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Dáil Éireann debate -
Wednesday, 13 Mar 1996

Vol. 463 No. 1

Adjournment Debate. - Air Ambulance Services.

At 11 a.m. on Friday, 1 March at Broom Hill, Fethard-on-Sea, a young man, Mr. Timmy Sutton, while working on a low loader, sustained spinal injuries. Mr. Sutton is 28 years old is one of nine family members employed by Jim Sutton Plant Hire. Timmy, who has been married two years, was a careful worker. He was cleaning the machine when the accident occurred. Unfortunately, he was working away from his house on his own and was in agony for an hour before he could attract attention.

All emergency services were then alerted. An ambulance arrived from Wexford hospital as quickly as could be expected. The Hook peninsula, on which Mr. Sutton lives, is 28 miles from Wexford town. Because of the nature of his injury, the ambulance had to travel at ten miles per hour to the hospital. On arrival at the hospital and following examination, an air ambulance from Baldonnel was requested. It arrived but then there was an unbelievable succession of bizarre events. The incorrect stretcher was ordered. Because of this an anaesthetic had to be administered to accommodate the patient on the only stretcher on the helicopter. It was discovered that the anaesthetic would not have taken effect in time for the patient to be air lifted in daylight. The air ambulance, complete with special medical equipment and a highly specialised medical team, could not wait because it was not equipped with night flying equipment.

At this stage Mr. Sutton was in agony. His family, not knowing the extent of his injury, were very anxious. As someone said on that occasion, it was like having a car with no lights. I am told that now even lawnmowers have lights. Timmy's wife Mary, standing in the hospital grounds is quoted in last week's issue of the New Ross Standard as saying: “You could just have stood there and cried watching them fly off”. The crew and everything else necessary was there but they had to take off without him.

I received a call from the family on Saturday morning. On ringing Baldonnel to find out when the helicopter was coming back to Wexford, I was told there was a more urgent case. Why was this helicopter not in Wexford at first light? To cut a long, sad story short, the air ambulance arrived in Wexford at 4 p.m. and took Mr. Sutton to the Mater Hospital, Dublin. It took 31 hours for a patient with a severe spinal injury to be taken to hospital. This should have been done in five hours. An extra 26 hours is a long time to wait and God only knows what damage was done during this time.

This is 1996, not 1946. It is a disgrace that a fully equipped air ambulance was not available. During the week the Minister for the Marine, Deputy Barrett, announced that a helicopter with night flying equipment is being made available to assist in marine safety. This was a result of a call earlier this year by me and others. Can this helicopter be used as an air ambulance during night time emergencies for those with spinal injuries? When I asked this question during the week, I was given flippant answers. This is a serious issue. The Suttons hope that no other family will endure such a fiasco ever again. A fully equipped air ambulance service must be provided, particularly for the east and south-east coasts.

A Cheann Comhairle, when the Deputy gave you notice of his intention to raise a matter on the Adjournment, he did not refer to the specific case he raised. He informed us that he was raising the need for an air ambulance with night time flying equipment on the east coast and this is the matter to which I will reply.

Have I not demonstrated the need for this?

The Deputy did not give me an opportunity to prepare a reply to the specific case he raised.

I understand that. However, the Department of Health and the Department of Defence, both of which I have spoken to on several occasions, are well acquainted with the incident. I did not outline the matter I was going to raise in four or five lines because I assumed the Department of Health would have informed the Minister of the incident to which I was referring.

There is a time factor involved and the Minister of State must be allowed to utilise his time without interruption.

I am pleased to have this opportunity to clarify the position regarding the provision of air ambulance services. The Air Corps provides air ambulance transport to health boards for emergency cases and this arrangement has been in place since 1965. This service is generally provided in emergencies requiring the removal of badly injured or very ill persons over long distances, particularly where they cannot be safely conveyed by road ambulance. It is also provided for the removal from islands of persons requiring urgent hospital attention when weather conditions make boat transport impossible or hazardous to the patient. The Air Corps has a fleet of five Dauphin helicopters with night flying capabilities and these have been used in exceptional and urgent circumstances in the past for air ambulance missions. In addition, since August 1991, the marine search and rescue helicopter service of the Department of the Marine is also available for air ambulance transport in cases of emergency. This service has been used at times by health boards.

The report of the Review Group on the Ambulance Service recommended that a standing committee on air ambulance services be established. This committee was established in 1995 under the aegis of the Department of Health and the Department of Defence. One of the standing committee's terms of reference was to consider the adequacy of resources for air ambulance missions and put forward jointly any proposals for the improvement of the air ambulance service. This committee is currently engaged in an examination of all the options regarding the most appropriate arrangements for the provision of air ambulance services.

While I am aware of the role which a dedicated air ambulance service could play in enhancing the effectiveness of the ambulance service, as I am sure the Deputy will appreciate, the provision of optimal patient care requires that the operation of an air ambulance service should be integrated with the general ambulance services to secure the appropriate response to emergencies. Last year my colleague, Deputy Michael Noonan, Minister for Health, gave approval to his Department to proceed with the purchase of a fully equipped mobile intensive care unit. This service which will be provided by the Eastern Health Board in association with a number of Dublin hospitals will enable a safer transfer of acutely ill patients from intensive care units around the country to hospitals in Dublin. This service will reduce the number of calls made on the Air Corps for inter-hospital transfers. The Department of Health also has a programme in place for upgrading the ground emergency ambulance service, to include fleet replacement, new training standards for staff and the development of command and control centres.

It is necessary to have detailed arrangements to ensure that an integrated service operates between the air ambulance, ground based ambulance services and hospital based accident and emergency services. All of these matters fall to be considered by the standing committee and any development in this area should await the recommendations of the standing committee on air ambulance services.

The Deputy's comments may inter alia, relate to an incident which was the subject of recent comment in the Wexford People. A report on this incident from the Air Corps has been received by the Department of Health and certain matters will now be the subject of discussion with the South-Eastern Health Board and Our Lady of Lourdes Hospital, Dún Laoghaire. If the Deputy so wishes, I will be happy to communicate with him further in this matter when these inquiries have been completed.

Will the Minister of State confirm that the Air Corps has a fleet of five Dauphin helicopters with night flying capabilities?

That is my information and I have no reason to disbelieve it. If the Deputy had been more precise in his question he would have received a more precise answer. I like to give the fullest possible answers.

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