User:Okavango Rescue/sandbox/Okavango Air Rescue

Introduction
The Okavango Air rescue is a private air rescue service created in and for Botswana. Currently based out of Maun, with plans to expand into the further regions of Botswana, OAR operates a uniquely round the clock emergency medical service for their Patrons in need.

Covering the Okavango Delta, Northern Botswana and the Central Kalahari OAR specialises in airborne rescues and is suitably equipped to operate in the most challenging environments. Established on the 15th of October, 2012 as the first “Helicopter based emergency medical rescue operation in Botswana”, OAR was inspired by the Swiss REGA Air Service and still holds true to their pioneering vision today. Like REGA, Okavango Air Rescue receives no financial backing from any government and hence relies solely on the donations and memberships of Patrons.

Patronage entitles the holder to free medically assisted evacuations, and the Okavango Air Rescue will only seek an invoice if the patronage holder has medical insurance, whereupon OAR sends an invoice to the insurance company, not the Patron.

OAR has received nation wide recognition, with Health Minister (2009-2014) Dr John Seakgosing speaking at the launch in 2012, noting the service to be a significant milestone in the strengthening of health care services in the country. He stated that both publics and tourist alike would be greatly benefitted in desperate medical situations for having a patronage with the Okavango Air Rescue.

OAR operates out of their Maun headquarters at The Village as well as their hangar at Maun airport, with direct access to take off sites.

The Patron System
In rural areas, especially the vast radius that the Okavango Air Rescue covers, a low population density is to be found, coupled with basic or non existing road networks and consequently inaccessible ambulance access. This demonstrates the desperate need for a helicopter rescue service that is able to quickly and efficiently access difficult and otherwise unobtainable locations.

However, In order to finance and sustain the key overheads involved with such airborne rescue services, the Patronage system, which was originally established by the Swiss Rescue Service REGA, is utilised by the Okavango Air Rescue as an alternate method of funding.

In order to keep helicopters air borne, doctors on standby and a call centre active 24/7, a helicopter would be required to achieve over thirty hours of flight time each month. This is a figure that is considered vast and virtually unobtainable for most rescue helicopters worldwide.

As raising the flight time is not considered a viable option by OAR, nor is receiving subsidies from the government consequently burdening the country, the Okavango Air Rescue sought an alternative and, inspired by REGA, the Patronage system was brought in to place.

The unique system works on the bases that all Patrons pay a minimal yearly contribution fee, enabling the helicopter to perform for Patrons, as well as executing rescues for those less fortunate and unable to pay for a patronage. The Patronage entitles the Patron to free medical evacuations from all areas within Okavango Air Rescue's flight radius, and the organisation of onward or further care. The yearly Patronage fee allows the Patron to utilise the rescue services, and because of this Okavango Air Rescue will not fly for those who are not Patrons.

If a patron has travel insurance, then Okavango Air Rescue invoices the insurers directly for the full cost of the rescue. OAR’s service is not provided free of charge for insurances and by being able to invoice insurances when possible, Okavango Air Rescue’s yearly patronage fee stays minimal, and they are able to stay airborne, even executing rescues for those who are less fortunate.

Providing a service such as this within Botswana, allows for emergency medical care to be undergone without pending decisions from insurers. Travel Insurance companies acting remotely can be delayed in their decisions for a variety of reasons, such as time limitations, geographical complications and prevailing local circumstances. The Okavango Air Rescue seeks to bridge this gap, and allow for both tourists and locals to have immediate medical evacuations independent of their insurers should they require it.

Fleet and Equipment
The service provided by OAR utilises a fully medically equipped Bell Jet Ranger 206 III helicopter customised with a long range fuel tank. This has been complimented by Dr Seakgosing, acting Health Minister from 2009-2014. As well as being able to carry a stretcher, OAR’s helicopter is also customised with The emergency medication the Okavango air Rescue may provide includes but is not limited to: Adrenaline, Amniodarone, Antibiotics, Antihistamines, Anti-nausea drugs, Atopine, Benzodiazepines, Beta-Blockers, Cortisone, Dopamine, Ephedrine, Furosemide, Insulin, Ketamine, Morphine, Muscle relaxants, Propofol, Salbutamol and Universal Snake Antivenin.
 * Med evac 12.jpgac monitor
 * Defibrillator with a pace maker
 * 12 and 3 lead ECG, SP02, CO2 and non invasive blood pressure monitors
 * Infusion pump and syringe drivers
 * Suction unit with backup
 * Oxygen ventilator
 * Suture kits
 * Urine and Nasogastric catheters
 * Pulmonary drains with drainage sets
 * Standard rescue and immobilisation equipment
 * A special helicopter vacuum mattress
 * Scoop stretcher

Quick Tests such as blood sugar measurements, Urine, Malria, HIV and pregnancy tests can all be done on the spot on location.

The recue team operates directly out of Maun airport utilising a private helicopter hangar and medical holding facilities within the airport compound. Onsite secondary medical care is therefore immediately available following medical evacuation, with further arrangements for the patients care easily to hand.

Additional Services
As well as providing crucial medical services for Botswana, the Okavango Air Rescue is also a great support to the local community, leading, sustaining and assisting key projects and events throughout the region:

First Aid Courses and Manual
OAR's Level One First Aid Manual has been created in house by the Okavango Air Rescue's own Doctors and paramedics specifically for first aid techniques neccessary for Botswana. Having been translated from English to Setswana, it provides key information that is easily accessible for all, and acts as both a manual for the first aid courses that OAR offer, as well as information on what to do in minor medical emergencies.

Additional chapters include domestic First Aid, Insect and Scorpion stings, Puzzi Flies, Blister Beetles, as well as Spider and Snake bites that occur throughout Botswana.

The manual is also accompanied by explanatory photographs. ISBN number: 978-99968-0-318-5.

The courses that Okavango Air Rescue provide include to Levels I, II and III and are all credited by the Botswana Qualification Autority (BQA). The Okavango Air Rescue also provides Level I Firefighting courses.

Regarding both the First Aid course and the manual, Dorcas Makgato- current Minister of Health for Botswana- commends those who have shown keen interest in the Okavango Air Rescues first aid services, stating that "by assuming the responsibility of becoming a First Aider, the individual renders an important service to the whole community, be it your loved ones, your compatriots or visitors to our country".

World Blood Donor Day
In support of key global movements and trends, the Okavango Air Rescue, in coordination with the Ngamiland District Health Management Team, headed up the World Blood Donor day 2014 out of their headquarters in Maun. As the sponsor of the event, The Okavango Air Rescue oversaw all marketing and promotional material prior to the event, the execution of the blood drive on the day, and provided the medical provisions making mass donation possible.

Speaking at the ceremony for the recognition of World Blood Day, 2014 in Francistown, the Hon. Rev. Dr. John Seakgosing thanked and commended the Okavango Air Rescue, among other organisations, for assisitng "the National Blood Transfusion Service in many different ways"

Primary Health Care Services
The Okavango Air Rescue provides Primary Health Care Contracts for locally based companies wishing to provide their staff based in remote areas, such as in safari camps or lodges, with the key health care provisions and services that Okavango Air Rescue ensures. OAR trains managers to take vital parameters from their patients within the camps, which is then passed on to OAR's headquarters, where the Nurses discuss each case with a senior Doctor, before a plan of care is organised and executed remotely.

The Golden Years Group, founded to support the health and wellbeing of senior citizens in Maun, is one such Patron that benefits from this Primary Health Care Service. Through the bespoke Home Patronage Care Programme, "members are visited regularly by staff from Okavango Air Rescue who check their vital signs and report back should furhter medical assistnace be required".

Affiliate Accounts
Okavango Air Rescue offers businesses wishing to make ongoing patronages for guests or clients the option of building Affiliate Accounts.

The Affiliate Account provides users the ability to register impending guests or clients as Patrons throughout the month, and to then only recieve an invoice at the end of each calender month.