LifeFlight (Nova Scotia)
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LifeFlight is an
air ambulance Air medical services is a comprehensive term covering the use of air transportation, aeroplane or helicopter, to move patients to and from healthcare facilities and accident scenes. Personnel provide comprehensive prehospital and emergency and cri ...
critical care transport service that operates in the
Canadian Canadians (french: Canadiens) are people identified with the country of Canada. This connection may be residential, legal, historical or cultural. For most Canadians, many (or all) of these connections exist and are collectively the source of ...
provinces of
Nova Scotia Nova Scotia ( ; ; ) is one of the thirteen provinces and territories of Canada. It is one of the three Maritime provinces and one of the four Atlantic provinces. Nova Scotia is Latin for "New Scotland". Most of the population are native Eng ...
,
New Brunswick New Brunswick (french: Nouveau-Brunswick, , locally ) is one of the thirteen provinces and territories of Canada. It is one of the three Maritime provinces and one of the four Atlantic provinces. It is the only province with both English and ...
and
Prince Edward Island Prince Edward Island (PEI; ) is one of the thirteen Provinces and territories of Canada, provinces and territories of Canada. It is the smallest province in terms of land area and population, but the most densely populated. The island has seve ...
. EHS LifeFlight is delivered under contract to the
Government of Nova Scotia The Government of Nova Scotia (french: Gouvernement de la Nouvelle-Écosse, gd, Riaghaltas Alba Nuadh) refers to the provincial government of the Provinces and territories of Canada, Canadian province of Nova Scotia. Nova Scotia is one of Canada's ...
's
Department of Health A health department or health ministry is a part of government which focuses on issues related to the general health of the citizenry. Subnational entities, such as states, counties and cities, often also operate a health department of their ow ...
by Emergency Medical Care Inc. (EMC). EMC is a subsidiary of Medavie Health Services that, along with Medavie Blue Cross, is part of the Medavie group of companies. EMC provides medical staff however the operation of the helicopter is sub-contracted to Canadian Helicopters Limited. EHS LifeFlight is subsidized for Nova Scotian residents and no fees are charged to patients or sending hospitals or agencies in that province. Prince Edward Island and New Brunswick contract this service and may charge a fee to their residents. Fees are charged to non-Canadian residents.


History

Most medical air transportation in the Maritimes was historically provided by the Canadian Forces' No. 413 Sqn operating out of CFB Summerside (1968-1990) and CFB Greenwood (1990–present) under the military's aid to the civil power provisions. During the 1960s-1990s No. 413 Sqn used search and rescue aircraft such as the
CH-113 Labrador The Boeing Vertol CH-46 Sea Knight is a medium-lift tandem-rotor transport helicopter powered by twin turboshaft engines. It was designed by Vertol and manufactured by Boeing Vertol following Vertol's acquisition by Boeing. Development of th ...
helicopter as well as the
CC-115 Buffalo The de Havilland Canada DHC-5 Buffalo is a short takeoff and landing ( STOL) utility transport turboprop aircraft developed from the earlier piston-powered DHC-4 Caribou. The aircraft has extraordinary STOL performance and is able to take off ...
and later the CC-130 Hercules fixed wing aircraft on these missions. The first dedicated air ambulance service in the Maritimes was initiated in 1996 by the Nova Scotia Department of Health's
Emergency Health Services Emergency Health Services (EHS) is a branch of the Nova Scotia Department of Health tasked with providing emergency medical services. It is also responsible for transportation of patients between hospitals and medical facilities. At present, all ...
(EHS) in partnership with CHC Helicopter Corporation and the
Shock Trauma Air Rescue Society The Shock Trauma Air Rescue Service (STARS, formerly Shock Trauma Air Rescue Society) is a Canadian non-profit helicopter air ambulance organization funded by individual donors, service groups, corporate donors and government contributions. ST ...
(STARS). STARS and CHC operated the service until 2001 when STARS opted to not renew its contract with EHS, citing philosophical differences over management and fundraising. Under its new name, LifeFlight, air ambulance services were operated directly by EHS until 2008 when Emergency Medical Care Inc. (EMC) won the operating contract. EMC operates all ground ambulance services in Nova Scotia under contract for EHS and is a subsidiary of Medavie Health Services that, along with
Medavie Blue Cross Medavie Blue Cross (French: Croix Bleue Medavie) is a not-for-profit Canadian medical care insurance company headquartered in Moncton, New Brunswick. Affiliated with the Canadian Association of Blue Cross Plans, Medavie Blue Cross traces its hist ...
, is part of the Medavie group of companies. From the start of the air ambulance service on May 13, 1996 to December 31, 2003 there were 3,682 LifeFlight missions.


Operations

EHS LifeFlight is a 24-hour, 365 day/year air medical transport service for critically ill or injured patients; adult services are based at the QEII Health Sciences Centre, in Halifax; Paediatric (1-18 yrs) and neonatal services are based at the IWK Health Centre. Many missions involve hospital to hospital transfer where the patient requires advanced medical treatment at another facility; typically at a major referral hospital/trauma centre such as the
Queen Elizabeth II Health Sciences Centre Queen Elizabeth II Health Sciences Centre, in Halifax, Nova Scotia, Canada, is a large teaching hospital and Level 1 Trauma Centre affiliated with Dalhousie University. The QEII cares for adult patients. Pediatric patients within the region are c ...
and the
IWK Health Centre The IWK Health Centre is a major pediatric hospital and trauma centre in Halifax, Nova Scotia that provides care to maritime youth, children and women from Nova Scotia, New Brunswick, Prince Edward Island and beyond. The IWK is the largest facili ...
in Halifax, or the
Saint John Regional Hospital Saint John Regional Hospital is a Canadian hospital in Saint John, New Brunswick. Operated by Horizon Health Network, Saint John Regional Hospital opened in 1982, replacing the Saint John General Hospital and West Saint John Community Hospital ...
in Saint John. To date, there are 82 helicopter-approved landing zones in Nova Scotia that are
Transport Canada Transport Canada (french: Transports Canada) is the department within the Government of Canada responsible for developing regulations, policies and services of road, rail, marine and air transportation in Canada. It is part of the Transportati ...
certified with additional heliports located throughout Prince Edward Island and New Brunswick. Most of the time, in the case of a motor vehicle collision, the highway itself is used for landing and take-off. Numerous volunteer fire departments and Department of Natural Resources depots are also used in rural areas of Nova Scotia where rotor clearance permits. From 1996–2017, the air ambulance service under STARS and later LifeFlight used one Sikorsky S-76-A helicopter owned and operated by
Canadian Helicopters Canadian Helicopters Limited, formerly a part of the Canadian operations of CHC Helicopter Corporation, operates 112 aircraft from 26 bases across Canada and provides a broad range of helicopter services to support the following activities: emerg ...
. This helicopter was used as the primary mode of air ambulance transport while a Beechcraft King Air 200 fixed wing aircraft functioned as a secondary mode of transport. In 2016,
Transport Canada Transport Canada (french: Transports Canada) is the department within the Government of Canada responsible for developing regulations, policies and services of road, rail, marine and air transportation in Canada. It is part of the Transportati ...
changed its regulations concerning H1 helipads, resulting in the LifeFlight S-76A model being forced to land at helipads located on the ground and not on hospital rooftop helipads; the only rooftop helipads in the Maritimes being the
IWK Health Centre The IWK Health Centre is a major pediatric hospital and trauma centre in Halifax, Nova Scotia that provides care to maritime youth, children and women from Nova Scotia, New Brunswick, Prince Edward Island and beyond. The IWK is the largest facili ...
,
Queen Elizabeth II Health Sciences Centre Queen Elizabeth II Health Sciences Centre, in Halifax, Nova Scotia, Canada, is a large teaching hospital and Level 1 Trauma Centre affiliated with Dalhousie University. The QEII cares for adult patients. Pediatric patients within the region are c ...
and Digby General Hospital. In January 2017 EHS signed a $105 million 15-year contract with Canadian Helicopters Limited for two Sikorsky S-76-C helicopters for use in LifeFlight service, following Transport Canada certification of this model for H1 helipad operations. The expansion of the fleet will also provide a backup helicopter for the first time in the service's history.


References


External links

* {{official, http://ehslifeflight.ca Air ambulance services in Canada Medical and health organizations based in Nova Scotia Health in New Brunswick Health in Prince Edward Island