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HEMS Segment for Airbus

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HEMS Segment for Airbus O Aeromédico (HEMS) no Mundo e Potencial no Brasil Ralph SETZ, Especialista HEMS e Governamental da Airbus São Paulo / Brasil – 12 de Junho de 2017 June 23, 2017 1 My Experience (contact me: [email protected]) German Police Helicopter Pilot German HEMS Pilot Deputy Chairman AH Foundation EMS Exhibitor EMS Seminars Speaker at international events HEMS Consulting Customer Visits to HEMS bases 23 June 2017 2 2 H E M S Princípios Mercado Missões Cooperações & Configurações Soluções June 23, 2017 3 Princípios HEMS SERVIÇO AEROMÉDICO DE EMERGÊNCIA POR HELICÓPTERO (HEMS) Video Um voo de helicóptero na configuração HEMS, em que o deslocamento imediato e rápido é essencial, pode transportar: - equipe médica até o paciente ou - transporte de paciente crítico de um hospital para outro mais adequado. O meio mais rápido de salvar vidas, capaz de pousar em quase todo lugar June 23, 2017 4 Por que precisamos de operação HEMS? Congestionamento Cidades Áreas restritas Longas distâncias June 23, 2017 5 Vantagens da operação HEMS - Congestionamento 10 a 15 min, incluindo decolagem, voo e pouso Resgate primário na cidade H 30 min a 1:30 hora Vantagens das Operações HEMS – Ambientes Hostis Resgate em montanhas, florestas, lagos, praia e alto mar June 23, 2017 7 “Golden Hour” Helicópteros de resgate: uma necessidade médica O fator tempo é decisivo para a sobrevivência de seus pacientes. 23 June 2017 8 Vantagens das operações HEMS - Custo X Status da Saúde do Paciente Custo Final USD Transporte Mais Tratamento Grave Crítico Transporte Total Grave Médico Ambulância Baixo Alto Alto Helicóptero Médio Médio Médio * Golden Hours O helicóptero é a solução mais adequada June 23, 2017 9 Benefícios HEMS - “Golden Hour” & “Golden Crew”* • Benefício principal de um helicóptero HEMS: - Diminuição do tempo até o início do tratamento adequado ao paciente. • Pesquisa realizada em 250.000 transportes de traumas a partir da cena do acidente, descobriu que: - O Aeromédico reduziu a mortalidade em 22% em relação ao transporte terrestre - O Aeromédico reduz em média de 10 a 45 minutos se comparado com o transporte terrestre • A experiência da tripulação aeromédica é geralmente superior do que a terrestre: - Acesso mais frequente a pacientes críticos - Maior experiência, principalmente em áreas rurais SIM, o transporte HEMS economiza tempo, mas é a tripulação que faz a diferença! Note*: Nov 2014: http://exclusive.multibriefs.com/content/in-helicopter-ems-its-the-crew-thats-golden/medical-allied-healthcare 23 June 2017 10 Benefícios HEMS – Comparação da Qualidade Médica* • Estudo comparando o tratamento do pré-hospitalar por helicóptero com o EMS terrestre em pacientes de traumas graves (n = 276), exclusivamente no hospital geral de Viena • Qualidade do tratamento pré-hospitalar • Estadia do hospital Incl. emergency room (ER) duration No. of ICU days No. of ventilation days O período de tratamento hospitalar de grande custo é significativamente reduzido Note*: 2005 Austria: Wenninger, Trimmel, Herzer, Nau, Aldrian&Vécsei 23 June 2017 11 Benefícios HEMS – Relevante ganho de tempo médico* • Análise na Áustria, no centro de trauma urbano local • 52 minutos vantagem tempo no transporte HEMS sobre o terrestre • Duração mais curta na emergência • Pacientes HEMS: 53 +-20 minutos • Pacientes terrestres: 75 +-20 minutos • Menor número de intervenções imediatas necessárias • Pacientes HEMS: 15% • Pacientes terrestres: 38% HEMS – Relevante Ganho de Tempo Comprovado Note*: 2006 Austria: Wenninger, Trimmel, Nau, Aldrian, König, Vécsei 23 June 2017 12 Benefícios HEMS – Produtividade • Operação HEMS 1 base HEMS com 500 missões por ano Operação diurna 20% de mortalidade reduzida - resulta em: 100 vidas salvas por ano • Produtividade PIB per capita por ano 250 Gain in Productivity 200 E.g. no Brasil PIB 10 K$ por ano HEMS Costs 150 • Benefício total para o país 100 100 vidas x 10 k $ = 1 m$ por ano 50 Durante o período produtivo de 20 anos = 20 M$ 0 1 2 3 4 5 6 7 8 9 10 Uma base HEMS “salva” 20 M$ por ano 23 June 2017 13 H E M S Princípios Mercado Missões Cooperações & Configurações Soluções JuneJune 23, 23, 2017 2017 15 Participação Airbus no segmento HEMS (final de 2016) Divisão da frota HEMS (2016) 2,430 h/c A frota HEMS da AH salva 3 vidas por minuto 4% Airbus Bell 14% Leonardo Russian H. ~60% 20% Sikorsky MDHI Outros Frota HEMS Mundial Os produtos AH são a “Primeira Escolha” do cliente e referência por décadas. Mais de 300 clientes operam os helicópteros AH em missões HEMS. 23 June 2017 17 HEMS Europa – Dados-chave (final de 2016) = ~815h/c Fonte: Interno, EVM 100 Others Airbus Leonardo 10% AW109 80 AW139 60 B429 15% Russian H. MDHI 40 AW169 67% 20 H135 H145 Bell Sikorsky 0 2011 2012 2013 2014 2015 2016 Frota HEMS na Europa Vendas por modelo H135 9% Mono-turbina 5% BK117/H145 AW109 8% Mi-8/17 MD900 Bi-turbina 38% AS365 AW139 6% AS355 Médio Ka-32 81% 11% BO105 B412 Pesado 22% B427/429 Outros (abaixo de 10 h/c) Divisão da frota por classe Divisão da frota por modelo • Xxx 18 RESTRICTED Zoom HEMS Europa – Nº de helicópteros (2016) Source: Internal, EVM 10% 22% 1% 29% Sweden Norway UK Total: 20 Total: 23 Total: 55 2% 62% Germany 78% 7% Total: 124 90% 4% Poland 99% 4% Total: 28 7% 2% Switzerland 46% 96% Total: 24 50% 10% France Total: 113 Czech Republic 50% 40% Total: 10 91% 7% 7% 22% Slovak Republic 16% Total: 14 5% 4% 64% Spain Total: 62 17% 26% 58% 1% Austria Total: 45 Hungary Total: 12 39% Italy 83% Total: 87 91% 60% Sikorsky Airbus Helicopters Bell Russian Helicopters Others Agusta Westland MD Helicopters 23 June 2017 As of end 2016 19 HEMS na Europa –Taxa de aeronaves (Fim de 2016)Fonte: Interno, EVM 2* Sweden *Qtd de helicópteros por 1 milhão de habitantes * Norway Germany 4,4 1,5* 2,9* Switzerland * Poland UK 0,8* 0,7 Czech 0,9* Republic Slovak 2,6* Republic 1,7* Spain Italy 1,3* 1,5* 1,2* * 5,1 Hungary Austria Average of 1 HEMS helicopter for 1 Million of Population 20 20 23 June 2017 Zoom HEMS França Raio de Ação H. Sécurité Civile H. SAMU • Bases: 61 • Frota Total HEMS: 72 helicópteros • Operação: 24 horas principalmente • SAMU: Missões secundárias princip. • Sécurité Civile: Missões primárias princip. 23 June 2017 21 Zoom HEMS Alemanha • Bases: 78 • Frota HEMS Total : ~124 a/c • Divisão da Frota: 100% Airbus Helicopters • Missões Primárias: 07h – por do Sol (algumas 24h) Secundárias / Intensivas Missões de Cuidado: 24 h • Missões anuais: ~105.000 • Pacientes anuais: ~100.000 tratados ~35% transportados • Tripulação, técnioos, pessoal admin.: 3.000 Transporte méd <12-15 min do local para emergências! 23 June 2017 23 June 2017 22 ADAC Luftrettung – Missões por Base em 2016 24hours bases 23 June 2017 23 23 June 2017 23 ADAC Luftrettung – Versatilidade other missions other surgical emergency work / school related accident child emergency / accident road accident internal emergency sporting, home or leisure accident neurological emergency 23 June 2017 24 HEMS na América Latina (2016) Fleet share by OEM Fleet share by type • As for the rest of the World, AH products are Customer’s “First Choice” and reference for decades for EMS mission • Only 26 a/c total fleet in Latin America and using rather old platforms 23 June 2017 26 HEMS na América Latina (2016) Country Qty. of a/c Colombia 0,05* 0,03* Brazil 9 0,02* Argentina 5 Venezuela Chile 5 Mexico Mexico 2 Colombia 2 * Guatemala 1 0,06 Poland Venezuela 1 Guatemala Uruguay 1 Total 26 0,3* 0,05* Chile Brazil 0,1* Argentina 0,3* Uruguay *Amount of helicopters per 1 million inhabitants 23 June 2017 27 HEMS Brazil - Operation Helibras Confidential 23 June 2017 28 HEMS Brazil – Key Data (end 2016) Helibras Confidential *Considering dedicated and mukti-mission HEMS a/c. **Dedicated Hems: 33 a/c (43%), including public service (fire fighters, etc) HEMS Fleet Share – Brazil (75) EMS New Deliveries - Brazil Bell 2006-2016 (as of December 16) An AW 1% Sikorsky average 7% 1% 9 8 of 8 7 3 a/c 7 p/year 6 5 5 AH 4 Others AH a/c of number 3 3 2 3 91% 2 1 1 1 1 1 1 1 0 0 1 1 0 0 0 0 0 0 0 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 Average Fleet Age: 13 years (50% >10 years) • HEMS in Brazil is mainly composed of Parabublic Multimission Single Engine a/c, specially the AS350 (45 a/c). • AH/HB is the leader of the segment with 91% of its fleetshare. • HEMS fleet increased 50% since 2013 (mostly used a/c). Opposite to Global Market 23 June 2017 29 HEMS no Brazil – …… RR State Initials AP Acre AC Alagoas AL Amapá AP Amazonas AM Bahia BA PA AM MA CE Ceará CE RN DF (Brasília) DF PB Espírito Santo ES PI PE Goiás GO AC AL Maranhão MA TO SE Mato Grosso MT RO Mato Grosso do Sul MS BA Minas Gerais MG MT Pará PA DF Paraíba PB Paraná PR GO Pernambuco PE MG Piauí PI ES Rio de Janeiro RJ MS Rio Grande do Norte RN Rio Grande do Sul RS SP RJ Rondônia RO Roraima RR PR Santa Catarina SC São Paulo SP Others SC Sergipe SE Bell Helicopter Tocantins TO RS Agusta Westland Airbus Helicopters 23 June 2017 0 500 1000 H E M S Princípios Mercado Missões Cooperações & Configurações Soluções JuneJune 23, 23, 2017 2017 32 HEMS – Missões Primária – no local (HEMS) HEMS / Resgate na Montanha ou Alto-Mar Secundária- hospitalar (Ambulância Aérea) 23 June 2017 33 Missões Primárias • Voo para o local do acidente • Pouso mais próximo possível do local do acidente • Intervenção rápida • Raio de ação menor que 30 min • Envio da equipe de transporte médico o mais rápido possível ao paciente 23 June 2017 34 Missão Primária Típica Do alarme à decolagem em 2 minutos No local do acidente c/ rotores em movimento Transporte do paciente com baixa vibração Desembarque
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