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Reports<br />

26 REPORT<br />

Lifesaving<br />

logistics<br />

By Clemens Bollinger<br />

A child’s heart on its way to the transplantation room, hospital flights from vacation regions, evacuation after<br />

natural disasters: three key facets of ‘lifesaving logistics’, of an increasingly close symbiosis between aviation and<br />

medicine. It is foremost the aircraft that offers efficient lifesaving transportation with medical care en route.<br />

Flying the way it used to be, that’s what the<br />

German Air Force (GAF) pilots flying humanitarian<br />

missions ought to have down pat. “In<br />

their indoctrination and continued training,<br />

we’re still putting a high priority on flying and<br />

landing by compass needle and stop watch,”<br />

says GAF major André Geisler. “After all, we<br />

never know for sure what’s waiting for us at<br />

the destination. Perhaps they have some<br />

decrepit old navaid system running there, or<br />

maybe not, and maybe it just up and died<br />

meanwhile.”<br />

Commander of an Airbus A310, Major<br />

Geisler is part of the parent cadre of the<br />

Special Air Mission Wing, Federal Ministry of<br />

Defense, at the Cologne/Bonn airport. It’s<br />

from this airport that he has flown to all continents,<br />

embarked on many trips, travelling<br />

with ‘very important politicians’ and hauling<br />

myriad tons of relief supplies to crisis<br />

regions in Asia and Africa, and made those<br />

special flights as the commander of a flying<br />

intensive-care unit, the GAF’s Airbus<br />

MedEvac transport.<br />

Its MedEvac operations are luring interested<br />

parties from across the globe to the GAF<br />

hangars at Köln-Wahn. The acronym stands<br />

for Medical Evacuation, and in this case for<br />

the presently unique capability to pick up as<br />

many as 56 injured people and fly them<br />

home, from wherever they may be, providing<br />

medical care underway. That’s the way it was<br />

in Congo, Sudan, Mexico and most recently<br />

Thailand, where in 2004 a tsunami crippled<br />

the country with an apocalyptic visitation at<br />

the turn of the year.<br />

It was a medical Airbus transport flying<br />

under the German national ensign that first<br />

reached Phuket to evacuate German citizens<br />

and other seriously injured Europeans, and<br />

that steadfastly remained when all other rescue<br />

teams had already flown off in awed<br />

anticipation of a second sea wave. At that<br />

time, the flying hospital had not finished<br />

loading yet, and speed and nerve were of the<br />

essence. When the jet finally taxied to the<br />

take-off runway, doctors and medics hung on<br />

for dear life among the aluminum frames of<br />

stretchers holding injured people.<br />

If not earlier, it was since these dramatic<br />

days marked by continuous missions of 80<br />

hours and more that the Special Air Mission<br />

Wing with its very special medical logistics<br />

has been thrust into the spotlight. High-profile<br />

voices call it a landmark of German foreign<br />

and security politics.<br />

The German MedEvac aircraft are Airbus<br />

A310s operated by the Special Air Mission<br />

Wing. Of the totally seven airplanes, bought<br />

secondhand in the nineties, four were retrofitted<br />

for multi-role transport (MRT) and one<br />

as a permanently available emergency hospital.<br />

The MedEvac airplane can be aloft just hours<br />

after the alert. Lieutenant colonel, Medical<br />

Corps, Dr. Karlheinz Fuchs, as the medical<br />

chief, has been onboard on practically all of<br />

the missions. “The book says we have 24<br />

hours to ready for takeoff, but we can do it in<br />

eight or so. What we do is fly medical specialists<br />

and medics from all over Germany to<br />

our base, assemble them into a team, brief<br />

them, and off we go.”<br />

REPORT 27

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