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The '''Emergency Medical Retrieval Service''' ('''EMRS''') provides [[aeromedical]] [[Critical care medicine|critical care]] retrieval and [[Pre-hospital emergency medicine|pre-hospital critical care]] to people in [[Scotland]]<ref name=":3">{{Cite journal |last=McHenry |first=Ryan D. |last2=Moultrie |first2=Christopher EJ |last3=Cadamy |first3=Andrew J. |last4=Corfield |first4=Alasdair R. |last5=Mackay |first5=Daniel F. |last6=Pell |first6=Jill P. |date=2023-08-22 |title=Pre-hospital and retrieval medicine in Scotland: a retrospective cohort study of the workload and outcomes of the emergency medical retrieval service in the first decade of national coverage |url=https://doi.org/10.1186/s13049-023-01109-6 |journal=Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine |volume=31 |issue=1 |pages=39 |doi=10.1186/s13049-023-01109-6 |issn=1757-7241 |pmc=10463457 |pmid=37608349}}</ref> in the form of two retrieval teams (North and West). The service provides patients in remote and rural areas with rapid access to the skills of a [[Consultant (medicine)|consultant]] or senior doctor in emergency medicine, intensive care medicine or anaesthesia, and facilitates transfers to larger, better equipped urban hospitals.<ref name="what we do">{{cite web |title=What we do |url=http://www.emrs.scot.nhs.uk/index.php?option=com_content&view=article&id=18&Itemid=28 |url-status=dead |archive-url=https://web.archive.org/web/20090411060354/http://www.emrs.scot.nhs.uk/index.php?option=com_content&view=article&id=18&Itemid=28 |archive-date=11 April 2009 |access-date=2009-11-18 |publisher=EMRS |location=Glasgow}}</ref> The EMRS functions supplementary to the regular Scottish Ambulance Service Air Ambulance service. Unlike air ambulance services in other parts of the UK, both services are funded by the [[Scottish Government]].
EMRS North team (in Aberdeen) is on base between 0800 and 1800, and EMRS West team (in Glasgow) are on base between 0700 and 2300, for immediate deployment; outside these hours the teams are on-call and will take at least 30 minutes longer to deploy.<ref name=":0" /><ref name=":4">{{Cite book |last=Gallier |first=Jonny |url=https://static1.squarespace.com/static/54a40119e4b0fbd5ffb33811/t/60dedd449cc52157c56eb443/1625218372992/OG028.pdf |title=OG028 ScotSTAR Referral}}</ref>
Services are provided in partnership with the [[Scottish Ambulance Service]] utilising road transport, [[helicopter]]s and [[fixed-wing aircraft]]. The EMRS now operates as part of [[ScotSTAR]], the Scottish national retrieval service, sharing a bespoke base at [[Glasgow Airport]].<ref>{{Cite web |date=2023-03-29 |title=Emergency Medical Retrieval Service |url=https://www.emrsscotland.org/ |access-date=2023-09-28 |website=Emergency Medical Retrieval Service |language=en-GB}}</ref>
==History==
{{Location map+|Scotland| AlternativeMap =Scotland location map.svg||float=right|width=
{{Location map~|Scotland|lat=57.2025|long=-2.1981|mark=Red pog.svg|position=
{{Location map~|Scotland|lat=55.8719|long=-4.4331|mark=Red pog.svg|position=bottom|label=[[Glasgow Airport|'''EMRS (West)''']]}}
}}
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== Transport Resources ==
The EMRS is supported by land ambulances, aircraft from the Scottish Ambulance Service's Air Ambulance Division, the [[Scotland's Charity Air Ambulance|Scottish Charity Air Ambulance]] and the helicopters of the [[UK Coastguard]].<ref name=":0">{{Cite web |last=Scottish Ambulance Service |title=FOI Request |url=https://www.whatdotheyknow.com/request/879854/response/2102601/attach/3/FOI%201597%20Response%20Letter.pdf?cookie_passthrough=1}}</ref> [[File:EMRS2.jpg|thumb|The EMRS team (red) with Paramedics (green) in 2009, loading a patient into a helicopter|357x357px]]
== Personnel ==
EMRS Teams are composed of Retrieval Practitioners (Advanced or Specialist) and one or more
During staffing pressures in the early COVID-19 pandemic, the service occasionally deployed a Registrar with a Retrieval Practitioner as an operational team.<ref name=":0" /> ==Equipment==
Collaboration with the [[Scottish National Blood Transfusion Service]] (SNBTS) allows the EMRS teams to have O-negative blood immediately available to take on all missions.<ref>{{cite press release |url=https://www.scotblood.co.uk/news/collaboration-with-emergency-medical-retrieval-service.aspx |title=Blood on board |publisher=[[Scottish National Blood Transfusion Service]] (SNBTS) |date=27 March 2015 |access-date=12 December 2015}}</ref>{{Clarify|reason=Is blood taken on all missions, or only available to be taken on missions?|date=March 2022}} The EMRS have developed a bespoke [[Mobile app|app]] to make their [[standard operating procedure]]s available to clinicians.<ref name="Scotsman App 22Oct2015">{{cite news |url=http://www.scotsman.com/news/smartphone-app-to-help-rural-healthcare-wins-two-awards-1-2592184 |title=Smartphone app to help rural healthcare wins two awards | vauthors = Walker N |work=The Scotsman |date=22 October 2012 |access-date=12 December 2015}}</ref> The team carry equipment to facilitate the provision of anaesthesia and surgical interventions.{{Cn|date=October 2023}}
== Clinical Interventions ==
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'''Retrieval and Transport'''
EMRS provide a retrieval service for adult patients across Scotland (paediatric retrieval is performed by [[ScotSTAR]]). EMRS' average (median) on-scene time with a patient requiring inter-hospital transport before transporting is one hour.<ref name="EMJ 2011" />
==Awards==
* [[File:Scottish Ambulance Service Helicopter - geograph.org.uk - 731425.jpg|thumb|279x279px|Scottish Air Ambulance Helicopter]]In March 2010, EMRS won the ''Secondary Care Team of the Year'' category in the [[BMJ]] awards for its work in “transforming the care and transfer of seriously ill and injured patients in remote and rural Scotland”.<ref>{{cite web |url=http://www.mddus.com/resources/resource-type/publications/summons/2010/summer-2010/qa-dr-stephen-hearns-of-emrs/ |title=Q&A: Dr Stephen Hearns of EMRS |publisher=[[Medical and Dental Defence Union of Scotland]] (MDDUS) |date=30 June 2010 |access-date=22 November 2015}}</ref> This award recognised hospital teams that demonstrate improved outcomes of medical & surgical conditions.<ref name="BMJ Awards 2010">{{cite web |url=http://groupawards.bmj.com/secondary-care-team-of-the-year-2010 |title=Secondary Care Team of the Year 2010 |publisher=[[BMJ Group]] |archive-url=https://web.archive.org/web/20120522015804/http://groupawards.bmj.com/secondary-care-team-of-the-year-2010 |archive-date=22 May 2012}}</ref>
* In 2012, the [[Mobile app|app]] developed by the EMRS won the EHI award for ''best use of mobile technology in healthcare'' and the [[NHS Scotland]] eHealth award for ''Best NHS Scotland use of Mobile technology''.<ref name="Scotsman App 22Oct2015" />
* In 2023, the EMRS won the ''Military & Emergency Services Champion'' category at the Scotland's Champion's awards.<ref>{{Cite web |last=plc |first=Reach |title=Scotland's Champions 2023 - Finalists |url=https://scotlandschampions.co.uk/2023/en/page/finalists |access-date=2023-09-24 |website=scotlandschampions.co.uk |language=en}}</ref>
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