Project OverviewProject Overview

ECMO and Neonatal Aeromedical Transportation Development

Medical AirXpress, DBA ECMOJet, Inc

Presented by: Manny Nunez

Project GoalsProject Goals

Ultimate goal of project is to provide a unique form of medical transportation inherent to neonatal and critical care medicine

It relates to our aeromedical concept that has over 30 years of operational and development experience

The timing is Now. The growth and awareness of programs like ECMO and Neonatal transportation has been severely limited

INTRO TO ECMO http://www.hanuola.com/sites/hanuola/aboutus/ecmo

Video.asp

DescriptionDescription ECMO is a unique medical modality that has been used in

neonates, children and adults as a life-saving technique It requires specialized equipment, trained technicians and med

ical direction It has been performed at a limited number of medical facilities

around the globe Until 2006 when Arkansas Children’s commissioned a Lear 35

for this type of transport, only the USAF was doing it. A need to know attitude is growing among medical specialists

about the care, transport and management of this type of patient

FOR MORE INFO...

http://www.elso.med.umich.edu/member.asp#California

Competitive AnalysisCompetitive Analysis Competitors

– Wilford Hall Medical Center at Lackland air Force Base, San Antonio Texas

– Arkansas Children’s (Has turned down the USAF for assistance because patients were not sent to their facility)

Strengths – Lack of competition, understanding the aeromedical and

medical aviation industry; past and current experience in the development of aeromedical services and a team that understands the concepts.

– Support from the USAF’s ECMO division; we will be first call for local and possibly international ECMO flights per conversation with Dr. Melissa Tyree (during connection initiated by the Pentagon. See enclosed report.

– We have exclusive representation for Med-Pac, Inc. a manufacturer of medical interiors and the designer of the first and only ECMO cart approved for aeromedical use (FAA STC)

Weaknesses– Until now, only the financial support to initiate a unique and

privately owned service.

Competitive Analysis = USAFCompetitive Analysis = USAF

FOR MORE INFO...

http://www.af.mil/news/story_media.asp?id=123024023

Interior of a C-17, Above

Competitive Analysis IICompetitive Analysis IIArkansas Children’sArkansas Children’s

Reason for ECMO Support

Number of patients in 2005

% Survival to Discharge

Average % Survival in ELSO Registry

Neonatal respiratory failure

9 80% 65%

       

Pediatric respiratory failure

7 57% 55%

       

Cardiac support

12 63% 38%

Outcomes of patients supported with ECMO at ACH during 2005 are shown in the table below, as are comparative survival data from all ECMO centers internationally reporting to the ELSO Registry. 

TechnologyTechnology

Advances in medical Transportation: Medical Conversions for Aircraft.– Benefits; medical aviation services no longer fully convert their aircraft for

medical purposes with a very few exceptions. The norm is to place a convertible unit that can be easily removed in 10 minutes or less.

Standards being adopted: Even though CAMTS and the AAMS affiliations are highly requested by medical centers before they contract with an aeromedical services, the costs associated are considerable and the benefits are low. Our own Latin American Association of Aeromedical Services provides the training, certification under the ICAO regulations and we are associated with Loyola Marymount University to provide Continuing Education credits.

– Benefits of CAMTS and AAMS, very low if we are going to deal directly with the interested medical facilities. We will affiliate if there is no choice.

Standards specifically being ignored: As above.– Drawbacks & benefits: Costs are very high vs. the benefit.

Involving the manufacturers of the various ECMO components we can propose to be their innovative global demonstrator in exchange for fully operational equipment and training which will help us achieve the worldwide exposure of the system, and its components.

Our International contacts in the Middle East are already waiting for this operation to start in order for them to develop their own systems with our help

Team/ResourcesTeam/Resources

Resources allocated to this project– People:----------------------

– Equipment-----------------

– Locations : VNY

– Support & outside services: B Burnham

– Sales: Jim Lagutaris– Training and Certification

of teams: Medical Air press and TBA

CEO

VP OPS MEDICAL AVIATION

BSUSINESS DEVLEGAL

MARKETINGCHIEF PILOTMEDICAL DIRECTOR

AEROMEDICAL CERT

ProceduresProcedures Air Ambulance Operations under part 135 are strict. More so is

the concept of specializing in neonatal, ECMO and pediatric missions due to the delicate nature of the patient.

A procedure Manual will be developed to indoctrinate, train and certify our Medical Crewmembers, from the Medical director to the maintenance department.

ECMO specialization will require a unique training program that will be provided by the Company and Loyola Marymount with experts from Stanford University and other local experts, contributing to the program.

The Certification process will include a complete aeromedical training program already used by Medical AirXpress under ICAO and FAA Guidelines and will be offered worldwide. No program of this nature exists at the moment.

FOR MORE INFO...

See the ICAO Training directory for our list of courses and the designations of the ICAO. http://www.icao.int/td Medical AirXpress.

Schedule For 2011Schedule For 2011

Review high-level schedule milestones here

FOR MORE INFO...

Jan Feb Mar Apr May Jun July Sep Oct Nov Dec

Phase 1 Program DevelopmentPhase 1 Program Development

Program InaugurationProgram Inauguration

Operational ReviewOperational Review

Current StatusCurrent Status High-level overview of progress against schedule

– On-track in proposal presentation Feb 06, 2008 – Behind in what areas: Investment/Funding– Ahead in what areas: Resources and contacts.

Unexpected delays or issues; Aircraft acquisition and construction of medical pod. – Aircraft must be leased or purchased in order to

commence operations. Charter aircraft will not be used except for adult and some neonatal transports.

– Hangar and office/classroom modules to be designed.– Lease, vs. purchase?– Expected completion May 15, 2009 or sooner.

RelatedRelated DocumentsDocuments

Marketing plan– Upon request and NCA

Budget– In evolution

Post mortem– SBDC,

Submit questions– Legal: Carolina Marin, Esq.– Finance: Antonio Castillo SBA– Operational: Manny Nunez 562 746 9442– Admin/Real Estate: Patricia Neme-Scheij– ECMO Development: TBA– Aircraft on line:Max Falahat, Chief Pilot MAX

CONTACT INFORMATIONCONTACT INFORMATION

Medical AirXpress

– http://aeromedicina.org

– Phone 1 (562) 746-9442