Bhutan is not a common nation. It is the last huge Himalayan empire, enveloped in mystery and magic, where a traditional culture of Buddhism closely embraces worldwide trends. Thimphu is its capital and biggest town, and its economic center in Phuntsholing. Bhutan's independence has endured for millennia, and in its past, it has never been colonized. Bhutan has a lot of surprises. This is a country where the rice is red and where chilies aren't just a seasoning but the main dish. It is also a profoundly Buddhist land where after performing divination monks check their smartphones.

1. AIR AMBULANCE In Bhutan.
Bhutan is not a common nation. It is the last huge Himalayan empire, enveloped in mystery and magic, where a
traditional culture of Buddhism closely embraces worldwide trends. Thimphu is its capital and biggest town, and its
economic center in Phuntsholing. Bhutan's independence has endured for millennia, and in its past, it has never been
colonized. Bhutan has a lot of surprises. This is a country where the rice is red and where chilies aren't just a seasoning
but the main dish. It is also a profoundly Buddhist land where after performing divination monks check their
smartphones.
Bhutan visibly protects its Buddhist traditions. You'll discover the Bhutanese well-educated, fun-loving, and
well-informed about their world today. This mixing of the old and the new is what makes Bhutan intriguing endlessly.
Bhutan's carbon is not only functional, but it absorbs more carbon than it emits. Hindus make up almost one-fourth of
the inhabitants. There is also a small population of Christians, although forcible conversion in Bhutan is illegal. Many
people still live in poverty in Bhutan, youth unemployment is increasing, and forest stress is growing. Its $2 billion total
GDP is half that of Springfield, Ohio. But Bhutan's long-term objectives for conservation are ambitious. Bhutan's
economy, one of the lowest and least developed countries in the world, is focused on agriculture and forestry, providing
over 60 percent of the population with the primary income.
Agriculture creates largely of subsistence farming and animal husbandry. Bhutan's GDP is USD 251,19 crores (2017).
Traditionally, the ' bilateral relations between Bhutan's the Himalayan Kingdom and the Republic of India have been
near, and both nations share a ' special relationship, ' making Bhutan safe, but it is not an Indian country or colony.
Bhutan's Kingdom is located between two adjacent giants, namely northward China and southward India. Bhutan is
renowned for its creative Gross National Happiness Index, a measuring tool used to stimulate strategies that enhance
its people's well-being. Bhutan's average income per person per day is Ngultrum (Nu) 40 which is less than a dollar a
day, and the rural average income is even lower at Nu 33 per day (77 cents). The poverty line is around Nu 748.10 per
individual per month, meaning $17.40 per month and $208.75 per year. Bhutanese uses a range of Tibeto-Burman
languages, the most frequent of which is Dzongkha, the official language of Bhutan; the written language is the same
as the Tibetan language. Ngultrum, the currency which regulates Bhutan. The rupee is also recognized as the country's
legal tender. Although the economy of Bhutan is one of the lowest in the world, it has risen quickly over the past few

2. years. Paro Airport is Bhutan's only major airport. Trashigang's Yongphulla Airport is a tiny national airport. The Bhutia
dominates the political lives of Bhutan.
Health industry of Bhutan.
There are more than 32 hospitals across Bhutan. The capital Thimphu had five hospitals, while Chukha, Samtse, and
Trashigang Districts each had three. Now, Bhutan has 244 medicos, 957 nurses, 514 health auxiliaries, and many
others that provide accommodation to the people. Most hospitals in Bhutan are public hospitals, with the government
responsible for investment in buildings, equipment, and supplies. At present, only JDWNRH has major equipment, i.e.
one magnetic resonance imaging (MRI) and one computed tomography (CT) scan system. In the private sector, only
diagnostic services and retail pharmacy shops exist. Currently, a patient information system is paper-based, leading to
wastage, inefficiency in medical record-keeping. Patients’ clinical history and prescriptions are not known since a
majority of them do not keep prescriptions safely. Every time a patient sees a physician, the patient is treated as a new
case. Bhutan is tackling the triple burden of disease – communicable infectious disease, non-communicable
lifestyle-related diseases, and diseases related to injuries, nutrition, and maternal mortality. There is a host of other
emerging and re-emerging infections that are causing increased morbidity and mortality. Bhutan saw the last case of
poliomyelitis in 1986 and was officially declared polio-free in 2014. Jigme Dorji Wangchuck National Referral Hospital
(JDWNRH) is one of the only popular hospitals in Bhutan. JDWNRH is the most immensely colossal hospital in the
country providing primary, secondary, and tertiary accommodations. The Gross National Happiness covers four
components including Good Governance, Fairness, Sustainable Development, Culture Preservation, and Environmental
Conservation. Only, two Bhutanese physicians were sent for training by the Ministry of Health and the Bhutan
Foundation. They were recognized as Bhutan’s first emergency department physicians specializing in the country’s
emergency medicine.
A shocking story behind Bhutan Emergency Aeromedical Retrieval.
A 14-year-old kid dropped from his house's ceiling close Trashigang (in southern Bhutan) and broke his neck and ribs,
ripping his right lung. For that boy breathing quickly was a problem. On-screen, the health assistant examined the kid
and called the Jigme Dorji Wangchuck National Referral Hospital (JDWNRH) of Thimphu for emergency helicopter
evacuation. On the manner, however, his lung crashed entirely, blood flows slowed to his core, and breathing ceased.

3. A senior doctor was on duty when that kid arrived at the emergency department of JDWNRH.
In a complete process, he found that his heart was still beating, but after 45 minutes of effort, they were unable to save
his precious life. Not only could his death have been facilely obviated by timely resuscitation and emergency care, but
he is one of many who could have been preserved with the right treatment at the right time. He shared this case with
JDWNRH staff members. This incidence generates many concerns among them, namely, what if we could offer
emergency care at the ICU level anywhere in the nation within an hour? What if we were to build an emergency team
based on a helicopter?
During a separate incident, a teacher in the mountain village of Lunana (located at an elevation of 14,900 feet)​ ​broke
his leg with multiple fractures after a major fall off a cliff. In astringent pain, and impuissant from the loss of blood, he
could not manage to ambulate or peregrinate with a mule to get avail. The most proximate road access was nine days
away. They gave him Intravenous pain medicine and sedatives, reduced and splinted his leg, and carried him on a
mountain path more than 215yards back to the helicopter. Now today, The preceptor is having excellent health.
Need of AIR AMBULANCE In Bhutan.
Bhutan is bearing a considerable increase in the number of vehicular and inadvertent injuries, including the growing
threats of environmental calamities and disasters. Substantial outbreaks, epidemics, natural disasters, serious
accidents, absence of sophisticated medical knowledge and treatment are some of the variables that make Air
Ambulance options necessary. The country is having a rough and mountainous environment making transport to the
nearest medical facility difficult. The long hours of transport and unsafe trek are crucial to patient survival. With this,
the Bhutan Foundation is putting extra effort to recover on these issues by establishing and improving Bhutan’s
competence in emergency medical services. The Bhutan Foundation and Ministry of Health have granted training to
budding first responders for more than five years to date. It includes ambulance drivers, police officers, firemen, taxi
drivers, and nuns where they were taught basic first aid, providing cardiopulmonary resuscitation (CPR), hemorrhage
control, splint applications, and using safe and proper transport procedures. This has empowered the community and
its members as the basic life-saving skills extensively trimmed down the number of avoidable deaths. The primary goal
of the program is to educate all doctors and nurses functioning in emergency medicine and trauma care in Bhutan.
Many regions in Bhutan worries about health care structures with no existing pre-trauma care. That calls for the need
to provide a basic level of a health system that can be ascertained by educating concerned community members on the
basic first aid procedures.

4. World-renowned Air Ambulance services in Bhutan
Hi Flying – Since 1991, Hi Flying Air Ambulance International has been a world-renowned medical transport and air
ambulance company. With its hubs in Asia-Singapore, Thailand, Hong Kong, Nepal, and the Middle East-Dubai,
Uganda, Kenya in Africa, and Sydney in Australia, it is the U.S .- based company with an operating center in India and
the UAE Transfers from Medical Airport, Medical Case Management, International Patient Management, Patient
Referral Hospital, Medical Repatriations, Commercial Flight Medical Assistance, HiFlying Air Ambulance International is
highly efficient in Aeromedical Services and Evacuations regions. Hi Flying - International Air Ambulance specializes in
offering emergency air care accommodations ecumenically. These accommodations are subsidiary in dealing with
emergency cases where patients need exigent medical care which is not within their vicinity. Under the short notice,
the team at HI Flying Air Ambulance international air ambulances can affect safe and competent repatriation across the
globe through the utilization of private jets or scheduled airlines. Its accommodations include providing medical escorts,
facilitating admission to hospitals, and ascertaining that there is an opportune medical referral, medical clearance, and
transfers from airports. Services offered by HiFlying Air Ambulance include Aeromedical and Evacuation Service
Providers, Medical Airport Transfers, Medical Case Staffing, Global Patient Management, Hospital Inpatient Referrals,
Medical Repatriation, Medical Support for New Commercial Flights, Minor Services Escorting, Road and Rail Ambulance
Services, and Domestic and International Destinations Repatriation for Human.
The services of Hi Flying is geared to offering high-quality patient care and secure transportation services since the
beginning. Being a pioneer in the field of air ambulance service comes with a duty to maintain high standards so that
subsequent adherents provide excellent services to Ugandan people as well as ex-pat populations flying into the
nation. They carry patients with an abdominal and pelvic injury, burns, neurological considerations, chest symptoms
cases, trauma cases, orthopedic injury, unstable angina, acute myocardial infarction, respiratory problems- pneumonia
and chronic obstructive pulmonary disease, severe anemia, severe chronic renal failure, acute pancreatitis, and other
medical conditions.
Modern Medical types of equipment with HiFling Air Ambulance For the patients in Bhutan.
In addition to a team of extremely experienced and skilled physicians, trained nurses-they carry complete Advanced
Life Support Medical Equipment Types including Cardiac Monitors, Pulse Oximeters, Ventilators, Infusion Pumps,
Syringe Pumps, Oxygen Concentrators, Blood Glucose Monitors, Suction Machines and other Safe Transportation
Accessories. Advanced medical devices such as IABP or ECMO can also be ordered. The range of sundry aircraft is

5. available from rudimentary to the most advanced. Turbo propeller jets include Kingair C 90, Pilatus PC 12. Jet aircraft
comprise Hawker 800, Learjet 35, Learjet 45, Learjet 60, and Gulfstream 150. All aircraft have full indemnification.
HiFlying is incredibly fast in keeping pace and meeting the ever-increasing demand for timely, professional, and value
services. They have been very professional and always in prayers to remember. Their unique selling point is the Most
Efficient and Professional Air Ambulance accommodations at the most economical cost. They have a wealth of air
ambulance experience, which provides not only life protection but also security and care.
HiFlying contact services.
Their office address in Asia is HiFLYING, A 101 Mangal Arambh, Kora Kendra, Mumbai 400092 (India).
Best contact +91 98211 50889. Email admin@hiflyingllc.com
Please contact them at any moment during any medical requirements.
By KISHOR DEO (PUNE)
7499071744 & 8793121790