Many will have heard the propellers, but the vital work of Scotland’s air ambulance often goes over our heads.
Ninewells was the most visited hospital by Scotland’s Charity Air Ambulance (SCAA) in 2015, with 59 patients landing in Dundee for emergency treatment.
So the Tele headed out to Perth Airport to gain exclusive access to those responsible for saving lives from the air in Tayside and beyond.
SCAA is not supported by any statutory funding and the service is funded solely by donations from private individuals, companies and community trusts.
They have a crew of 10, consisting of five permanent staff members and five reservists, who manage to cover the whole of Scotland, including the remote islands.
Air paramedic John Salmond, from Arbroath, said: “We usually take people to Ninewells from Angus, Perthshire and North Fife.
“The furthest we’ve taken anyone is from Ninewells to Invergarry, because the weather was too poor to take them anywhere else.
“Running the service costs around £2,000,000 a year. Starting up the helicopter each time costs around £4,000 alone.
“I was a land paramedic for 18 years and I’ve been here for just over a year.
“It’s the challenge I was needing. Getting used to the aviation side of the job as well as focusing on the medical side is the hardest part of my job, but I did do some training though with SCAA beforehand, so I was quite prepared.”
The helicopter is occupied by three people at any one time — the pilot, and two paramedics.
One paramedic sits beside the pilot and deals with logistics, liaising with other emergency services to provide updates on the patient’s condition and speaking to hospitals to ensure that the process of rescue and transfer goes smoothly.
The second paramedic sits in the back of the aircraft and looks after the patients.
Upon landing at Ninewells, patients are met by an ambulance which takes them a further 150 yards into the hospital.
Lead air paramedic John Pritchard said: “Around 60% of what we deal with is trauma cases, which includes road traffic collisions, sporting injuries, equestrian accidents and sometimes agricultural accidents.
“But we also deal with medical emergencies such as cardiac arrests and strokes.
“With many call outs, we are able to get to hospital in half the time it would take for an ambulance, which can be vitally important for patients.
“We are able to offer both expert paramedic care at the scene and a rapid transfer to the most suitable hospital, working with 999 services who have really embraced SCAA.”
Senior pilot Captain Russell Myles was flying Boeing airliners before joining the SCAA.
He explained: “I started flying in 1981 and joined here in 2005.
“The helicopter offers more variety — no two days are the same.
“Every time you land it is somewhere different and so each has its own challenges, whether it be livestock, trees, sloping land and so on.”
The SCAA, which has been active since 2013, is due to reach its 1,000th call out next week.