MEDEVAC

OPERATION

REGULATIONS
COMPETITORS
STUDY ON MEDEVAC OPERATIONS IN THE
ASIA PACIFIC MIDDLE EAST AND AFRICA

PREPARED BY
Johny Jose
 AIR AMBULANCE
A specially equipped aircraft, typically a helicopter, used to transport sick or injured
people to hospital in an emergency.

In 2012 there were more than 300 players operating in this space with around 1,300
aircrafts.

Some of the key players in this vertical include AMR; PHI Air Medical; Scandinavian Air
Ambulance; IAS Medical; Express AirMed Transport; Native American Air Ambulance;
Lifeguard Air Ambulance, REVA Air Ambulance and Acadian.

Common equipment for air ambulances includes medications, ventilators, ECGs and
monitoring units, CPR equipment, and stretchers. A medically staffed and equipped air
ambulance provides medical care in flightwhile a non-medically equipped and staffed
aircraft simply transports patients without care in flight. Military organizations and NATO
refer to the former as medical evacuation (MEDEVAC) and to the latter as casualty
evacuation (CASEVAC).

Notice for operation- Pre planned- 2 or 3 days Emergency- 2 to 3 hours.

The first medical transport by air was recorded in Serbia in the autumn of 1915 during
First World War.

The global air ambulance services market is expected to reach USD 8.2 billion by 2025,
according to a new report by Grand View Research, Inc.

Availability of reimbursement in developed countries, such as the U.S., helps people

avail these services despite the high cost.
 MEDEVAC- REGULATION(Initial Check)
The medical Director or manager of the patient's company agrees to the evacuation(Gives go ahead).
The patient's full name, nationality, and birth date are known.
The patient's medical problem and medical history are known.
The passengers' (if any) names are known.
The location of the patient is precisely known.
The patient's passport are made available with the exit permit.
Check if destination country will allow the patient in. (Only in case of virus infection).
The destination hospital is appropriately chosen, and has a bed and doctor available.
If the patient is a child, the destination hospital has a companion bed available.
The treating doctor is aware that the patient will be evacuated and will release the patient.
The patient's hospital / medical expenses will be paid so the patient will be released.
The charter aircraft used is suitable for the patient, the route, the airport, and the weather.
The charter company have provided a fixed-price quotation.
Flight plan has been filed.
The medical crew are available
The medical crew have been briefed on the patient's condition.
Appropriate medical equipment is listed, checked, and packed.
The evacuation costs are covered by Patient OR another party guarantees the cost.
Money to cover the cost of airport and fiscal taxes is available
Transportation is available for medical crew and patient to and from airports.
The plan of action takes into account delays and changes in time zones.
Family members have hotel bookings available after arrival at evacuation destination.
Local agents are available for ground assistance.
The flight plan is approved.
The destination airport(s) are open
 REGULATIONS
Medevac is NOT a mercy dash and authorities do NOT condone associated
illegalities.
The fact that an aircraft is on a medical evacuation flight does not allow the patient,
pilot and crew to ignore the laws of the country. There is NO regulation or agreement
that allows visa- and passport-free entry into a country simply because there is a
patient on board that aircraft.
There IS a regulation that allows a pilot to declare a medical emergency and land in a
country for which the plane and crew did not previously file a flight plan or carry visas -
but ONLY if this emergency occurs and is declared in-flight.
If before take-off the patient or passengers do not have valid passports and
exit/entry permits, at the very least there will be delays. In some cases, the medevac
may be cancelled by the authorities and/or the aircraft and crew impounded. For this
reason, copies or originals of passports must be available as early as possible in an
evacuation.
As observation of customs regulations, often requires that all medical equipment
leaving and entering a country be declared to the appropriate authorities.
 Clients should Refrain from below
All aircraft have minimum take-off, flight and landing requirements, and the pilot-
in-command and IATA rules govern these. Wise clients of charter companies do
not do any of the following:
Tell the pilot to fly into bad weather when he is reluctant to do so.
Hurry up pre-flight checks.
Insist on take-off before the co-pilot has arrived.
Persuade or bully a tired pilot to fly again rather than wait for his replacement.
Insist on take-off when a warning light indicates a possible malfunction.
Insist on takeoff before the tanks are topped up.
Ask for a night flight when the landing area is unlit and/or the approach is
unfamiliar.
Ask a non-instrument rated pilot to fly IFR (Instrument Flight Rules) when VFR
(Visual Flight Rules) flying is no longer possible, rather than to turn back.
Tell the pilot to try and get it down on a runway that is too short.
Tell the pilot "I'll get some cars with headlights on and oil drums with petrol-
soaked sand to outline the runway!"
 COMPETITORS
PACIFIC FLIGHT SERVICES
LIFEFLIGHT AUSTRALIA LIMITED
Air Ambulance SG
 Air Ambulance Services Market Analysis

By Types(Rotary-Wing & Fixed-Wing)

By Service Model(Community Based & Hospital Based)
By Region(North America, Europe, Asia Pacific, Latin
America & ME & A)
And Segment Forecasts, 2017 - 2025
 ROTARY WING AIR AMBULANCE
Rotary-wing air ambulance services, which
include helicopter-based services, held a
lucrative share in 2015.
Easy usability of helicopters and low cost of
these services governed their dominance.
 FIXED WING SERVICES
Fixed-wing services include specialized
aircrafts having medical facilities and
dedicated crew.
Rising medical tourism and operability of
these aircrafts in adverse weather conditions
are few reasons for their increased demand.
U.S. air ambulance services market, by type, 2017 - 2025 (USD Million)
 By Service Model(Community Based & Hospital Based)

Hospital based service dominated service

model segment in 2015 and also anticipated
to grow at healthy rate over the forecasts
period.
 By Region(North America, Europe, Asia
Pacific, Latin America & ME & A)
North America dominated the global air ambulance
market in 2016 due to established infrastructure for
air medical transport.
Asia Pacific is anticipated to gain lucrative share over
the forecast period.
Strengthening economy, especially of countries such
as India and China, investments from global
conglomerates, and improving business
opportunities are likely to provide growth avenues
for players.
 Segment Forecasts 2017 - 2025
The global air ambulance services market size
was valued at USD 3.7 billion in 2016 and is
expected to grow at a CAGR of 9.3% over the
forecast period.
 Conclusion:
Strategic tie - ups helps reduce risk(Market Entrants)
With multi speciality hospitals.
With key Player/ Competitor
Asia Pacific is expected to show continual growth owing to rising
adoption of advanced health care infrastructure to create health
care system experience safer and less strenuous and growing
number of multispecialty hospitals.
North America is projected to dominate the global air ambulance
services market due to greater insurance coverage for air ambulance
facilities and rising adoption of air medical transport facilities.
However, inadequate number of aircrafts for emergency transport
and lack of health care air services infrastructure in emerging
countries are the key challenges in the development of the global air
ambulance services market in developing countries.