PRPUOEEE An Air Amaulonce Servica nclicanier (ubova) lane's on the rau? of Vancouver Genera Hosaital after a uliick flight across the cliy (enposiie). Channers aac fvag-ing Sapna gs fe a war Sas URCOUYED NICHE, Vashi pee A Lipingn, NEIOWITA GHG FTilice oe cal weOrgn. PR Ra eee ered e rarer eee rte teense eerste sBet bh eaten ee ereee The Air Ambulance Emily C. was seven in the summer of 2006. She was being babysat by her grandparents in Surrey when she found herself under the kitchen table with a metal file in one hand and the female end of an extension cord in the other. She tried to plug the file into the electrical cord, and eventually succeeded. Emily‘s grandmother, wondering where the little girl was, led a frantic search finally to find her “in a state of collapse unconscious, non-responsive,” recounts Howard Peet, a British Columbia Air Ambulance critical care paramedic, who remem- bers a call he will never forget. “This is a call where everything, | mean everything, went according to the book." Not only was the book followed to the letter in Emily's case, it was a new and better book. Beginning the previous July 1, a new level of response became available to patients like her. The Autolaunch Protocol (ALP) trial enabled 911 dispatchers to call upon both ground ambulances and the Vancouver-based air ambulances and their flight paramedics as needed. The ALP trial was typical of progress in this fast-developing profession. Emily's grandmother called 911 at 12.33 p.m. on July 19. “When the dis- patcher received the call,” Peet savs, the first official responder at the house- EO OO