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Medi Edge EMS
Specialised Unit

Aeromedical
Evacuation

When distance, terrain, or clinical urgency makes ground transport insufficient, Medi Edge coordinates rapid air evacuation via fixed-wing and rotor-wing aircraft with specialist in-flight critical care.

24/7

Coordination

ECP

In-Flight Crew

SACAA

Compliant

National

Coverage

Clinical Overview

What is Aeromedical Evacuation?

Aeromedical evacuation (AE) is the rapid transport of critically ill or injured patients via aircraft — either helicopter (rotor-wing) or fixed-wing aircraft — when ground transport is too slow, impractical, or clinically inadequate. The goal is to deliver the patient to a higher level of care in the shortest possible time.

Medi Edge coordinates aeromedical operations through a network of SACAA-approved aviation partners, with our own Emergency Care Practitioners (ECP) deployed as the dedicated medical crew. Our practitioners are trained specifically in the physiological challenges of the aeromedical environment, including altitude-related pressure changes and in-flight emergency management.

We manage the entire operation — from initial clinical assessment and aircraft coordination, through in-flight care and documentation, to receiving facility notification and handover.

Regulatory Compliance

SACAA

South African Civil Aviation Authority — all aircraft and operations are SACAA-compliant.

HPCSA

All in-flight medical crew are registered under the Emergency Care scope of practice.

Gauteng DOH

Medi Edge holds provincial licensing covering aeromedical coordination and ground-support operations.

When to Call Immediately

If your patient is in a remote area, requires urgent tertiary intervention (cardiac cath, neurosurgery, trauma team), or cannot safely tolerate a long ground transfer — call our control centre immediately. Time is tissue.

Platform Selection

Rotor-Wing vs. Fixed-Wing

Platform choice is driven by distance, terrain, landing availability, and clinical urgency. Our coordinators advise on the best option for every case.

Rotor-Wing (Helicopter)

Short to Medium Range · Scene Access

Helicopters provide unmatched access to accident scenes, rural areas, and locations without a nearby airstrip. Ideal for rapid scene response and short-to-medium distance transfers where every minute of flight time is critical.

Trauma scene response (road accidents, farm incidents)
Short-range critical transfers (< 300 km)
Remote or inaccessible terrain
Urban scene access (parks, highways, open areas)
Search and rescue support

Fixed-Wing (Air Ambulance)

Long Distance · Pressurised Cabin

Fixed-wing aircraft are ideal for long-distance transfers requiring a pressurised, climatically controlled environment. Larger cabin space allows for full ICU-level monitoring equipment and additional crew alongside the patient.

Long-distance repatriation (> 300 km)
International medical evacuation
Ventilated patients requiring pressurised cabin
Multi-crew ICU transfers
Repatriation to home country or specialist centre
Medical Capability

In-Flight Clinical Care

Our aeromedical ECP crews maintain full clinical capability throughout the flight. The aircraft is a mobile ICU — not a taxi.

Continuous Monitoring

12-lead ECG, SpO₂, ETCO₂, non-invasive BP, and temperature throughout the flight with transport-compatible monitor/defibrillator.

Mechanical Ventilation

Portable transport ventilator with pressure/volume control, PEEP, and FiO₂ adjustment — essential for intubated patients in pressurised environments.

Haemodynamic Support

Vasopressor and inotrope infusions via syringe drivers; fluid resuscitation management adapted to cabin altitude and patient response.

Pain & Sedation Management

Full controlled drug safe including opioid analgesics, sedatives, neuromuscular blocking agents, and reversal agents.

Altitude Physiology Management

Our ECPs are trained in Boyle's Law implications for pneumothorax, bowel obstruction, and air-filled medical devices at altitude.

Patient Documentation

Continuous Patient Report Form (PRF) completion during flight, handed over to receiving team on arrival with a full clinical summary.

Coordinate an Aeromedical Evacuation

Contact our 24-hour control centre immediately. Have the patient's location, clinical condition, and receiving facility ready. Every minute of coordination time counts.