ISAPL Group

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Archive: April 18, 2022

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 !!

Covid takes us to Bangladesh

ISAPL Operations were founded and headquartered at Delhi. Over the years, ISAPL has expanded formal footprints in Canada, Australia, Dubai and Oman. English has been the main language.

Covid times have thrown up many situations to serve global communities. ISAPL has relentlessly took up the challenge of Cultural and Language constraints. During these reduced Operations, ISAPL has leveraged its wide base and network.

In the last 8 months, we worked on Medical Transfers and Mortal remains…operating in French (France & Canada), Hebrew (Israel), Tamil (India), Bengali(Bangladesh) and Punjabi (Canada). This includes Documentation, Communication, Medical reviews, Medication, Cost-containment, Invoice Audits, Air Ambulance Transfers etc.

ISAPL is more versatile and equipped to handle multi-cultural and multi-country cases.

We are confidently serving Bangladesh now for Medical assistance, Covid management, Invoice-Audits, Hospital Admissions and Air Ambulance transfers.

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 !!

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 !!

Covid Patient transferred for Lung Transplant by Air Ambulance

The international flights are still curtailed and Patients transfer continues to be challenge for Operations and Finances. A patient was stuck at Kuwait hospital for 4 months in ICU for Lungs impacted due to Covid. Doctors has recommended a Lung Transplant. An important aspect of this Air transfer was ECMO machine. Patient was on a specific ECMO machine in hospital. Medics suggested minimize the change of ECMO.

Patient preferred to receive a transplant at India. Availability of Indian ECMO for inflight was a Challenge due to Compatibility and Power backup. And even the ECMO of Kuwait could not be supported by Indian Air Ambulance. Family had tried various Service providers.

ISAP was engaged for the Medical transfer by Air Ambulance.

What we promised:

  1. Capability to operate Global
  2. Maintain consistency of ECMO
  3. Safe & economical transfer

ISAPL did:

  • Meticulous planning and communication among current-destination hospitals, Family, Treating doctors….
  • Engaged European Air Ambulance that had required Power supply
  • Sought special permissions from Kuwait Govt to loan-lease the ECMO machine
  • Equipped Air Ambulance with Diverters and valves to support special ECMO
  • Covid health and landing permissions on Airports.
  • A comprehensive Medic team of Cardiologist, Perfusnist, Para-medic and ECMO operator.
  • A perfectly dovetailed arrangement of patient transfers by air / road at each step.
  • Customs clearance of loaned ECMO b=machine and its return to Kuwait.

It costed less than the initially anticipated / Quoted. And the patient’s ordeal of 4 long months  ended with the best treatment at Chennai.

It is possible to save life, if we all collaborate for the purpose.

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.