World's First Multiple Patient COVID-19 Intensive Care Evacuation

• 4 ICU patients
• 20 medical staff onboard to take care of them
• 1 ton of technical material
• 40 000L of oxygen tailored for aviation security rules

On 4 March, International SOS coordinated a highly complex evacuation of four ICU patients, repatriating the individuals from La Réunion island to Paris. The operation was commissioned by the French Ministry of Health and carried out in collaboration with the SAMU, the emergency medical services in France, the Regional Health Agency, Air Austral and Aéroports de Paris. This is the first time that so many ICU COVID-19 patients have been transported simultaneously on such a long-haul flight.

“Transporting one or two seriously ill patients is part of everyday life. This particular situation was highly unique and even more complex, with all four patients in an unconscious and intubated-ventilated condition. Medical evacuations, particularly during the pandemic, are complex but this was even more so, requiring an even greater level of care and coordination. We were honoured to be called on for our expertise and proud to be part of the team that was able to transport the patients safely“,

explained Dr Arnaud Derossi, Regional Medical Director at International SOS.

Evacuation details

The chartered Air Austral Boeing 787 took off from Réunion Island at 9:33 p.m. local time (6:33 p.m. Paris time) and landed at Paris Charles-de-Gaulle airport on Friday 5 March 2021 at 5:15am local time, after an eleven-hour flight. A civil aviation exemption had been necessary to allow Air Austral to embark so many patients on stretchers and such a high volume of oxygen.

The mission was staffed by the SAMU from Paris and La Réunion, with 5 ICU doctors, 5 ICU nurses, 7 EMTs and 1 logistician, while International SOS provided a flight nurse and a logistics expert for supporting the various teams and interfacing with the aircraft crew and the International SOS Paris assistance centre.

The International SOS Assistance Centre’s role was to interface with the various SAMUs, the airport and the aircraft, under supervision by the Health Ministry crisis centre, planning for and managing all requirements. Also, a critical aspect was to be able to quickly react in case of the aircraft diversion due to a technical incident, in order to prepare ground support for the patients. Due to the severity of the disease, advanced equipment was loaded and installed on the aircraft such as portable blood analysers, ultrasound machine and 2 ECMO machines (Extracorporeal Membrane Oxygenation), as well as backup ventilators. This represented one ton of medical equipment, along with 9,500 litres of oxygen for each patient.