ScotSTAR

{{Expand section|date=March 2022}}

The Scottish National Paediatric Retrieval Service was established in April 2001.{{cite web |url=http://www.snprs.scot.nhs.uk |title=ScotSTAR Paediatric Retrieval Service |publisher=Scottish National Paediatric Retrieval Service |accessdate=22 November 2015}} EMRS were formed in 2004. In November 2011, a strategic review project board looked at Scotland's patient transport arrangements and recommended harmonisation of the existing specialist services.{{cite web |url=http://www.gov.scot/Publications/2011/11/18094251/0 |title=Towards a Single National Specialist Transport Service for Scotland - ScotSTAR: Strategic vision |publisher=Scottish Government |date=18 November 2011 |accessdate=22 November 2015}} In April 2013, the Scottish Ambulance Service approved the plans which were expected to cost £9.3{{nbsp}}million a year.{{cite news |url=https://www.bbc.co.uk/news/uk-scotland-22028350 |title=New ScotStar medical transport service set up |work=BBC News |date=4 April 2013}} The initiative become operational April 2014.{{cite news |url=http://www.scotsman.com/news/rural-fast-response-medics-to-be-celebrated-1-3624262 |title=Rural fast-response medics to be celebrated |work=The Scotsman |date=3 December 2014 |accessdate=22 November 2015}}{{cite news |url=http://www.heraldscotland.com/news/13153205.Integrated_unit_to_transport_critically_ill_NHS_patients/ |title=Integrated unit to transport critically ill NHS patients |work=The Herald |date=31 March 2014 |accessdate=22 November 2015}} In September 2015, the teams moved to a purpose-built facility that located beside Glasgow airport.{{cite press release |url=http://www.glasgowairport.com/corporate/media-centre/posts/2015/september/22/new-glasgow-airport-base-for-patient-retrieval-team/ |title=New Glasgow Airport base for patient retrieval team |publisher=Glasgow Airport |date=22 September 2015 |accessdate=22 November 2015 |archive-date=23 November 2015 |archive-url=https://web.archive.org/web/20151123043124/http://www.glasgowairport.com/corporate/media-centre/posts/2015/september/22/new-glasgow-airport-base-for-patient-retrieval-team/ |url-status=dead }}

The Scottish Neonatal Transport Service, a vital component of ScotSTAR, specializes in the secure transportation of unwell newborns within Scotland and, at times, when Scottish infants need to be relocated to more distant locations.

This service is operated by a dedicated group comprising neonatal consultants, advanced neonatal nurse practitioners, transport fellows (physicians), expert neonatal transport nurses, and ambulance personnel. The staffing for each journey is tailored to meet the specific requirements of the infant.

This national service is organized into three regional divisions:{{Cite web |title=About Us – ScotSTAR Scottish Neonatal Transport Service |url=https://www.neonataltransport.scot.nhs.uk/about-us/ |access-date=2023-11-03 |language=en-GB}}

The Northern team operates from its base at Aberdeen Royal Infirmary and serves the regions of North Tayside, Grampian, the Highlands, Orkney, and Shetland.

Located at the Simpson Centre for Reproductive Health in Edinburgh, the Southeast team is responsible for serving South Tayside, Lothians, Fife, and the Borders.

Situated at the ScotSTAR hangar at Glasgow Airport, the Western team covers Greater Glasgow and Clyde, Dumfries and Galloway, Ayrshire, Forth Valley, Lanarkshire, Argyll, and the Western Isles.

This division is responsible for the transport of sick children.

The Emergency Medical Retrieval Service (EMRS) provides aeromedical critical care retrieval and pre-hospital critical care to people in Scotland{{Cite journal |last1=McHenry |first1=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 |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 |doi-access=free }} 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 or senior doctor in emergency medicine, intensive care medicine or anaesthesia, and facilitates transfers to larger, better equipped urban hospitals.{{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}} 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.{{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}}{{Cite book |last=Gallier |first=Jonny |url=https://static1.squarespace.com/static/54a40119e4b0fbd5ffb33811/t/60dedd449cc52157c56eb443/1625218372992/OG028.pdf |title=OG028 ScotSTAR Referral}}

Services are provided in partnership with the Scottish Ambulance Service utilising road transport, helicopters and fixed-wing aircraft. The EMRS now operates as part of ScotSTAR, the Scottish national retrieval service, sharing a bespoke base at Glasgow Airport.{{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}}

EMRS Teams are composed of Retrieval Practitioners (Advanced or Specialist) and one or more doctors.{{Cite web |title=Retrieval Practitioners |url=https://www.emrsscotland.org/retrieval-practitioners |access-date=2023-09-27 |website=Emergency Medical Retrieval Service |language=en-GB}} Retrieval Practitioners come from a nursing or paramedic background and receive additional training in retrieval medicine. There are 47 part-time consultants who work with EMRS{{Cite web |title=Consultants |url=https://www.emrsscotland.org/consultants |access-date=2023-09-27 |website=Emergency Medical Retrieval Service |language=en-GB}} and a smaller number of registrar or clinical fellow grade doctors.{{Cite web |title=Registrars and Fellows |url=https://www.emrsscotland.org/registrars |access-date=2023-09-27 |website=Emergency Medical Retrieval Service |language=en-GB}}

During staffing pressures in the early COVID-19 pandemic, the service occasionally deployed a Registrar with a Retrieval Practitioner as an operational team.

The teams attend around 1 prehospital patient a day, delivering advanced airway management to 22.8% of patients attended and other critical care interventions to 25.2% of prehospital patients.{{Cite journal |last1=Neagle |first1=Gregg |last2=Curatolo |first2=Lisa |last3=Ferris |first3=John |last4=Donald |first4=Mike |last5=Hearns |first5=Stephen |last6=Corfield |first6=Alasdair R. |date=2019-04-01 |title=Epidemiology and location of primary retrieval missions in a Scottish aeromedical service |url=https://www.ingentaconnect.com/content/wk/ejeme/2019/00000026/00000002/art00009 |journal=European Journal of Emergency Medicine |volume=26 |issue=2 |pages=123–127 |doi=10.1097/MEJ.0000000000000483 |pmid=28746084 |s2cid=23053968|url-access=subscription }}{{Cite journal |last1=Moultrie |first1=C. E. J. |last2=Corfield |first2=A. R. |last3=Pell |first3=J. |last4=Mackay |first4=D. |date=2017-05-01 |title=46 Forecasting the demand profile for a physician-led pre-hospital care service using a mathematical model |url=https://bmjopen.bmj.com/content/7/Suppl_3/A18.2 |journal=BMJ Open |language=en |volume=7 |issue=Suppl 3 |doi=10.1136/bmjopen-2017-EMSabstracts.46 |issn=2044-6055 |doi-access=free}} The EMRS team perform prehospital anaesthesia as required, with a complication rate of 4%,{{cite journal | vauthors = Corfield AR, Thomas L, Inglis A, Hearns S | title = A rural emergency medical retrieval service: the first year | journal = Emergency Medicine Journal | volume = 23 | issue = 9 | pages = 679–683 | date = September 2006 | pmid = 16921078 | pmc = 2564207 | doi = 10.1136/emj.2006.034355 }} and a first pass success rate of 80%.{{Cite journal |last1=Ross |first1=Mark |last2=Corfield |first2=Alasdair |last3=McCormack |first3=Jon |last4=Loughrey |first4=John Paul |date=2015-11-01 |title=Tracheal intubation in primary and secondary retrieval patients: A study of tracheal intubation practice and complications in ICU and aeromedical retrieval |url=https://www.resuscitationjournal.com/article/S0300-9572(15)00509-2/abstract |journal=Resuscitation |language=English |volume=96 |pages=49–50 |doi=10.1016/j.resuscitation.2015.09.114 |issn=0300-9572|url-access=subscription }} This is comparable to other UK prehospital services offering this intervention.{{Cite journal |last1=Lockey |first1=D. |last2=Crewdson |first2=K. |last3=Weaver |first3=A. |last4=Davies |first4=G. |date=August 2014 |title=Observational study of the success rates of intubation and failed intubation airway rescue techniques in 7256 attempted intubations of trauma patients by pre-hospital physicians |journal=British Journal of Anaesthesia |volume=113 |issue=2 |pages=220–225 |doi=10.1093/bja/aeu227 |pmid=25038154 |issn=0007-0912|doi-access=free }}

EMRS are able to undertake surgical procedures at the road side, such as resuscitative thoracotomy, however EMRS does not have "specialist obstetric skills".

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.{{cite journal | vauthors = Corfield AR, Adams J, Nicholls R, Hearns S | title = On-scene times and critical care interventions for an aeromedical retrieval service | journal = Emergency Medicine Journal | volume = 28 | issue = 7 | pages = 623–625 | date = July 2011 | pmid = 20724465 | doi = 10.1136/emj.2010.091421 | s2cid = 206939562 }}

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Category:NHS Scotland

Category:Scottish Government

Category:2014 establishments in Scotland