrictions and limitations" might be.

Travel Assistance AAA Premier members can receive Global Travel Emergency Assistance and Concierge Services 24 hours a day, 7 days a week—in the United States or internationally—when they are on planned leisure trips 100 miles or more from the AAA Premier member’s primary residence which include at least one overnight stay and are not more than 45 days in duration. These services are available to AAA Premier members and their spouses and unmarried dependent children age 21 or under who are traveling with the AAA Premier member. 24-Hour Global Travel Emergency Assistance* for AAA Premier members includes:
• Medical provider referrals, appointments and admission arrangements
• Emergency translation service arrangements
• Lost tickets and document replacement arrangements
• Prescription replacement arrangements
• Emergency medical transportation arrangements
• Emergency medical visitation arrangements
• Emergency cash transfer arrangements
• Emergency message center service.
The member must purchase AAA Premier service prior to travel departure date in order to use these services. AAA Premier membership benefits include these services, which are service benefits and not financial benefits. Any costs associated with these services are paid by the member. *Allianz Global Assistance Service Company is the licensed producer for this plan. Certain restrictions and limitations apply.
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motoged
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[*] posted on 6-16-2017 at 03:03 PM


Tom,
Good info....

A previous poster or two made the point that even if the air-evac plane can arrive near the patient....airport rules may well make an immediate departure impossible....sometimes requiring a 12-24 hour turn-around wait.

This happened to friends motorcycling in Russia....three were hit by a dump truck on the wrong side of the road....each had multiple injuries....the air rescue plane arrive within 24 hours but was not allowed to depart until the next day....the guy with a broken neck died on the plane once it was allowed to leave....

So......whatever company anyone buys a plan from should know the fine print as to turn-around conditions and the details of the service provided.

Spot is not always effective:

On a moto ride in the backwoods of BC a few years ago, one guy crashed and was found unconscious and "blue"....after a medic rider performed CPR and revived him, five riders each sent out a SPOT SOS....and the co-ordinates that the helicopter received were inaccurate....and it spent three hours looking for us....it finally found us and was within 15 minutes of needing to return when they landed.

The injured rider had a punctured lung and was giving the death gurgle for 4 hours and need to be held down by three riders.

Punctured lung may have been a result of crash or CPR....rider recovered well-enough......

Insurance gives us a sense of protection....until we try to use it...:rolleyes:




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[*] posted on 6-16-2017 at 03:54 PM


With as many ppl we have on here it's very surprising no one knows which service is best for Baja, where they will land, when they can land, and how long it takes to get there and leave.


[Edited on 6-16-2017 by JZ]
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[*] posted on 6-16-2017 at 03:59 PM


Jizzy a lot of things on this forum are uprising...



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mtgoat666
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[*] posted on 6-16-2017 at 04:47 PM


Quote: Originally posted by JZ  
With as many ppl we have on here it's very surprising no one knows which service is best for Baja, where they will land, when they can land, and how long it takes to get there and leave.


Jizz,
Here are the answers:

Quote: Originally posted by JZ  
which service is best for Baja


it depends

Quote: Originally posted by JZ  
where they will land


that depends

Quote: Originally posted by JZ  
when they can land


it depends

Quote: Originally posted by JZ  
how long it takes to get there and leave.


that depends

:lol::lol::lol::lol::lol::lol::lol::lol::lol::lol:
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[*] posted on 6-17-2017 at 07:55 AM


again, no stories of dramatic and timely rescues from remote baja. buying insurance just feels good to some folks.
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bajaguy
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[*] posted on 6-17-2017 at 08:19 AM


Get stabilized locally, then head north by whatever means
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[*] posted on 6-17-2017 at 09:05 AM


Thanks Alm!



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