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A Honeymoon Vacation Case Study

by Lux Joseph 13. September 2013

Each case that CME is presented with is unique and original. There are no two cases that are similar or alike. With that in mind, CME treats each case individually and responds appropriately depending on the needs of the patient. Below is an example of a situation in which CME was presented and had to act accordingly to safely bring the patient(s) back home.

 
When you pictured your perfect honeymoon did it involve images of being struck by a boat while snorkeling in Belize and needing medical repatriation back to the USA? Somehow this isn't the kind of scenario that most couples foresee when they are planning their honeymoon, but it is something that can and did happen to a couple this past September.
 
A husband and wife, while on the very last day of their honeymoon in San Pedro, Belize, were snorkeling when a 38-ft. Water Taxi struck both of them. The husband’s leg was severed by one of the boat’s propellers and his wife sustained several injuries. Both individuals were air evacuated to a local hospital, Heusner Memorial. After being seen by the physician the wife’s injuries were determined to be a fracture of left ring finger, a palmar laceration of the right hand, and a fracture of the right ulna. The palmar laceration, which was nearly circumferential, was thoroughly cleaned and sutured by the attending physician.  The right ulna was placed in a cast. The husband’s leg injury was very severe and would not be able to support his weight, therefore, the decision was made to amputate the leg.  Surgical debridement and primary closure above the patient’s right knee occurred in the operating facility.
 
Solution
 
Treating doctor informed the assistance company that both patients were ready to return to the U.S. for further care and can travel by commercial air with a medical escort. The medical escort provider received the request, and
determined that two escorts, both a medical and non-medical would be needed to bring the husband and wife back home.
  • Treating medical physician gave both patients a Fit-to-Fly letter and explained the difference between evacuation and repatriation.
  • Patient will need hi-lift to plane in Belize, aisle wheel chairs for on and off plane, and wheel chair throughout the airport.
  • After the medical escorts arrival and pre-flight assessment it was determined a ground ambulance would be needed to get the patient to and from the airport
  • The treating physician would need to provide the nurse escort with pain medication for both patients for approximately 12 hours of traveling.
 
Result
General supportive care including pain management was administered throughout the transport back to the U.S.  Upon arrival in Richmond, Virginia, a ground ambulance met the patients and medical escorts and all were transported for the 2-hour trip to the receiving hospital.  Patient and wife were both admitted to the E.R. where members of both families awaited to provide support for the newly married couple.  The patients experienced no issues throughout the transport in business class seats and were safely delivered to the admitting facility.
 
CME will take care of your needs and you can feel rest assured you will receive individualized and specialized attention to your case. When looking for a medical escort provider, it is important to find one that provides only the highest level of patient care.

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