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Last Updated: Thursday, 21 February, 2002, 01:19 GMT
Your NHS 2002: NHS people
Roddy Brown
Paramedic Roddy Brown is on duty during Your NHS in 2002 with the Scottish air ambulance service in Aberdeen.

Roddy and the rest of the air crew provide a vital service to people living in remote parts of Scotland.

Follow Roddy and the air crew's day here.

Read In depth profileNews imageWatch video profile


  2323 GMT
We have just landed back in Aberdeen.

Finally, it is time to go home.

Obviously if any urgent calls come in during the night, I will have to answer them.

But at the moment, fingers crossed, I will be getting a much needed long lie-in.


  2100 GMT
Our patient arrived at the hanger in an ambulance after being escorted through the Aberdeen rush hour traffic with a police escort.

He had suffered 70% burns and was in an unstable condition.

It took a while to load him on to the plane - there were lots of monitors and drips to hook up inside the plane and it took about eight of us to manoeuvre him in to place.

He was accompanied by a consultant anaesthetist, a nurse and a doctor who administered drugs and treatment during the 30-minute flight.

It was extremely hot during the flight - a fan heater had been placed inside the plane while it was waiting in the hangar and the heating was kept on high throughout the journey to stop the patient losing heat through his burns.

The pilots called ahead to check that an ambulance would be waiting on the tarmac.

There were no planes waiting to land at Glasgow so we were able to land quickly.

Even if there had been a queue, we would not have to wait - the air ambulance has priority in the sky over everything except the Royal Flight.

An ambulance was waiting for us on the tarmac and the patient was soon on his way to a Glasgow hospital, again with a police escort.

We now have to wait for the medical team from Aberdeen to return after giving a comprehensive handover on the patient to their colleagues in Glasgow.

Until then, we have got our first real chance of the day to have a break and a coffee.


  A: from Roddy Brown
Firstly, Aberdeen's King Air aircraft does not attend frontline emergencies.

The reason why it is crewed by a paramedic is that on a number of occasions, patients' conditions have deteriorated during long flights and paramedic skills have been required.

It is also necessary to have an in-depth knowledge to assist the medical teams in their treatment of the many intensive therapy transfers we do - like the one we are doing this evening.


  Q: from Matt Allcock, Derbyshire
If today is typical, it seems you are mainly involved in medical transfers not medical emergencies where your skills might be put to better use.


  A: from Roddy Brown
More funding would give us more equipment and training, which would benefit patients.

But we make the best of what we have.


  Q: from Olly Grantham, Preston
Do the state of the NHS and the lack of funding affect your ability to perform?


  A: from Roddy Brown
It can take up to three years to become a paramedic as you must spend some time working as an ambulance technician before applying.

Local health authorities run the ambulance services in England.

But in Scotland we are funded by central government and act as our own health authority.

Every ambulance authority has different criteria for what qualifications are required.

I suggest you contact your local ambulance service.


  Q: from Kate Blackwell, UK
How would I go about becoming a paramedic and what qualifications would I need?


  1713 GMT
We've got quite a few things to sort out for the intensive care transfer to Glasgow we're going to do shortly.

The patient has severe burns after allegedly setting himself on fire in the waiting room of a local doctor's surgery. Due to his condition, we will have to be very careful loading him on to the plane.

We've managed to get access to a hangar at the airport so we can transfer him in to the aircraft in a warm environment. We're assured that similar facilities will be available in Glasgow for unloading him.

Our estimated time of departure at the moment is 1730 but that may change.


  A: from Roddy Brown
The Scottish air ambulance service differs from other air ambulance services because we are fully government funded rather than charity-funded, like most of the English services. Because of this, our air ambulance fleet consists of two EC135 helicopters based in Glasgow and Inverness (which deal mainly with emergency calls).

We also have three Islanders based in Glasgow, Kirkwall and Lerwick, and the King Air (the aircraft I fly on) based in Aberdeen.

With reference to the PTS helicopter, I can't see that being a cost effective option. It would be an extremely expensive way of moving a non-emergency patient. We transfer non-emergency patients regularly because road or other transport would take far too long due to the locations and distances involved.


  Q: from Phil Gurnett, Kent, UK
The air ambulance in our area only deals with emergency situations and accessing patients who are in out of the way areas who need to get to hospital quickly. How does your service differ? I noticed that you take patients home from hospital, is that a regular occurrence? Would it be cost effective to have a PTS (patient transport service) helicopter to help free up the emergency service?


  A: from Roddy Brown
Yes, only last night we got grounded in Kirwall, Orkney due to strong cross winds and snow on the runway. We had to wait for two and a half hours for a 'weather window' to let us fly back to Aberdeen. Occasionally weather closes in while we are waiting for a patient to be brought to us and one to two day groundings are unusual but do occur. Usually the patients are being brought to us from a local hospital so to be held a short while longer while the weather improves, isn't usually too much of a problem.


  Q: from Cathy, Ealing
Do air ambulances get grounded often because of the weather - what happens to the patients when you are grounded?
  1550 GMT
We're back in Aberdeen now after a bit of a bumpy flight. We're still waiting for confirmation of when we have to do a planned intensive care transfer to Glasgow.
  1520 GMT
We're just about to leave Glasgow airport. A local ambulance arrived within minutes of us landing here to collect our young patient, Adam, and his mother to take them to Yorkhill Hospital.

Adam has used the plane many times before and is quite at home with us. His mother used to be a nurse with the air ambulance service and really appreciates the work it does. To get to Aberdeen by boat, the journey would have taken them about 16 hours.

Throughout the day, I've been keeping in touch with the air desk in Aberdeen about a potential intensive care transfer happening later this afternoon. It looks like we'll be flying back down to Glasgow from Aberdeen at about 1700.

The pilots are only allowed to fly for a certain number of hours every day so there may be a change of shift before this transfer. However, I'm on duty 24 hours a day for this whole week. Since I came on shift on Monday, I've already looked after seven patients and have travelled more than 3,000 miles.


  1202 GMT
We are now at Sumburgh airstrip on the southern tip of Shetland taking home an elderly patient who had been in hospital in Aberdeen.

The wind was blowing straight across Tingwall airstrip near the local hospital so we couldn't land there. This meant the ambulance coming to pick up our patient had to travel an extra 25 miles to meet us.

It's still pretty windy here and pretty cold.

We transferred our patient off the plane and on to the ambulance as quickly as we could to keep her out of the cold.

Now we have to fly to Glasgow to take Adam Keppie, a 13-year-old boy with brittle bones, to see a specialist at Yorkhill Hospital in Glasgow.

Should have time for some lunch and catch up on some paperwork during the next hour-long flight.

It looks like today could be another long day. We've had a phone call saying there's a critically ill patient in Aberdeen who we may have to take to Glasgow later this afternoon,


  0936 GMT
I'm at the regional operations room in Aberdeen finding out where we have to go today.

This morning we have to fly up to Shetland to take an elderly lady home after a stay in hospital here in Aberdeen. After that we have to fly a young boy Adam Keppie (who featured in the profile) to Glasgow.

I had a really long day yesterday. We got stuck in Orkney yesterday evening after the weather closed in. The high winds did briefly drop about midnight and we were able to fly home then.

Apparently it's really windy in Shetland today and we might have to land at a different airport from the one we usually use. It's going to be a bumpy ride!

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