Medical Evacuation

…just when Taliban rattled the Af.

It is very recent; during US pullout from Af and turmoil thereof. Three Indians and Nepalese suffering Covid infected Lungs disorder. Both their employer and hospital wanted them to be evacuated out of Af. Reasons were many: including endangered life, deteriorating medical condition and depleting resources. Taliban was making sudden moves and whole of Af was in uncertainty and fear. Airport, Immigration, Security…. tartar

Challenges were equally strong; including negligible commercial Flights, safety/security/ permissions and costs. Embassies of both India, Nepal at Af and of Af at India were least-functional; stalling the permissions, visa and clearances. 

The Plan A to move all 3 of them together by a chartered Air Ambulance was dropped due to safety concerns in Af airspace. The Asian and European aviation companies had refused to fly into either Kabul or Bagram, Mazar-e-Sharif. Even the Af Medical team refused to road-transfer patient to Bagram etc. 

Our Director-Operations Ms. Poonam had designs of Plan B. She swiftly started working on Commercial transfer. She prepared 2 simultaneously Medical teams and commercial Airlines (Air India and Kam Air) at India and Af to activate either medical escort teams. Oxygen, BPAP, ECMO equipped. She frivolously moved few Govt Ministers & airlines.  It was a life-saving mission. Commercial airlines medical clearances were arranged.  

Meantime a patient’s condition deteriorated. The impending life threats and medical condition warranted urgency. Ms. Poonam agreed to a split-plan.  1st patient was immediately transferred by Commercial airlines to India. Subsequently stabilized overnight at Delhi, before Air Ambulance transfer and treatment at Nepal. 2nd (deteriorating) patient was immediately moved to the Middle East. 3rd was moved few days later by commercial airlines to Delhi for treatment.
Thankfully, all 3 are safe home and doing good; away from Af. Yes, escaping the inevitable threat and chaos thereon.

We were saving 3 human lives; just in time. 

Air Ambulance tearing the Darkness

Saving Life is more important than anything else.“- Ms. Poonam (Director-Operations)

 

 

It was a distress call to help Air transfer a Heart patient who immediately (Golden hour) needs surgery Implantable cardioverter defibrillator (ICD).

What is so challenging: Patient heart condition, Inter-country Covid regulations, UK Lockdown has disrupted Dhaka Airport operations. Flight slot, Permissions and Operations are in for a hard time. Any further anxiety (due to Air-transfer delays) can worsen his Vitals.

ISAPL approach:  Sub-team formation by Ms. Poonam.

Team A works on Flight readiness with equipment & Medics, client management and commercials. Team B works on Medical assistance logistics from Bed-Airport-Ambulance-Airport-Bed. Team C works on Inter country permissions, visas, Covid clearances, Airport permissions.

Airport operations at Dhaka were overwhelmed with changed dynamics of global aviation due UK. A request to fly is pending since morning. Winter Darkness setting in sooner and Patient’s vitals…..
When the standard approach for permissions didn’t yield for many hours; Ms. Poonam could trace and reach senior officials of Dhaka Civil Aviation authorities. Permissions to land in at night were hard to come by. Her Empathy and request to Dhaka Authorities to support a life-saving mission worked. Immediately, all the 3 teams converged to simultaneously roll both Road and Air ambulances. The integrated approach of dovetailing logistics saved critical minutes. Medic team ran a night mission saving each critical minute.

Patient is safely and delightfully Air ambulance transferred from Dhaka to Delhi Bed-to-Bed. The family is thankful of Miracle tearing the Darkness of night and pain.

Humane to Those in Distress !!

Poonam

 

What Goes up, must come down

 

 

 

 

 

 

 

 

India hosts global adventurists for Paragliding. A Sport / passion to soar high, flowing freely like a soul. The Man’s ultimate desire.
Although, one is not always blessed to keep soaring.

ISAPL was in action last week at the Paragliding site. A French Pilot had crash-landed in an accident. Post rescue & medical assistance, Pilot was declared dead. ISAPL responded to the family’s request to handle the Human Remains. It was a nightmare for the family abroad to comprehend the situation and related formalities to get the Pilot (Deceased) back home.
Site is some 550km (12 hours Terrain drive) from Delhi.

Swift and precise action plans by Director Operations – Ms. Poonam Jain. She leveraged her experience of handling the accidental death of  Singaporean pilot in 2018.

ISAPL arranged for necessary Statutory and Medical clearances. Further Respectful and dignified Cremation and Ashes collection as per Hindu rituals. Transfers and Personal Belongings including Cash, Card, Electronic gadgets.

Cremated remains were ready for International Cargo (from Delhi), with all documents; in just 90 hours.

Motto: Helping Those in Distress !!

 

 

Helping Aged during Covid times

This time, it is a 70+ years old Canadian lady vacationing at India; when the Lockdown held her back at a Dharamshala (India). She was confined to the place for almost 5 months. And once she started moving out, had a fall causing cerebral injury. The medical care could keep her live with negligible movement. She was under home care for long enough developing sores. The family at Canada was concerned. They wanted her to be shifted to Canada for better care.

She was infirm and longing to return back to Canada.

ISAPL was recommended by the Canadian Govt officers. ISAPL team swung into action. Connecting the family, Care provider, Airlines, Govt and many many more.  ISAPL finalized the travel routing and medical care needed.

A 5-days monitoring and stabilizing process started. having enough experience, ISAPL team swiftly arranged the permissions and clearances from Canadian High Commission, Ottawa HQ and Airlines authorities for yet another special transfer during Covid.

She was shifted to Delhi, under Medical care and supervision. She was stabilized at Delhi for 72 hours and Covid tests were conducted. She was prepared mentally, Physically and emotionally for the 13 hrs non-stop flight from Delhi to Toronto. And another connection of 2 hours flying.

ISAPL, under the leadership of Ms. Poonam is well versed, equipped, experienced in supporting such Medical Repatriations. Ms. Poonam sorted thru special exemptions and permissions.

The entire family at Winnipeg was assured of her safe travel.

We do best what we intend to…

Humane to Those in Distress !!

Ms. Poonam-ISAPL-Handling medical Emergencies, Globally

Ms. Poonam Jain of M/s International Star Assistance Pvt Ltd. (ISAPL) has won yet another international award.

Women in Business and Professions World Awards-2020

(RECOGNIZING WOMEN IN BUSINESS AND THE PROFESSIONS ALL OVER THE WORLD)

Category:                Health Care and Medical Hero of the Year

Rank:                      GOLD

Motto:                     Handling medical Emergencies, Globally

 

Handling Medical Emergencies, Globally:

Indian government announced a hard-lockdown, with just 4 hours notice. Flights, Hospitals, Embassies, transport, Offices came to grinding halt. People movement was prohibited, with penalty on opening ANY office. Both medical and logistics services were snapped leading to an utter confusion and distress all around.

International Star Assistance Pvt Ltd. (ISAPL) being a global company for Medical Emergency, were amidst many cases. The Director-Operations, Ms. Poonam Jain, decided to stand up and continue the services. As per Poonam ‘People need us more now’. Leading from the front, her Operations team was up and running overnight.

Operations

  1. Having worked globally; Poonam activated the ‘Work From Home’, as per the Business Continuity Plan.
  2. She activated the call diversions and hunting mode for 24×7 Alarm Centre.
  3. Established 100% normal communication channels (emails, phones, chats)
  4. The process books and data backups were leveraged for formats, tools, accounting etc.
  5. Learning from the lockdown and business criticality, Poonam relentlessly worked on refining the policy / procedures to conclude the Audits. Finally achieve the ISO 9001-2015 Certification for SEARCH & RESCUE, AIR EVACUATION, AIR AMBULANCE, MEDICAL ASSISTANCE & ESCORT, and TRANSPORTATION OF HUMAN REMAINS
  6. Poonam prepared for the eventuality of any existing staff getting infected of Covid-19. She hired professionals to expand Support team by another 60%

Medical Assistance

  • Poonam could envisage an immediate need for otherwise non-existent network and ecosystem for ‘Tele Medicine and counselling’.
  • Arranged Psychiatrist counselling sessions for foreign nationals stranded at India.
  • Poonam has established a team of Medics-paramedics for ‘home visit’, fully geared in PPE kits to provide Primary care for Covid-19 affected. An elaborate ‘Quarantine and monitoring’ was drawn in consultations with Doctors and learning from Medical agencies.
  • In miraculous feet, Poonam arranged Air transfer of Human remains from Covid locked Eastern Europe to Canada; while all along being at home (Delhi, India). It was a unique multi-mode, multicounty mission.
  • When everyone was losing peace, Poonam utilized the Covid-19 lockdown as an opportunity to seek overdue citizenship and immigration transfer of an Infant born in India 2 years back. US govt granted a ‘special case’ approval for Infant to reach home-US. Poonam went further ahead to arrange a seat in special flight of India-US for stranded. All this while coordinating with Washington.
  • Poonam leveraged her experience at US Embassy during Anthrax scare days to prepare SOPs for Embassies’ readiness for Covid handling
  • Poonam could fill the gap on Service provider for Air Charter; by leveraging network in Spain and Eastern Europe.
  • When clients / expats were concerned about availability of Super specialty Hospital for Covid-19 treatment, Poonam arranged assured & preferred services to them.
  • Quickly coached and guided the newly inducted staff, straight in a Work-from-Home mode, with devices, emails, phones working within 6 hours.
  • Received appreciation and publicity for conducting Covid awareness sessions among the Residential communities. Arranged groceries and medical help for the aged / isolated.

Team Learning:

  1. Ms. Poonam preferred to certify herself: International Red Cross’s course on “Restoring Family Links & Psychosocial Support in Emergency”
  2. Encouraged and coached Network Manager – Mr. Ankur Sharma certify himself: WHO’s “Health Emergency Program on Covid-19”
  3. Operations Manager – Mr. Deepak Rai learnt the nuances of Health and Travel Insurance
  4. Under Poonam’s mentoring, the complete Operations team was on feet 110% time. They felt more resourceful than before. The happiness and engagement was overwhelming. Poonam ensured a more than normal client communication. Team worked more cohesively and compassionate to those in need.
  5. Poonam’s empathetic approach is both consolation and reassuring to those in distress. She has happily handled the grief, anxiety and concerns of others. She brought few smiles back. During the severe Covid-19 outbreak, Poonam did lower her guards to take better care of fellow human beings.
  6. Under Poonam’s leadership, ISAPL stayed true to the company motto: Humane to Those in Distress!

Summary:

  1. Poonam exhibited resilience & mellowness in such unpredicted circumstances. She heroically led from front to dispel panic and nervousness among client & society. Arranged Psychiatric video sessions for mental health of stranded & isolated expats.
  2. During hard lockdown of cities, offices, state borders, Airlines & transport Poonam arranged logistics, permissions, and devices for team to operate 24×7. They remained cheerful & healthy in ghost towns; when everyone else had dithered.
  3. Poonam pragmatically handled emergency of others, even during scary Covid-19 lockdowns; assuring and providing food, medicines and Medical help.

Covid times Air-Transfer

An 87 years old Canadian lady lost her son, while together visiting India. Over with his cremation, she was devastated, deplorable and drained. Further isolated during Covid Lockdown. She was fragile and unable to return back to Canada due to limited flights.

The pain gets compounded when she got admitted to Hospital for Parkinson, AKI, and Hypercalcaemia etc. She required Intensive Care (ICU) for many days. The family at Canada was concerned. They wanted her to be shifted to Canada for better care.

ISAPL received the request. Considering her medical situation, Covid scare, lockdown regulations and limited flights; ISAPL team huddled under the leadership of Director-Operations Ms. Poonam.

ISAPL medical team evaluated the condition, in consultation to Treating doctors. A 5-days monitoring and stabilizing process started. Meantime, Logistics team started working on Air transfer arrangements. Options were Air Charter ambulance & Stretcher on commercial airlines. The team went ahead getting permissions and clearances from Canadian High Commission, Ottawa HQ and Toronto authorities for this special transfer during Covid.

The medication, equipments and Medic team was formed for a 9 hrs drive from hospital to International Airport. And the 14 hrs non-stop flight from Delhi to Toronto.

The Medical team closely monitored the patient condition and revised medications for Parkinson & AKI. Conducted Covid tests. Simultaneously, Ms. Poonam and family built her emotional confidence. Results were encouraging. Her medical condition improved. It was decided to move her in Business Class; with Oxygen, Catheter etc. This was a big cost and time saver for the family.

ISAPL had to work thru various offices and channels to get special permission for Emergency visa (without Biometrics) for the Dr. Considering travel embargo and stringent Quarantine rules both at India & Toronto; there were enough blockades that Ms. Poonam sorted thru special exemptions and permissions.

The ISAPL kept family well assured while handling the challenges both at Delhi Departure and Toronto arrival.

ISAPL adds another success story !

Honeymoon Curtailed !

KSM 3 KSM 1 KSM 2Indian newly married couple. On their Honeymoon trip at an Island in Ko Samui, Thailand.

The adventurous hubby drives around the wife on a Motorbike. All goes well, till he bangs it into a wall. Collar bones and knees fractured for self. Rib cage and Liver…..Wife too gets Collar bone fractured. Both need Emergency medical assistance and complex surgery later on. Both are admitted in the regional hospital and get the Primary care.

Their friend calls ISAPL for help. The Director Operations Ms. Poonam gets into action, as always. The ISAPL-CMO takes over the medical part of best suited Super-specialty care. And Ms. Poonam continues with the logistics of arranging the patients transfer to mainland and subsequently to Delhi.

Many options and opinions and constraints. The Infirm bodies, Continuous care, Location transfers, Budget constraints, Corona Virus. Treating doctor is not confident of patient discharge or transfer elsewhere. ISAPL-CMO assures the medical competence, equipment and care. He is simply 14 years experience in handling 100s of patient transfer cases worldwide. Logistics challenge being transfer from island to mainland. Family simply on shoe string budget. Cannot afford an Air transfer of 40 mins. Medical opinions and advises sought. Meticulously achieved thru the Ferry+Road ambulance of 8 hours.

ISAPL beat the next challenge of Bangkok to Delhi for cost and availability and feasibility. Director Operations Ms. Poonam has wide experience on it. She deputes the CMO at Bangkok to prepare the couple medically and Psychologically to be on a stretcher in a passenger flight. Meantime, Ms. Poonam pulls the strings on Indian national carrier. Could arrange for medical approvals and Engineering for Stretcher on Air India, within 18 hours; that typically demands 72-120 hours.

Rigorous planning, Multiple transfers , 4 Medical facilities, Budget; with Empathy. Couple landed safe and secured at Delhi hospital.

Another set of smiles protected by ISAPL.

Humane to Those in Distress !

Adventure for young – Concern for family !

Here is what we are good at. Bringing smile on the faces 🙂

These 2 (Foreign nationals) Love birds are smiling now.

But the preceding 38 hours have been of highly anxious moments. A phone call in the evening from overseas. And the last location known. No contact for the last 3 days. No mobile connect.

Family, Insurance company and Embassy are worried and clueless.

And ISAPL Director-Operations Ms. Poonam gets into action. Structured approach, strategic steps, Team activation.

Humane to those in Distress !

Humane to those in Distress !

Geographical and digital search. Teaming with Police, right upto SP’s office. Checkpoints, Hospital searches, Clubs hunting, Airports, Bike renting agencies, shops, restaurants, Foreigner’s Office, Immigration, borders, CCTV, …….

Well coordinated mission; and Love Birds are brought out of their hidden nest.
The end is: Smile 🙂

Thanks to the wonderful support from the Maharashtra Police force.

Yes. Humane to those in Distress !!

Young Couple lost in the Goa Jungle

Another interesting Crisis call – 04:00 am of a Sunday (mass day) morning.

A foreign national Boy and Girl are missing for the last 6 hours. In the ‘jungles of Arambol, Goa’. Last location available is a deserted Shiv Temple.

Search starts….. Locals, Police, ISAPL..    Pressure from Embassy, Family, Insurance company.

Police too is invoked. Police inform back that their search parties had failed since 11:00pm. ISAPL (Delhi HQ) draws a strategy to identify and form appropriate teams at Arambol, Goa.

Multiple teams approach the Jungle / Hill / Dam from 3 sides. Mobiles signals are pathetic. In between, we get connected to the couple. Without food / water and warm clothing. They cannot identify any landmark around. Shrill voice of the girl ‘I am hungry and tired. Exhausted. Cannot walk.’ Two hours of meticulous trekking and Tracking. The temple is empty and no one around. Searched the 400 mts periphery for traces live / injured / sick / dead….

switching between Hope and Misery…

Our Director Operations Ms. Poonam could zero down on another temple, some 2 kms away. The search parties are redirected towards that. Here is hope. One of the teams could connect with the couple and instructed them to climb down the hill thru a particular pathway. All goes well for 10 minutes as we are about to accomplish the mission. But, they loose the direction yet again. Vanished. Jitters and worrying.

All this while Police is still wandering around and seeking updates from ISAPL.

Now, Ms. Poonam, at Delhi Command Center, directs all the teams to close-in towards that location. Such an obvious looking rescue. But, then we were leveraging simple locals who are not ‘search-rescue’ trained / experienced / equipped. The mobile signals and directions had their own share. Ms. Poonam knows it the best.

Look at their smiling faces, telling the tale !

We at ISAPL “Humane to those in Distress”.

Smile says it all !

Smile says it all !

ISAPL Rescues a 23 yrs young foreign national from Kaza

🎖Young foreign national girl. Stuck in Kaza Valley of Himachal Pradesh. 72 hours of turmoil ends.
Today we Air Rescued someone out from KAZA (Spiti Valley of Himachal), suffering High Altitude Sickness and Gastro infection. . Youngsters embark, without acclimatization.
We rescued her thru Helicopter to a safe place. Air lifted to Manali hospital. Finally, ISAPL brought her by Air Ambulance to Delhi for Super Specialty Medical treatment. While we were concerned about her health and life. ISAPL was in the midst of a bad-weather chaos every 4-5 hours. The Air Ambulance (Chopper) movement were curtailed / diverted / stalled multiple times. Thanks to our Pilot of Helicopter (Air Ambulance) for his resilience, experience and empathy. Thanks to the Medic team who infused enough of care, affection and confidence into her.Privacy Air view Del Ambu 2 Del Ambu 4