All our doctors are FAM qualified. www.fameducation.org.

We have deployed 12 FAM doctors each for our helicopters in Hyderabad and Vijayawada. These are supported by 4 Highly skilled flying paramedics per aircraft. One Doctor and one paramedic will fly on every trip the helicopter does. An additional Doctor or paramedic may be added if the case demands.

Helicopter Emergency Medical Service (HEMS)

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Helicopter Emergency Medical Service. This is a highly specialized Aeromedical Operation where a Helicopter is allowed to take off within minutes of receiving a call. This helicopter carries a specialist doctor and paramedic team. It is loaded with Advanced Emergency medical and ICU equipment. This combination of medical crew and equipment have the capability to perform life saving invasive procedures to stabilize a highly critical patient away from the hospital. The helicopter provides the capability to transport these assets in the quickest possible time to the spot where the patient is. In essence, the helicopter is bringing the hospital to the patient.

Uses:

  1. Road traffic accident. The biggest advantage of a helicopter is that it can land anywhere. We intend to land our HEMS helicopter at any nearest spot identified by the first responder Ambulance, which can be cordoned off by the authorities present at the accident.
  2. Unstable patients from the districts. Patients deteriorating rapidly in rural areas as well as districts, tier 2 and 3 cities and townships where further medical treatment of beyond the remits of the available medical facilities. The HEMS helicopter with its Specialist doctors can be deployed in these cases. They land at a designated landing area in the vicinity of the district hospital. The medical crew can then stabilize the patient further and then fly them back to a Super Speciality hospital in the city.
  3. Receiving hospitals. Truaid has service level agreements with majority of the Super speciality hospitals in the cities. These hospitals have developed designated landing spots within their premises. The hospitals with no landing spots within them, have marked nearby school playgrounds and domestic airports to receive the patients. The last mile will be connected by one of our own land ambulances.

Land Ambulance Transfer

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TRUAID provides unlimited access to its Emergency Response Land based vehicles for its Subscribers. These will only be available in Emergencies and not for planned transportation. It has 3 types of these vehicles:

  1. Bike Ambulance
  2. Intra-city Rapid Response Vehicles
  3. State of Art ICU Ambulances.

Bike Ambulance These have specific life saving equipment and a highly trained paramedic. Their main function is to beat the traffic and reach you in the quickest possible time. The paramedic will start the first line treatment to save life and stabilizes the patient until the land ambulance arrives.

Intra-city Rapid response vehicles These are fitted with Life saving equipment and the crew are trained in rapid response, scoop and run maneuvers. These vehicles will predominantly be used to reach you in the minimum possible time and transfer you safely to the hospital of your choice within the city.

State-of Art Specially built ICU Ambulances These are designed in USA and custom built for Truaid. These are robust, fully equipped Intensive care units on wheels. Can carry more than one stretcher patient along with family members and medical crew. The equipment onboard can provide all the medical facility of a bed-side ICU in a major hospital. We are strategically positioning them on highways, district headquarters and tier 2 and 3 townships. These as well as other privately owned similar caliber ICU ambulances will be used as first responders to any emergency calls coming from outside the cities.

Planned Inter-Hospital Medical Transfers

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These transfers are done predominantly by our flying ICU Fixed wing aircrafts. These aircrafts fly between airports. Therefore, if there are no airports at the pickup location, then we deploy our helicopters.

  1. Inter-facility ICU patient transfers. Domestic and international.
  2. Neo-natal and Paediadric transfers
  3. High Risk Maternity transfers
  4. ECMO Transfers.

Inter-facility ICU patient transfers. Domestic and international

These are done by our flying ICU doctors with years of experience at ICU consultant level. They have gone through our training program, FAM (www.fameducation.org) The aircrafts are fully equipped to provide the same facilities as an ICU bed within a hospital. This combination of doctors and equipment provides an uninterrupted ICU care throughout the journey.
Domestic: Our fixed wing aircrafts have the range to reach anywhere within India.
International: Truaid has access to twin engine jets with medium and long range capability and can provide the same level of care at these sectors too. Therefore a combination of land ambulance, helicopter and fixed wing aircrafts makes Truaid capable of providing a seamless service of providing world class healthcare from the site of injury all the way to your home country.

Neonatal and Paediatric Transfers

We have Specialised Neonatal and Paediatric Intensive care teams who have gone through the FAM training. These teams have years of experience in transporting critically unwell children by land ambulances. Now they are a part of our Airborne retrieval teams and are mobilized when we get involved in transferring a critical baby. Neonatal transfers are done in specialized Incubators. Again we use the combination of Land ambulance, Helicopter and fixed wing air ambulance to have the maximum possible reach and penetration.

High Risk Maternity Transfers

Maternal mortality is still very high in India and deliveries are still happening in remote and inaccessible areas with poor medical facilities. Maternal complications have the potential to deteriorate rapidly and severely. Our High Risk maternal transfer team comprising of an Obstetrician, anaesthetist and an ICU nurse is mobilized for these special transfers in our helicopters or fixed wing aircrafts.

ECMO Transfers

We have our Mobile ECMO team comprising of a Cardio thoracic surgeon, Intensivist and Perfusionist along with our ECMO machine and equipment. We can mobilize this team to reach out and initiate a patient on ECMO and then safely transfer them to a Tertiary center for continuation of care. This is the first ever Airborne ECMO team in India and joins the elite group of a few other countries in the world who have this capability.

ECMO Transfers

We have our Mobile ECMO team comprising of a Cardio thoracic surgeon, Intensivist and Perfusionist along with our ECMO machine and equipment. We can mobilize this team to reach out and initiate a patient on ECMO and then safely transfer them to a Tertiary center for continuation of care. This is the first ever Airborne ECMO team in India and joins the elite group of a few other countries in the world who have this capability.

Control and Command Center

The people

Call Dispatchers
Doctors
Paramedics
Non-technical admin staff
2 pilots, 1 doctor and 1 paramedic on standby at the Airbase near the helicopter.

Process

Call is made to the Truaid Control center: This call can be generated by the following triggers

  • Direct phone call to the Emergency Help line.
  • Emergency Buzzer at home, when triggered will generate an automatic ring back to a registered phone number. If not answered, will mobilize the land ambulance to the house.
  • Truaid App, with GPS location. When emergency is triggered, will generate an automatic call back to the registered phone number. If not answered, will mobilize the nearest land ambulance to the GPS location.
  • Call from an unregistered phone number to request services for a registered subscriber. Full name with date of birth or Subscription ID would be required.
  • Call from an Unregistered phone number to request services for an Unregistered person or an expired subscription.

Our Special Software

  • At the time of subscription: Subscription details are entered. Subscribers demographics, and other vital information about location, emergency contact numbers and names (upto 5) are entered in the database.
  • Past medical history, list of medications and allergies are entered (The subscription amount or decision to subscribe will not change depending on age or past medical history)
  • Current Medical insurance and date of renewal is entered. We strongly advise all our subscribers to take medical insurance that can cover the hospital expenses if admitted in an emergency. This medical insurance will not cover the Pre-Hospital Emergency medical care and transportation that Truaid is providing. Your subscription with us covers that.

The way a call is handled

Medical Emergency at home

  • If the registered phone number is answered, direct history of the emergency is taken over the phone. GPS location is anyway indicated on first trigger.
  • If the registered phone is not answered, worst case scenario is assumed and the nearest land or bike ambulance is mobilized. Simultaneously, the other phone numbers entered during registration are called.
  • Real time updates are sent to the next of kin mobile number even if they are living abroad.
  • The First Responder Ambulance crew does the initial assessment and enters data in their smart tablet. The data is reflected at the Control Center in real time.
  • The Dispatcher at the Control center, shares the information with the onsite available Intensive care doctor in real time.
  • The doctor can then speak to the First Responder crew via voice or video call to complete an overall assessment including visually inspecting the scene or the patient.
  • Within minutes, a decision is made about:
      • Further immediate medical management which can be done on site by the crew.
      • The most appropriate Hospital to be transferred to. First preference to be given to family's choice of hospital.
      • Mode of transportation to the receiving hospital. Land or Air Ambulance.
  • If the patient is stable, and logistically feasible to be transferred to a hospital in the vicinity, then the land ambulance transfer is undertaken.
  • If the patient is not stable and taking the land ambulance route is going to be prolonged and potentially deteriorate the condition further, then the decision to deploy the helicopter is made.
  • For Air Transfer: The land ambulance crew are instructed to explain the plan to the family. The patient is then quickly loaded into the land ambulance. Simultaneously, the HEMS crew are intimated.
    • The HEMS Doctors at the airbase, gets all the information on their tablet. Apart from the current emergency, the past medical history, medication list and allergies from the database is also automatically sent.
    • The pilots get the exact GPS location. They plan a flight path to the nearest pre-approved landing spot near that location.
    • The landing spot location is given to the Land ambulance crew on their tablet with google maps.
    • The land ambulance crew mobilizes the patient to the landing spot.
    • While this is happening, the control center dispatcher, simultaneously informs the Police control room for the landing spot to be secured and cordoned off.
    • The helicopter takes off: In real time, from the moment the HEMS team is activated to take-off time is targeted at less than 10 minutes. During this time, while the pilots are planning the flight path, the medical crew are loading their emergency bags in an already equipped ICU helicopter.
    • While in flight, the medical crew go through the patient details again and pre-emptively plan their management by loading vital medications and getting equipment ready to be used.
    • The helicopter lands on site. The patient is stabilized and loaded into the aircraft. 1 family member can accompany the patient if it is a 2 member medical team.
    • The helicopter takes-off
    • While the retrieval is happening, the receiving hospital is intimated about the incoming patient. The Control center doctor interacts with the receiving Emergency Department Doctor as well as the ICU Doctor in-charge.
    • The helipad near the hospital is being cleared and secured. The helicopter lands. The patient is quickly moved into the hospital.
    • The HEMS Doctor hands over the care to the receiving Doctor in the Emergency or ICU department.

Road Traffic Trauma on the Highways:

  • Subscriber will have a sensor in the vehicle which detects sudden decelerations as well as damage to the windscreen and air bags getting deployed.
  • The sensor generates a signal at the control center and automates a call back to the registered mobile number.
  • In an uneventful accident, the phone is answered and on confirming the well being of the subscribers, the signal is deactivated.
  • If the call is not answered due to an eventful severe accident, then the nearest Highway ambulance is mobilized to the GPS location.
  • The first responder crew of the ambulance does a rapid initial assessment on their smart tablet. This report is seen in real time by the dispatcher at the control center.
  • The doctor at the Control center calls the driver directly, may also use video call to have a better assessment of the scene and the victims.
  • If the injuries are minor and not life threatening and not time critical, the doctor advises the land ambulance to do the necessary first line treatment and transfer the patient to the nearest trauma center or a hospital of their choice.
  • But if the mechanism of injuries and the injuries sustained shows a dangerous pattern synchronizing with the current victim?s condition, then they are advised to immediately transfer the victim to the nearest landing spot.
  • The identification of the landing spot near the GPS location is given by the control center to the driver of the Ambulance.
  • For Air Transfer: The land ambulance crew are instructed to explain the plan to the family. The patient is then quickly loaded into the land ambulance. Simultaneously, the HEMS crew are intimated.
    • The HEMS Doctors at the airbase, gets all the information on their tablet. Apart from the current emergency, the past medical history, medication list and allergies from the database is also automatically sent.
    • The pilots get the exact GPS location. They plan a flight path to the nearest pre-approved landing spot near that location.
    • The landing spot location is given to the Land ambulance crew on their tablet with google maps.
    • The land ambulance crew mobilizes the patient to the landing spot.
    • While this is happening, the control center dispatcher, simultaneously informs the Police control room for the landing spot to be secured and cordoned off.
    • The helicopter takes off: In real time, from the moment the HEMS team is activated to take-off time is targeted at less than 10 minutes. During this time, while the pilots are planning the flight path, the medical crew are loading their emergency bags in an already equipped ICU helicopter.
    • While in flight, the medical crew go through the patient details again and pre-emptively plan their management by loading vital medications and getting equipment ready to be used.
    • The helicopter lands on site. The patient is stabilized and loaded into the aircraft. 1 family member can accompany the patient if it is a 2 member medical team.
    • The helicopter takes-off
    • While the retrieval is happening, the receiving hospital is intimated about the incoming patient. The Control center doctor interacts with the receiving Emergency Department Doctor as well as the ICU Doctor in-charge.
    • The helipad near the hospital is being cleared and secured. The helicopter lands. The patient is quickly moved into the hospital.
    • The HEMS Doctor hands over the care to the receiving Doctor in the Emergency or ICU department.