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	<id>http://ecuawiki.com/index.php?action=history&amp;feed=atom&amp;title=Medical_Evacuation</id>
	<title>Medical Evacuation - Revision history</title>
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	<updated>2026-06-03T21:48:09Z</updated>
	<subtitle>Revision history for this page on the wiki</subtitle>
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	<entry>
		<id>http://ecuawiki.com/index.php?title=Medical_Evacuation&amp;diff=398&amp;oldid=prev</id>
		<title>Este-fan: Created page with &quot;{{Infobox | title  = 🚁 Medical Evacuation in Ecuador | label1 = Topic | data1  = Emergency Medical Transport | label2 = Local ER | data2  = Hospital Rafael Serrano (La Libertad) | label3 = Nearest Major Hospital | data3  = Guayaquil (~2.5 hrs), Quito (~8 hrs) | label4 = Emergency Number | data4  = 911 | label5 = Air Ambulance | data5  = Available via insurance (Guayaquil base) }}  ECUAWIKI › HEALTH &amp; SAFETY › MEDICAL EVACUATION  Medical evacuation (medevac) refers...&quot;</title>
		<link rel="alternate" type="text/html" href="http://ecuawiki.com/index.php?title=Medical_Evacuation&amp;diff=398&amp;oldid=prev"/>
		<updated>2026-06-03T18:58:42Z</updated>

		<summary type="html">&lt;p&gt;Created page with &amp;quot;{{Infobox | title  = 🚁 Medical Evacuation in Ecuador | label1 = Topic | data1  = Emergency Medical Transport | label2 = Local ER | data2  = Hospital Rafael Serrano (La Libertad) | label3 = Nearest Major Hospital | data3  = Guayaquil (~2.5 hrs), Quito (~8 hrs) | label4 = Emergency Number | data4  = 911 | label5 = Air Ambulance | data5  = Available via insurance (Guayaquil base) }}  ECUAWIKI › HEALTH &amp;amp; SAFETY › MEDICAL EVACUATION  Medical evacuation (medevac) refers...&amp;quot;&lt;/p&gt;
&lt;p&gt;&lt;b&gt;New page&lt;/b&gt;&lt;/p&gt;&lt;div&gt;{{Infobox&lt;br /&gt;
| title  = 🚁 Medical Evacuation in Ecuador&lt;br /&gt;
| label1 = Topic&lt;br /&gt;
| data1  = Emergency Medical Transport&lt;br /&gt;
| label2 = Local ER&lt;br /&gt;
| data2  = Hospital Rafael Serrano (La Libertad)&lt;br /&gt;
| label3 = Nearest Major Hospital&lt;br /&gt;
| data3  = Guayaquil (~2.5 hrs), Quito (~8 hrs)&lt;br /&gt;
| label4 = Emergency Number&lt;br /&gt;
| data4  = 911&lt;br /&gt;
| label5 = Air Ambulance&lt;br /&gt;
| data5  = Available via insurance (Guayaquil base)&lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
ECUAWIKI › HEALTH &amp;amp; SAFETY › MEDICAL EVACUATION&lt;br /&gt;
&lt;br /&gt;
Medical evacuation (medevac) refers to the transport of a patient to a higher level of care when local facilities are insufficient. On the Santa Elena Peninsula, this most commonly means transferring from local clinics to hospitals in [[Getting to Quito|Guayaquil or Quito]], or in extreme cases, international evacuation to the USA or another country.&lt;br /&gt;
&lt;br /&gt;
== When Medevac Becomes Necessary ==&lt;br /&gt;
&lt;br /&gt;
Local hospitals and clinics on the Peninsula handle routine and emergency care adequately, but serious conditions may require transfer:&lt;br /&gt;
&lt;br /&gt;
* Cardiac surgery or complex cardiac events&lt;br /&gt;
* Serious trauma requiring specialized surgical intervention&lt;br /&gt;
* Neurological emergencies (stroke, aneurysm)&lt;br /&gt;
* Neonatal intensive care&lt;br /&gt;
* Complex cancer treatment&lt;br /&gt;
* Burns requiring specialized burn units&lt;br /&gt;
* Any condition where local ICU capacity is exceeded&lt;br /&gt;
&lt;br /&gt;
== Local Emergency Resources ==&lt;br /&gt;
&lt;br /&gt;
The primary emergency hospital on the Peninsula is Hospital Dr. Rafael Serrano Mata in La Libertad, which has emergency services and basic intensive care. Private clinics in [[Salinas]] can stabilize patients. Call &amp;#039;&amp;#039;&amp;#039;911&amp;#039;&amp;#039;&amp;#039; for ambulance service.&lt;br /&gt;
&lt;br /&gt;
For immediate emergencies, do not delay — call 911 first, then contact your insurance company.&lt;br /&gt;
&lt;br /&gt;
== Transfer to Guayaquil ==&lt;br /&gt;
&lt;br /&gt;
Guayaquil (~2.5 hours by road) has several major hospitals capable of handling complex cases:&lt;br /&gt;
&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Hospital Luis Vernaza&amp;#039;&amp;#039;&amp;#039; — public, large, comprehensive&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Hospital Clínica Kennedy&amp;#039;&amp;#039;&amp;#039; — private, high quality, English-speaking staff&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Hospital Alcívar&amp;#039;&amp;#039;&amp;#039; — private, well-equipped&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Hospital Omni&amp;#039;&amp;#039;&amp;#039; — private, international standard&lt;br /&gt;
&lt;br /&gt;
Most [[Private Health Insurance Ecuador|private health insurance]] plans include ambulance transport to Guayaquil. Road ambulance is the most common transfer method for stable patients.&lt;br /&gt;
&lt;br /&gt;
== Air Ambulance Services ==&lt;br /&gt;
&lt;br /&gt;
For critical patients who cannot safely travel by road, air ambulance services operate from Guayaquil&amp;#039;s José Joaquín de Olmedo International Airport. Companies providing international air evacuation include:&lt;br /&gt;
&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;AirMed International&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Global Rescue&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;SkyMed&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Medjet&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
&lt;br /&gt;
Air ambulance costs without insurance can reach $30,000–$100,000+ USD for international evacuation. &amp;#039;&amp;#039;&amp;#039;This is why comprehensive travel or expat health insurance with medevac coverage is strongly recommended.&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
&lt;br /&gt;
== Insurance Recommendations ==&lt;br /&gt;
&lt;br /&gt;
Most expat-focused insurers offer medevac coverage as part of their international health plans:&lt;br /&gt;
&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Cigna Global&amp;#039;&amp;#039;&amp;#039; — comprehensive international health with medevac&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;Aetna International&amp;#039;&amp;#039;&amp;#039;&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;SafetyWing&amp;#039;&amp;#039;&amp;#039; — budget option popular with digital nomads, includes emergency evacuation&lt;br /&gt;
* &amp;#039;&amp;#039;&amp;#039;GeoBlue&amp;#039;&amp;#039;&amp;#039; — popular with US citizens abroad&lt;br /&gt;
&lt;br /&gt;
See [[Private Health Insurance Ecuador]] for a broader overview of health insurance options on the Peninsula.&lt;br /&gt;
&lt;br /&gt;
== Practical Tips ==&lt;br /&gt;
&lt;br /&gt;
* Keep a copy of your health insurance card and emergency contact numbers on your person at all times&lt;br /&gt;
* Know your blood type and any major medical history&lt;br /&gt;
* Inform family or emergency contacts of your insurance provider and policy number&lt;br /&gt;
* If you have a serious pre-existing condition, confirm your insurer covers related emergencies in Ecuador before traveling or relocating&lt;br /&gt;
&lt;br /&gt;
== See Also ==&lt;br /&gt;
* [[Finding a Doctor on the Peninsula]]&lt;br /&gt;
* [[Private Health Insurance Ecuador]]&lt;br /&gt;
* [[IESS]]&lt;br /&gt;
* [[Pharmacies (La Peninsula)]]&lt;br /&gt;
* [[Vaccinations for Ecuador]]&lt;br /&gt;
* [[Sun and Heat on the Peninsula]]&lt;br /&gt;
&lt;br /&gt;
[[Category:Health &amp;amp; Safety]]&lt;br /&gt;
[[Category:Living on the Peninsula]]&lt;br /&gt;
[[Category:La Peninsula]]&lt;/div&gt;</summary>
		<author><name>Este-fan</name></author>
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