Health
Portugal’s Medical Helicopters Cut Emergency Response Times Across Remote Areas
Portugal’s emergency medical helicopter service is reducing response times in critical cases, with aircraft able to take off within minutes to reach patients in remote and difficult-to-access areas across the country.
Emergency medical teams remain on standby around the clock at four permanent helicopter bases in Loulé, Évora, Viseu and Macedo de Cavaleiros. When an emergency call is received, the average time between activation and take-off is around three minutes, according to Gulf Med Aviation Services.
“Response time in medical emergencies is the critical factor for success. We are currently operating at an excellent level, within three minutes,” said Hugo Chambel, Gulf Med’s director for the Iberian Peninsula.
The service is operated by Gulf Med, part of Malta-based Medilink, in partnership with Portugal’s National Institute of Medical Emergency, known as INEM.
Gulf Med began operations in Portugal in July 2025. The company later secured a five-year contract worth more than €77 million following an international tender for INEM’s Emergency Medical Helicopter Service, known as SHEM. The agreement runs until mid-2030 and provides four helicopters operating 24 hours a day.
The fleet was expanded in April 2026 with the addition of a fifth helicopter. The extra aircraft serves as a backup during maintenance or when one of the operational helicopters is temporarily unavailable. Total investment in the Portuguese fleet has reached about €50 million.
The Airbus H145 D3 helicopters are designed to operate in challenging environments and can land in confined areas, including roads, rural properties and coastal locations. Their design allows emergency teams to reach places where conventional road transport could take significantly longer.
Each helicopter carries doctors and nurses equipped to provide urgent medical treatment. Medical teams assess patients, stabilise them and coordinate with the control centre to determine the most appropriate hospital for treatment.
INEM doctor Leila Duarte said medical staff discuss potential scenarios during the flight and prepare for difficulties before reaching the patient. Teams maintain contact with hospitals throughout the journey and provide updates on changes in a patient’s condition.
Pilots also assess weather conditions and landing locations before responding to calls. Night operations can be more challenging, but crews can normally respond within five minutes, according to pilot Craig Dewar.
SHEM operates two main types of missions. Primary missions involve travelling directly to an incident, while secondary missions involve planned transfers between hospitals. The service also transports organs and patients requiring ECMO treatment.
Primary missions have increased in recent months. At the Heli Sul base in Évora, around 230 missions have been completed since the start of the year, including 160 primary emergency responses, highlighting the growing role of helicopters in medical care, particularly in inland Portugal.
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