Clinical Innovation Over the past few years we have introduced new and innovative technology in both the aircraft and car, helping us to deliver the highest level of care to patients in the region. Blood on board We were the second Helicopter Emergency Medical Service (HEMS) unit in the country to carry blood on the aircraft and in our cars. The difficulties with transporting blood had previously prevented us from using it. However, the invention of the specialised "blood cool box" allows us to carry and store blood for 72 hours in our vehicles. Plasma on board We were also the first HEMS unit in the country to use plasma onboard for critically injured patients. Plasma, which helps to heal injuries and to reduce bleeding, could not be carried onboard previously due to a short shelf life and because of its need to be kept frozen. The development of techniques and equipment have now made it possible to carry plasma on the helicopter and in the cars. These clinical interventions have shown to greatly increase the chances of survival in the initial trauma. Blood Analysers We were proud to be the first HEMS unit in the country to carry blood analysers. These machines allow us to give immediate 'hospital level' blood test results on scene. This can be crucial for the rapid diagnosis and treatment of a critically ill patient, helping to save valuable time once the patient arrives at the hospital. Ultrasound We have also pioneered the use of ultrasound machines in the Pre-Hospital Emergency Medicine (PHEM) environment, which are now carried on our helicopter and in our cars. Ultrasound has revolutionised the treatment of patients with trauma or cardiac arrest by giving real time information on whether they have injuries within the chest or abdomen.