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Longest Air Ambulance flight with ECMO

Medic Air teams evacuate Belgian traveler in heart failure with septic shock from Ho Chi Minh City to Brussels by air ambulance on local physicians' request.
Mission was performed with a twin team of four medical attendants: intensive care team and cardiovascular surgeon.
Patient benefited during the trip (18 hours long) of Extra Corporal Membrane Oxygenation (ECMO), close monitoring with ultrasound and blood analyzer on board, French Lyophilized Plasma (PLYO), inotropic support and mechanical ventilation.
The twin team cohesion and logistic organization by Medic Air Ops desks in Shanghai and Paris follow the High Reliability Organization (HRO) appliance for all missions to guaranty the mindfulness of each act, expert in their daily professional practice.
Evacuation was complex but done smoothly and uneventful.
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