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Ambulance UK April 2024

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NEWSLINE<br />

NEWSLINE<br />

AMBULANCE <strong>UK</strong> – APRIL<br />

Primarily funded by charitable<br />

donations, the service is also<br />

run in partnership with Barts<br />

Health NHS Trust and the<br />

London <strong>Ambulance</strong> Service<br />

NHS Trust. Barts Health NHS<br />

Trust provides the doctors, some<br />

financial support and the helipad<br />

facilities at The Royal London<br />

Hospital. The London <strong>Ambulance</strong><br />

Service NHS Trust provides the<br />

paramedics and the emergency<br />

infrastructure to dispatch the<br />

service 24 hours a day.<br />

Milana’s story<br />

On 17 January 2022, Milana – a<br />

mother of two – accidentally fell<br />

from a great height in London.<br />

Her life took a turn that no one<br />

could prepare for.<br />

London’s Air <strong>Ambulance</strong> was<br />

dispatched and arrived at her<br />

side within minutes, the first on<br />

scene. Our advanced trauma<br />

team found Milana barely<br />

alive. She was critically injured,<br />

extremely pale, breathing very<br />

quickly with only palpable central<br />

pulses, cold and in a lot of pain.<br />

She also had no recordable blood<br />

pressure and her heart rate was<br />

over twice the normal rate.<br />

The crew sited intravenous<br />

access to administer strong<br />

painkillers. They suspected<br />

Milana was severely bleeding<br />

internally in her abdomen and<br />

from a life-threatening pelvic<br />

fracture. She had broken her<br />

ribs on her left side, puncturing<br />

her lung, and had broken her left<br />

ankle to such an extent it was<br />

stopping the blood supply to<br />

her foot. The team also noticed<br />

that Milana was not moving her<br />

lower limbs at all. They suspected<br />

she had unfortunately suffered a<br />

spinal cord injury.<br />

Once off the ground onto a<br />

trolley bed, having had a pelvic<br />

splint applied, Milana received a<br />

blood transfusion – something<br />

only London’s Air <strong>Ambulance</strong>’s<br />

team can administer on scene<br />

in London. The team also<br />

administered a roadside general<br />

anaesthetic to take over her<br />

breathing and performed a<br />

surgical procedure to the left<br />

side of her chest to re-inflate<br />

her punctured lung. Both these<br />

procedures ensured Milana could<br />

get maximum oxygen to her vital<br />

organs, especially her brain.<br />

The team then rang the nearest<br />

major trauma centre and<br />

declared a code red. A code<br />

red is an early warning to the<br />

receiving hospital team, to<br />

prepare them for a patient who is<br />

severely injured and has got lifethreatening<br />

bleeding. On the way<br />

to hospital the crew performed<br />

an ultrasound scan of Milana’s<br />

abdomen which confirmed their<br />

suspicion of internal bleeding.<br />

The team accompanied Milana to<br />

hospital, where they handed her<br />

over to an awaiting trauma team.<br />

“When I woke up from my coma,<br />

I thought I was in a nightmare.<br />

Doctors were telling me what had<br />

happened, but I didn’t believe<br />

it was real,” said Milana. “I was<br />

waiting for someone to pinch me<br />

to wake me up properly so I could<br />

return to my normal life.”<br />

For the following 10 months,<br />

Milana remained in hospital. Her<br />

spinal cord injury had resulted<br />

in paralysation from her waist<br />

down. “For the first three months<br />

I struggled to accept this new<br />

reality. But when I realised it was<br />

real, I said to myself I have to<br />

work out how to do this.<br />

“First I have to heal physically and<br />

then find my way out of hospital<br />

and back home. I have to return<br />

home to my boys.”<br />

Through 12 surgeries and months<br />

of intensive rehabilitation, Milana<br />

worked tirelessly on her recovery<br />

with dedication and tenacity.<br />

“I had to find a new way of living.<br />

I had to learn how to do the<br />

daily things you don’t even think<br />

about in a wheelchair, like getting<br />

dressed and getting onto a bed.<br />

But I wanted to do it for my<br />

children, I wanted to be at home<br />

with them for Christmas. They<br />

were my driving force.<br />

“An inspiring woman said to me<br />

that it is not the accident that<br />

happens to you that defines<br />

you, but how you respond to<br />

the challenges.”<br />

Surrounded by unconditional love<br />

and fuelled by determination to<br />

overcome the challenges ahead<br />

of her, Milana progressed through<br />

rehab and returned home to her<br />

family, where she lives today.<br />

“I vividly remember my first breath<br />

of fresh air after removing my<br />

respiratory breathing tube and<br />

seeing my first sunrise since the<br />

accident – so many shades of<br />

pink, orange and blue. We can<br />

get caught up in life sometimes,<br />

but I was reminded never to take<br />

anything for granted.<br />

“Something really dreadful<br />

happened that day, but at the<br />

same time, a miracle happened<br />

and from that point onwards so<br />

many stars aligned to help me<br />

survive. London’s Air <strong>Ambulance</strong><br />

being first on the spot and<br />

then the NHS for the following<br />

months. I am grateful for every<br />

day, minute and second. Being<br />

alive is a privilege and I am<br />

so thankful to all the medical<br />

teams that have given me the<br />

opportunity to be here. The<br />

courage and professionalism of<br />

London’s Air <strong>Ambulance</strong>’s crew<br />

was incredible.”<br />

After a year of being back at<br />

home, living her life with her<br />

children and husband, Milana is<br />

full of thanks for everyone who<br />

has been a part of her journey.<br />

“Two things made this impossible<br />

journey possible for me. The<br />

immense love I received from<br />

my husband, my children, my<br />

parents, brother, sister and<br />

friends. And of course all the<br />

doctors and nurses that attended<br />

to me. London’s Air <strong>Ambulance</strong>:<br />

the first to arrive and help me.<br />

Those first minutes were the most<br />

crucial. The charity made my<br />

recovery possible.”<br />

Milana was already aware of<br />

London’s Air <strong>Ambulance</strong> Charity<br />

before her accident – she had<br />

attended one of our events in<br />

2019 and subsequently joined the<br />

charity’s gala committee.<br />

“I was taken aback by the charity<br />

when I first heard about it. It’s an<br />

inspirational service – you really<br />

do save lives.”<br />

She played an instrumental role in<br />

organising the 2022 gala – which<br />

went on to raise over £1 million on<br />

the night – but hadn’t been able<br />

to attend as was still in hospital<br />

at the time. Instead, she followed<br />

the evening through a video call<br />

from her hospital bed!<br />

“I am best placed to say that this<br />

really can happen to anyone. I<br />

wouldn’t wish it to happen to<br />

anybody ever. But if it does, we<br />

need to make sure London’s Air<br />

<strong>Ambulance</strong> can be there to save<br />

their life too.”<br />

In February <strong>2024</strong>, just two years<br />

after her accident, Milana spoke<br />

at our <strong>2024</strong> gala, bravely sharing<br />

her journey with the guests.<br />

“Speaking at the gala is part of<br />

my journey, another milestone<br />

for me,” she beamed. “This is an<br />

opportunity to say thank you to<br />

everyone who supported me.<br />

“Something tragic happened to<br />

me. But from that point onwards,<br />

so much good happened and I<br />

am so thankful to London’s Air<br />

<strong>Ambulance</strong> Charity for that.<br />

“There is no rewind button in life,<br />

so we have to look forward and<br />

that is what I’m doing. Together,<br />

tonight, we can make sure that<br />

London’s Air <strong>Ambulance</strong> Charity<br />

is able to give another person<br />

that chance.”<br />

Royal Engineers from<br />

Kinloss Barracks join<br />

forces with HELP<br />

Appeal helipad charity<br />

for first time to bring<br />

lifesaving helipad to<br />

Isle of Gigha.<br />

Once completed the HELP<br />

Appeal and 39 Engineer<br />

Regiment could construct<br />

more helipads in Scotland to<br />

speed up remote communities’<br />

access to hospitals in medical<br />

emergencies.<br />

For the first time, the Corps of<br />

Royal Engineers, and the HELP<br />

(Helicopter Emergency Landing<br />

Pads) Appeal, the only helipad<br />

charity in the country, will be<br />

working together to build a<br />

much-needed emergency helipad<br />

on the community owned Isle<br />

of Gigha.<br />

Gigha is located on the most<br />

southerly Hebridean Islands,<br />

three miles west of the Kintyre<br />

peninsula and around a threehour<br />

drive from Glasgow followed<br />

by a 20-minute sailing on a<br />

ferry. Whilst there is a regular<br />

ferry service, Gigha is still a<br />

remote and rural community,<br />

and its inaccessibility can be<br />

problematic particularly during a<br />

medical emergency. By having<br />

Rendering Controlled Drugs Irretrievable for Use<br />

SaferDenature Controlled Drug denaturing kits will render unused, waste or expired medicines<br />

irretrievable prior to disposal via pharmaceutical waste streams in line with current legislation * .<br />

Simple, easy-to-use, instructions on every kit<br />

Small 250ml kit for convenient use in the field<br />

Suitable for use with tablets, capsules, liquids,<br />

aerosols or patches<br />

The water soluble sachet contains the<br />

formula granules to guard against accidental<br />

spillage and user contamination<br />

Larger kit volumes available for expired<br />

stock clearance<br />

a permanent, purpose-built<br />

helipad at Gigha Airfield, the<br />

Scottish Air <strong>Ambulance</strong> and<br />

larger coastguard helicopters can<br />

land and take off at any time on<br />

the island, transporting critically ill<br />

patients to the most appropriate<br />

major trauma centre or A&E<br />

hospital on the mainland.<br />

Jane Millar, from The Isle of Gigha<br />

Heritage Trust, approached the<br />

HELP Appeal for support. By a<br />

happy co-incidence the charity<br />

had also been contacted by 39<br />

Engineer Regiment in Kinloss,<br />

Scotland, asking if there was<br />

a helipad project it could be<br />

involved with to gain exercise<br />

experience of building emergency<br />

platforms. 39 Engr Regiment<br />

are the MOD’s high readiness<br />

air support Engineer force and<br />

the regiment strive to improve<br />

its understanding of helicopter<br />

infrastructure so it can react<br />

without delay to the needs of<br />

defence across the world.<br />

Purchase at NHS supply chain:<br />

my.supplychain.nhs.uk/catalogue or www.alphalabs.co.uk/safer-denature<br />

Phone: 023 8048 3000 • www.alphalabs.co.uk<br />

In 2002, the Gigha islanders<br />

managed to purchase the<br />

island for £4 million under the<br />

Community Right to Buy scheme.<br />

They now own it through the<br />

Isle of Gigha Heritage Trust,<br />

which has teamed up with the<br />

HELP Appeal and 39 Engineer<br />

Regiment to coordinate the<br />

project. Currently the island<br />

operates on a “landing strip” of<br />

grass, which is a highly unsuitable<br />

surface for its volunteer<br />

ambulance service when<br />

escorting patients to a helicopter.<br />

It can become waterlogged and<br />

muddy delaying their transfer to<br />

lifesaving treatment at a hospital<br />

on the mainland.<br />

Robert Bertram, the HELP<br />

Appeal’s Chief Executive has<br />

agreed to fund the cost of the<br />

project - £150,000 - and 39<br />

Engineer Regiment in conjunction<br />

with local contractors, will<br />

build the helipad. It will be<br />

operational by <strong>April</strong> <strong>2024</strong>. Once<br />

*The misuse of Drugs<br />

Regulations 2001<br />

AMBULANCE <strong>UK</strong> – APRIL<br />

12<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />

01 Safer Denature - <strong>Ambulance</strong> <strong>UK</strong> - Jan <strong>2024</strong>.indd 1 10/01/<strong>2024</strong> 14:27:14<br />

For further recruitment vacancies visit: www.ambulanceukonline.com<br />

13

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