Hulpverleningsforum
Wit: Geneeskundige hulpverlening => Pre-Hospitaal => Ambulance => Topic gestart door: oma op 23 januari 2016, 10:23:45
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Hazardous Area Response Teams (HART) van ambulancediensten bestaan uit paramedics speciaal getraind om acute medische zorg te verlenen in gevaarlijke omstandigheden.
1. IRU (Incident Response Unit) = Incidenten gevaarlijke stoffen + CBRN (Chemische, biologische, radiologische, nucleaire incidenten).
2. IWO (Inland Water Operations) = Ongevallen op, in of nabij water, inclusief overstromingen en ongevallen op zee (tot 20 km uit de kust).
3. TMO (Tactical Medical Operations) = Inzet samen met politie en anti-terreureenheden, bijv. optreden active shooter incidents, bomaanslagen, geplande en ongeplande inzetten van arrestatieteams.
4. USAR (Urban Search and Rescue) = Reddingswerkzaamheden bij o.a. instortingen, in besloten ruimtes en op grote hoogte (SWAH (Safe Work At Height)/Rope Rescue).
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Weer wat geleerd, ik las de afkorting altijd als High Altitude Rescue Team, als in bijv. het Utrechtse HRT.
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HART HMC Ambulance Service - Qatar
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© Rosenbauer International AG
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© MAN Truck and Bus Global
http://www.rosenbauer.com/fileadmin/sharepoint/products/specialvehicles/Dokumente/INTERN/WLF_MAN_TGS_33.480_Qatar_en.pdf (http://www.hulpverleningsforum.nl/fileadmin/sharepoint/products/specialvehicles/Dokumente/INTERN/WLF_MAN_TGS_33.480_Qatar_en.pdf)
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Jörg Kühne, anesthesioloog + medisch directeur transfer and retrieval services van nationale ambulancedienst in Qatar
Hazardous Area Response Team HMC Ambulance Service Qatar - International Conference in Emergency Medicine and Public Health–Qatar 2016
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Aantal vrachtwagens, materiaalwagens en op achtergrond ambulancevoertuigen van HART.
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In groen is HART-paramedic van ambulancedienst South East Coast Ambulance Service
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brandweerinstructeur van West Sussex Fire and Rescue Service
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! No longer available (http://youtube.com/watch?v=IqxkJjNuigE#)
London Ambulance Service HART
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Een al ouder filmpje van dezelfde dienst:
! No longer available (http://youtube.com/watch?v=xqWJagD4BFc#)
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Twee voertuigen van HART North West Ambulance Service (Liverpool en Manchester)
https://www.youtube.com/watch?v=Snx4dZLjYAk (https://www.youtube.com/watch?v=Snx4dZLjYAk)
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NSW Ambulance staff are trained to help you.
Our Special Operations Team (SOT) recently participated in 4-wheel drive training in Cronulla. Driving in this challenging terrain ensures our paramedics are ready to respond to any situation, in physical environments across NSW.
Our Special Operations Team is trained in a variety of skills including vertical access (abseil rescues), using breathing apparatus including fully encapsulated gas suits, working in confined spaces, bushcraft in remote areas, swift water, helicopter and working with multi-agency partnerships.
The Special Operations Team also provides clinical support to our colleagues in the NSW Rural Fire Service, Fire & Rescue NSW and NSW Police, including bomb disposal and the Public Order Riot Squad.
Special Operations Teams are also deployed to multi-casualty incidents and disasters, where they provide life-saving medical intervention and support for patients who are trapped, in a precarious situation, or have been located after extensive searches after being reported missing.
#NSWAmbulance #SpecialOperationsTeam #SpecialOps
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Bron: Ambulance Service of New South Wales http://www.ambulance.nsw.gov.au/ (http://www.ambulance.nsw.gov.au/)
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Andre Jones: Major Incident Response and DECON/HAZMAT Logistics containers and their contents from my ambulance service group of Hamad Medical Corporation on display at the International Conference in Emergency Medicine and Public Health #ambulance #EMS #qatar #hmc #hamad #icepq #doha #emergencyservices #emergencymedicine #emergencymedicalservices #paramedic #disaster #disasterresponse #911 #999 #majorincident
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Foto's gemaakt door Andre Jones. Andre Jones is de Assistant Executive Director of Communications (ambulancemeldkamer) van HMC Ambulance Service Qatar)
Andre Jones: These bad boys are BAD! Just off the ship. They are call MIRs and being deployed to respond to MCIs and such (there very frequent). There are also a few specialised rescue units coming for CBRNE response.
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Oefening:
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https://twitter.com/LAS_Brent (https://twitter.com/LAS_Brent)
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MCA = Maritime and Coastguard Agency
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At the recent International Conference in Emergency Medicine and Public Health, Hamad Medical Corporation’s Ambulance Service (HMCAS) showcased their new Major Incident Response vehicles.
Making use of specially designed rapidly deployable containers, these vehicles are equipped with all the necessary requirements to deal with a major incident in their three type configurations, namely: medical, decontamination and logistics.
In the event of a major incident, these units would be deployed by the Specialized Emergency Management team within HMCAS to provide emergency medical support.
The medical vehicle contains all the resources required to create a temporary field treatment area with a variety of air conditioned tents in which patients can be treated according to their clinical acuity. The units are staffed by specially trained crews who will rapidly deploy all the necessary shelters and equipment in preparation for the treatment and stabilization of patients by Ambulance Paramedics and Critical Care Paramedics prior to transferring them to one of Hamad Medical Corporation’s (HMC) Emergency Departments. The medical decontamination unit enables clinical teams to support other emergency response agencies in the event of a major incident involving a hazardous material.
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Bron/foto: Hamad Medical Corporation -Corporate Communications Department.
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Niet verkeerd hoor die Volvo rapid responder ambu autos ;) :)
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Niet verkeerd hoor die Volvo rapid responder ambu autos ;) :)
Het zijn voertuigen van Joint Response Unit van London Ambulance Service. Het is een combinatie van een surveillancevoertuig van de politie en rapid responder voertuig van ambulancedienst. De bemanning bestaat uit een paramedic en een agent van London Met Police.
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EDBA = Extended Duration Breathing Apparatus
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Ambulancedienst Riyadh, Saudi Arabie
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Apart dat die 2 los lopen en niet elkaar vasthouden.
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Apart dat die 2 los lopen en niet elkaar vasthouden.
Ik kijk bijna dagelijks bij oefeningen van ons HART. Bij dit soort oefeningen zie ik regelmatig dat een instructeur van ons of een instructeur van de brandweer een van beide blinde hulpverleners grijpt of lostrekt van elkaar.
Ze moeten elkaar dan weer terugvinden of de voorste hulpverlener krijgt te horen dat zijn maatje door de vloer is gezakt en hij de terugweg alleen moet zoeken.
Als de instructeur van brandweer of ambulance het gevoel heeft dat de achterste hulpverlener de schijn wekt dat hij er vanuit gaat dat zijn maatje de deuren, traptreden etc telt om de terugweg blind te kunnen vinden is het nuttig om de voorste persoon weg te rukken en de tweede hulpverlener te zeggen te beginnen aan de terugweg.
Ik heb het zelf nooit ervaren hoe ingewikkeld dit is maar regelmatig gezien dat de voorste hulpverlener niet merkt als zijn maatje hem los heeft gelaten. De voorst hobbelt dan vrolijk door tot hij iets zegt en merkt dat er geen reactie komt om vervolgens eens met zijn hand naar achteren in het luchtledige te zwaaien.
Als observant zie je direct dat het hem niet gaat lukken. Belangrijker is dat deze hulpverlener zelf tijdens de oefening ook in paniek raakt zodra hij merkt dat hij aan verdwalen is geslagen en het terugtochtsignaal komt van zijn eigen adembeschermingsapparatuur.
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Soortgelijke oefeningen doen wij bij de cursus Safety and Health Officer (leidinggevende BHV-er) met als doel om zonder paniek in het donker de weg naar buiten te kunnen vinden.
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West Midlands Ambulance Service HART selection day:
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South Western Ambulance Service Student Paramedic Conference - UWE Bristol Exhibition and Conference Centre on Saturday, 27th February 2016.
Hazardous Area Response Team clinical challenge - Compete in teams to manage a clinical scenario like no other
http://www.swast.nhs.uk/Working%20With%20Us/studentparamedicconference.htm (http://www.swast.nhs.uk/Working%20With%20Us/studentparamedicconference.htm)
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Joint press release update - Didcot Power Station
One week on from the partial collapse of a building a Didcot A Power Station, the emergency services continue to work closely together to establish how best to recover the bodies of the three missing people and maintain the safety of everyone involved in the operation on a highly unstable site.
The families of the three missing people have now returned home and have asked the media to respect their privacy at this time.
Assistant Chief Constable, Scott Chilton, said: "It is now one week since this major incident occurred. Following the partial collapse of the building at Didcot A Power Station, the emergency services have continued working closely together.
"The recovery of the bodies and site investigation will be a very complex operation and I envisage it will be many, many weeks before it is completed.
"I know that this makes it particularly difficult for the families involved, as they await the recovery of their loved ones. Our priority remains to return them to their families and we continue to support the families as needed.
"We are working closely with the Health and Safety Executive (HSE) to establish the cause of the incident."
Chief Fire Officer Dave Etheridge added: "Our thoughts very much continue to be with the families of those who have lost their lives and I would like to reassure them that we are doing all we can to return their loved ones to them. I believe the emergency service teams working on site are the best in the world and know they are using their experience and expertise to the limits."
Will Hancock, Chief Executive of South Central Ambulance Service NHS Foundation Trust (SCAS), said:
"I would like to thank the many SCAS staff who attended the incident at Didcot A Power Station last week and who triaged and treated over 50 casualties, before taking five people to hospital. Our Hazardous Area Response Team has remained on site since the collapse and we continue to provide support to the recovery teams carrying out their difficult task."
http://www.scas.nhs.uk/content/homepage-feature/joint-press-release-update-didcot-power-station.ashx (http://www.scas.nhs.uk/content/homepage-feature/joint-press-release-update-didcot-power-station.ashx)
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Exercise Paradise City - Clyst St George (UK) - 23-03-2016: http://www.hulpverleningsforum.nl/index.php?topic=96887.msg1414854 (http://www.hulpverleningsforum.nl/index.php?topic=96887.msg1414854)
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Press Release - Success in Paradise City
Posted on 15/04/2016
The National Resilience team from Devon & Somerset Fire & Rescue Service recently hosted two simultaneous disaster scenarios. The exercise was named Paradise City providing training in handling major incidents
The exercise tested operational responses that incorporated USAR, HVP and Enhanced Logistics Support. As well as confirming how these capabilities work alongside first responding crews, various agencies and other specialist teams.
The Scenario
An industrial building had collapsed at SHQ, while at the same time a water incident at a nearby reservoir took place. A strategic holding area was set up at Exeter Services to manage all the resources. Local resources were seen to be stretched and national assistance was requested.
Areas of multi-agency training included an industrial collapsed structure that involved hot metal and concrete cutting skills as well as shoring. There was also rescue from a farm silo, a trench rescue, a multi RTC incident. Live causalities were involved as well as several live scent rescue dogs.
Paul Cross, Group Manager and National Resilience Advisor said: "This is a low frequency, high consequence event which would always be a major incident and multi-agency environment. We try to create as near as possible how an incident would happen.
"Every action has a reaction and often teams have tough decisions to make in these situations that can affect the outcome of a casualty's survival. It's important that training is in conjunction with other agencies like the police and ambulance services and other specialists, as they are provided with a basis to react confidently if an incident occurred.
“For example with the collapsed building it first needed stabilising by shoring, creating a safe platform for the teams to get in to treat and rescue causalities. We can’t have a situation where we rescue a rescuer.”
Phil Watts, lead paramedic from the HART team: “This exercise gives us the opportunity to work with multi agencies as if we were involved in a real incident. We don’t get to do many exercises together, so it’s good networking for everyone. It’s also extremely beneficial to have live patients that are really trapped. Moving dummies is one thing, but moving real people is invaluable experience.”
CM Lyndon Mason from Exmouth, riding with Middlemoor: “The benefits of this exercise are that we rarely have the opportunity for training on a multi-car pile-up, especially involving a mini bus and lorry. Now when we turn out on to this kind of incident on the motorway or a country lane, we arrive equipped with both experience and knowledge.”
Oli Hancock, Director of Casualty Resources said: "It's a real privilege to be invited along to help with these days. We work with the military and special forces on a regular basis. It's good to see the fire services implementing such realistic training."
Paul Cross added: "We do have to be prepared to deal for incidents. Prevention is better than cure, but when that is not possible we need to have highly trained individuals that will provide support to get the best outcome for anyone involved. We focus on casualties and communities to give them the best outcome.
“Days like these make me realise how important and how excellent our teams are in the UK. We train and prepare on a regular basis and we provide the best possible service to our communities.”
Terry Hutchings National Resilience Instructor and exercise coordinator would like to pass on his deepest gratitude to all the supporting personnel involved in this regional level exercise. This has proved to be a very worthwhile exercise with all the responding crews maintaining a most professional approach when dealing with the varied incidents throughout the days exercise.
http://www.dsfire.gov.uk/News/Newsdesk/PressReleaseArticle.cfm?ReleaseID=1780&siteCategoryId=3&T1ID=26&T2ID=36 (http://www.dsfire.gov.uk/News/Newsdesk/PressReleaseArticle.cfm?ReleaseID=1780&siteCategoryId=3&T1ID=26&T2ID=36)
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Man hospitalised after collapsing at London Road development St Albans
A man had to be rescued by a hazardous area response team (HART) after he collapsed on the second floor of a building site yesterday (Monday).
An ambulance, rapid response vehicle and the HART accompanied the fire service to site where an aerial ladder appliance was used to lift the patient to safety.
http://www.hertsad.co.uk/news/man_hospitalised_after_collapsing_at_london_road_development_st_albans_1_4510734 (http://www.hertsad.co.uk/news/man_hospitalised_after_collapsing_at_london_road_development_st_albans_1_4510734)
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Mooie interessante oefeningen, uitdagend ook O0
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{tweet=SCAS HART @SCAS_HART]Supporting @Hants_fire in their battle with a thatch fire in Nutley today. #JESIP #teamwork pic.twitter.com/Hm14mtTC6Z[/tweet]
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https://www.youtube.com/watch?v=Ra5jTBx94g0 (https://www.youtube.com/watch?v=Ra5jTBx94g0)
https://www.youtube.com/watch?v=KifJUeW5cRo (https://www.youtube.com/watch?v=KifJUeW5cRo)
https://www.youtube.com/watch?v=VwyJfNbzqDw (https://www.youtube.com/watch?v=VwyJfNbzqDw)
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https://www.youtube.com/watch?v=O2XSiv7wEBI (https://www.youtube.com/watch?v=O2XSiv7wEBI)
Hinstock warehouse collapse: Worker freed after more than nine hours under cheese and shelving
A worker has been freed after being buried alive under tons of shelving and cheese for more than nine hours.
The man miraculously escaped with just minor injuries after emergency crews worked throughout Friday to free him from under the giant blocks of cheese.
Witnesses said the collapse at Edwards Transport in Hinstock sounded like a “sonic boom”.
Workers were seen running for their lives from the warehouse near Market Drayton at around 9.30am. After a roll call it became clear that one employee was missing.
http://www.shropshirestar.com/news/2016/05/06/search-for-missing-person-after-shropshire-warehouse-collapse/ (http://www.shropshirestar.com/news/2016/05/06/search-for-missing-person-after-shropshire-warehouse-collapse/)
[tweet]WMAS @OFFICIALWMAS]Warehouse worker escapes serious injury despite being trapped for 8 hours officialwmas.wordpress.com/2016/05/06/war… pic.twitter.com/bULAPVstlq[/tweet]
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Warehouse worker escapes serious injury despite being trapped for 8 hours
May 6, 2016 by officialwmas
Friday 6th May 2016 – 9.15pm – Murray MacGregor.
A forklift truck driver has walked free from the devastated insides of a warehouse after an accident that saw tonnes of good come down on top of him leaving him trapped for around eight hours.
West Midlands Ambulance Service responded to the incident in Hatton Road in Hinstock near Market Drayton at 9.40am on Friday morning.
Initially, an ambulance, a BASICS Emergency Doctor, the Midlands Air Ambulance from Cosford with the MERIT trauma doctor on board were sent along with two paramedic officers and the Hazardous Area Response Team.
A West Midlands Ambulance Service spokesman said: “One patient was treated at the scene for the effects of shock while fire and ambulance staff assessed the situation so that a resuce attempt could be mounted.
“Firefighters from Shropshire Fire and Rescue Service were joined by specialist Urban Search and Rescue teams from West Midlands, Merseyside, and Leicestershire.
“They were joined by staff from West Mercia Police and the Health and Safety Executive. The operation was co-ordinated using the new WMAS Command Vehicle which has only recently entered service and provides the latest multi-agency working platform.
“Astonishingly, after so long trapped under the contents of the warehouse, the worker was able to walk out of the warehouse. He was then assessed by the paramedics from HART and was subsequently taken to Princess Royal Hospital as a precaution, but he appears uninjured.
“This is an excellent example of interagency cooperation that demonstrates the value of close cooperation and joint working.”
https://officialwmas.wordpress.com/2016/05/06/warehouse-worker-escapes-serious-injury-despite-being-trapped-for-8-hours/ (https://officialwmas.wordpress.com/2016/05/06/warehouse-worker-escapes-serious-injury-despite-being-trapped-for-8-hours/)
Worker trapped for 8 hours after warehouse collapse
A forklift truck driver has walked free after 4,000 tonnes of cheese came down on him, trapping him for eight hours in Market Drayton.
West Midlands Ambulance Service were called to Edwards Transport, in Hatton Road, at 9.40am on Friday morning.
http://www.itv.com/news/central/2016-05-06/worker-trapped-for-8-hours-after-warehouse-collapse/ (http://www.itv.com/news/central/2016-05-06/worker-trapped-for-8-hours-after-warehouse-collapse/)
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'Miracle' rescue for man buried by 4000 tonnes of cheese
A forklift truck driver is lucky to be alive after he was rescued from underneath thousands of tonnes of cheese.
Rescuers had started to give up hope after racks of shelving collapsed at a warehouse in Shropshire.
http://www.itv.com/news/central/update/2016-05-06/miracle-rescue-after-man-buried-by-4000-tonnes-of-cheese/ (http://www.itv.com/news/central/update/2016-05-06/miracle-rescue-after-man-buried-by-4000-tonnes-of-cheese/)
Forklift driver survives eight-hour ordeal by cheese
Depot worker buried under tonnes of cheese after shelves collapse emerges unharmed
A forklift truck driver who was buried under tonnes of cheese for eight hours amazed rescue workers after emerging unscathed.
The man, named by the BBC as Tomasz Wiszniewski, was trapped after shelves at the food distribution warehouse collapsed on Friday morning.
http://www.theguardian.com/uk-news/2016/may/06/forklift-driver-survives-eight-hour-ordeal-by-cheese (http://www.theguardian.com/uk-news/2016/may/06/forklift-driver-survives-eight-hour-ordeal-by-cheese)
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‘Cheese’ man rescue
A few seconds of mobile phone footage capture the amazing moment a warehouse worker walked free after hours trapped beneath the building’s collapsed insides.
Our urban search and rescue (USAR) experts joined the multi-agency rescue of Tomasz Wiszniewski, who survived the collapse of racking on which thousands of tons of cheese were stored.
The forklift driver was penned inside the refrigerated building for eight hours before being located and walking out of the wreckage.
The drama began on Friday morning (6 May) when our colleagues at Shropshire Fire and Rescue received a 999 call reporting the incident at a chilled storage and distribution complex near Hinstock.
Our USAR team were called to assist, under national arrangements which kick in during very serious or unusual rescue incidents.
They worked alongside search dog teams from Merseyside and Leicestershire fire and rescue services, the Hazardous Area Response Teams (HART) of West Midlands Ambulance Service and officers from West Mercia Police.
USAR carried out a full assessment of the building and collapsed racking, before the search dogs indicated an area in which Mr Wiszniewski could be.
Specialist cameras helped to pinpoint his location, before his safe exit could be planned and secured.
https://www.wmfs.net/cheese-man-rescue/ (https://www.wmfs.net/cheese-man-rescue/)
https://www.youtube.com/watch?v=odXdENxavvA (https://www.youtube.com/watch?v=odXdENxavvA)
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Police, Fire and Ambulance Services in Greater Manchester have joined forces with other agencies to carry out a simulated terror attack to test the emergency response to a major terrorist incident.
Oefening Winchester Accord - Manchester (GB) 9-5-2016 t/m 11-5-2016 http://www.hulpverleningsforum.nl/index.php?topic=97596 (http://www.hulpverleningsforum.nl/index.php?topic=97596)
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40st (stone) = 254 kg (kilogram)
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Collision on Harlesden High Street
15 May 2016
Kevin Brown, Deputy Director of Operations at London Ambulance Service said:
“We were called at 2:03pm to reports of a collision between a bus and a building on Harlesden High Street.
“We sent multiple resources to the scene including a single responder in a car and a number of ambulance crews. We also sent our incident response and hazardous area response teams, alongside London’s Air Ambulance.
“We treated 17 patients at the scene.
“We took three patients as a priority to hospital.
“A further nine adults and four children with minor injuries were also taken to hospital and one was treated and discharged at the scene.”
ENDS
http://www.londonambulance.nhs.uk/news/news_releases_and_statements/collision_on_harlesden_high_st.aspx (http://www.londonambulance.nhs.uk/news/news_releases_and_statements/collision_on_harlesden_high_st.aspx)
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Hazardous Area Response Teams (HART) van ambulancediensten bestaan uit paramedics speciaal getraind om acute medische zorg te verlenen in gevaarlijke omstandigheden.
1. IRU (Incident Response Unit) = Incidenten gevaarlijke stoffen + CBRN (Chemische, biologische, radiologische, nucleaire incidenten).
2. IWO (Inland Water Operations) = Ongevallen op, in of nabij water, inclusief overstromingen en ongevallen op zee (tot 20 km uit de kust).
3. TMO (Tactical Medical Operations) = Inzet samen met politie en anti-terreureenheden, bijv. optreden active shooter incidents, bomaanslagen, geplande en ongeplande inzetten van arrestatieteams.
4. USAR (Urban Search and Rescue) = Reddingswerkzaamheden bij o.a. instortingen, in besloten ruimtes en op grote hoogte (SWAH (Safe Work At Height)/Rope Rescue).
Alle inzetbare mensen hebben kennis over al deze 4 zaken en kunnen ook op al deze vier punten ingezet worden? Als dat zo is, moet je verrekte veel kennis hebben van veel zaken en ben je niet meer een specialist op een gebied. Ben nog steeds voorstander van de bakker die brood bakt en de slager die vlees verkoopt, en de slijter die mij iets over drank wat kan vertellen. Anders krijg je zo'n MediaMarkt-gevoel, ze worden ingezet op alle afdelingen en weten overal een beetje wat vanaf, lezen graag nog even waar je bij staat de verpakking aan je voor om te vertellen wat het product eigenlijk allemaal kan.
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Alle inzetbare mensen hebben kennis over al deze 4 zaken en kunnen ook op al deze vier punten ingezet worden? Als dat zo is, moet je verrekte veel kennis hebben van veel zaken en ben je niet meer een specialist op een gebied. Ben nog steeds voorstander van de bakker die brood bakt en de slager die vlees verkoopt, en de slijter die mij iets over drank wat kan vertellen. Anders krijg je zo'n MediaMarkt-gevoel, ze worden ingezet op alle afdelingen en weten overal een beetje wat vanaf, lezen graag nog even waar je bij staat de verpakking aan je voor om te vertellen wat het product eigenlijk allemaal kan.
Je had het op 24 januari 2016 moeten posten in plaats van een half jaar later. HART is in de UK wettelijk verplicht bij de ambulancediensten, de 4 taken zijn de wettelijke verplichte taken. Je kan 8 pagina's foto's zien van inzetten en oefening.
Je hoeft niet verrekt veel kennis te hebben om deze taken uit te voeren maar je moet een werkgever hebben die je verrekt veel tijd geeft om te oefenen. HART ploegen oefenen vaak samen met de brandweer onder werktijd (oefenen tijdens uitrukdienstrooster), als een ploeg 4 weken in het uitrukrooster gezeten heeft is de 5e week een oefenweek.
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Je had het op 24 januari 2016 moeten posten in plaats van een half jaar later. HART is in de UK wettelijk verplicht bij de ambulancediensten, de 4 taken zijn de wettelijke verplichte taken. Je kan 8 pagina's foto's zien van inzetten en oefening.
Je hoeft niet verrekt veel kennis te hebben om deze taken uit te voeren maar je moet een werkgever hebben die je verrekt veel tijd geeft om te oefenen. HART ploegen oefenen vaak samen met de brandweer onder werktijd (oefenen tijdens uitrukdienstrooster), als een ploeg 4 weken in het uitrukrooster gezeten heeft is de 5e week een oefenweek.
Hier in Nederland is het anders, heeft elke hulpdienst z'n eigen taak. En waar nodig zijn overige hulpdiensten meer te vinden, dan bedoel ik: langs de kust en het IJsselmeer veel reddingsbrigades, KNRM etc. Maar mocht een dijk doorbreken in Limburg zijn in mum van tijd de hulpdiensten daar ook om voorbereidingen te treffen en hulp te verlenen (wordt het Rode Kruis ingezet en bijvoorbeeld Defensie).
Vindt jij dat Nederland het niet goed geregeld heeft wat betreft bijvoorbeeld natuur- en bosbrandbestrijding? Die zijn over het land verspreid op tactische plekken. Wel eens benieuwd naar jouw mening hierover.
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Hier in Nederland is het anders, heeft elke hulpdienst z'n eigen taak. En waar nodig zijn overige hulpdiensten meer te vinden, dan bedoel ik: langs de kust en het IJsselmeer veel reddingsbrigades, KNRM etc. Maar mocht een dijk doorbreken in Limburg zijn in mum van tijd de hulpdiensten daar ook om voorbereidingen te treffen en hulp te verlenen (wordt het Rode Kruis ingezet en bijvoorbeeld Defensie).
Vindt jij dat Nederland het niet goed geregeld heeft wat betreft bijvoorbeeld natuur- en bosbrandbestrijding? Die zijn over het land verspreid op tactische plekken. Wel eens benieuwd naar jouw mening hierover.
Ik heb geen idee hoe goed Nederland natuur- en bosbrandbestrijding geregeld heeft. Landen met veel bos- en natuurgebied waar men HART bij de ambulancedienst heeft zetten HART in deze moeilijk toegankelijke gebieden in bij medische spoed niet om branden te bestrijden.
Als in Nederland de bosbrandbestrijding uitstekend georganiseerd is vraag ik mij wel af of bomen belangrijker zijn dan mensen. In Nederland heb je als burger een groot probleem zodra je (levensgevaarlijk) gewond raakt bij een ongeval met gevaarlijke stoffen of na een terreuraanslag. De goede prehospitale, medische zorg is niet meer van toepassing aangezien resp. de brandweer en politie de eerste hulp gaan verlenen terwijl de expertise, bevoegdheden en bekwaamheden van ambulanceverpleegkundigen vereist zijn om levens te kunnen redden.
https://www.youtube.com/watch?v=heC2zdhiogc (https://www.youtube.com/watch?v=heC2zdhiogc)
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https://www.youtube.com/watch?v=2_zLNRYa94o (https://www.youtube.com/watch?v=2_zLNRYa94o)
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Emergency services called into action for mock hostage situation in Stockton
Emergency services were called into action as part of a five-hour training exercise in Stockton.
Led by Cleveland Police , Operation Trafalgar saw a mock hostage situation unfold in the Lord Nelson pub on Bath Place to test the emergency services and to see how effectively they worked together.
http://www.gazettelive.co.uk/news/teesside-news/emergency-services-called-action-mock-11474237 (http://www.gazettelive.co.uk/news/teesside-news/emergency-services-called-action-mock-11474237)
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Mooie foto illustratie, Oma!! O0
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https://www.youtube.com/watch?v=nf72FEfyMEk (https://www.youtube.com/watch?v=nf72FEfyMEk)
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Great Barr rescue: Firefighters recovering 4x4 from waterway
A rescue effort was launched by fire crews to recover a 4x4 that was found upside down in a Great Barr waterway.
http://www.expressandstar.com/news/2016/07/13/west-bromwich-rescue-firefighters-recovering-4x4-from-waterway/ (http://www.expressandstar.com/news/2016/07/13/west-bromwich-rescue-firefighters-recovering-4x4-from-waterway/)
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Exercise Triton II - Greater Manchester - 14 juli 2016 http://www.hulpverleningsforum.nl/index.php?topic=98603 (http://www.hulpverleningsforum.nl/index.php?topic=98603)
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http://www.khou.com/news/local/texas/dallas-fire-rescue-receives-21-armor-plated-vests-for-active-shooter-scenarios/287571403 (http://www.khou.com/news/local/texas/dallas-fire-rescue-receives-21-armor-plated-vests-for-active-shooter-scenarios/287571403)
Dallas Fire-Rescue paramedics now have access to ballistic kits that can protect against rounds from high-powered rifles, like those used in the ambush on Dallas police officers last month.
The kits are part of a modification to the active-shooter policy for DFR that will ultimately include collaboration with DPD.
Lieutenant Jim McDade, an EMS paramedic, gave News 8 a first look at the equipment Wednesday. The kits arrived within the last week.
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Man in critical condition after railway line collision
Date: 12 August 2016
Time: 15:00
A man has suffered a life-threatening head injury after the vehicle he was in was reportedly hit by a train near Ely this afternoon (12th August).
The East of England Ambulance Service NHS Trust (EEAST) was called at 2.34pm, and dispatched an ambulance, three ambulance officers, the East Anglian Air Ambulance and its hazardous area response team (HART) to the scene.
The man, thought to be in his 40s, required critical care at the scene for his injuries and was flown to Addenbrookes Hospital for further care.
At this time, it’s not believed that anyone on the train has been injured in the incident.
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Police and ambulance service team up to save lives and money
A NEW partnership between Gwent Police and the Welsh Ambulance Service is aiming to save both lives and money.
The two organisations launched the Joint Response Unit last month in July after research showed 2,249 incidents between October 2015 and March 2016 were attended by both police and paramedics.
http://www.southwalesargus.co.uk/news/14691243.display/ (http://www.southwalesargus.co.uk/news/14691243.display/)
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@OOP_CR = Ontario Provincial Police, Central Region.
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Inzet hulpdiensten en evenementenhulpverleners Notting Hill Carnival, Londen - 28 & 29 augustus 2016 http://www.hulpverleningsforum.nl/index.php?topic=99094 (http://www.hulpverleningsforum.nl/index.php?topic=99094)
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Na even een rondje scrollen door de laatste berichten hier (neem dit topic niet elke dag door), zijn mij een paar dingen (pijnlijk) duidelijk geworden:
- De UK HART teams twitteren vooral over oefeningen. Waarschijnlijk is dat representatief voor de verhouding oefening/inzet en heeft dus wel af hoeveel geoefend wordt door deze teams;
- Uit bovenstaande kan je concluderen dat men in de UK bereidt is te betalen voor iets wat men niet nodig hoopt te hebben. Waar wij in NL alles wegbezuinigen zodra weer het een tijdje niet nodig hebben...
- Er wordt door de HART teams veel én realistisch geoefend, veelal onder realistische omstandigheden, daar ben ik best een beetje jaloers op;
- De HART teams oefenen hun vaardigheden onder de moeilijkste omstandigheden, wat mijns inziens betekend dat ze deze vaardigheden ijn basis meer dan voldoende beheersen. Ook daarvoor zal dus voldoende mogelijkheden tot opleiden&oefenen zijn geweest;
- Ik realiseer me dat we in NL hier een hoop van kunnen een moeten leren. Hoewel men in de Nederlandse ambulancezorg geen HART teams kent en deze taken deels overlaat aan de Brandweer, maken we veel te weinig oefenuren in vergelijking met de buren aan de andere kant van de plas. Hetzelfde geldt voor de Nederlandse brandweer die deze taken dus deels zou moeten uitvoeren;
- Ik zou best eens een paar weekjes met dergelijke oefeningen mee willen doen. Er valt daar ern hoop te leren, ik denk dat het voor ons Nederlanders en overgang betekend van "onbewust onbekwaam" naar "bewust onbekwaam", hetgeen stap 1 in het leerproces betekend.
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Na even een rondje scrollen door de laatste berichten hier (neem dit topic niet elke dag door), zijn mij een paar dingen (pijnlijk) duidelijk geworden:
- De UK HART teams twitteren vooral over oefeningen. Waarschijnlijk is dat representatief voor de verhouding oefening/inzet en heeft dus wel af hoeveel geoefend wordt door deze teams;
- Uit bovenstaande kan je concluderen dat men in de UK bereidt is te betalen voor iets wat men niet nodig hoopt te hebben. Waar wij in NL alles wegbezuinigen zodra weer het een tijdje niet nodig hebben...
- Er wordt door de HART teams veel én realistisch geoefend, veelal onder realistische omstandigheden, daar ben ik best een beetje jaloers op;
- De HART teams oefenen hun vaardigheden onder de moeilijkste omstandigheden, wat mijns inziens betekend dat ze deze vaardigheden ijn basis meer dan voldoende beheersen. Ook daarvoor zal dus voldoende mogelijkheden tot opleiden&oefenen zijn geweest;
- Ik realiseer me dat we in NL hier een hoop van kunnen een moeten leren. Hoewel men in de Nederlandse ambulancezorg geen HART teams kent en deze taken deels overlaat aan de Brandweer, maken we veel te weinig oefenuren in vergelijking met de buren aan de andere kant van de plas. Hetzelfde geldt voor de Nederlandse brandweer die deze taken dus deels zou moeten uitvoeren;
- Ik zou best eens een paar weekjes met dergelijke oefeningen mee willen doen. Er valt daar ern hoop te leren, ik denk dat het voor ons Nederlanders en overgang betekend van "onbewust onbekwaam" naar "bewust onbekwaam", hetgeen stap 1 in het leerproces betekend.
Inderdaad, de Nederlandse Ambulancezorg (AZN) en haar financiers (de Zorgverzekeraars Nederland) trekken echt te weinig geld uit voor oefeningen en traingen op welk niveau dan ook. Alles moet tegen minimale kosten en ondertussen hopen wij/zij dat de bom niet barst of valt....
Uitermate pijnlijk om te moeten constateren dat we al een 1o tal jaren achterlopen in de Nederlandse Ambulancezorg bij onze Franse en Duitse buren qua materiaal en rollend materieel en in vergelijking met de UK ook nog met name op gebied van training & oefening.
Er wordt in NL gewoonweg geen geld voor vrijgemaakt. En Table top oefeningen als oplossing zijn flauwekul, daarmee redden we geen mensen.
Ondertussen worden we in NL gegijzeld door financierings en aanrijtijd-discussies terwijl de werkelijke problematiek gaat over voldoende adequate zorgverleners die voldoende worden betaald zodat de benodigde instroom niet opdroogd en voldoende worden geoefend en getraind.
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Al met al zou het natuurlijk ideaal zijn als hier (en in andere topics: aanrijtijden is een voorbeeld) beleidsmakers zouden meelezen of door hun meelezend personeel met klem op de beschreven problemen gewezen worden. Weten we of dit het geval is? 98uiye
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Al met al zou het natuurlijk ideaal zijn als hier (en in andere topics: aanrijtijden is een voorbeeld) beleidsmakers zouden meelezen of door hun meelezend personeel met klem op de beschreven problemen gewezen worden. Weten we of dit het geval is? 98uiye
Ik ga er vanuit dat de Nederlandse ambulancedirecteuren en medisch managers donders goed weten hoe het reilt en zeilt in het buitenland. Af en toe tikt een Nederlandse ambulancechef een stukje voor internationale ambulancevakbladen of voelt zich geroepen om op een ambulancecongres even te onderstrepen waarom de rest van de wereld nog veel kan leren van de wereldkampioen hoogwaardige ambulancezorg Nederland.
Ik ben in ieder geval blij dat de meeste ambulancecongressen in Midden Oosten in Westerse hotels worden gehouden met alcoholvergunning, als er een verdwaald figuur vanuit de Nederlandse ambulancezorg begint te reutelen ga ik aan de bar zitten. Het komt altijd op hetzelfde neer, een Nederlander die in steenkolen Engels duidelijk maakt dat Nederland de beste ambulancezorg ter wereld heeft dankzij de ambulanceverpleegkundige die voorbehouden handelingen mag uitvoeren en in de veronderstelling verkeert dat we hier nog steeds uitrukken met kamelen.
Onze critical care paramedics (geen verpleegkundigen!) mogen dezelfde voorbehouden handelingen uitvoeren als de Nederlandse ambulanceverpleegkundigen. CCP's mogen ook thoraxdrains inbrengen en RSI uitvoeren. Ik kan iedereen garanderen dat de hele Nederlandse ambulancezorg, de MMT's en medisch specialisten ongeveer ontploffen zodra iemand ook maar het lef heeft om te beginnen over thoraxdrains inbrengen door ambulanceverpleegkundigen. Over RSI hoef je niet eens te beginnen.
In UK zie je momenteel dat men voorzichtig begint met RSI door HART-paramedics aangezien de HEMS-dokters ook beseffen dat deze speciale ambulanceteams soms langdurig bij een patient zijn in gevaarlijk gebied. De HEMS/MMT arts kan niet werken in deze gevaarlijke inzetgebieden. Ze staan op afstand achter het lintje.
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[...] De HEMS/MMT arts kan niet werken in deze gevaarlijke inzetgebieden. Ze staan op afstand achter het lintje.
Laat dat laatste in Nederland nou gelden voor de gehele ambulancezorg...
Sterker nog, ik denk dat ik het lintje niet eens haal. Vanaf morgen gaat officieel LPA 8.1 in werking, waar men voor de duidelijkheid de "veilige afstand" voor diverse incidenten heeft beschreven. Leest u even mee?
ambulance op veilige plaats bovenwinds parkeren
explosiegevaar 500 meter
zichtbaar gas 25 meter
onbekende stof 100 meter
radioactiviteit 25 meter
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Geldt voor het parkeren van de ambu, lees ik. Betekent dat dat het personeel met de brancard en koffers ook niet dichterbij mag komen?
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Geldt voor het parkeren van de ambu, lees ik. Betekent dat dat het personeel met de brancard en koffers ook niet dichterbij mag komen?
Ik neem aan dat de ambulancebazen bang zijn voor (onherstelbare) schade aan het ambulancevoertuig. Het zou vreemd zijn als je protocolair voorschrijft het voertuig in veilig gebied te parkeren terwijl je het geen enkel probleem vindt als je een ambulancechauffeur, ambulanceverpleegkundige, brandcard en koffers verliest.
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Met het verschil dat genoemd personeel (evt. met aanvullende training) beter in staat zou zijn van lokale dekkingsmogelijkheden gebruik te maken dan een grote, onbezielde ambu... en brancard en koffers zijn (a) te vervangen en (b) soms dringend dichtbij nodig. Ik ben het echter met je eens dat in dit hoofdje van het LPA de ambu voorop staat of schijnt te staan. Mogelijk wil men bij voorbaat vermijden dat de ambulance als mobiele dekking wordt ingezet. Ik heb niet het hele LPA gelezen - mogelijk is er een apart hoofdje voor waar het personeel mag/moet staan, vandaar mijn wellicht wat naïeve vraag.
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Met het verschil dat genoemd personeel (evt. met aanvullende training) beter in staat zou zijn van lokale dekkingsmogelijkheden gebruik te maken dan een grote, onbezielde ambu... en brancard en koffers zijn (a) te vervangen en (b) soms dringend dichtbij nodig. Ik ben het echter met je eens dat in dit hoofdje van het LPA de ambu voorop staat of schijnt te staan. Mogelijk wil men bij voorbaat vermijden dat de ambulance als mobiele dekking wordt ingezet. Ik heb niet het hele LPA gelezen - mogelijk is er een apart hoofdje voor waar het personeel mag/moet staan, vandaar mijn wellicht wat naïeve vraag.
Ik ben eindverantwoordelijk voor heel veel ambulancemedewerkers in de uitrukdienst. Ik zou er geen enkel probleem mee hebben als mijn mensen het voertuig gebruiken als mobiele dekking. Ik bel liever mijn directeur om hem te vragen een nieuw busje te kopen dan ik de familie van twee medewerkers op moet bellen om ze te condoleren.
Ik zou het in ieder geval niet op deze manier formuleren in een protocol of richtlijn voor het ambulancepersoneel.
Ik begrijp eigenlijk helemaal niets van deze Nederlandse ambulancevoorschriften;
ambulance op veilige plaats bovenwinds parkeren
explosiegevaar 500 meter
zichtbaar gas 25 meter
onbekende stof 100 meter
radioactiviteit 25 meter
Bij explosiegevaar moet men 500 meter afstand houden, bij een zichtbaar gas 25 meter.
Bij radioactiviteit ook 25 meter. Het Nederlandse ambulancepersoneel heeft geen CBRN-opleiding gehad, ze beschikken niet over CBRN-overall en filterbus. Ik zou het logisch vinden als men in Nederland zou schrijven de ambulance komt niet. Het is vreemd als je als ambulanceleiding bereid bent je personeel op te offeren omdat je geen geld en tijd wil besteden aan training en persoonlijke beschermingsmiddelen.
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Persoonlijke bescherming bij CBRN
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https://www.youtube.com/watch?v=usWoiC-BzxA (https://www.youtube.com/watch?v=usWoiC-BzxA)
Training exercise shows how emergency services cope with obese people who get stuck in their homes.
The number of obese people being rescued by the fire service because they are too large to move on their own has gone up by more than a third over the past three years according to figures obtained by 5 live Afternoon Edition.
http://www.bbc.com/news/uk-37408989 (http://www.bbc.com/news/uk-37408989)
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Woman taken to hospital after fall in Suffolk
Date: 22 September 2016
A woman has been injured after she suffered a fall in Elmswell earlier today (Thursday, 22nd September).
The East of England Ambulance Service NHS Trust (EEAST) received a call at 8.11am and sent an ambulance crew, Magpas air ambulance, and the hazardous area response team (HART).
At the scene the woman, believed to be in her 70s, was treated for a hip injury before being taken to to West Suffolk Hospital for further care via land ambulance. Her injuries and condition are not believed to be life-threatening.
http://www.eastamb.nhs.uk/incidents/woman-taken-to-hospital-after-fall-in-suffolk/846 (http://www.eastamb.nhs.uk/incidents/woman-taken-to-hospital-after-fall-in-suffolk/846)
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Hero ambulance medic stops moped muggers in their tracks
25 September 2016
A BRAVE emergency medical technician turned crime-fighter when he intercepted two men on a moped trying to steal a woman’s purse and phone at a garage forecourt on Swandon Way in Wandsworth at 7.45pm on Friday evening (23 September).
Have-a-go-hero Sandy Gibb from the London Ambulance Service’s Joint Response Unit had just got a coffee and returned to his car when he heard the woman in the car behind him screaming.
Sandy explained: “I jumped out and one of the men ran away. I grabbed the moped and the other man came off. He dropped the phone and purse and I rushed over to seize the keys from the bike. He also then ran off.”
Sandy, who is back at work, sprained his arm during the incident.
He said: “I couldn’t stand back, my instinct took over. I know I needed to help her and I would do the same again.”
The victim bought Sandy a big box of chocolates to say thank you.
Assistant Director of Operations Graham Norton said: “I commend Sandy for his courage. Our staff are incredibly caring and compassionate and Sandy’s actions show how brave they are as well. They go above and beyond for Londoners every day.”
Wandsworth Police applauded the EMT and tweeted: “Responded to @LAS_JRU LX medic tonight, intervened when saw female have purse stolen #SwandonWay by male on moped. Purse and moped recovered.”
Any witnesses or anyone with any information that can assist police should call 101. To give information anonymously contact Crimestoppers on 0800 555 111
ENDS
http://www.londonambulance.nhs.uk/news/news_releases_and_statements/hero_ambulance_medic_stops_mop.aspx (http://www.londonambulance.nhs.uk/news/news_releases_and_statements/hero_ambulance_medic_stops_mop.aspx)
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[tweet=Joint Response Units
@LAS_JRU]
Responded with @MPSNewham to a fight. 3 patients assessed. Only 1 taken to A&E further Ambulances saved. #Collaboration pic.twitter.com/L1G69MwLBe[/tweet]
[img]https://pbs.twimg.com/media/CtjHIC_XgAAoXfd.jpg:large)
Lorry driver suffers fatal injuries on M6
A lorry driver has died following a collision involving two HGVs and two cars on the M6 this morning.
West Midlands Ambulance Service was called to the incident near to junction 3A on the southbound carriageway, shortly after 9.25am, and sent an ambulance, a paramedic area support officer and the Trust’s Hazardous Area Response Team to the scene. The Warwickshire and Northamptonshire Air Ambulance also attended together with the Derbyshire, Leicestershire and Rutland Air Ambulance.
A West Midlands Ambulance Service spokesman said: “On arrival, crews discovered two HGVs and two cars that had been in collision in lane one of the motorway.
“The driver of one of the HGVs, a man, had suffered extremely serious injuries in the collision.
“Unfortunately it quickly became apparent that nothing could be done to save him and he was confirmed dead at the scene.
“The second lorry driver, also a man, was uninjured.
“One of the cars contained two men who were treated at the scene for minor injuries but they did not require hospital treatment.
“Neither did the driver of the second car, an elderly man, who was uninjured in the incident.”
ENDS
https://officialwmas.wordpress.com/2016/09/29/lorry-driver-suffers-fatal-injuries-on-m6/ (https://officialwmas.wordpress.com/2016/09/29/lorry-driver-suffers-fatal-injuries-on-m6/)
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Car hits tree after leaving motorway
A car driver was cut free through of his car after it left the motorway and hit a tree following a collision with a lorry this morning.
The incident, which led to significant traffic disruption in the area, happened on the southbound sliproad of the M5, near to the M6 link, shortly after 7.50am and West Midlands Ambulance Service sent one ambulance and the Trust’s Hazardous Area Response Team to the scene.
A West Midlands Ambulance Service spokesman said: “Crews arrived to find a car that had suffered significant damage after leaving the motorway and crashing into a tree.
“There were two patients inside, a man thought to be in his 30s and a young boy.
“The man was cut free through the roof of the vehicle with assistance from the fire service.
“Thankfully he appears to have escaped serious injury in the collision but was treated for back pain and cuts to his head.
“He was immobilised as a precaution with the use of a neck collar and spinal board before being taken to Sandwell Hospital for further assessment.
“The boy was uninjured in the incident, as was the lorry driver.”
ENDS
Notes to Editors:
If used, please credit the image to West Midlands Ambulance Service.
https://officialwmas.wordpress.com/2016/09/29/car-hits-tree-after-leaving-motorway/ (https://officialwmas.wordpress.com/2016/09/29/car-hits-tree-after-leaving-motorway/)
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Mooie foto´s zo met die zonnestralen.
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Ambulance staff resuce man trapped upside down under a barbed wire fence
Tuesday 18th October 2016 – 6.27pm – Murray MacGregor.
A man had to be rescued by ambulance staff after falling down a slope and getting trapped, head down, under some barbed wire.
The unfortunate incident happened on the canal tow path on the opposite side of the water from Fairview Way in Stafford.
Ambulance staff were called at 4.50pm on Monday afternoon. The man was about 40 metres along the tow path from the bridge that goes over near the junction of Fairview Way and Farmdown Road.
A West Midlands Ambulance Service spokesman said: “The man was spotted by a woman out walking her dog. He was well and truly stuck and had back pain which meant he couldn’t move.
“Due to the location, the crew asked for the Trust’s Hazardous Area Response Team (HART) to attend.
“The 64 year old man was a couple of feet down the embankment under the fence which is up against trees and shrubs. His feet were up the embankment with his head down.
“The HART team had to cut away some of the fence and branches to be able to access the man and immobilise him so that they could get him out.
“They secured him on a specialist stretcher so that he could be brought back up the slope and he was then carried to the ambulance before he was taken to County Hospital, Stafford for further assessment and treatment.”
Ends
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Woman airlifted to hospital after falling from horse in Essex
Date: 27 October 2016
Time[: 14:30
A woman was airlifted to hospital after falling off a horse in Essex.
The East of England Ambulance Service NHS Trust (EEAST) received a call at 10.47am today (27th October) to Ivy Lane, East Mersea.
A rapid response vehicle, ambulance crew, Hazardous Area Response Team, and Essex Air Ambulance were dispatched to the patient who was in a field.
They treated a woman, believed to be in her 40s, who had suffered a suspected fractured hip.
She was treated at the scene before being airlifted to Colchester General Hospital for further treatment.
Her injuries are not believed to be life-threatening.
http://www.eastamb.nhs.uk/incidents/woman-airlifted-to-hospital-after-falling-from-horse-in-essex/948 (http://www.eastamb.nhs.uk/incidents/woman-airlifted-to-hospital-after-falling-from-horse-in-essex/948)
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Statement - Croydon tram incident
9 November 2016
Statement updated at 1:48pm
Peter McKenna, Deputy Director of Operations at London Ambulance Service said:
“We would like to express our sincere condolences to everyone affected by this tragic incident, and thank our ambulance staff for their work under very difficult circumstances today.
“We were called at 6.13am to reports of a tram derailment at Addiscombe Road in Croydon.
“We sent 22 ambulance crews, 12 officers, and two advanced paramedic practitioners to the scene, alongside our hazardous area response team, who are trained to provide emergency medical care in hazardous areas such as confined spaces or where there may be hazardous materials.
“Two trauma teams from London’s Air Ambulance and a command support vehicle were also dispatched.
“We have treated a number of patients at the scene, mainly for minor injuries such as cuts and bruises, however very sadly some people have died and others have suffered serious injuries.
"We took 51 patients to hospital, 20 of whom were taken to St George’s University Hospital and 31 to Croydon University Hospital.
“We remain on scene, supporting our emergency service colleagues as they deal with this incident.
“Anyone concerned about friends and family who have been involved in the incident can call 0800 056 0154 for more information.”
Ends
Statement updated at 11:20am
Peter McKenna, Deputy Director of Operations at London Ambulance Service said:
“We were called at 6.13am to reports of a tram derailment at Addiscombe Road in Croydon.
“We sent 22 ambulance crews, 12 officers, and two advanced paramedic practitioners to the scene, alongside our hazardous area response team, who are trained to provide emergency medical care in hazardous areas such as confined spaces or where there may be hazardous materials.
“Two trauma teams from London’s Air Ambulance and a command support vehicle were also dispatched.
“We have treated a number of patients at the scene and took 51 patients to hospital. Twenty were taken to St George’s University Hospital and 31 to Croydon University Hospital.
“We remain on scene, supporting our emergency service colleagues as they deal with this incident.”
Ends
Statement updated at 9:55am
Peter McKenna, Deputy Director of Operations at London Ambulance Service said:
“We were called at 6.13am to an incident at Addiscombe Road in Croydon.
“We have had a number of resources at the scene, including ambulance crews, advance paramedics and single responders in cars.
“We have treated a number of patients and over 50 have been taken to hospital.
“We are still on scene and more information will follow when we have it.”
Ends
Statement at 8am
Peter McKenna, Deputy Director of Operations at London Ambulance Service said:
“We were called at 6.13am to an incident at Addiscombe Road in Croydon.
“We have sent a number of resources to the scene, including ambulance crews, advanced paramedics and single responders in cars.
“We are treating a number of patients and more information will follow.”
Ends
http://www.londonambulance.nhs.uk/news/news_releases_and_statements/statement_-_croydon_tram_inci.aspx (http://www.londonambulance.nhs.uk/news/news_releases_and_statements/statement_-_croydon_tram_inci.aspx)
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Water Safety Mannequin Challenge
Tyne and Wear Fire and Rescue
Published on Nov 25, 2016
Tyne and Wear Fire and Rescue Service working in partnership with Newcastle NEI Ltd, Northumbria Police, North East Ambulance Service HART and HM Coastguard Maritime & Coastguard Agency. The Mannequin Challenge delivers a chilling water safety message.
https://www.youtube.com/watch?v=LAyHIpl3opc (https://www.youtube.com/watch?v=LAyHIpl3opc)
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Multi-agency training exercise concludes
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[Image taken from Day One of the training exercise]
A three-day, live-play exercise to test the response of police, military and other partners to a terrorist attack has concluded.
More than 500 staff and officers from a variety of agencies took part in Exercise Treblerope, which was five months in the planning and took place from Monday, 28 to Wednesday, 30 November.
Day One saw first responders from the emergency services put through their paces as they responded to a staged marauding terrorist firearms attack at a mall on the Canary Wharf Estate, between 23:00hrs and 05:00hrs. Their job was to detain the suspects, manage the scene, protect the public and rescue the wounded.
On Tuesday, 29 November, specialist counter terrorism officers tested their ability to track down outstanding suspects. A covert phase of the exercise which took place at The Royal Mint in Tower Hamlets and a disused site at St George's Hospital in Hornchurch between 11:00hrs to 22:00hrs.
On Day Three, officers were tested on their ability to resolve a siege scenario, which was played out at the Met’s training centre at Hendon between 12:00hrs and 00:00hrs.
Exercise Treblerope was part of the series of exercises held regularly, across the country, under the Government's rolling programme of national counter terrorism exercises. It was not in response to any specific threat or intelligence regarding the locations it took place in.
Commander Dean Haydon, of the Met’s Counter Terrorism Command, said: "Exercises like this are a really important way to ensure that our multi-agency plans to respond to a terrorist attack are as good as they can be.
"During live play we test our tactical response to terrorists with firearms and how we work together in practice. The exercise was focused on the extreme end of scenarios, following attacks elsewhere in the world, but I'd like to stress it was not carried out in response to any specific intelligence.
"The public may have seen extra police and military personnel in some areas and may have heard some noise from firearms being used during the course of the exercise at the Canary Wharf Estate and Hendon but there was absolutely no risk to the public.
"Every effort was made to minimise disruption and I thank the public for their patience. I am also extremely grateful for all the support we received from our partners, those whose premises we used to carry out the exercise, and the many businesses in the surrounding areas.
"I am really happy with how the exercise went - I witnessed first-hand the professional response of our emergency services. Our next step is to carry out a debrief with our partners to ensure that we capture any learning from the exercise and incorporate this into our tactical plans."
http://news.met.police.uk/news/multi-agency-training-exercise-concludes-202993 (http://news.met.police.uk/news/multi-agency-training-exercise-concludes-202993)
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https://www.facebook.com/hazmedsbv/posts/1566319976729139 (https://www.facebook.com/hazmedsbv/posts/1566319976729139)(https://www.hulpverleningsforum.nl/proxy.php?request=http%3A%2F%2F&hash=8d73854c7c1ea0915229cbb2e163ffa6)
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https://www.facebook.com/hazmedsbv/posts/1566319976729139 (http://www.hulpverleningsforum.nl/hazmedsbv/posts/1566319976729139)(https://www.hulpverleningsforum.nl/proxy.php?request=http%3A%2F%2F&hash=8d73854c7c1ea0915229cbb2e163ffa6)
CBRN in MRSA-overalletje van 50 eurocent bij HART Purmerend!
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CBRN in MRSA-overalletje van 50 eurocent bij HART Purmerend!
;D ;D
Overigens heb ik al oefeningen gezien van Nederlandse ziekenhuizen die er een stuk professioneler uitzien m.b.t. beschermende kleding etc....
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Discussie over de Nederlandse situatie afgesplitst naar: http://www.hulpverleningsforum.nl/index.php?topic=100906 (http://www.hulpverleningsforum.nl/index.php?topic=100906)
ir. Auditor
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Ten years in the hot zone
21 December 2016
A specialist team of London Ambulance Service staff is celebrating 10 years of saving lives in the most challenging and dangerous environments.
HART (Hazardous Area Response Team) is made up of paramedics trained to reach badly injured patients in the earliest and most vital moments of an incident by navigating perilous environments such as train crashes or the scenes of terrorist attacks.
HART members must be able to make vital clinical decisions while dealing with patients in collapsed buildings, floods, chemical spills, confined spaces or up skyscrapers, rooftops or tower cranes.
“All HART paramedics need to be clinically confident and have the ability to think quickly and rationally,” said Revd Simon Woodmore, London Ambulance Service HART Operations Officer.
“Their extra training and skills allow this clinical care to be started earlier rather than waiting for the patient to be removed from the incident first.”
Before the formation of the specialist unit, paramedics would have to wait for fire and rescue crews to bring out casualties from the scene before starting treatment. Given this could result in unnecessary loss of life, HART was formed in 2006 and now plays a vital role in the UK’s preparedness for disasters and incidents of terrorism. Having been initially trialled by London Ambulance Service and Yorkshire Ambulance Service, HART is now operational in every NHS ambulance service in England and Wales.
“All incidents have their own unique challenges,” Simon explained. “The Croydon tram derailment and the Apollo Theatre roof collapse stand out as the most challenging.
“However some of the most dangerous have included where patients have attempted to use chemicals to commit suicide. Clinically examining and recovering these patients can be challenging when wearing chemical suits in confined areas.”
HART members undergo 40 hours of training every seven weeks in various training environments such as stretches of water to support swift water rescue, tower cranes, building sites, disused buildings and some training sites that have been developed by the staff themselves such as a tunnel system.
London Ambulance Service has two HART teams who work 24/7 and are split between bases at Canning Town and Isleworth.
Ends
Notes to editors:
* HART was formed in 2006 as part of the ambulance service’s response to a major incident. The aim of HART is to deliver clinical care in environments that paramedics historically could not enter. This includes the ‘hot zone’ of chemical incidents, collapsed structures, flooding, at height or confined space.
* HART responds to an average of 16,366 incidents per year. In 2015, HART responded to 17,460 incidents and was deployed into hazardous areas at over 11,857 incidents.
* Some of the most well-known incidents HART has been involved in: Croydon Tram Crash, Apollo Theatre Roof Collapse, Battersea Helicopter Crash, Larkenhall Fire, Wraysbury Flooding, Thames DUKW fire, Bethnal Green Train derailment. They also include reaching vulnerable people at height, protestors at height, cardiac arrests at heights (eg tower cranes), house explosions, bus crashes, fires and water based incidents.
* HART uses a variety of specialist equipment including: breathing apparatus, chemical, biological, radiological and nuclear protective suits, detection identification monitoring equipment, working at height harnesses, dry suits, life jackets, mass casualty equipment cubes, triage packs and tactical medicine personal protective equipment.
* The Service is currently in the process of increasing its number of HART staff to 84.
* For more information about this news release contact the Communications team on 020 7783 2286.
http://www.londonambulance.nhs.uk/news/news_releases_and_statements/ten_years_in_the_hot_zone.aspx (http://www.londonambulance.nhs.uk/news/news_releases_and_statements/ten_years_in_the_hot_zone.aspx)
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20 paginas met tweets van t HART in de UK. Maar waarom?
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20 paginas met tweets van t HART in de UK. Maar waarom?
Waarom deze vraag, beste Thomas?
Stoort het je omdat men het in Nederland niet heeft of maak je je grote zorgen over de vervuiling van het internet of de servercapaciteit van het Hulpverleningsforum?
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Elke ochtend even kijken hoe hulpdiensten het over de grens doen, zitten regelmatig mooie foto's bij, dus vooral doorgaan.
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Elke ochtend even kijken hoe hulpdiensten het over de grens doen, zitten regelmatig mooie foto's bij, dus vooral doorgaan.
Exact. En misschien dat het in Nederland ooit ook nog zover komt, als het dan niet te laat is.
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Emergency services test their skills at the RSC
A one day, live-play exercise to test the response of the emergency services to a firearms incident in a busy place will take place at the Royal Shakespeare Company (RSC) in Stratford-upon-Avon on Sunday 8 January.
The exercise has been designed to enhance the skills of emergency responders when managing a major incident.
Chief Inspector Mark Colquhoun from Warwickshire Police and West Mercia Police said: "Together with our blue-light colleagues we regularly train, plan and prepare for a wide number of situations, everything from significant disruptions on the roads, severe weather and criminal incidents. This helps us to ensure that, should the worst happen, our response will be effective and well-coordinated.
"During this exercises we will be testing how our armed officers respond to a major incident involving the criminal use of firearms and how they work alongside other emergency services in a popular, busy, location. The RSC have been kind enough to let us use the theatre for this event, which gives us a truly unique opportunity. I would like to emphasise that Exercise Titus is not in response to any threat."
Exercise Titus, which has been three months in the planning, will see more than 200 staff and officers from Warwickshire Police, West Mercia Police, Warwickshire Fire and Rescue Service and West Midlands Ambulance Service gathering at the world-renowned theatre.
Catherine Mallyon, RSC Executive Director said: "It is a rare and valuable opportunity for the RSC to be part of a large scale planning exercise of this nature, and we are pleased to provide an interesting training location for the emergency services.
"We are continuously updating our own Major Incident Plan and we train our staff to deal with a whole range of possible events from the impact of severe weather to technology failures. Having the chance to take part in this multi-agency exercise allows us to observe and ask questions about the appropriate management of serious incidents, which will help us with our own future planning."
James Price, Hazardous Area Response Team (HART) Manager, said: "This is one of several such exercises held with partner agencies across the West Midlands region that ensure our staff are as well prepared as they can be for any eventuality; it is not based on any threat or intelligence."
Exercise Titus will be self contained within the grounds of the RSC and disruption to the area will be kept to a minimum.
Issued: 10.15am, Thursday 5 January, Alexa Collicott, Corporate Communications
https://www.warwickshire.police.uk/article/27486/Emergency-services-test-their-skills-at-the-RSC (https://www.warwickshire.police.uk/article/27486/Emergency-services-test-their-skills-at-the-RSC)
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#IWO
#SRT[/tweet]
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Ik heb het hier nog al gezegd, ik vind die HART teams zeker nuttig en uitermate professioneel. Hun uitrusting en personeel, mooie, jonge mensen leveren ook steeds kunstzinnige foto's op. Als ik dan de verhalen hoor over de besparingen in de Britse gezondheidszorg bekruipt me toch een dubbel gevoel. De kans dat je oma in het ziekenhuis belandt met een heupfractuur, op een onderbemande afdeling, is groter dan dat ze uit een afwateringspijp gepeuterd moet worden.
Overheden moeten in elke tak van de gezondheidszorg investeren.
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Ik heb het hier nog al gezegd, ik vind die HART teams zeker nuttig en uitermate professioneel. Hun uitrusting en personeel, mooie, jonge mensen leveren ook steeds kunstzinnige foto's op. Als ik dan de verhalen hoor over de besparingen in de Britse gezondheidszorg bekruipt me toch een dubbel gevoel. De kans dat je oma in het ziekenhuis belandt met een heupfractuur, op een onderbemande afdeling, is groter dan dat ze uit een afwateringspijp gepeuterd moet worden.
Overheden moeten in elke tak van de gezondheidszorg investeren.
Inderdaad, echter zie je hier niet alleen HART teams uit de UK. Teams uit Canada, Dubai, Qatar, Australie, Boston zijn namelijk niet Brits.
Je reactie wekt ook de suggestie dat hoogwaardige, moderne hulpverlening een luxe product is. In de UK is HART ontstaan omdat het volk, media en politiek woest waren op de brandweer en ambulancedienst toen de stof van de aanslagen op het openbaar vervoer in Londen neer dwarrelde omdat steeds duidelijk werd dat brandweer en ambulancedienst faalden.
Ik zou als Nederlander of Belg ook niet te hard willen schreeuwen dat je beter met een heupfractuur in een Nederlands of Belgisch ziekenhuis kan liggen dan in een Brits ziekenhuis.
Iedereen weet dat de NHS in UK een speelbal is van politici, als een politicus roept dat zich een humanitaire crisis voltrekt in de Britse ziekenhuizen moet je het eerst even zelf gaan bekijken of het echt zo is of in ieder geval afwachten dat de politieke tegenstanders gaan inbrengen.
Het gezeur en geklaag over NHS is niet nieuw, het klagen over de NHS hoort net als regen en mist bij de UK. Ik heb zelf 17 jaar in UK gewerkt, in Nederland en Belgie gingen de spookverhalen over de Britse horrorziekenhuizen ook altijd rond maar Belgie en Nederland hadden wel luchtbruggen naar de UK voor Nederlandse en Belgische hartpatienten die een donorhart nodig hadden.
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Inderdaad, echter zie je hier niet alleen HART teams uit de UK. Teams uit Canada, Dubai, Qatar, Australie, Boston zijn namelijk niet Brits.
Je reactie wekt ook de suggestie dat hoogwaardige, moderne hulpverlening een luxe product is. In de UK is HART ontstaan omdat het volk, media en politiek woest waren op de brandweer en ambulancedienst toen de stof van de aanslagen op het openbaar vervoer in Londen neer dwarrelde omdat steeds duidelijk werd dat brandweer en ambulancedienst faalden.
Ik zou als Nederlander of Belg ook niet te hard willen schreeuwen dat je beter met een heupfractuur in een Nederlands of Belgisch ziekenhuis kan liggen dan in een Brits ziekenhuis.
Iedereen weet dat de NHS in UK een speelbal is van politici, als een politicus roept dat zich een humanitaire crisis voltrekt in de Britse ziekenhuizen moet je het eerst even zelf gaan bekijken of het echt zo is of in ieder geval afwachten dat de politieke tegenstanders gaan inbrengen.
Het gezeur en geklaag over NHS is niet nieuw, het klagen over de NHS hoort net als regen en mist bij de UK. Ik heb zelf 17 jaar in UK gewerkt, in Nederland en Belgie gingen de spookverhalen over de Britse horrorziekenhuizen ook altijd rond maar Belgie en Nederland hadden wel luchtbruggen naar de UK voor Nederlandse en Belgische hartpatienten die een donorhart nodig hadden.
Ik denk dat ik net als jij vind dat hoogstaande zorg en hulpverlening een absoluut basisproduct moet zijn. Naar mijn inziens moet een overheid zich vooral daar mee bezighouden, en niet met het subsidiëren van opera's en allerhande. Operaliefhebbers hebben doorgaans zakken die diep genoeg zijn, die moeten maar de volle pot betalen.
Gezondheidszorg en welzijn extreem hooghouden is voor mij de belangrijkste taak voor politici. Ik durf zelfs zeggen dat ik een voldoende grote dierenvriend ben om te zeggen dat zelfs streng geregulariseerde dierenambulance's daaronder vallen voor mij, veel meer dan allerhande dwazigheden waar overheden nu geld aan verspillen.
Ik ken gevallen waar de overheid ziekenhuizen verplicht om bij nieuwbouw te investeren in kunst. De enige kunst waar ziekenhuizen in zouden moeten investeren is een Da Vinci, en ik vermoed dat die wat zwaar en onhandig is om tegen de muur van je nieuw gebouwde gang te hangen.
Ik ben idd nuchter genoeg om te beseffen dat onze ziekenhuizen niet foutloos zijn en we niet moeten neerkijken op anderen.
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Manchester is een goed voorbeeld van goed optreden door de hulpdiensten. In zeer korte tijd waren er getrainde politie- en ambulancemensen (HART) in de MAN Arena met voldoende slagkracht en materialen om het aantal doden tot het minimum te beperken.
Er waren geen grote hoeveelheden tourniquets of hemostatische verbanden aanwezig in de MAN Arena.
Oma, in hoeverre is het denk je realistisch dat het idee van een club als deze in de UK wordt overgenomen door beleidsmakers in Nederland? Dan heb ik het over het praktische gedeelte, het gedeelte waarbij de beleidsmakers de beslissing over moeten maken slaan we voor het idee maar even over. Het gehele idee achter HART is naar mijn mening top, maar ik vraag mij af hoe dit ingericht kan worden in een land als Nederland, waarbij de ambulancezorg in handen is van de RAV's, de aanrijdtijd te wensen over laat en er structureel personeelstekort is waardoor er weinig tot geen ruimte over is om überhaupt te oefenen, laat staan hele opleidingen volgen. Daarnaast moeten werkwijzen van andere hulpdiensten er ook op worden aangepast lijkt mij?
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Oma, in hoeverre is het denk je realistisch dat het idee van een club als deze in de UK wordt overgenomen door beleidsmakers in Nederland? Dan heb ik het over het praktische gedeelte, het gedeelte waarbij de beleidsmakers de beslissing over moeten maken slaan we voor het idee maar even over. Het gehele idee achter HART is naar mijn mening top, maar ik vraag mij af hoe dit ingericht kan worden in een land als Nederland, waarbij de ambulancezorg in handen is van de RAV's, de aanrijdtijd te wensen over laat en er structureel personeelstekort is waardoor er weinig tot geen ruimte over is om überhaupt te oefenen, laat staan hele opleidingen volgen. Daarnaast moeten werkwijzen van andere hulpdiensten er ook op worden aangepast lijkt mij?
Ik denk dat het in Nederland onmogelijk is.
a) In Nederland heb je 25 eilandjes binnen de ambulancezorg en er bestaat ook geen nationale brandweer. Het lukt geen ambulancedienst HART in te voeren zonder medewerking van de brandweer.
b) De brandweer bestaat ook weer uit 25 verschillende eilandjes waardoor de invoering nog complexer zal worden in Nederland.
c) De RAV-en zullen extra personeel moeten gaan aannemen omdat HART-paramedics een full time baan is. Het zegt dat je deze mensen niet meer op spoedambulances kan inroosteren.
d) HART kost geld. De HART-ploegen draaien 4 weken mee in de roosters van de uitrukdienst, de 5e week is een oefenweek om alle vaardigheden op peil te houden.
e) Hulpdiensten en individuele hulpverleners zijn allergisch voor verandering. Bij de brandweer hebben ze de brandweerdocterine uit 1980 nog hoog in het vaandel en bij de politie denken ze nog steeds dat het in 2018 acceptabel is een afzetlintje te spannen om ambulancepersoneel te beletten gewonden te verzorgen zodra een agent denkt dat het allemaal te gevaarlijk is voor de broeders.
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Nu reikt mijn kennis van ambulancezorg niet heel ver, maar zijn er landen die dit al hebben overgenomen vanuit de UK en in hun bestaande organisatie(s) hebben gepuzzeld? Zo ja, hoe is dit gegaan?
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Nu reikt mijn kennis van ambulancezorg niet heel ver, maar zijn er landen die dit al hebben overgenomen vanuit de UK en in hun bestaande organisatie(s) hebben gepuzzeld? Zo ja, hoe is dit gegaan?
Er zijn meerdere landen die soortgelijke eenheden binnen de ambulancedienst kennen, o.a. Australie, Canada en Qatar.
In Qatar is HART in 2013 ingevoerd tijdens de grondige reorganisatie van brandweer en ambulancedienst nadat beide ernstig faalden tijdens een grote brand in een winkelcentrum.
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https://twitter.com/NARU_org/status/960577592796598272
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Ik denk dat het in Nederland onmogelijk is.
a) In Nederland heb je 25 eilandjes binnen de ambulancezorg en er bestaat ook geen nationale brandweer. Het lukt geen ambulancedienst HART in te voeren zonder medewerking van de brandweer.
b) De brandweer bestaat ook weer uit 25 verschillende eilandjes waardoor de invoering nog complexer zal worden in Nederland.
c) De RAV-en zullen extra personeel moeten gaan aannemen omdat HART-paramedics een full time baan is. Het zegt dat je deze mensen niet meer op spoedambulances kan inroosteren.
d) HART kost geld. De HART-ploegen draaien 4 weken mee in de roosters van de uitrukdienst, de 5e week is een oefenweek om alle vaardigheden op peil te houden.
e) Hulpdiensten en individuele hulpverleners zijn allergisch voor verandering. Bij de brandweer hebben ze de brandweerdocterine uit 1980 nog hoog in het vaandel en bij de politie denken ze nog steeds dat het in 2018 acceptabel is een afzetlintje te spannen om ambulancepersoneel te beletten gewonden te verzorgen zodra een agent denkt dat het allemaal te gevaarlijk is voor de broeders.
Oma, bij welke incidenten die zich recent hebben voorgedaan in NL had het HART ingezet kunnen worden?
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Oma, bij welke incidenten die zich recent hebben voorgedaan in NL had het HART ingezet kunnen worden?
Deze week had HART in Nederland ingezet kunnen worden bij onder andere:
* tientallen afhijsingen van patienten
* tientallen inzetten voor tilassistentie ambulancedienst
* personen te water
* ongevallen met beknelling
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In this landmark UKTV Original documentary series, we go behind-the-scenes of HART, the Yorkshire Ambulance Service's 'Hazardous Area Response Team', one of 15 specialist medical units set up after the 7/7 London bombings to treat badly injured patients in extreme environments. With unprecedented access, viewers can witness first hand the camaraderie and courage of the men and women who risk their lives to save ours.
For the first time ever in the UK, access has been granted to a HART ambulance team.
https://w.uktv.co.uk/shows/999-rescue-squad/ (https://w.uktv.co.uk/shows/999-rescue-squad/)
https://twitter.com/wchannel/status/961174742928633856
https://twitter.com/wchannel/status/961575669720322048
https://twitter.com/YorkshireHart/status/960874465675669505
https://twitter.com/999RescueSquad/status/961643476369756160
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