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People who have a heart attack on the Isle of Man could be transferred directly to hospitals in the North West.
Manx Care has started a new trial with the Great North Air Ambulance service to utilise a medical helicopter which can get a patient to Aintree in 29 minutes.
It will predominantly be used for responding to trauma incidents but will also be trialled for those who suffer a cardiac arrest.
Onboard medical crew will be able to perform specialist procedures at the scene including anaesthesia, emergency surgery and blood transfusions.
Senior air crew paramedic Andy Mawson says 999 calls will be screened:
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