Volume 31 No. 3
June 2016
DEDICATED TO THE AMBULANCE SERVICE AND ITS SUPPLIERS Modular | Lightweight | Live Telemedicine | Advanced Battery Technology
48 n Stand2016 o s u t i s Vi napfm Hall 1 @
Exclusively designed for the Pre Hospital market ….
In this issue VCS Company Profile The Face of Major Trauma is Changing Life Connections Conference Programmes
Platinum Sponsors of
Scottish Cardiac Arrest Symposium 24.06.16
The
tip of the Iceburg 8 Stand 416 n o s u Visit @ napfm20 Hall 1
Benefits… Due to our unique vehicle and equipment connection capabilities designed specifically for the emergency services market DataPoint ensures that organisations can…
Optimise Fuel usage and increase MPG £
Improve maintenance costs by monitoring actual vehicle activity Offer live and historic views of your specialist fleet Provide clean and accurate information in the event of an accident Allow control room operatives to see exactly what is happening Schedule exception reports for Senior Management
We’re here to help… We’ve worked with a large number of specialist organisations and appreciate that all have unique challenges and needs. Our approach is open and flexible, we are happy to work with other suppliers and provide integration with both 3rd party software and hardware to help you achieve the right solution leveraging any investment you have already made. DataPoint is updated regularly to reflect our users needs and we would be delighted to demonstrate the system and discuss how we could work with you to improve your organisation’s efficiency.
To find out what this award winning product can offer you please contact us:
sales@ortus.co.uk www.ortus.co.uk T: +44 0845 4594705
Insight In sight ht
real time asset management
d4 on Stan Visit us@ napfm2016 Hall 1
CONTENTS
CONTENTS
Benefits… Due to our unique vehicle and connection capabilities designed specifica emergency services market DataPoint ensu organisations can…
Ambulance UK
Optimise Fuel usage and increase MPG
£
92
EDITOR’S COMMENT
98
FEATURES
98 100
This issue edited by:
Improve maintenance costs by monitorin vehicle activity
Offer live and historic views of your spe
Sam English
c/o Media Publishing Company Provide clean and accurate information of an accident
48 High Street
The Face of Major Trauma is Changing
Allow control room operatives to see exa is happening
SWANLEY BR8 8BQ
Schedule exception reports for Senior M ADVERTISING & CIRCULATION:
NEWSLINE
Media Publishing Company
Media House, 48 High Street We’re here to help… We’ve worked with a larg
specialist organisations and appreciate that all hav challenges and needs.
125
IN PERSON
SWANLEY, Kent, BR8 8BQ
133
COMPANY NEWS
other suppliers and provide integration with both 3r E: info@mediapublishingcompany.com
135
THE CLASSIFIED SITE
Tel: 01322 660434 Fax: 01322 666539
Our approach is open and flexible, we are happy
and hardware to help you achieve the right solution
www.ambulanceukonline.com any investment you have already made.
DataPoint is updated regularly to reflect our users n
would be delighted to demonstrate the system and PUBLISHED BI-MONTHLY:
we could work with you to improve your organisati
February, April, June, August, October, December COPYRIGHT:
COVER STORY THE CORPULS3 DEFIBRILLATOR MONITOR – DESIGNED SPECIFICALLY FOR THE PRE HOSPITAL ENVIRONMENT
Media Publishing Company Media House
To find out what this award winning product can offer you please contact us:
48 High Street
sales@ortus.co.uk www.ortus.co.uk T: +44 0845 4594705 SWANLEY, Kent, BR8 8BQ
PUBLISHERS STATEMENT:
The Corpuls3 differs greatly from other devices, being exclusively designed with the pre-hospital environment in mind. This ground breaking approach now offers maximum flexibility for the users when monitoring, treating and moving patients along with reduced cost of ownership for those responsible for the back office administration and support.
The views and opinions expressed in this issue are not necessarily those of the Publisher, the Editors or Media Publishing Company. Next Issue August 2016
The latest FREE software update for the Corpuls3, includes amazing new features such as the automatic upload on power down of all recorded data, thus ensuring that your data can be securely, reliably and cost effectively transferred to central storage, without the need for manual intervention or the risk of not having access to records at any point in time.
Subscription Information – June 2016 Ambulance UK is available through a personal, company or institutional subscription in both the UK and overseas.
With innovative battery management technology, Corpuls3 batteries will last between 3 and 6 years in normal use and the integrated vehicle charging/mounting brackets, which are fully CEN tested, reduce cost of ownership by alleviating the need for station based chargers and also the need to carry spare batteries. The unique design of the preconnected monitoring cables and carry cases ensures ease of access for operational staff, whilst minimising the potential damage to connections, by providing protection from the inevitable bumps and knocks of daily use.
UK: Individuals - £24.00 (inc postage) Companies - £60.00 (inc postage) Rest of the World: £50.00 (inc. surface postage) £75.00 (airmail) We are also able to process your subscriptions via most major credit cards. Please ask for details.
Why Compromise?
Designed in the UK by Hansell Design
Cheques should be made payable to MEDIA PUBLISHING.
Contact: Craig Hall, Managing Director, Ortus Technology Ltd, for more information. T: 0845 4595705 Web: www.ortus.co.uk Visit us in Hall 1, Stand 48, at NAPFM 2016.
AMBULANCE UK - JUNE
These features and the high quality of our after sales support, are why The East of England Ambulance Service NHS Trust, The Welsh Ambulance Service NHS Trust and the UK Ministry of Defence, have selected Ortus Technology and the Corpuls3 Monitor Defibrillator, as their system of choice.
91 Do you have anything you would like to add or include? Please contact us and let us know.
EDITOR’S COMMENT
EDITOR’S COMMENT Welcome to this issue of AUK. Following a short but quite fascinating journey through the NHS as a patient, I thought I might share some thoughts about life as seen from the otherside.
AMBULANCE UK - JUNE
“...at some point there may well have to be a significant shift in Government thinking around roles, responsibilities and how the public can be encouraged to buy into inevitable change.”
I think sometimes we view illness and injury from some kind of ‘it won’t happen to me’ bubble, I certainly did. Illness happened to the people I provided care for and I believe I did a reasonable job of managing that. When the bubble bursts and you realise that you no longer control your destiny, the feeling of handing over that control is really both scary yet actually, from a professional point of view, quite informative. You realise that all the parameters you are used to change quite significantly, you don’t really make decisions, you rely on others to make them for you in most circumstances. What shocked me was the wide variation in compassion (and lack of it!) that I experienced, from the can’t do enough and solid support to the arguments over what was considered the best for me, in front of me. What shocked me more was the recognition that I have heard similar discussions take place in our world quite frequently, we forget that patients can hear and in many cases have an opinion, in some cases quite an informed opinion. Compassion should be at the heart of our care, even when that care is required to be provided under seemingly endless pressure. I, for one, have learnt that being a patient and trusting care providers does not come easily and the perception of how care is being provided is as important as the physical content of that care. Now that set me thinking about the nature of compassion and the tension between care quality and time targets... again! While I have always advocated quality before time, I’ve come to realise that actually time really is important to patients. I hated the wait for consultations and investigations and the delay in getting results was positively the most frustrating thing I have ever experienced, much more frustrating than my actual problem. I am, therefore, no longer sure that there is a clear distinction between the two seemingly opposite ends of the spectrum, I’m also not sure how you can achieve both simultaneously. My belief is probably that more clinically focussed structured triage and increased options for Paramedics to deliver more specific treatments and have access to more care pathways lies somewhere at the heart of the quandary. This is quite interesting in light of the recent Junior Doctors strike and the comments made by NHS employers about changing the skill profile of various roles within the NHS to ‘plug gaps’ as it were. Some of you might find that thought contentious, others exciting. Without any political spin whatsoever, my own thoughts surround the ‘what happens when there isn’t enough of anybody to plug a gap’. That really is a scary thought (especially at my age), but one which I feel is fast approaching without a change in the public expectation of what can and should be provided and more appropriate forward thinking from the DoH. This is extremely difficult ground but at some point there may well have to be a significant shift in Government thinking around roles, responsibilities and how the public can be encouraged to buy into inevitable change. What it will mean for tomorrow’s NHS is anyone’s guess, for the profession, most of us can recognise an opportunity in the making, but whilst it may open up doors that were once closed to Paramedics. It also brings a risk that rather than strengthening the profession, as more experienced and qualified staff gain the ability to move into alternative roles, there may well be dilution of the knowledge and skills available to continue to provide the best and most compassionate care in the prehospital environment, is that the future? I don’t know, only that I still feel we hold the keys to the gate and that change to our role can and should be mediated by what we can realistically provide to benefit the patients we care for, not what additional responsibility is thrust upon us because we are, some may say unfortunately, as a profession extremely adaptable and generalists in our ability to manage a wide variety of presentations. Quick and cheap fixes do not a health service make...
Sam English, Co-Editor Ambulance UK
92 For all your equipment needs visit: www.ambulanceservicesuppliers.com
LIFE CONNECTIONS IS BACK!!!
GREAT CHOICE-GREAT VALUE-GREAT CPD OPPORTUNITIES! Diary Date: Tuesday 18 & Wednesday 19 October 2016 Kettering Conference Centre, Kettering, Northants, NN15 6PB
TUESDAY 18 OCTOBER
Specialist Paramedic: Critical Care Conference
Paramedic Practice Conference - Professor Sir Keith Porter, David Halliwell, Dan Cody and Amy Chan-Dominy are among this year's speakers who will be giving thought provoking presentations on a wide range of topics including: The Changing Face of Major Trauma, How Resuscitation Works, The Role of Critical Care Paramedics and Airway Management. Early Bird Offer - Book by July 29 to secure a delegate rate of £36.00 (saving £12) or pay £60.00 to also attend the Resuscitation Conference or Critical Care Conference taking place the following day (saving £36.00).
This conference programme includes excellent presentations being given by Professor Richard Lyon - Damage Control Resuscitation: Fluids in Trauma, Dr. Felicity Clark - Management of LifeThreatening Asthma & Anaphylaxis and Dr. Neil Thompson, Sedation in Acute Behavioural Disorder to name but a few. Early Bird Offer - Book by July 29 to secure a delegate rate of £36.00 (saving £12) ) or pay £60.00 to also attend the Paramedic Practice Conference taking place the previous day(saving £36.00).
EFR Conference - ONLY 50 SUBSIDISED PLACES REMAIN AVAILABLE - Due to the
generosity of WEL Medical we are able to offer subsidised places at only £18pp on a 'first come first served' basis, to include lunch, etc. Topics include: Enhancing the Scope of Practice for EFR's, Indirect Resources - Easing the Pressure on the NHS - Who Pays?, The Rise of the Machines. Speakers again include Professor Sir Keith Porter, David Haliwell, Steve Pratten, etc.
Pre-Hospital Care Consultancy Ltd Essentials of Advanced Airway Management Learn the full range of Airway Management techniques, including: The Use of Extraglotic Devices, Video Assisted Intubation and Surgical Cricothyrotomy. Only 16 places are available at a rate of £96.00 (50% below normal course costs)
WEDNESDAY 19 OCTOBER Resuscitation Today Conference
We are delighted once again to be hosting a resuscitation conference which this year will contain a number of topical presentations including: Human Factors in End of Life Care - Implications for Education & Training, Medical Command...The Future and Paediatric Retrieval/Resuscitation, presented by Ken Spearpoint, Stuart Blatston and Amy Chan-Dominy. Early Bird Offer - Book by July 29 to secure a delegate rate of £36.00 or pay £60.00 to also attend the Paramedic Practice Conference taking place the previous day.
First Aid Conference supported by AoFA
This year's programme is again made up of presentations that will be of great interest to first aiders and first aid trainers, including: Sepsis Guidelines - Early Recognition is the Key, Minor Injury Management, How Safe is Your Home?, and Practical Management of Paediatric Emergencies. Early Bird Offer - Book by July 29 to secure a delegate rate of £60.00
Pre-Hospital Care Consultancy Ltd "PHTLS for First Responders" Course
This continuing education course that teaches the principles of PHTLS is ideal for first responders, EMS practitioners, etc. Topics being covered include: Airway/Oxygenation & Ventilation, Circulation and Shock, Traumatic Brain Injury & Spinal Trauma. Only 16 places are available at a delegate rate of £96.00.
Meditech Global are running a Motorsport Medicine CPD Workshop, aimed at medics and rescue personnel involved or interested in motor sport events. The day will include: Concussion in Motorsport, Casualty Extrication - A New Way Forward, A Paramedics Life in Motorsport, The Use of Haemostatatic Dressings, etc. Speakers will include; FIA Doctors and active motor sport paramedics. Only 20 places are available at a rate £60 per person.
All prices quoted are inclusive of VAT. To secure your delegate place or to register for any of the above conferences/workshops visit www.lifeconnections.uk.com or call the organisers office on 01322 660434
VCS MOVE TO PURPOSE BUILT PRODUCTION SITE Vehicle Conversion Specialists was established in 2010 operating from a 13,000 square feet facility. In June 2016 it moves its operation from a rented facility to a state of the art production facility which it owns, “it’s been a busy few months since Christmas” exclaims Mark Kerrigan (Joint MD). Mark continues - “As a Business we recognised some 8 months back that we needed to increase capacity in order to better service our existing customer base and also provide capacity to explore other markets in a more robust and professional manner. These are the reasons we have moved to our own premises which has a 45,000 square feet production facility.” Mark’s Business partner and (Joint MD) Mr Wayne Sullivan was tasked with sourcing a facility which would facilitate the requirements of modern day specialist vehicle production and 8 months on we have a premises which truly reflects our brand image which is one of quality and professionalism. The site incorporates 2 main buildings.
Part of the new production hall (factory 1)
The new premises allows VCS to scale up its operations:
Office space overview • Boardroom and training centre • Engineering and design office • Production office and sub assembly centre • Visitors facility including a dedicated coffee and refreshment room • Visitors waiting centre • 7 offices for indirect and operational staff
Front aspect (factory 1)
Production & capacity (45,000 square feet) Factory 1 • Main production hall has 3 production lines. 27 vehicles in production at any one time. • 9 stage build process per line (including PDI inspection bays) • Weekly output minimum capacity is 12 vehicles • Dedicated PDI inspection and weight examination bays • Entry point and gate release in one continuous loop (all 3 lines)
The facility boasts a large compound which can hold an additional 50 vehicles ready to enter the production process which is monitored 24/7 by a monitored CCTV system which is linked to a monitoring centre. If any factory perimeter is breached the Police are automatically called to site. Mark adds “Due to the nature of our business we’ve decided to enhance security to a new level which demonstrates our professional and responsible approach” Wayne Commercial Director explains “we’ve invested significantly into this property to bring it to a very high standard which will enhance the customer experience but also provide our staff with a modern facility which is geared up correctly for manufacturing of this nature.”
Factory 2
VCS produce every type of vehicle you can imagine which has a blue light attached. However VCS from its set up day was pushed heavily by its “Technical Director Mark Kerrigan” towards achieving the highest test approvals, enhanced training for staff and alliances with OEMs which has allowed VCS to grow rapidly and become a global brand. VCS hold numerous approvals and accreditations namely:
• Dedicated Research and development centre
• CEN compliancy
• Manufacturing and sub assembly centre
• European Whole Vehicle Type Approval
• Vehicle preparation bays (removing of panels and heavy steel work)
• COP (conformity of production)
• Production and Quality office • Factory 1 has a dedicated production line for RRV conversions and police cars
• Stores, stock control and line feed expeditors
• Numerous OEM associations (one stop shop agreements)
Mercedes Sprinter and Fiat Ducato Ambulances ready for delivery
VCS has also forged partnerships with various European builders which has allowed VCS to offer a wider scope of product for example the Amarok which is a bespoke body which has a specially extended chassis to give extra internal length. Noel Kerrigan Sales Development Director goes on to say that “partnerships are vitally important so that technical knowhow is exchanged, this is how products evolve and drives specialists builders to push forward with innovation, we will be launching a new product later this year which will coincide with our official factory launch, again the product will be the result of yet another partnership” Noel explains. VCS as a business has withheld from entering new markets due to capacity and the fear of letting customers down, however with the new premises it is clear that VCS intend to explore these markets both in the UK and further afield. Recently VCS attended the Rettmobil show in Germany (one of Europe’s largest blue light exhibitions) where they exhibited a European Type Approved Fiat Ducato DCA (dual crewed ambulance) along with a specialist 4x4 Amarok. The exhibition has proven to be a huge success and has now exposed the VCS brand to a
much wider customer base. However the Directors are keen to state that the UK market takes priority but as a Business VCS has to look further afield into new upcoming markets. VCS of course is not new to exporting to date VCS has exported Ambulances and Police vehicles to Gibraltar, Spain, Trinidad and Tobago, India and Nigeria “We have some interesting leads from the show” Wayne remarks, “I might get to travel somewhere exotic for a Sales meeting Wayne jokes.”
Vehicles on display at the German Rettmobil show
Office and Board Room at new facility
Our philosophy at V.C.S
Paul Croom VCS Sales Manager went on to say “The VCS product has the credentials and is good enough to sell into any market” Paul added “as the Sales team we have to be confident and passionate about the product we sell.”
• Committed to continuous improvements
Mark Sockett “Projects and Development Manager” explains that he is currently involved in various technical projects which are new to VCS but not outside our technical scope and capabilities and Mark added “I’m very excited to be able to show new customers around our superb facility.” Finally I asked the Board of Directors what was the secret to such rapid growth and achieving such a strong brand within a very short period of time? Almost in perfect unison they said one word “Staff” Mark Kerrigan exclaims “we have the best people in the Business, I have said it before and i will say it again the VCS staff are special, they care about this Business as if it is their own and that’s what makes this Business different and dare I say the best.”
• Partnership with OEM • In house training and up skilling • Listen to our customers • Work very close with fleet managers and staff • Take no risks • Deliver a reliable and engineered solution to serve the needs of our valued customers Tel: 01484 546284 Fax: 01484 543815 Web: www.vcslimited.org.uk VCS Limited Unit 1 Commondale Way Euroway Trading Estate Bradford BD4 6SF
FEATURE
THE FACE OF MAJOR TRAUMA IS CHANGING Major trauma is the commonest cause of death and disability in the
In addition, the 5 principle mechanisms of injury were recorded as:
under 40 age group1 where there is now misconception that in the UK this represents young males, frequently involved in road traffic
• Road traffic collision (RTC)
collisions (RTCs) .
• Falls from height greater than 2 metres
2
With improvements in medical care, including diagnostics, treatment and preventative strategies, the elderly are living longer where increasing years and enhanced quality of life increases their potential
• Falls from height less than 2 metres • Shootings and stabbings • All others
exposure to major trauma. Add to this any significant medical comorbidities, limited physiological reserve and rehabilitation potential
To determine further changes in trends in Major Trauma in recent times
and we have an emerging national crisis .
the Hospital Episode Statistics (HES) data was reviewed to determine
3,4
absolute number of patients recorded as suffering major trauma in UK It is important to have an agreed definition of “Major Trauma”.
hospitals.
Traditionally and put simply a major trauma patient can be regarded as anyone with “life threatening injuries”. To facilitate comparative
Kehoe and colleagues2 reviewed 116,467 cases from which the
outcomes and scientific publications it is important to have an agreed
following results were determined:
definition that has international recognition. • In 1990 the mean age of patients suffering major trauma was The most widely used system is the Injury Severity Score (ISS) where
recorded as 36.1 years, with the largest single group being under 25
an ISS greater than 15 is the definition of major trauma. This number is
years of age (39.3%).
derived from knowledge of the Abbreviated Injury Scale (AIS); where a score of 1 is a minor injury, a score of 5 a critical injury and a score of 6 an unsurvivable injury. The ISS is the number derived from the sum of the square of the AIS scores taken from the 3 most severely injured body areas. A score in excess of 15 may be achieved from a single injury or a series of lesser injuries.
• The mean age for patients suffering major trauma has increased year on year during this study and in 2013 was 53.8 years. • The percentage of major trauma patients in the over 75 year age group rose from 8.1% in 1990 to 26.9% in 2013. • The proportion of male patients suffering major trauma fell slightly from a peak of 75.5% in 2001 to 68% in 2013.
In a landmark study Kehoe et al2 have reviewed cases submitted to the Trauma Audit Research Network (TARN) between 1990 and the end of 2013. To be TARN eligible patients need to be admitted for 72 hours or over, or have spent time in Critical Care, or died from their injuries in hospital. Simple pubic rami and patients over 65 years of age with fractures of the neck of femur are ineligible.
• In 1990 the predominant mechanism of injury was RTCs being responsible for almost 60% of TARN returns. By 2013 this had reduced to 39.1%. • In 1990 the percentage of major trauma due to low falls (falls from a standing height) was 4.7%. By 2013 figures had risen to 39.1% - the most common cause.
The aim of this study was to review changes in the year on year demographics of patients suffering major trauma in England and Wales
Whilst the increase in the number of elderly trauma victims was
over 2 decades. Recorded data included:
anticipated5 over the last decade the average age of patients suffering major trauma has risen on average 1.43 years per year2.
• Age Kehoe et al2 made a number of additional comments on their results:
• Gender AMBULANCE UK - JUNE
• Mechanism of injury • Percentage of patients undergoing CT examinations Patients were categorised by age into: • 0 - 24 years • 25 - 49 years • 50 - 74 years • > 75 years
• The National Office of Statistics report a significant reduction in death and severe injuries from RTCs in the course of the last 20 years. This is attributed to better roads, car designs, accident prevention and clinical care. • Review of HES data has shown the number of TARN submissions in patients under 50 years has remained stable between 2004-2010 whereas there was a 50% increase in the 50-75 year age group and a 75% increase in the over 75 year age group. This was reported to match the increase in the number of older people in the population.
98 For further recruitment vacancies visit: www.ambulanceukonline.com
FEATURE • This increase in the elderly may reflect better reporting, better diagnoses and better investigations. • There has been a significant increase in CT scan usage with adaptation into National Guidelines for Head Injury or pan-CT for major trauma6. • Without the use of CT scans many patients with ISS over 15 missed detection.
Once again it is a challenge to get the right patient with the right assessment, with the right level of pre-hospital care, by the right transport platform, to the right hospital, in the right time for prompt acute investigations and treatment irrespective of their age.
References: 1. Krug EG, Sharma GK, Lozano R. The global burden of injury. Am J Public Health 2000;90:523-6
Kehoe A et al2 quote as an example an elderly patient with an intracranial contusion, two fractured ribs and a wedge fracture of the first lumbar vertebrae which cored an ISS of 17 (32x22x22). The challenge to pre-hospital practice is the development of better field triage tools. Whilst the advent of Major Trauma Centres has led to major improvement in patient mortality annually to a figure of 30% more survivors in England in the first 3 years, a progressive decrease in the sensitivity of field triage tools with each decade beyond 60 years has been demonstrated. However in one UK Major Trauma Centre the overall sensitivity of the local field triage tool was estimated to be only 52%7. This is not surprising as the pathophysiological responses are different in the elderly compared to the young4,8. This is particularly relevant when assessing shock by pulse and blood pressure and using the Glasgow Coma Scale (GCS) for head injuries where the elderly patient may be GCS 14 or 15 and have life threatening head injuries. Paradoxically many Ambulance Services in England have recently decreased their field triage score from GCS 14 to 13 because of the percentage overtriage to MTCs. Certainly using 14 or less in the elderly produces better sensitivities for the recognition of major head injuries in the over 65 years old age group9. Because the elderly frequently do not trigger the field triage tool either on mechanism of injury or altered physiology these patients do not
2. Kehoe A, Rennie S, Smith JE. Glasgow Coma Scale is unreliable for the prediction of severe head injury in the elderly trauma patient. Emerg Med J 2015;32:911-915 3. Grossman MD, Ofurum U, Stehly CD, et al. Long term survival after major trauma in geriatric trauma patients: the glass is half full. J Trauma Acute Care Surg 2012;72:1181-5 4. Bruijns SR, Guly HR, Bouamra O, et al. The value of traditional vital signs, shock index, and age based markers in predicting trauma mortality. J Trauma Acute Care Surg 2013;74:1432-7 5. MacKenzie EJ, Morris JA Jr, Smith GS, et al. Acute hospital costs of trauma in the United States: implications for regionalized systems of care. J Trauma 1990;30:1096-101; discussion 101-3 6. Huber-Wagner S, Lefering R, Qvick LM, et al. Effect of wholebody CT during trauma resuscitation on survival: a retrospective, multicentre study. Lancet 2009;373:1455-61 7. Potter D, Kehoe A, Smith JE. The sensitivity of pre-hospital and in-hospital tools for the identification of major trauma patients presenting to a major trauma centre. J R Nav Med Serv 2013; 99:16-9 8. Heffernan DS, Thakkar RK, Monaghan SF, et al. Normal presenting vital signs are unreliable in geriatric blunt trauma victims. J Trauma 2010;69:813-20 9. Caterino JM, Raubenolt A, Cudnik MT. Modification of Glasgow Coma Scale criteria in injured elders. Acad Emerg Med 2011;18:1014-21 10. Jenkins P, Rogers J, Kehoe A, et al. An evaluation of the use of a two-tiered trauma team activation system in a UK major trauma centre. Emerg Med J 2015;32:364-7 11. Battle C, Hutchings H, Lovett S, et al. Predicting outcomes after blunt chest wall trauma: development and external validation of a new prognostic model. Crit Care 2014; 18:R98
generate trauma team activation. Whilst a full trauma team response for all elderly patients would generate a non-achievable workload, a tiered trauma response to generate senior clinical assessment of elderly patients and rapid access to CT scans is workable10. Some centres now have a tiered activation for elderly patients with head injury trauma11. In conclusion the study by Kehoe et al2 has shown that the average age of patients suffering major trauma is now getting progressively greater metres which equates to falling from a standing height. It falls within clinical colleagues, including the Ambulance Service, College of Paramedics and researchers to work towards better field triage tools for our elderly trauma patients and for colleagues in the Emergency Department to give appropriate priority to this group of patients where better assessment, timely investigations and aggressive
AMBULANCE UK - JUNE
and the predominant mechanism of injury is falls from less than 2
management will reduce both the morbidity and mortality of major trauma in our elderly patients.
99 Do you have anything you would like to add or include in Features? Please contact us and let us know.
NEWSLINE SG Technical Systems Ltd wins Queens Award for Enterprise
innovation across its full range of
on the road rather than out of
2016 is set to be our most
products but in particular for the
service with ramp faults.
successful year with orders from
SG EasyLoad wheelchair/stretcher
UK, France, Germany, Hong Kong
ramps used in ambulances
Simon Chacksfield, Managing
and South Korea amongst others.
across the UK.
Director, said: “It is a huge honour
SG Technical Systems currently
for SG to receive the Queens
has a talented and dedicated
The SG EasyLoad ramp was
Award for Enterprise. This award
workforce of eight, expected to
designed to be highly robust
recognises our continual pursuit
that SG Technical Systems Ltd,
increase during 2016, and works
and reliable and has a proven
of innovation and quality and the
closely with a number of key
based in Market Weighton, East
track record of being so. During
hugely positive benefits for our
suppliers in the local region.
Yorkshire is one of the select
development four separate
customers.”
UK businesses awarded the
ramps were each tested to in
prestigious 2016 Queens Award
excess of 250,000 open/close
The company was set up in 2010
for Enterprise. The award is
operations and all versions of the
during the UK’s worst recession
received for Innovation.
ramps have been load tested, by
in 50 years with a vision to create
Lloyds British, to 1000Kg with no
innovative, high quality products
The Queens Award for Enterprise
adverse effects. As a direct result
backed by a reputation for the
is the UK’s highest accolade for
of its robustness and reliability
highest standards of reliability.
business success. SG Technical
operators using the SG ramps
We have stayed true to our vision
Systems award has been received
have seen very substantial cost
and the business has grown
South East Coast Ambulance
in recognition of its dedication to
savings with ambulances being
substantially year on year.
Service NHS Foundation Trust
We are delighted to announce
Website www.sgtechsys.com Twitter @SGTechSystems
SECAMB
Fleet achieves further recognition
AMBULANCE UK - JUNE
Photo taken outside SG premises in Market Weighton. Shows SG EasyLoad ramp, in the closed position, mounted in an East Midlands Ambulance Service [EMAS] front line A&E ambulance. Ambulance supplied and manufactured by Vehicle Conversion Specialist ltd [VCS Ltd] of Huddersfield, HD2 1UB. From left to right: Simon Chacksfield, Nik Harrison, Jack Falkingham, Dean Lockyer, Howard Roberts and Maura Chacksfield
100 For more news visit: www.ambulanceukonline.com
NEWSLINE (SECAmb) has been shortlisted
automatic stretcher which eliminates
as finalists at this year’s Motor
the need for a heavy tail lift –
Trade Awards.
another feature expected to deliver significant fuel savings compared to
SECAmb has been named a
a traditional box ambulance.
finalist in the Technical Excellence Award category for the steps it
SECAmb’s Head of Fleet Justin
has taken in relation to its Driver
Wand said: “These programmes
Safety System and the design of
support crew and patient safety,
its newly- delivered Ferno concept
improve ergonomics and layout and
‘connected ambulance’, which will
enhance patient experience. The
be tested in the Chertsey area.
programmes also have the potential to deliver significant financial
The news is further recognition
efficiencies and operational benefits.
for the Trust’s Fleet and Logistics
I’m extremely proud of the efforts of
department which has already
everyone in the Fleet and Logistics
celebrated awards success this
team. This further recognition
year, most recently coming top in
demonstrates how far we have
three categories at the Fleet News
come in recent years to provide an
Awards.
effective support mechanism for both our frontline operations and of
SECAmb’s driver safety
course our patients.”
programme has been developed with new technology linking a telematics system and CCTV to give an overall perspective to the challenges faced by staff when responding to patients. The updated driver training programme has also seen the introduction of 10 dedicated driver training vehicles – five vans and five cars. The vehicles have been specially converted and fitted with hi-tech equipment and driver safety technology to enable trainers to reconstruct
Midlands Air Ambulance Charity Opens Specialist Training Centre As part of Midlands Air Ambulance Charity’s commitment to advanced clinical training and development, the charity has opened an Education and Training Centre at the Tatenhill airbase in Staffordshire.
The new building forms part of the service’s ongoing clinical and operational plan and is the charity’s second education facility, the first of which opened in 2013 and is based at the Strensham airbase in Worcestershire. The Tatenhill Education and Training Centre, which opened on 26th April 2016, includes a well equipped meeting room, and more importantly a specially designed scenario simulation room, complete with medical equipment and props which will enable the flight paramedics and doctors to act out various scenarios as part of their advanced medical training. The room will allow the simulation of both indoor and outdoor environments, and is one of a kind in the air ambulance sector. Dr Nick Crombie, clinical lead for Midlands Air Ambulance Charity, states: “As a worldclass air ambulance operator, continued improvement through the training and development of our flight paramedics and doctors is paramount. The new centre at Tatenhill is part of our five year strategic plan to ensure the aircrew have the best possible training and to test and build their clinical skills in some of the most
difficult and traumatic situations they may face in real life. “The new facility will also provide space for our clinical meetings and clinical research analysis, helping to develop the future of prehospital emergency patient care.” In addition, the centre is also being offered to schools and colleges who want to find out more about the charity and the lifesaving service. Jason Levy, fundraising and marketing director for Midlands Air Ambulance Charity, adds: “We have a close link to local schools and support the curriculum as part of our education programme. We often visit schools with our decommissioned helicopter pod and Maac mascot bear, teaching children about our service and the importance of their own safety as approximately 12 per cent of the air ambulance missions we carry out involve children. “The new centre will give a greater number of children in the region the chance to visit one of our air ambulance airbases, as part of their experiential learning in an outdoor environment, and learn about the service directly from the aircrew.”
critical incidents and feed live data directly into the Trust’s fleet management system. A dynamic speed controller has also been fitted to vehicles restricting speed and managing the acceleration profile during normal driving, being derestricted as soon as blue lights are AMBULANCE UK - JUNE
activated. This technology has contributed to approximately 13% savings on fuel equating to £800,000 a year. Overall the programme has also contributed to a drop in the number of critical vehicle failures. The Trust’s connected ambulance features include a state-of-the-art
101 For all your equipment needs visit: www.ambulanceservicesuppliers.com
NEWSLINE YAS
Conclusion of Hillsborough Inquests Rod Barnes, Chief Executive of Yorkshire Ambulance Service
and friends of those who died.
“Working together, the crews
“These results are testament
Our thoughts remain with them.”
carried the woman, who had been
to the hard work of all of my
immobilised, to the 4x4 ambulance
colleagues who continue to
which was able to get back to the
deliver exceptional levels of care,
roads and onto hospital.
despite the pressures placed
WMAS
Even the 4x4 struggled to get there
on us as a result of increased “Once again, the decision to have a wide range of vehicles with different
NHS Trust, said: The skilful driving of a member “I would like to extend my deepest
of staff in a 4x4 ambulance
sympathy to the bereaved
ensured a woman who had
families of the 96 people who
fallen from a horse got to
lost their lives as a result of the
hospital in a timely manner.
Hillsborough tragedy.
capabilities has proved its worth.”
EEAST
Praise for Exemplary Service
The woman was unseated about “We fully accept the jury’s
800 metres away from the nearest
The region’s “exemplary”
conclusions that after the crush
road, up a dirt track.
ambulance service has been praised in a new survey.
began to develop there were mistakes made by the ambulance
An emergency 999 call was
service; lives could have been saved
received to the location, which
More than 100 patients in the East
on the 15th April 1989 had the
was in the middle of fields up
who received emergency treatment
emergency response been different.
a track between the villages
in January – the busiest start to
of Brandon and Bretford in
a year on record - completed
Warwickshire.
questionnaires, with 98% very
“On behalf of Yorkshire
satisfied, satisfied or fairly satisfied.
Ambulance Service, I am truly sorry. Our thoughts remain with
A West Midlands Ambulance
the families as they continue to
Service spokesman said: “The
The East of England Ambulance
grieve and come to terms with the
initial ambulance crew that was
Service NHS Trust (EEAST)
evidence they have heard over the
dispatched quickly realised that
scored 100% to questions around
last two years.
their ambulance was not going to
the professionalism, attitude,
make it to the patient due to the
appearance and care provided
“As one of the successor
wet mud on the track, so walked
by its staff. Top marks were also
organisations of South Yorkshire
the half mile to the patient with
given for the cleanliness of the
Metropolitan Ambulance Service, we
their equipment.
interior of the Trust’s ambulances and equipment.
have had a responsibility to ensure a full and fair examination of their
Given her injuries and the location
response. We have done our best
they requested an air ambulance be
More than 95% of respondents
to make sure all relevant evidence
sent to provide advanced pain relief
rated the handling of their call as
about the ambulance service
and the Midlands Air Ambulance
very acceptable or acceptable
response has been put before
from Strensham was sent.
and nine out of 10 said the length of time they waited for the Trust
the Court, placed in context and properly explored in an open way.
demand on the 999 service.
EMAS
East Midlands Ambulance Service to help run NHS 111 service East Midlands Ambulance Service (Emas) is set to be a partner in running the 24-hour NHS 111helpline. It has joined forces with Derbyshire Health United, providers of the services, to win a five-year contract to run the service across Leicestershire, Rutland, Derbyshire, Nottinghamshire, Northamptonshire and Lincolnshire from October 1. A spokesman said the new service could lead to about 100 jobs being created in Leicestershire and Derbyshire. He said recruitment for health, clinical and dental advisors has now begun. Richard Henderson, Emas acting chief executive, said: “It has been important for us to have a close working relationship
“The woman who was in her 40’s
to arrive was very acceptable,
with Derbyshire Health United
needed to be taken to hospital,
acceptable or fairly acceptable.
over recent years, and there are
AMBULANCE UK - JUNE
“The ambulance service has
but due to two other patients in
changed a great deal in the last
critical conditions being airlifted
Comments from respondents
to come as we work even more
27 years. A huge amount has
into the nearby University Hospital
included “very caring and
collaboratively together.
been learned from Hillsborough
Coventry & Warwickshire, there
reassuring”, “brilliant,” “excellent”,
and other incidents.
would not have been anywhere
and “first class”. Another patient
“The announcement that our joint
to land the aircraft at the hospital.
praised staff as “exemplary,
tender has been announced as
“We, as an organisation, are not
The crews decided that the best
courteous, calming, efficient and
preferred bidder is wonderful
complacent. I would like to reassure
option was to use one of the
very caring”.
news.
the public that the ambulance
Trust’s 4x4 ambulances.
many benefits to patient care
Robert Morton, EEAST Chief
“We look forward to working with
major disaster such as this has
“It was able to make its way
Executive, said: “Such high
DHU and to the contract being
changed beyond all recognition.
to within about 100m of the
satisfaction scores are fantastic,
signed in the near future.”
scene before the driver became
especially after such a busy start
“We understand the importance
concerned that even it wouldn’t
to 2016 and our busiest January
The joint operation has been
of the anniversary for the families
make it through the mud.
on record.
welcomed by health campaigners.
service’s ability to respond to a
102 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE
Paramedic Practice Conference Programme
Tuesday 18th October 2016
Kettering Conference Centre, Kettering, Northants NN15 6PB. Early Bird Delegate Rate…£36 including VAT. Book by 29th July 2016. Normal Delegate Rate £48 including VAT. Special Offer…Book Now to also secure a delegate place on our Resuscitation or Critical Care Conference taking place the following day for a combined rate of £60 including VAT Time
Presentation
Speaker
Position
Professor Julia Williams
Professor of Paramedic Science
Stuart Blatston
Consultant
Registration
09.30 – 09.45
Introduction
09.45 – 10.30
Medical Command…The Future
10.30 – 11.15
Tea/Coffee, Exhibition
11.15 – 11.45
Something Old, Something New…Novel Psychoactives in the Pre-Hospital Setting
John Talbot
Professional Lead Paramedic Science
11.45 – 12.15
Airway Management in Cardiac Arrest
Tim Edwards
Advanced Paramedic Practitioner
12.15 – 13.30
Lunch and Exhibition
13.30 – 14.00
How Resuscitation Works
David Halliwell
MSc Paramedic FIfL
14.00 – 14.30
The Changing Face of Major Trauma
Prof Sir Keith Porter
Professor in Clinical Traumatology, University Hospital, Birmingham
14.30 – 15.15
Tea/Coffee, Exhibition
15.15 – 15.45
The Role of Critical Care Paramedics
15.45 – 16.15
Is Education Making a Difference
16.15 – Close
Airway Management
Dan Cody
Associate Clinical Director Magpas Helimedix
John Donaghy
Senior Lecturer
Amy Chan-Dominy
Consultant
Topics & Speakers correct at the time of press but may be subject to change
www.lifeconnections.uk.com Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
AMBULANCE UK - JUNE
08.30 – 09.30
103
NEWSLINE Life Connections 2016 We are delighted to announce that Life Connections 2016 will again be taking place at the Kettering Conference Centre, Kettering, Northants on Tuesday 18th and Wednesday 19th October and that those interested in attending will again have a number of conferences / workshops to choose from. On Tuesday 18th October a Paramedic Conference is in place which includes speakers including Professor Sir Keith Porter, David Halliwell, John Talbot, Tim Edwards etc who once again will be giving excellent presentations on The Changing Face of Major Trauma, How Resuscitation Works, Novel Psychoactives in the Pre-Hospital setting and Airway Management in Cardiac Arrest. We are also hosting an Emergency First Responder conference which will provide delegates with an insight into Enhancing the Scope of Practice for CFR’s; Public Access Defibrillators, Governance versus
Vigilance and Observing and Observations of Children in the pre-hospital phase. Jamie Todd of Pre-Hospital Care Consultancy Ltd is also running an “Essentials of Advanced Airway Management” Course. On Wednesday 19th October we are hosting three
conferences which include a Resuscitation Conference incorporating presentations by Professor Sir Keith Porter on “The Changing Face of Major Trauma”, Ken Spearpoint presenting “Human Factor in end of life care - implications for education and training” and Amy Chan-Dominy presenting “Paediatric Retrieval / Resuscitation”.
A Critical Care Conference which includes presentations on IntraArrest Thrombolysos, Asthma and Anaphylaxis, Damage Control Resuscitation, and Developing Specialist Paramedic Practise which are all being given by keynote speakers. And a First Aid Conference which includes presentations on Minor Injury Management and Sepsis Guidelines - Early Recognition is the Key. Two further workshops are also be taking place these being a Motorsport Medicine Workshop run by Meditech Global and a PHTLS Course for First Responders.
AMBULANCE UK - JUNE
For those able to book their places in advance a discounted early bird rate is available until Friday 29th July and there are discounted rates on offer for those wishing to attend more than one conference. To view all conference programmes please visit our dedicated website www.lifeconnections.uk.com where you can also register to secure your place. Alternatively you can also register by calling the organiser’s office on 01322 660434.
104 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE
Specialist Paramedic Critical Care Conference Programme Wednesday 19th October 2016
Kettering Conference Centre, Kettering, Northants NN15 6PB Early Bird Delegate Rate…£36 including VAT. Book by 29th July 2016. Normal Delegate Rate £48 including VAT. Special Offer…Book Now to also secure a delegate place on our Paramedic Conference taking place the previous day for a combined rate of £60 including VAT Time
Presentation
Speaker
Position
Mark Hodkinson
Specialist Paramedic Critical Care
Ian Wilmer
Advanced Paramedic Practitioner
08.30 – 09.30
Registration
09.30 – 09.45
Welcome and Introduction
09.45 – 10.15
Fit for Purpose? Advanced Seizure Management
10.15 – 10.45
Intra-Arrest Thrombolysis
10.45 – 11.30
Tea, Coffee, Exhibition
11.30 – 12.00
Management of Life-Threatening Asthma and Anaphylaxis
Dr Felicity Clark
Consultant in Anaesthetics and Intensive Care
12.00 – 12.30
Sedation in Acute Behavioural Disorder
Dr Neil Thompson
Assistant Medical Director
12.30 – 13.00
Cutting Up Rough…Surgical Skills for Specialist Paramedics
Tim Edwards
Advanced Paramedic Practitioner
13.00 – 14.30
Lunch and Exhibition
14.30 – 15.00
Retrieval Medicine…Developing the Welsh System
Dr Mike Greenway
EMRTS Wales
15.00 – 15.30
Damage Control Resuscitation…Fluids in Trauma
Prof Richard Lyon
Consultant in Emergency Medicine
15.30 – 16.00
Developing Paramedic Specialist Practice
16.00 – Close
Closing Address
TBA
Associate Clinical Director Magpas Helimedix
Prof Julia Williams
Professor of Paramedic Science
Topics & Speakers correct at the time of press but may be subject to change
www.lifeconnections.uk.com Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
AMBULANCE UK - JUNE
Dan Cody
105
NEWSLINE SECAMB
Surrey co-responding trial to include more medical emergencies The trial of a potentially lifesaving scheme in which Surrey firefighters attend certain medical emergencies with South East Coast Ambulance Service has been expanded. Following early success of the trial, which began at the end of September last year, trained firefighters will now not only attend cardiac arrest calls but also other serious calls such as someone fitting or falling unconscious. All firefighters involved in the trial have volunteered to undertake Immediate Emergency Care Responder training developed by
across its region, is similar to a number of trials taking place elsewhere in the country with SECAmb also working with its three other fire services in its region to improve patient care. The trial officially runs until the end of June and it is hoped that following analysis it will be made permanent. To date, more than 190 firefighters have signed up and in total co-responded to more than 370 incidents. SECAmb Clinical Quality Manager and co-responding lead Matt England said: “This collaboration is about ensuring our most seriously ill patients are seen as quickly as possible. We’ll also always assign an ambulance response to the call at the same time but if firefighters reach the scene of an emergency before ambulance crews, they will
SECAmb. The training enables
be able to begin vital life-saving
firefighters to provide treatment
treatment.
to patients in the moments before ambulance crews arrive much
“We’re very pleased with the early
in the same way as SECAmb’s
feedback from the trial and that
Community First Responders
we’ve been able to expand the
(CFRs). Ambulance clinicians
trial to include other potentially
are always assigned to attend a
serious emergencies. When
call at the same time as a fire co-
someone is in cardiac arrest,
responder or CFR.
with every minute that passes their chances of survival diminish
The trial, which is part of
significantly. Likewise with other
SECAmb’s wider ongoing work of
serious but not immediately
emergency service collaboration
life-threatening calls, a quick
response and treatment is vital to try and prevent a situation from deteriorating.” Kay Hammond, Surrey County Council’s Cabinet Associate for Community Safety Services, said: “This initiative is progressing well and I’m pleased we’re able to expand it so that firefighters can respond to a wider range of incidents. Working closely with the ambulance service in this way means we can better serve our communities by giving the fastest possible response to people who
AMBULANCE UK - JUNE
are seriously ill. “Fire and rescue emergencies of course come first for firefighters but when there are trained crews and vehicles available they will do all they can as part of this pilot Karen Pointer Assistant Group Commander for Operational Development at Surrey Fire and Rescue who worked alongside SECAmb’s Dave Wells (also pictured) in developing the scheme
scheme to improve a patient’s chances of survival while an ambulance is on its way.”
106 For more news visit: www.ambulanceukonline.com
“This collaboration is about ensuring our most seriously ill patients are seen as quickly as possible.”
NEWSLINE
EFR Conference Programme
xxx
Tuesday 18th October 2016
xxx xxx
Kettering Conference Centre, Kettering, Northants NN15 6PB
xxx
xxx
xxx xxx
Thanks to the generosity of Wel Medical we still have 50 subsidised places available on this conference. The subsidised rate is £18pp to include lunch, tea, coffee etc.
xxx
xxx
xxx xxx
Time
Presentation
08.30 – 09.30
Registration
09.30 – 09.45
Introduction
09.45 – 10.15
How Resuscitation Works
10.15 – 10.45
Public Access Defibrillators – Governance versus Vigilance
10.45 – 11.30
Tea/Coffee, Exhibition
11.30 – 12.00
Enhancing the Scope of Practice for CFRs
12.00 – 12.45
Rise of the Machines
12.45 – 14.00
Lunch and Exhibition
14.00 – 14.30
Medical Command – The Future
14.30 – 15.00
Observing and Observations of Children in the Pre-Hospital Phase
15.00 – 15.45
Tea/Coffee and Exhibition
15.45 – 16.15
The Changing Face of Major Trauma
16.15 – Close
TBA
Speaker
Position
Derek Middlehurst
Community Responder Team Leader
David Halliwell
MSc Paramedic Flfl
xxx
TBA
Steve Pratten
Community Response Manager
Amy Chan-Dominy
Consultant
Stuart Blatston
Consultant
Christopher Preston
Advanced Paramedic Practitioner
Prof Sir Keith Porter
Professor in Traumatology
TBA
www.lifeconnections.uk.com
AMBULANCE UK - JUNE
Topics & Speakers correct at the time of press but may be subject to change
107 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
NEWSLINE crisis – such as an elderly person
She added: “Other factors include
Ambulance services report launched at University of Sheffield
with heart failure and diabetes
health needs such as chronic
having a fall, or someone with
conditions, socioeconomic factors
lung disease experiencing
such as isolation and loneliness,
breathlessness.
lack of social support and
A pioneering report reviewing the care given by ambulance services has been launched at the University of Sheffield.
Janette Turner, Reader in
Leading researchers from the University’s School of Health and Related Research (ScHARR) contributed to the Care at the Scene review conducted by the National Institute for Health Research (NIHR) Dissemination centre to assess the UK research on urgent and emergency care patients receive outside of hospital. The volume of 999 calls for ambulances has more than doubled in the last 10 years and in 2014-15 a record nine millions calls were received in England. At the same time there have
deprivation and the supply of local
also been parallel increases in other parts of the emergency care system with rising numbers of NHS 111 calls, Accident and Emergency department attendances and unplanned admissions to hospitals. The role of ambulance services
services.
Emergency and Urgent Care Research at ScHARR, conducted
“There is little research overall
a study used in the review
in this area and the relationship
examining why demand on
between these and demand for
the ambulance service has
services is not yet known.”
dramatically increased. A number of ground-breaking “It is well known that demand
studies conducted by leading
for emergency services is
academics from ScHARR are
increasing,” said Janette.
amongst 40 papers featured in
has changed radically over
the themed review of research
recent decades and they are now
“We know some of the reasons for
funded by the NIHR in the last 10
expected to provide high quality
this increased demand, reflecting
years.
care and not just transport to the
wider pressures on health and
nearest hospital.
care services.
The majority of 999 calls are not
“These include people living
ScHARR, contributed her
traffic accidents or heart attacks
longer with the number of people
findings evaluating the impact of
but more typically involve people
over 75 attending Emergency
Emergency Care Practitioners in
with complex and ongoing
Departments tripling over the last
different UK health settings on
health problems experiencing a
20 years.”
patient pathways.
Suzanne Mason, Professor of Emergency Medicine at
AMBULANCE UK - JUNE
O&H Vehicle Conversions is one of the UK’s leading vehicle converters
O&H Vehicle Conversions
Established for over 25 years, specialising in the conversion of Patient Transport Service (PTS) Ambulances, A&E Ambulances, NHS Training Vehicles, Paramedic Practitioners Vehicles, Wheelchair Access Vehicles (WAV’s) and Welfare Vehicles. We use innovative materials and design to increase vehicle durability and lower weight, reducing fuel consumption and cutting CO2 emissions. www. ohvc.co.uk
Larsen Road, Goole, East Yorkshire, DN14 6XG
Tel: 01405 721930 Sales: sales@ohvc.co.uk Web: www. oh-vehicleconversions.co.uk
108 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE “In the past, ambulances
standard to which they were being
together with other fire services
care and we already carry trauma
transported all patients to
compared. However cost savings
across the region, are working
kits and defibrillators on our fire
hospital. Now some ambulances
may be limited to certain settings
with East of England Ambulance
engines.
treat up to half of all 999 cases at
and services.
Service Trust (EEAST) to attend 999 calls for cardiac arrests.
the scene,” said Professor Mason. Other ScHARR researchers who
these life-saving skills to support
“The change in the nature of work
also contributed to the report
The pilot scheme, which is started
has been driven by rising demand
include Dr Rachel O’Hara, Colin
in Watford and Stevenage in
and changes in technologies and
O’Keeffe, Dr Emma Knowles,
May and is intended to run for
remit, beyond immediate lifethreatening conditions. “At the same time, new specialist roles have developed requiring particular training and knowledge including advanced practitioners, who can assess and treat patients with minor injuries or conditions on the spot without necessarily
Professor Jon Nicholl and
successfully treating cardiac
More than 70 researchers, health
getting help to them as quickly as
attended the launch of the report which took place at Firth Hall at the University of Sheffield on Wednesday (27 April 2016).
EEAST
first national evaluation on the impact and cost effectiveness of advanced practitioners. The key
arrest patients depends on possible. Now, when a 999 call is made to the ambulance service about a cardiac arrest in Watford or Stevenage, their control room will send either paramedics or
referring them to other services.” Professor Mason conducted the
six months, was set up because
Professor Alicia O’Cathain.
care professionals and patients
Hertfordshire firefighters to attend cardiac arrest calls
“It makes sense for us to use
firefighters depending on who is nearest, so emergency care can be given as quickly as possible.
the ambulance service in situations where we can get to a patient more quickly. “We aren’t trying to turn firefighters in to paramedics, it’s about making the best use of the emergency services capabilities, regardless of which uniform they wear.” Firefighters will not convey patients to hospital but will offer trauma care at the scene until an ambulance arrives, and the pilot should not affect the fire service’s ability to attend fires and road traffic collisions.
Roy Wilsher, chief fire Officer and director of community protection,
Around the country, 20 fire and
delivered was safe and well-liked
Hertfordshire County Council’s
said: “Firefighters are trained to
rescue services are already working
by patients and as good as the
Fire and Rescue Service,
provide immediate emergency
with their local ambulance services.
findings showed that the care they
EX STOCK - BRAND NEW - READY TO GO AMBULANCES
AMBULANCE UK - JUNE
Tel: 01942 888 800
www.bluelightuk.co.uk sales@bluelightuk.co.uk
109 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com
NEWSLINE EEAST
Patient thanks lifesaving staff and ambulance crews after cardiac arrest in Suffolk golf centre
that Chris used the defibrillator
After taking pillowcases, sheets
was pivotal in saving Tim’s life.”
and towels from their apartment William and Laura made the brave
The defibrillator at the golf centre
decision to go back out on to the
was one of the 1,000 that EEAST
street, to help treat people who
distributed across the region last
had been seriously injured outside
year to help save more lives.
a nearby restaurant.
Jon Needle, Community
William said: “We made the
A man was reunited with staff
Partnership Manager for Suffolk,
from Bramford Golf Centre
said: “I’d encourage any public
and ambulance crews after
places to have a defibrillator fitted.
they saved his life following a
They are a crucial bit of kit and
cardiac arrest last year.
can be instrumental in saving lives, this incident demonstrates
Tim Wright, from Ipswich,
that. If you ever need to use one
collapsed in the car park and
and have access to one, you
went into cardiac arrest.
should not be afraid to do so, they are incredibly easy to use.”
Thankfully, staff including Chris Collins began cardio pulmonary
Chris added: “You’re not going to
resuscitation (CPR) and used
get it wrong [using a defibrillator],
a defibrillator which had been
it’s so easy to use.”
donated to the centre through the East of England Ambulance Service NHS Trust’s (EEAST) ‘1000 defib’ programme. In total, Tim was shocked 28 times between his collapse and arrival at Ipswich Hospital where he made a full recovery.
decision to go back down to the street and see what we could do
Paramedics commended for helping to save lives in the Paris terror attacks
Student nominated for award after saving first aid teacher’s life A student paramedic from Hertfordshire is set to receive a Royal Humane Society Award after saving the life of his former
to help so we grabbed some linen
first aid teacher in September
from around our apartment.
last year.
“We came across the restaurant
Dan Rawlings, who works for
that had been attacked and there
the East of England Ambulance
was a car outside that had been
Service NHS Trust (EEAST), was
hit with lots of bullets.
off duty on the 10th September 2015 when his former tutor Geoff
“We found two people lying next to the car that were bleeding quite badly. We treated their wounds using the things we had taken from our apartment as makeshift
LAS
EEAST
bandages to try and stop the bleeding.” Laura and William carried on treating the victims until the emergency services arrived.
Poore went into cardiac arrest at the wheel of his car and crashed outside Dan’s house in Welwyn Garden City; a completely coincidental event, but one which provided to be a miracle in disguise for Geoff, who has since gone on to make a full recovery. Along with Red Cross volunteers Beth and Christine Whitbread, and passers-by Nathan Persaud and Martin McGovern, Dan is set
They received a standing ovation
to receive the award in June after
Tim doesn’t remember anything
Two London paramedics who
at a staff awards evening on
from that day, but it’s quite
went to the aid of victims of
being nominated by Hertfordshire
Thursday 29 April where Chief
different for everyone else who
Police Sergeant Sam Cordingley.
last November’s Paris terrorist
was there. Chris said: “It was the
Executive Dr Fionna Moore
attacks while on holiday in the
first time I’d done CPR for real
presented them with their award,
A spokesman for Sgt Cordingley
French capital were presented
as well as using the defibrillator
said: “The nominations were made
with a Chief Executive’s
she said: “It was an honour
- after it was all over I was a
because we were so impressed by
Commendation award last week
to present William and Laura
blubbering mess.”
the actions of everyone involved;
in recognition of their bravery.
with this thoroughly deserved commendation.
it may seem like luck that made
A paramedic was on scene
Laura Mannes and William Harrison were seated at a café
“The actions they took that day
hard work and effective cardio
within five minutes of the 999 call at 11.39am, followed by an
with Laura’s parents when
ambulance crew and East Anglian
they heard what they believed
Air Ambulance.
to be gunshots. They quickly returned to their hotel apartment
AMBULANCE UK - JUNE
Speaking of that day, Tim said:
ushering Parisians off the street
“I’m just so glad that everyone
and to the safety of their room.
did what they did, I was extremely
were brave and inspiring and also showed the level of commitment and dedication they have to helping save lives, wherever they are and whatever situation they find themselves in. They should be extremely proud.”
lucky, the luckiest person in
the difference that day, but its pulmonary resuscitation that also played a part.” Dan still remains humble following the nomination: “I joined EEAST because I wanted to help people, not for recognition, but it’s extremely humbling and unexpected to receive an award.
the world. Thanks to everyone,
Laura said: “It was truly humbling
I’m now able to watch my six
to receive this award. This was a
career that I’ll never forget and am
grandchildren grow up.”
terrifying incident to be caught up
hugely proud of.”
It’s a moment in my life and
in and affected us both deeply but Emergency Care Assistant Dale
we knew we had to do anything
Geoff, who has now been
Banyard-Sawyer said: “The fact
we could to help.”
medically cleared to drive, has
110 For more news visit: www.ambulanceukonline.com
NEWSLINE nothing but praise for everyone involved: “I’m so pleased for them, they all completely deserve it. I and my family are so proud to know them and regard them as friends.” He added: “It shows how important basic CPR is and I wish more people were trained in it.”
Welsh Ambulance Service is up for two NHS Wales Awards The Welsh Ambulance Service is celebrating after two of its projects made the finals of this year’s NHS Wales Awards, announced on Friday 6 May, 2016. The Trust is up for the following awards: Working Seamlessly Across Organisations (supported by Welsh NHS Confederation): - For a service provided by Aneurin Bevan University Health Board and the Welsh Ambulance Service to put Emergency Department consultants on the road to see and treat patients before hospital. - For a collaboration between health, third sector, local authority and other agencies to reduce demand on emergency services. Chief Executive Tracy Myhill said: “I’m delighted that two of our nominations have been shortlisted for the NHS Wales Awards.
“What is really important is that these nominations are examples of how hard our staff are working to modernise and enable the Welsh Ambulance Service to
“It makes me very proud to be leading the Welsh Ambulance Service and I’d like to thank staff for all their efforts and commitment. I wish the teams who are behind these nominations every success at the final hurdle in September.” The annual NHS Wales Awards celebrate the work of organisations and teams across Wales in delivering excellent care and the winners will be announced in a ceremony on 23 September 2016. This year the Awards received 167 entries and the judging panel of NHS experts had the tough task of selecting the 24 finalists in eight award categories. The next stage is for the judging panels to visit each finalist to find out more and see first-hand the benefits they’ve brought to patients. The NHS Wales Awards are organised by 1000 Lives which is the national improvement service for NHS Wales delivered by Public Health Wales. They were launched in 2008 to celebrate the 60th anniversary of the NHS. For a full list of finalists please visit www.nhswalesawards.wales. nhs.uk WMAS
Complaints down, compliments up West Midlands Ambulance Service is celebrating on two fronts after new figures revealed that the number of compliments received by the Trust rose in 2015-16 compared to the previous 12 months, whilst the number of complaints fell by 9%. Across the course of the last year, the Trust received 1,279 contacts of appreciation, up 4% from the 1,229
received in 2014-15. Members of the public used various methods of engagement to pass on their praise including letters, emails, tweets and Facebook posts. Pleasingly, the number of complaints and concerns fell from 393 in 201415 to 358 this time around. The figures equate to one in every 4487 patients making a formal complaint whilst one in 1256 choose to say thank you for the service they have received. Trust Chairman, Sir Graham Meldrum, said: “I am delighted to see that the figures are continuing to go the right way and that more and more people are praising the work that we do. “To see the number of complaints fall by 10% is also an excellent result and we will continue to work hard in order to ensure that number falls further. “When you consider that we receive almost 3,000 emergency calls and hundreds of nonemergency patient transport service (PTS) calls each day, we should all be very proud as to how few complaints we get.” Trust Chief Executive Anthony Marsh added: “These numbers are a fantastic result and are just reward for the excellent work of our hard working staff. “It demonstrates we are providing a very high level of patient care to people in their hour of need. “Congratulations to all of our staff who work incredibly hard to make these results possible whilst maintaining the highest level of patient care.” Head of Patient Experience, Marie Tideswell, said: “As a Trust, we know the value of listening to patient feedback. While we believe we have a high level of patient care, we are far from complacent and know that we can always learn more and make further improvements.”
30 Brooklyn Drive Rayleigh, Essex SS6 9LW Tel/Fax : 01268 833666
AMBULANCE UK - JUNE
“It is evidence that the Trust is innovative in its approach to improving services, and also shows the ways we are working in partnership with our NHS colleagues and other agencies to deliver a better service across the whole of Wales.
provide the high-class service we are all aiming for.
111 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
NEWSLINE The Level 3 represents the
What kills more people than breast, bowel and prostate cancer combined? Although sepsis is a massive killer, training seems void of such an important subject. The number one qualification awarded to over 300,000 learners each year is the Emergency First Aid. This qualification focuses on the main, life threatening subjects but not sepsis. This
SEPSIS –
prostate cancer combined in the UK.
more ‘Autonomous’ nature
S: Slurred Speech.
Health Secretary Jeremy Hunt has
of the responder, this new
E: Extreme shivering or muscle
said around 12,000 sepsis deaths a
regulated qualification consists
pain.
year may be avoidable.
of 16 major learning outcomes
P: Passing no urine (in a day).
including the recognition
S: Severe breathlessness.
Although many current guidelines
features of red flag sepsis in
I: “I feel like I might die”
include the assessment and
S: Skin mottled or discoloured.
management of sepsis in specific
the pre hospital care setting. This qualification is further clinically endorsed by the Royal College of Surgeons Edinburgh, Faculty of Prehospital (FPHC) Care. To promote Sepsis awareness the Association of First Aiders will shortly be announcing a
is especially of concern if you
free Webinar on this highly
consider that a person with
important subject.
a severe form of sepsis is up
subgroups within their remit, most Sepsis happens when the
do not provide guidance for all
body’s immune system goes
healthcare professionals in any
into overdrive when responding
situation to assess whether sepsis
to bugs and germs. When the
is present, and to guide initial
immune system overreacts
assessment and treatment.
it leads to an unintended but catastrophic attack on the body.
For further information contact
Untreated it can set of a cascade
AoFAQualifications on
of reactions from shock to organ
01908 610093 or go to:
failure and death.
http://aofaqualifications.org/
An NHS England report suggests
EMAS
to five times more likely to
Sepsis is seen as difficult
die than a patient with a heart
to diagnose as it can have
people suffered from sepsis,
attack or stroke.
a number of faces but there
whilst the National Confidential
some basic indications which
Enquiry into Patient Outcome and
This is where the AOFAQ Level
we can all understand and use.
Death(NCEPOD) published in
3 Award in First Person on
And there is an easy mnemonic
November 2015, says sepsis kills
East Midlands Ambulance
Scene is positioned.
to remember it by:
more people than breast, bowel and
Service (EMAS) has signed
in 2014, more than 123,000
EMAS awarded Patient Transport Service
on et re el.n mo erj ad at Re w.w ww
AMBULANCE UK - JUNE
Professional burn care, anywhere - anytime!
112 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE the contract, confirming them
looking forward to working with
“Our patient population is at the
appointments, and for mental
as the new provider of Non-
the commissioners and NSL on
heart of all our work.
health patients travelling to
Emergency Patient Transport
a smooth transition for patients
across Derbyshire from 1
and the wider healthcare
“We’re thorough in our
is estimated that EMAS will
August 2016.
community.”
approach to commissioning
be providing approximately
services from providers to make
232,000 patient journeys a year,
a community day centre. It
EMAS has years of experience
“This contract is another step
sure we achieve the best quality
which is around 4,500 each
of operating Patient Transport
forward in our transformation
and value for money each and
week.
Services (PTS) throughout the
and demonstrates that others
every time for the people we’re
East Midlands, and is delighted
see EMAS as an improving
responsible for looking after.
to be welcoming the Derbyshire
organisation. The result
service back into the NHS (the
is testament to the skills,
“We’d like to thank NSL for
beginning of an exciting
current private provider NSL
determination and hard work
providing a high quality service
and rewarding career in the
was awarded the contract in
of all my EMAS colleagues
and look forward to working
Ambulance Service with
2012).
involved in our bid and
closely with EMAS to ensure
opportunities to move into the
negotiations, and I thank them
patients continue to have a
Emergency Service as well as
all.”
good, safe and supportive
within PTS.
Richard Henderson, Acting Chief Executive at EMAS, said:
Working in the Patient Transport Service is often seen as the
experience.”
“Our priority is to deliver a
NSL will continue running the
safe and excellent service for
service until the changeover
Patient transport is pre-planned
to thank the current Derbyshire
patients. For this reason, it has
on 1 August 2016, when EMAS
(routine, booked journeys) and
PTS staff for their patience while
been appropriate that we, along
becomes the new provider.
on the day non-emergency
we agreed the details of the
transport between a patient’s
service with our commissioner.
with the commissioners and
Richard added: “We would like
NSL, take the time to make sure
Kate Schroder, Director of
home and a hospital or clinic.
We warmly welcome them to
we have everything in place
Acute Commissioning for NHS
For example, EMAS will be
EMAS, and look forward to
that needs to be before we
Southern Derbyshire Clinical
providing a transport service to
meeting our new colleagues
take over the service. We are
Commissioning Group said:
renal patients for their dialysis
over the next month.”
Welcome to the next generation in simulation technology. The iSimulate ALSi Simulation platform provides an economical, highly advanced and realistic patient condition simulation package that enables advanced patient simulations that can be run quickly and easily without the need for expensive and complex manikins or monitors.
• Smart and easy to use scenario builder • Over 50 ECG waveforms • Over 20 additional parameter settings
It is so easy to use you can be up and running in less than 2 minutes allowing you to train anywhere and at anytime with a fully featured, multi-parameter monitor, AED and defibrillator without the cost and complexity of traditional simulators.
• Ability to use 12-lead ECG, import video and x-ray images • Realistic trending of vitals over time
Run off only two iPad’s, students view a realistic patient monitor while the instructor uses a handheld control ipad to control everything from parameters to time.
Monitor Mode
• Instant CPR and PEA simulation • Safe to use on a simulated live casualty
Defibrillator Mode
Facilitator Screen
AMBULANCE UK - JUNE
AED Mode
• Sophisticated and realistic vital signs monitor
Advanced simulation, without the cost The iSimulate ALSi Simulation Platform provides an economical, highly advanced and realistic patient condition simulation package that enables advanced patient simulations that can be run quickly and easily without the need for expensive and complex manikins or monitors.
education
equipment
enterprise
113 For all your equipment needs visit: www.ambulanceservicesuppliers.com
NEWSLINE LAS
Call handler recognised at 112 awards ceremony Emergency Medical Dispatcher, Harley Forbes was presented with the
Matt follows in his paramedic father’s footsteps – with a helping hand from the University of Northampton
Outstanding Call Taker award at the 112 awards ceremony.
A paramedic with 40 years’ experience has praised the
The ceremony took place
University of Northampton for
in Prague, where over 500
thoroughly preparing his son
attendees (representing
for a successful career on the
emergency services, public
ambulances.
authorities, European and international organisations,
When Dave Thorne joined the
and public safety solution
service in 1976, it was the norm
providers) gathered to honour
for trainee paramedics to be
the winners and celebrate
thrown in at the deep end and
with them their hard work and
expected to learn on the job.
achievements. “When I first started, all Harley was there to accept
you needed was a first aid
the award on behalf on behalf
certificate, you were given a
of our control room, he was
hand-me-down, mismatched
recognised for demonstrating
uniform and that was that,
excellent international working.
you were on the road,” said
This was following a call he
the 61-year-old from Burbage,
received where a patient who
Leicestershire.
was unable to speak English became unwell in England and
“On my second day in the job,
rang his partner in the Czech
we were called to an accident
Republic for help. She called
where a child had gone under
their emergency services on
a bus and I remember just
112 who contacted Harley
staring, not knowing what to
in our control room. Harley
do, as my colleagues leapt into
located the address of the
action.”
patient and ensured that an
“You can just see a clear
“For somebody to do
difference between somebody
something for so long, and still
who has trained at university
have that enthusiasm for the
and somebody who joined
job is great to see,” said Matt.
straight from school like me. “To see Dad in a professional “My son Matt is unflappable
light has been amazing for me,
when he’s working on the
I’ve learnt so much from him,
ambulance, and while that’s got
and to follow in his footsteps is
a lot to do with his character, it’s
something I’m really proud to
also got plenty to do with the
be doing.”
thorough training he receives at the University. He could not be
Proud parent Dave added:
any more prepared.”
“One part of the job will never change, and that’s caring for
Matt joined the University in
patients.
September 2015, and has already seen the benefit of
“Matt is caring, intelligent and
studying before going out on
knows when to have a laugh
the road.
and a joke, which is an art in itself – his bedside manner is
“There is so much information
impeccable.
to take on board at the start of the course, and when you go on
“I’ve worked a few shifts
your first work placement, it all
with him and I’ve been so
makes sense – you see things
impressed with how he gets
in an accident you’ve already
on with the patients – I just
learned about,” said Matt.
stand back and let him get on with it. He’s a pleasure to work
He added: “The job is amazing.
with and I’m just really proud
I love the spontaneity of it, not
of him.
knowing what you’ll find when you arrive at your destination – you get a real adrenaline rush, and total satisfaction from being
Partnership working saves a life in Devon
able to help people who are relying on you.
When Robin Taylor visited his local tennis club in Ivybridge,
“You have to put 100 per cent into
Devon on 14 November last
the job. You need to treat each
year little did he know it
AMBULANCE UK - JUNE
ambulance from East Midlands
Things couldn’t be more
person in the way you would like
would end tragically when
Ambulance Service attended.
different for Dave’s son Matt,
your own family to be treated. We
he unexpectedly went into
who is receiving a careful
see a lot of elderly people with
cardiac arrest. Fortunately,
Emergency Medical Dispatcher,
blend of training and on-the-
chronic illnesses and you need
there were two men at the
Harley Forbes said: “It was a
job experience as part of his
to interact with them, they really
scene who commenced
real honour to go to Prague
Paramedic degree course at the
appreciate you taking your time to
CPR immediately – Andy
and accept this award on
University.
talk to them. You go that extra mile
Kellett and Adam West. Two
for them, make them a cup of tea
Devon and Somerset Fire
“The training he receives is
and spend some time with them
and Rescue Service Co-
excellent,” said Dave. “Trainees
– just like you would for your own
Responders, Ed Durante
“It must have been distressing
are taught about the patient
grandparents.”
and Alan Lake, were then
for the patient to fall unwell in
autonomy and the physiology
a country where he couldn’t
side of the job in their first year
Working alongside his dad while
the ambulance service. They
speak the language. I’m
and the pharmaceutical side in
on placement at Narborough
arrived quickly and were
pleased to have been able to
their second year – they are a
ambulance station, near Leicester,
able to successfully use a
work so well together with 112
lot more skilled than we were
Matt’s come to appreciate the
defibrillator, at which point
to get him some help.”
when I joined the service.
tough act he has to follow.
he began breathing again.
behalf of everyone who works in control services.
dispatched to the scene by
114 For more news visit: www.ambulanceukonline.com
NEWSLINE
An ambulance crew arrived
having responders based in
shortly afterwards and
towns like Ivybridge is very
continued treating him. He
important. They can and do
was then taken to Derriford
save lives. ”
hospital in Plymouth. Rich Buckley, the Lead He recovered very quickly and
Responder Officer for SWASFT
was discharged from hospital
is delighted that the outcome
after three weeks. He is
is so positive and commented:
extremely grateful to all those
“All of our responders do
involved in helping to save his life. Ed Durante, one of the responders who was one of the first on scene to treat Mr Taylor, has recently started working as an Emergency Care Assistant (ECA) for South Western Ambulance Service (SWASFT) and is based at Derriford ambulance station in Plymouth. Robin was recently reunited with the people who saved his life at Ivybridge Tennis Club in Devon. He was delighted to meet them and said: “I am extremely lucky to be here and owe my life to the bystanders who were able to give me CPR straight away, to the responders for administering the defibrillator, which got me
an amazing job and I would like to take this opportunity to sincerely thank them for
Resuscitation and Emergency Care
A full range of products for use in an emergency and resuscitation situation.
their invaluable support. Their presence really does make such a positive difference, as this incident clearly demonstrates. I am delighted that Mr Taylor has recovered so quickly and wish him all the best for the future.”
• • • • •
Bag-Valve-Mask (BVM) Pocket Resuscitation Mask Oxygen and Nitrous Oxide Delivery Systems Airway Management Oxygen Therapy
Fire Co-Responders are just one of the groups of volunteers operating across the Trust area. They work as retained firefighters but respond to certain incidents, like cardiac arrests, when literally every second counts whilst an ambulance is on its way. They operate predominantly in rural
ambulance crew for the
areas and receive training
fantastic treatment they gave
and equipment from SWASFT.
me. It was a pleasure to convey
Fire Co-Responders work in a
my thanks to them in person.
similar way to Community First
They carry out a fantastic job
Responders (CFRs). St John
in serving the local community
Ambulance and the RNLI are
and I am very grateful for
just a few of the organisations
everything they have done for
operating similar schemes in
me. As this incident shows
partnership with SWASFT.
To view the full range visit www.intersurgical.co.uk/info/emergency
Quality, innovation and choice lnteract with us
AMBULANCE UK - JUNE
breathing again and attending
The complete solution from the respiratory care specialists
www.intersurgical.co.uk
115 AMBULANCE_UK_06.16_resus.indd Do you have anything you would like to add or include in Newsline? Please1contact us and let us know.
16/05/2016 17:12
NEWSLINE won the forum’s top prize of
services in England conducting
Health Technology Assessment
Award success for SW ambulance researchers
£1,000 which will go towards the
the AIRWAYS-2 study which is
(HTA) funded study.
funding of a trip in November
comparing the clinical and cost
when Kim presents the study
effectiveness of two ways to
Sarah Black, Research and Audit
at the Paramedics Australasia
manage the airway of patients
Manager said: “Our research
International Conference in
who have had a cardiac arrest out
activity has grown significantly in
Research active staff at
Auckland, New Zealand.
of hospital.
recent years, which has given our
Kim, who has been research
Maria said: “AIRWAYS-2 is a large
take part in clinical studies out of
active since 2012, said: “PROXY
complex study with recruitment
hospital than ever before. We are
was a study designed to see if
targets of 9,000 patients
currently delivering six studies.
it is feasible to conduct a study
and 1,300 paramedics. The
in paramedic practice that
recruitment model for the study
“We couldn’t have achieved this
investigates whether a lower
enables patients that are attended
without the fantastic support
research forum.
level of oxygen administered
by a participating paramedic to
of the NIHR Clinical Research
to patients is superior to 100%
be automatically enrolled. This
Network in the South West to
This year SWASFT came away
oxygen in patients who have
means that patient recruitment
ensure we were research ready.
regained a heartbeat after having
is entirely dependent on having
And our achievements to date
Forum prize giving event in
an out of hospital cardiac arrest.
enough paramedics to take part.
our testimony to the tenacity
Newcastle with the award for
This was a really interesting and
the highest quality research by
challenging study to be involved
In SWASFT there are almost 500
who have seized research
research paramedic Kim Kirby
in and the success of this study is
paramedics – approximately 25%
opportunities and embraced new
and the best poster by Maria
testament to the paramedics who
of eligible staff – trained to take
ways of working and training
Robinson and the Airways 2 study
were involved. I am really proud
part in the study.
to ensure we can run studies
research team.
that PROXY won the award for the
SWASFT
South Western Ambulance Service NHS Foundation Trust (SWASFT) have maintained an impressive record – having now won over the past three years every prize awarded by a specialist emergency medicine
from the 999 EMS Research
Chair of the 999 EMS Research Forum Professor Helen
patients greater opportunity to
and flexibility of SWASFT staff
effectively. It has been a great
highest quality research and felt
“These paramedics have
team effort and everyone should
privileged to be able to present it
enrolled 744 patients and in
be proud of what they have
to the forum conference.”
March 2016 over 3,000 patients
achieved to date.”
have been enrolled across the
Snooks said: “Our forum aims to encourage, promote and
Research Facilitator Maria
four ambulance service sites
disseminate research and
Robinson and her colleagues
in England. Achieving these
evidence-based policy and
from the AIRWAYS-2 research
recruitment levels has been a
practice in 999 healthcare. Kim
study team received £100 for first
huge undertaking and the credit
and Maria have continued South
place in the best poster award
for this goes to all those involved
Western Ambulance Service
category. AIRWAYS-2 is funded
in this study.”
Foundation Trust’s track record of
by the National Institute for Health
excellent research in this area.”
Research* and is co-ordinated by
Last year SWASFT scooped the
from Worcestershire who is
the Clinical Trials and Evaluation
999 EMS Research Forum Best
determined to help ‘Rebuild
Unit in Bristol.
Use of Routine Data award and
Nepal’ has returned from a
in 2014 the Trust won the forum’s
second visit to the earthquake
award recognition for the research
hit country.
Research paramedic Kim Kirby’s presentation of the Post ROSC OXYgenation study
SWASFT is one of four ambulance
WMAS
Paramedic helps rebuilding mission in Nepal An advanced paramedic
most likely to influence practice. This means over the last three
Phil Llewellyn, who is based
years SWASFT has won every
in Pershore, first visited the
prize given by this prestigious
country to offer aid in the wake
research forum.
of the devastating 7.8 magnitude earthquake that struck on April
AMBULANCE UK - JUNE
Six years ago SWASFT was not
25th, 2015. A second earthquake
conducting a single research
with a magnitude of 7.4 was to hit
study on the National Institute for
the region on May 12th.
Health Research (NIHR) portfolio and had no research-active
Phil was so touched by the
paramedics.
damage and devastation caused, particularly in the village
Maria Robinson
Kim Kirby
In 2014/15 SWASFT was the top
of Kaule, where he has friends,
patient recruiting ambulance
that he decided he wanted to
trust in England and it is the first
help further. The village had
ambulance service to sponsor a
been completely decimated with
116 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE
West Midlands Ambulance Service
West Midlands Ambulance Service people that have been forgotten.”
homes and schools having been
professionals with him and
Reflecting on the trip, Phil said:
destroyed, as well as people
because Kaule relies heavily on
“Kathmandu looks a lot better
losing their lives.
tourist income generated by the
since the earthquake, but the
Now back in the UK, Phil plans to
trekking and climbing industry,
remote villages, such as Kaule,
start fund-raising again in a bid
As a result, Phil set up the
they set off on an expedition to
look pretty much the same. For
to raise more money to purchase
charity ‘Rebuild Nepal’. In the
Annapurna Base Camp at an
almost 12 months these people
materials needed to rebuild more
months that followed, he worked
altitude of 4250m.
have lived under tin sheets and
houses.
tarpaulin and it is really sad to see.
tirelessly to raise funds to
If you would like to help fund-
support Kaule, giving talks and
During the visit Phil handed
holding a Summer Ball, all of
over the £8000, enough money
“The Nepalese people are so
raise, or would be interested
which helped to raise £8,000.
to rebuild four houses, and the
loving and genuine and are full
in arranging Phil to give a talk,
group were afforded a heart-
of smiles no matter what, but
visit www.gofundme.com/
On his return to Nepal in March,
warming reception by the people
people should not be distracted
RebuildInNepal or email
Phil took eight healthcare
of Kaule.
by the smiles – they are desperate
pmllewellyn@hotmail.com.
AMBULANCE UK - JUNE
West Midlands Ambulance Service
117 For all your equipment needs visit: www.ambulanceservicesuppliers.com
NEWSLINE Ambulance and fire crews report for duty at new joint Resource Centre Wrexham’s ambulance and fire crews reported for their first shift at the state-of-the-art new resource centre on 12 April.
North Wales, said: “A lot of hard
can be proud of, which provides
work has gone into this project
modern, improved and upgraded
from the partnership, so we’re
services.”
delighted to be using this facility. The ambulance accommodation “This development will provide
incorporates a fleet workshop,
the modern and upgraded
make ready facility, a six-bay
services that our crews deserve.
garage, offices for fleet staff and
“It also presents the perfect
TVAA
Thames Valley Air Ambulance now carries life-saving Plasma on-board
management, debrief room and a
Thames Valley Air Ambulance
deployment base for response staff.
now carries life-saving Fresh Frozen Plasma (FFP) on board
opportunity to work more closely with our fire service colleagues,
Ambulance crews start their shift
its helicopter and emergency
with whom we already have an
at the AFSRC then will move to
response vehicle, the vital
The Welsh Ambulance Services
excellent working relationship and
strategically located deployment
clotting components of human
NHS Trust and North Wales Fire
attend many incidents together.”
points across Wrexham and Chirk,
blood.
and Rescue Service have jointly
where call demand data predicts
invested more than £15 million in
Kevin Roberts, Senior Operations
the purpose-built facility – the first
Manager at North Wales Fire and
of its kind in Wales – which boasts
Rescue Service, added: “This is
Newly-recruited fleet assistants
to use FFP. It is now administered
an eight-bay fire station, a six-bay
an exciting time for all involved
will clean stock and clean vehicles
together with O Negative red
ambulance station, a make ready
and we’re delighted to be making
after use, enabling clinicians to
blood cells (which have been
facility and fleet workshop plus
the move into this high quality
spend more time face-to-face with
carried on board since 2014) to
top-of-the-range training facilities.
resource centre which will provide
patients delivering better care for
give blood transfusions to patients
both improved facilities for our
the area.
suffering from severe blood loss.
The fire accommodation includes
In the past two weeks, TVAA’s
a local community safety office,
medical crews have given two
The Ambulance and Fire Services
staff and a better service for the
Resource Centre (AFSRC) on
public in the area.
Croesnewydd Road has replaced
the next 999 call will come from.
TVAA is one of very few air ambulance charities in the country
the existing fire station on Bradley
“Operating from one base will
an eight bay garage, gymnasium,
life-saving blood transfusions with
Road in Wrexham, and the
allow greater co-ordination
training house and drill tower with
the addition of plasma to patients
existing ambulance stations in
when it comes to responding to
a road traffic collision training area.
with major haemorrhaging in the
Chirk and Wrexham.
incidents and will make the best
The project has been three
Thames Valley.
use of resources for both of our
Facilities like the rest room, dining
organisations.
room, communal kitchen, main
TVAA Emergency Medical Doctor,
office, locker room, meeting and
Dr James Raitt, has worked
years in the making and Sonia Thompson, the Welsh Ambulance
“This partnership has allowed us
training rooms will be shared by
closely with Julie Staves and the
Service’s Head of Operations in
to create a joint facility which we
both services.
Transfusion Laboratory at the John Radcliffe Hospital’s blood bank in Oxford to enable the service to carry FFP on board and explains its importance: “Blood transfusions are given to treat a multitude of illnesses as well as to replace blood loss in major trauma, therefore when it is donated it is separated into various components that are used to treat patients in different ways,”
AMBULANCE UK - JUNE
says Dr Raitt. “Current evidence and NICE trauma guidelines now recommend that if a patient is bleeding to death, they should receive both ‘packed red cells’ (which carry oxygen) and ‘plasma’ (which carries the clotting factors to help stop the bleeding).
118 For more news visit: www.ambulanceukonline.com
NEWSLINE “Up until now, it has only been
a structured approach to
viable for TVAA to carry red
neonatal, adult and paediatric
blood cells on board due to it
transfers, and the knowledge
being more readily available
of the processes involved
and the way it is able to be
in the transportation of the
stored and recycled. Plasma is
sick neonate, child or adult,
scarcer and once thawed from
emphasising the preparation
its frozen state it only has a five
required prior to transfer.
day shelf-life before it has to be discarded.
The ACCEPT methodology consists of the following:
“As the John Radcliffe is the
Assessment, Control,
major Trauma Centre for the
Communication, Evaluation,
region, we are confident that
Preparation and Packaging and
thawed plasma not used by
Transportation.
the air ambulance in a 48 hour period can be returned to the
Using this approach
hospital via the blood bank
substantially improves patient
and used by the emergency
care and outcomes, both inter–
medical teams there without
and intra-hospital.
any waste. This partnership is pivotal in improving survival
The Fold away ambulance
rates for patients needing
creates the feeling of the
blood products (red blood cells
confinements of an ambulance,
and plasma) to treat severe
but can be used in any
haemorrhaging before they
classroom setting.
reach hospital.”
Retailing for between £3500
TVAA is committed to
and £4000 (depending on the
developing and enhancing its
artwork design) the fold away
helicopter emergency medical
classroom has become a
service in the region to provide
fantastic addition to Paramedic
the highest level of emergency care outside of a hospital environment. A full range of life-saving equipment is carried on board, including two state of the art ultrasound devices, a blood transfusion kit and an immediate blood analyser, helping to shave off valuable
and Transfer Courses. All patients are vulnerable when it comes to transfer; and the time spent transferring presents increased risk to the patient in that it’s time not spent treating. Furthermore, the challenges posed in transferring are
substantial, both clinical and non-clinical.
For Further info: Classroom – davehalliwell@
To minimise these risks and respond successfully to these challenges, the NAPSTaR course presents ACCEPT,
mdtglobalsolutions.com NAPSTaR COURSE - Please contact - contactus@alsg.org
seconds in the golden hour and increase patient survival rates.
The Advanced Life Support Group have been using the “Fold Away” Ambulance to enhance the teaching on their NAPSTaR course
AMBULANCE UK - JUNE
ALSG using ‘Fold away Ambulances’ to enhance Safer Transfer education
Neonatal, Adult and Paediatric Safe Transfer and Retrieval
119 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
NEWSLINE iSimulate Update iSimulate provides world class simulation systems that are a realistic and cost effective solution to organisations across the world. Our mantra is simple – use the best of current mobile technology to create products that are more advanced, simpler to use and more cost effective than traditional simulation solutions. The ALSi system – Using just two iPads, the lightness and simplicity of ALSi makes it ideal for in-situ training. ALSi gives facilitators a great tool for training and students an incredibly realistic platform to learn from. ALSi offers medical simulation as you’ve never seen it before, built with technology you use every day. Used by most Uk Paramedic Education Centres the ALSi tool provides a safe training system, which has the realism of waveform, technology and simplicity of operation. Phil Ballett MSc – Paramedic – the UK technical lead - explains - Our aim was to make the device as real as possible - “The team enhanced the simulation even further with the latest version of our Neann bag. This custom designed bag secures the iPad inside its own compartment, giving it the look and feel of a real monitor/defibrillator.
or tablet, you already know how to use ALSi. Our gesture based control panel is built to provide advanced functionality without the complexity of traditional systems, providing a seamless user experience from start to finish. ALSi provides a highly advanced simulation platform, monitor, defibrillator and AED for far less than the cost of traditional systems. We are able to do this by utilising current technology, enabling you to have access to highly advanced simulation technology without having to worry about the costs that are usually associated with this level of simulation.
Above - Facilitator (Instructor)
AED mode above – Above – Monitor View
For further information – please contact Philballett@mdtglobalsolutions.com http://www.isimulate.com/uk
AMBULANCE UK - JUNE
Access to all the normal iPad controls are catered for and you can store and charge your facilitator iPad when not in use. There are compartments to store all your leads and power supplies to make the unit ultra portable.” Giving you the best experience possible If you own or use a smartphone
Defibrillator (shocking buttons included) – Pacing + Cardioversion as standard
ALSI - Used by Air Ambulance Teams around the world…
120 For further recruitment vacancies visit: www.ambulanceukonline.com
NEWSLINE SECAMB
New ambulance centre to begin operations Ambulance crews began operating out of South East Coast Ambulance Service’s (SECAmb’s) newest Make Ready Centre and Hazardous Area Response Team (HART)
to clean and restock their vehicles themselves. The centre will not only serve as a place where ambulances are ‘made ready’ for crews but will also provide the regional home for the HART team, which is currently based in temporary premises near Gatwick. The site will also provide modern training and meeting facilities.
base in Crawley on 18 April.
SECAmb Paramedic and Operating
A phased opening saw the first
great deal of work took place ahead
crews begin to report to the new centre in Faraday Road, Northgate, prior to the centre becoming fully
Unit Manager Peter Radoux said: “A of the centre becoming operational. Make Ready ensures we have a system in place where our staff are
operational by the end of April.
spending more time doing the job
Horsham staff began shifts at
patients.
the new centre with crews from Horley and Crawley joining their
they are trained to do – treating
“Crews will still respond from the
colleagues.
same towns under this system
SECAmb’s Make Ready system
at staggered times at the new
minimises the risk of cross-
but will begin and end their shifts centre with a vehicle prepared for
infection; frees up front-line staff,
them that is fully operational. The
who historically have cleaned and
purpose of the new system is to
re-stocked ambulances, to spend
minimise the time when crews are
more time treating patients; and
not available to respond to patients.
keeps vehicles on the road for
The modern facilities the new
longer. Specially-trained operatives
centre provides will also ensure
regularly deep-clean, restock and
crews have access to improved
check vehicles for mechanical faults.
training opportunities and greater management support.”
The centre is supported by a network of Ambulance Community
Paramedic and SECAmb HART
Responses Posts (ACRPs)
Manager Neil Harrison added:
where there are facilities for staff.
“We’re pleased the Trust has
Ambulance stations in Horsham,
secured a permanent base for
Crawley and East Grinstead have
the Gatwick HART team. The
been retained as response post
centre provides the facilities the
sites along with an ACRP already
teams need to respond to calls
serving as such in Horley, thus
across the region as well as the
protecting the delivery of services to
space for essential training linked
local communities. Other potential
specifically to the HART role.”
sites for additional ACRPs based SECAmb has already developed
be explored.
two purpose-built Make Ready centres in Ashford and Paddock
Within the new system, staff are
Wood in Kent as well as Make
also able to return and pick up a
Ready Centres in Chertsey,
‘Made Ready’ vehicle during their
Hastings and Thanet. Centres are
shift should they need to, thus
also being developed in Tangmere
ensuring they can begin to respond
and Polegate with a further planned
to emergencies more quickly than
for Brighton. SECAmb has another
in the past when they would have
HART team based in Ashford, Kent.
AMBULANCE UK - JUNE
on patient demand will continue to
121 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com
NEWSLINE SECAMB
behalf of everyone at SECAmb
Paramedics represent Trust at Queen’s garden party
who attended the Shoreham
Two South East Coast
was surreal. The obvious
Ambulance Service paramedics had a day out to remember when they attended Buckingham Palace as guests
Airshow disaster. It was a very special day and being able to park on The Mall and walk through the gates to the palace highlight of the day was seeing The Queen who looks fantastic at 90. It was an honour to represent SECAmb albeit with
at a Royal Garden Party.
a feeling of obvious sadness
Clinical Operations Manager
day.”
at the loss of life on that tragic
(COM) for Burgess Hill, Haywards Heath, Lewes and
Roy added: “I was extremely
Hove, Roy Nightingale and
proud to be invited to attend
recently-retired Steve Andrews,
such a smashing day and
from Bognor Regis, were
represent everyone at SECAmb
nominated to attend the event
involved in attending the
for their roles in attending the
Shoreham Airshow. It was a
Shoreham Airshow disaster
great experience to see The
and their long service. They
Queen and for both Steve and I
attended the event, hosted by
to be able to have such special
The Queen, with their wives on
memory to treasure.”
Roy (left in uniform) and Steve in the palace garden
Tuesday 10 May. Sussex Regional Operations
served their local communities
were able to represent the
Steve said: “I was very proud
Manager James Pavey added:
with a huge amount of
service and their colleagues at
at being chosen to attend on
“Both Steve and Roy have
dedication. I am delighted they
such a prestigious event.
AMBULANCE UK - JUNE
122 For more news visit: www.ambulanceukonline.com
NEWSLINE EEAST
Cambridgeshire firefighters will be sent to heart attack patients, for new trial scheme
cases where a patient is not
to a patient in cardiac arrest
communities and have been
breathing and their heart has
the better chance they have of
very enthusiastic during the
stopped beating.
surviving.
planning stages and are keen to get started.
Rob Ashford, acting director
“The ambulance service will
of service delivery for EEAST,
continue to send clinicians to
“We are passionate about
said: “We already work closely
such patients as a top priority,
providing the best possible
with 999 colleagues and this is
but the best thing for the patient
service to the people of
an extension of our partnership
is to get someone trained in
Cambridgeshire and by linking
Heart attack victims in
to help patients with an
basic life support to their side
up with EEAST we will be able
Cambridgeshire could be
immediately life-threatening
as quickly as possible.”
to help each other in delivering
treated by fast-response
condition.
life-saving assistance.” Firefighters are currently
firefighters, as part of a new scheme being trialed in the
“Building on the collaborative
trained in basic life support and
The trial scheme will begin in
county.
work already undertaken through
equipped with defibrillators.
Ramsey and March, before being rolled to more than 20
community first response (CFR),
locations in the East of England.
The East of England Ambulance
public access defibrillation and
However, the ambulance trust
Trust has been working with six
RAF co-response schemes,
will be providing on-going basic
fire and rescue services on the
we also believe co-response
life support to those taking part
The EEAST has been highly
new pilot programme, which it
schemes can add significantly
in the trial.
praised for its service, with 100
says could save lives.
to our ability to respond to
The ‘co-response’ experiment
per cent of participants in a
patients quickly and start basic
Rick Hylton, assistant chief fire
recent survey saying they were
life support.
officer at Cambridgeshire Fire
satisfied with their treatment.
and Rescue Service, said: “We
will begin in Cambridgeshire,
are very excited to begin this trial.
However it is under increasing
with firefighters in response
“We know that the
cars deployed in addition to
quicker someone starts
ambulance clinicians and
cardiopulmonary resuscitation
“Our on-call crews taking part
21 per cent rise in emergency
community first responders, in
(CPR) and gets a defibrillator
are already at the heart of their
calls.
strain, with March seeing a
Innovative access solutions, exceptional reliability. Innovation, Quality, Reliability
New product: SlimStep
www.sgtechsys.com
info@sgtechsys.com
Personnel & locker doors
AMBULANCE UK - JUNE
EasyLoad Ramp
+44 (0) 845 026 8536
123 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.
w.emergencyuk.com | Hall 5 | NEC | Birmingham | 21-22 September 2016 | www.emergencyuk.com | Hall 5 | NEC | Birmingham | 21-22 September 2016 | www.emergencyuk.com | Hall 5
NEWSLINE xxx
xxx xxx xxx
xxx
xxx xxx xxx
xxx
xxx xxx xxx
Bringing the Emergency Services together to improve public safety A unique event for everyone who works in the emergency services • Network with like-minded emergency staff • Source new kit and save money • Meet the market leaders in emergency services products • Get updated on collaboration and multi-agency plans • See the newest products on the market • Gain CPD points from our free College of Paramedics workshops • Learn from past emergency situations at the free seminars • Get up to speed on UAV technology in the Drone Zone • Watch live water rescue demo's FREE visitor entry and parking at www.emergencyuk.com AMBULANCE UK - JUNE
124
ESS - the only show for the entire spectrum of the Emergency Services www.emergencyuk.com
Show supporters and sponsors include COLLEGE OF
paramedics For more news visit: www.ambulanceukonline.com leading the development of the paramedic profession
IN PERSON EEAST News
Trust moves forward following leadership appointments The East of England Ambulance Service NHS Trust (EEAST) has appointed Kevin Brown as Director of Service Delivery, and Wayne Bartlett-Syree Director of Strategy and Sustainability. The appointments are the latest milestone in helping with the establishment of a stable executive team and Board to ‘drive the organisation forward’. Chief Executive Robert Morton said: “I am delighted that we have been able to make these appointments. After joining, and during my subsequent travels meeting with colleagues, the lack of stable leadership and direction was an area of concern which was consistently raised by staff in every area. “Creating a stable and permanent executive team and Board is absolutely essential in enabling us to move the Trust forward. Kevin and Wayne are both exceptional candidates and the knowledge and skills they bring will help further build our leadership capability.” Kevin, who has always lived in the east of England, has more than 18 years’ experience in the ambulance service. He spent his first 10 years as a paramedic in the Beds and Herts Ambulance and Paramedic Service, before moving onto the police service and then into commercial healthcare specialising in critical care. He then worked for London Ambulance Service for nine years as an experienced strategic commander and, amongst other achievements, led the planning and delivery of
the ambulance response for one of the London 2012 Olympic Games Zones. Kevin said: “Having worked as a paramedic and also having been a community first responder, I am delighted to be given the opportunity to lead the great staff and volunteers across the east of England who work exceptionally hard to provide high quality patient care. I look forward to working with our people to ensure that they have the best possible support in place to deliver outstanding patient care.” He continued: “I bring a wealth of experience to help us do that and having lived all my life in the region, it is a great opportunity to ensure we provide the standard of service that I would expect for myself and my family.” Wayne has extensive NHS experience in a career that has taken him from the sluice rooms to the Board room. Wayne started as a nurse auxiliary at Bedford South Wing Hospital in 1998 before training as a nurse at the Queen’s Medical Centre in Nottingham. After qualifying he progressed to becoming a senior nurse in critical care. Wayne then moved into management working in clinical networks delivering a range of service improvement programmes before leading urgent and emergency care reform in Coventry and Warwickshire and the West Midlands. More recently Wayne was a member of the national team for specialised commissioning at NHS England where he led the strategic planning function. Wayne said: “I am very pleased to have been appointed to this role; I cannot wait to work with an exceptional group of staff and be part of the team that improves the ways in which we support communities across East of England.”
For more information on the EEAST Board, visit: http://www.eastamb.nhs.uk/Board/the-trustboard.htm News
IAA announces Executive Chair, four new directors Directors of the Independent Ambulance Association (IAA) are pleased to announce the following new appointments. Alan Howson, is appointed as Executive Chairman. Alan has been a Non-executive Director since the inception of the IAA in November 2012, and was acting Chairman in 2014. Margaret Serna, Managing Director at Thames Group, re-joins the Board as a member Director. Margaret has vast experience of managing ambulance services, having been Chief Executive of Lincolnshire Ambulance Service and managed Thames Ambulance Service since 2010. Clare Smith and Andrea Maynard, Care Quality Managers at BEARS and Prometheus Medical respectively, join the Board as Directors. As a registered Nurse, Andrea brings a wealth of clinical knowledge, experience and understanding to the Board. Steve Burton, Pro-Medicus, also joins the Board of Directors. Existing Directors Matt McDonnell (Medicare EMS Group) and Dan Squibb (X9 Services) complete the Board. Matt will continue as Deputy Chairman, bringing valuable experience and continuity to the role. “I am genuinely excited to have been appointed to the role of Executive Chairman, a role that combines the leadership and management of the Association, with the challenge of making things happen. The Independent sector plays a crucial role in many and varied settings, and it is of vital importance that our voice is heard, particularly given the changes taking place in commissioning and regulation.
Kevin Brown
Wayne Bartlett-Syree
AMBULANCE UK - JUNE
The appointment of new Directors, who bring high level expertise, knowledge and enthusiasm to the board will both re-energise and re-focus the work of the Association. I relish the opportunity of working with Directors, our members and affiliates to ensure the voice Independent Ambulance sector is heard and responded to.” Alan Howson, Executive Chairman, IAA.
125 Do you have anything you would like to add or include? Please contact us and let us know.
IN PERSON News
Determined Dermot wins Management Apprentice of the Year Award A long-serving paramedic has picked up a prestigious award for the lengths he has
The year-long course, which Dermot completed at the Rhos-on-Sea campus, is for those who are have management responsibilities but no formal training, and are serious about developing their abilities. Sonia Thompson, the Trust’s Head of
gone to further his education.
Operations in North Wales, said: “We’re
Dermot O’Leary, who is based in Rhyl
for his dedication, which knows no bounds.
delighted that Dermot has been recognised
Ambulance Station, won the Management Apprentice of the Year Award at Coleg
“Dermot is such a worthy recipient for this
Llandrillo’s Apprenticeships Awards Ceremony.
award, and we’re over the moon that his
The father-of-two, who has worked for the
a distinguished way.”
commitment has been recognised in such
Welsh Ambulance Service for 15 years,
NWAS News
North West Ambulance Service announces new Chief Executive North West Ambulance Service NHS Trust is pleased to announce the appointment of Derek Cartwright as its new Chief Executive. Following a rigorous and challenging selection process, the decision to appoint Derek was announced on Tuesday 10 May 2016. Derek has held the role of Interim Chief Executive since the departure of former chief Bob Williams in March and has had a long
was recognised for the work he produced
Dermot, who lives in Penmaenmawr, joined
career in the ambulance service in the North
while studying for his ILM Level 3 Diploma in
the Welsh Ambulance Service in 2001 as
West.
Leadership Management.
an Emergency Medical Technician, and qualified as a Paramedic two years later.
Dermot, who is also a Clinical Team Leader,
Derek joined Greater Manchester Ambulance Service (GMAS) as a member of its patient
and supervises a team of 14 colleagues, said:
He is also one of the Trust’s road safety
transport service in 1986. He progressed to the
“I was shocked and stunned when they called
champions and spends much of his
emergency service in 1988 where he became
out my name at the awards ceremony.
own time visiting schools and colleges
a paramedic and then a manager. Derek
delivering hard-hitting lessons in road
continued his career in Greater Manchester
safety.
and in 2003 he was appointed to the post
“I thought that the other candidates were
of Operations Director and operated as a
far more ahead of the game than me, and I Justine Grew, Work-Based Learning
certainly didn’t expect to win.
member of the GMAS Board.
Manager at Coleg Llandrillo, said: “Dermot “The diploma was tough because you’re
is an exemplary student, going far beyond
On establishment of the North West
trying to juggle your studies with a full time job,
what is required.
Ambulance Service in 2006, Derek was appointed to the post of Area Director for
but it was so worth it and I’m glad I did it. “He has demonstrated innovation and
the Cumbria and Lancashire area and
“I was chuffed just to be nominated to be
dedication to his role. His assessor and
was subsequently promoted to Director of
honest.”
tutor are very proud of his success.”
Emergency Services in 2009.
AMBULANCE UK - JUNE Dermot O’Leary with his award
Derek Cartwright, Chief Executive at North West Ambulance Service NHS Trust
126 For further recruitment vacancies visit: www.ambulanceukonline.com
IN PERSON In November 2012, Derek was appointed to
Mr Sunderland commented “It was a truly
of the Yorkshire Air Ambulance for over
the role of Director of Operations and then in
fantastic and overwhelming day at Windsor
12 years now and have seen some huge
March 2016 he was appointed as Interim Chief
Castle. Up until arriving, I had been given
changes to the Charity over those years.
Executive.
no clue as to who would be awarding my
We now own our two current helicopters,
MBE, so to find out it was Her Majesty was
with two new brand new replacement
just wonderful.
state-of-the-art models on order, have two
Derek said: “I am very proud to be given this opportunity to take the Trust forward and am
flagship air support units in the region,
looking forward to working together with staff
The ceremony itself was quite surreal but
a fantastic head office facility as well as
and partners in the region to make sure we
walking towards The Queen to collect my
brilliant paramedics, Pilots and Doctors,
provide quality, compassionate care for our
MBE will certainly go down as one of the
Charity team and group of volunteers. The
patients.”
most memorable and proudest moments of
YAA really is going from strength to strength
my life.”
however none of this would have been
Commenting on the appointment, Trust Chair,
possible without the amazing support of
Wyn Dignan said: “I am very pleased to
Mr Sunderland joined the YAA after retiring
the people of Yorkshire. Something we will
announce this decision which came after a
from his role at the RMC Group PLC, where
always be eternally grateful for. It truly is an
challenging selection process.
he worked for over 27 years as one of their
honour to be its Chairman”
UK Directors, bringing with him a wealth “Derek has many years of experience with the
of experience in senior management,
As well as his work with the YAA, Mr
Trust and is a very highly respected member of
monitoring & delivering of business
Sunderland has also been a member of the
the NWAS team. I have no doubt that with his
targets, workshops, strategic development,
Wakefield Cathedral Council, and is a past
passion and drive for the Service our staff and
financial & budgetary control and project
President and Subscribers Secretary of
patients will all benefit from his leadership.
implementation.
Huddersfield Choral Society.
“With this appointment, we are now in a
After spending an initial 3 years as a Trustee
In 2007 he was appointed a Deputy
position to move forward and look to the
for the YAA, he then became Chairman in
Lieutenant of West Yorkshire by the Lord-
future – we want to ensure that the North
November 2006, and continues to hold the
Lieutenant, Dr Ingrid Roscoe.
West Ambulance Service can continue to be a
position today, supported by his Vice-
Service that the people of the North West are
Chairman, Trustees and a strong senior
Mr Sunderland was joined at his investiture by his
proud of.”
management team.
wife Margaret and his two eldest grandchildren
Derek received the Queen’s Ambulance Medal
Mr Sunderland continued “I have been part
Lillie and Jacob. He is also supported by sons Richard, Matthew and Nicholas.
(QAM) in the New Year’s Honours list on 2014. He lives in Bolton with his wife Joanne, has four grown up children and a Grandson.
YAA News
Yorkshire Air Ambulance Chairman receives MBE from Her Majesty The Queen at Windsor Castle The Yorkshire Air Ambulance Chairman, Peter Sunderland DL, has been awarded an MBE by Her Majesty The Queen at a ceremony at Windsor Castle which took place on 13th April 2016. He was AMBULANCE UK - JUNE
named in her New Year Honours list for ‘Voluntary service to the Yorkshire Air Ambulance and the community in West Yorkshire’ Mr Sunderland, 73, has been a Trustee of the life-saving Charity for over 12 years, with just over 9 of those as its Chairman, and has been responsible for some momentous changes at the YAA in recent years.
Peter Sunderland MBE, DL with his wife Margaret and grandchildren Jacob and Lillie at Windsor Castle
127 For all your equipment needs visit: www.ambulanceservicesuppliers.com
IN PERSON ambulance service. I’ve never looked back. The people in the Service are incredible and I’ll definitely miss my colleagues the most.”
NWAS News
The trust’s dedicated longest serving paramedic retires after 44 years
Bob McGowan, Interim Head of Service for Cheshire and Merseyside said: “Steve has been a brilliant member of the team and brought a great deal of dedication, passion and enthusiasm to his roles. He will be truly missed in the Trust by colleagues up and down the North West. We all wish Steve a long and happy retirement and thank him for all his incredible work over the years.”
The longest Serving paramedic for North West Ambulance Service (NWAS) Steve Evans has retired after 44 dedicated years in the Service. In 1971 at the age of 16, a fresh-faced Steve began his career as an ambulance cadet in the Merseyside area. Steve remained in the Merseyside and Cheshire area for his entire career, becoming a paramedic in 1989 and in the last six years he has trained other paramedics across the Trust. Steve, 60, has always busied himself in undertaking a wide range of successful projects outside his commitments as a paramedic. Writing medical books and his world famous ‘Don’t Walk Away’ campaign, aimed at protecting young people, saw him rewarded with an MBE in this year’s New Year’s Honours list. Saving thousands of lives over his many years in the Service and delivering 19 babies, including one on Christmas day, Steve was given a special send off by the Trust with a retirement presentation. Speaking at the retirement presentation Steve said: “It’s been an incredible experience
Steve plans to spend his retirement continuing his work training street pastors and using the lawnmower he received from colleagues as a leaving gift. Steve will also by cycling Land’s End to John o’ Groats in September and will be spending the next five months training for his ‘epic’ cycle ride. WAS News
watching the ambulance service change over the years. The main thing I’ve always wanted to do as a paramedic is to make a difference. Whether you’re out on the road saving lives or training the next generation of paramedics, you’re always part of a team making a huge difference to so many lives every day. “I didn’t have the qualifications to get into the police, so my Mum told me to sign up with the
Gordon collects Queen’s Ambulance Service Medal from Her Majesty A Welsh Ambulance Service spearhead with more than 38 years of service has collected a Queen’s Ambulance Service Medal at a ceremony hosted by Her Majesty. Gordon Roberts, the Trust’s Deputy Director of Operations, picked up his medal at a ceremony in Windsor Castle after he was recognised in last year’s Birthday Honours list. The Queen’s Ambulance Service Medal is awarded to distinguish exemplary service from ambulance workers in the NHS and reward exceptional devotion to duty. Of his investiture, Gordon said: “To collect a medal from the Queen is an honour it itself but the fact that my family were there to share it with me made it all the more special. “The ceremony itself was fantastic. It was an experience I’ll never forget.”
AMBULANCE UK - JUNE
Gordon joined Gwynedd Ambulance Service in 1978 as an Ambulance Technician in Bala after he undertook training at Wrenbury Hall in Cheshire. Two years later he transferred to Conwy and embarked on his paramedic training, qualifying in 1992.
Steve Evans at the retirement presentation with NWAS Head of Driving Standards Paul ones-Roberts
128 For more news visit: www.ambulanceukonline.com
In 2001, he was appointed Locality Manager for Conwy, and four years later as Locality Manager for Conwy and Denbighshire.
IN PERSON The Queen’s Ambulance Service Medal was introduced in 2012, when now retired Director of Ambulance Services, Dafydd Jones-Morris, was commended in the Queen’s Birthday Honours list. In 2013, Mike Collins, then Head of Service in the Abertawe Bro Morgannwg University Health Board area, also collected the medal for dedicating his 32-year career to the ambulance service in Wales. There was double delight in 2014 when not one but two members of staff were recognised in the New Year’s Honours list – Andrew Jenkins, Deputy Director of Medical and Clinical Services, and Advanced Paramedic Practitioner Richard Hook, father of Wales international rugby union player James Hook. And in December last year, Rob Jeffery, the Trust’s Head of Operations responsible for the Hywel Dda and Powys areas, was commended in the New Year’s Honours list. In 2007, he was promoted to Production Manager for North Wales before he was seconded to Regional Director for the South East Wales region in 2009, where he remained until 2011. For a period he was Regional Director for the North Wales region until a management restructure in 2012 meant the role became the Head of Service, and eventually Head of Operations for the Betsi Cadwaladr University Health Board area. He is currently the Trust’s Deputy Director of Operations, and is based temporarily in Cwmbran, Newport. It was Gordon’s Executive Team colleagues who nominated him for the award. Gordon said: “It was fantastic honour to have been nominated by the Trust.
WAA News
Being A Wiltshire Air Ambulance pilot is top job NEW Wiltshire Air Ambulance (WAA) pilot Rob Collingwood says his job is the best in the world. Rob, 35, began as a full-time pilot with WAA in April and has flown a number of missions in Wiltshire and surrounding counties responding to medical emergencies, including road traffic collisions and cardiac arrests. This is his first HEMS (Helicopter Emergency Medical Service) role. He served in the UK Army Air Corps for ten years as a helicopter pilot and before joining WAA was a helicopter pilot in the oil industry based in Aberdeen.
Rob, who lives near Devizes, said: “I carried out casualty evacuation in the Army and what attracted me to HEMS work was flying specialist paramedics to patients and flying patients to hospital within the golden hour to give them the best chance of recovery. “Being a HEMS pilot is the best job in the world. Trying to help people who are seriously injured or ill is so rewarding. I’m incredibly impressed by the professionalism of our paramedics, they have exceptional capability. We can’t always save everyone and that is sobering, but we do the very best we can. “I’m delighted to be part of Wiltshire Air Ambulance. All of my colleagues in the crew, the operational side and the charity team are so passionate about what Wiltshire Air Ambulance does and are committed to delivering the best service to the people of Wiltshire and surrounding counties. “There is so much goodwill amongst the public for Wiltshire Air Ambulance. When I speak to people about Wiltshire Air Ambulance everyone seems to have an anecdote about it, they either know someone who has been helped by it or they’ve fundraised for it.” WAA is the first air ambulance in the UK to use a Bell 429 helicopter and Rob said he is impressed with it. Rob, who is originally from Durban, South Africa, and has a partner and 16-month-old son, said: “It’s a lovely modern cab and it is spacious in the back for the paramedics to work in with patients. It’s a very smooth and fast aircraft and the power is incredibly impressive. It’s pitched perfectly for HEMS work.” Rob is employed by Heli Charter, who WAA leases the Bell 429 helicopter from.
“To actually receive the award is recognition not just for me, but for all the people I’ve worked alongside throughout my career in the ambulance service. “The amount of goodwill messages from colleagues has been enormous and is very humbling.” AMBULANCE UK - JUNE
Gordon has been instrumental in a number of large-scale projects, including the original Trustwide roster review in 2007 and the introduction of a performance management framework. Tracy Myhill, Chief Executive of the Welsh Ambulance Service, said: “Gordon is such worthy recipient for this award, and I’m delighted that his commitment has been recognised in such a distinguished way.”
Wiltshire Air Ambulance’s new pilot Rob Collingwood
129 Do you have anything you would like to add or include? Please contact us and let us know.
IN PERSON News
New Non-Executive Director joins Board of Welsh Ambulance Service A new Non-Executive Director has joined the Board of the Welsh Ambulance Service. Paul Hollard was appointed by the Minister for Health and Social Care following a rigorous fourmonth recruitment process, and commenced his role on 1 April 2016.
Paul Hollard
James Mycroft
Paul Hollard began his NHS career as a
James Mycroft enjoyed a 15-year career
registered nurse before he moved into nurse
as an executive at the BT Group, where he
education and later into general management.
worked as Director of Customer Service and Director of Transformation, among other
Paul has been involved in health service
roles.
education and management in Europe and spent time in Lesotho, South Africa, supporting
In 2013 he founded Rapid High Impact,
change in their major referral hospital.
a company providing interim executive management and team development.
His management career has focused on quality, strategic planning and driving service change in
In 2015, he joined the Principality Building
the Welsh NHS.
Society in Cardiff as Operations Director, and also sits on the Board of one of Principality’s
Like all of the Trust’s Non-Executive Directors, Paul will have Wales-wide corporate governance responsibilities but will have a particular focus on the Cwm Taf Local Health Board area. He will work closely with the Medical Director to provide support and challenge to the Trust’s ambitious Clinical Modernisation programme, and will also act as the Board’s Champion for Children and Young Persons and Older People. The Trust is also pleased to report that the Minister has extended the tenure of appointment of two other Board members; Chairman Mick Giannasi and Non-Executive Director James Mycroft.
Prior to his retirement, he led the South Wales Health Collaborative.
some further strengthening of the Executive Director team – provide the Trust with the prospect of stable longer term leadership
James holds the portfolio for Workforce and Organisational Development and in
Of his appointment, Paul said: “I am absolutely
geographical terms, is aligned to the Cardiff
delighted to be appointed to the Board of the
and Vale University Health Board area.
Welsh Ambulance Service at such an exciting time in its development.
Of his re-appointment, James said: “I’m really pleased that the Minister has extended
“I look forward to working with the Board and
my term for a further four years.
other colleagues in continuing the improvement journey the Trust is making.”
“The Board has overseen a considerable amount of change during the last two years,
Mick Giannasi added: “Paul brings with him
not least the construction of a new Executive
a wealth of experience as a clinician, as a
Team, led by a new Chief Executive.
strategic planner and as a former senior executive in the NHS.
Mick said: “These appointments – together with
subsidiaries, Nemo Personal Finance.
Programme and established the NHS Wales
“We have just submitted our three-year plan, implemented a new clinical model,
“His skills and personal attributes will add
launched a new set of desired behaviours
significant value to a Non-Executive team which
across the organisation, and have built a
is growing in confidence and stature.”
strong relationship with our Commissioner.
at Board level as it continues to pursue its ambition to transform the ambulance service into a modern, safe and effective service that the people of Wales can be truly proud of.” The Trust Board at the Welsh Ambulance Service is comprised of; the Chairman and Non-Executive Directors, the Chief Executive and Executive Directors and Trade Union representatives, all of whom work collectively as the Board. Non-Executive Directors are appointed by AMBULANCE UK - JUNE
the Health Minister and bring independent judgement and a range of financial, legal, commercial or corporate governance expertise to the Board. They will work with their Executive Director colleagues to develop strategy, policy and ensure sound governance, and ensure the Trust delivers services and performs effectively at a strategic and operational level.
PaulHollard
130 For further recruitment vacancies visit: www.ambulanceukonline.com
James Mycroft
IN PERSON “It feels to me that the Trust is embarking on a really exciting journey, and that is something I wanted to be part of for the next few years.” Mick Giannasi added: “Over the last two years, James has made a tremendous contribution to the work of the Board. “His insight, drawn from his extensive and varied experience in the commercial sector, has been invaluable in encouraging new ways of working and thinking within the Trust.” Mick Giannasi Mick Giannasi retired from the police service in April 2011 after a distinguished career spanning 31 years. During that time, he served in three police forces and ultimately attained the rank of Chief Constable in Gwent. He was awarded the Queen’s Police Medal in the 2011 Birthday Honours for his outstanding contribution to policing.
following a competitive recruitment and selection process. Of his re-appointment, Mick said: “The last two and a half years have been challenging but rewarding as we have worked hard as a Trust to put in place the foundations for an improved ambulance service in Wales. “I believe that those foundations are now firmly in place and whilst I am under no illusions about the scale of the challenge which remains, I am delighted that the Minister has given me with the opportunity to continue to work with the Chief Executive and her team to bring our ambitious plans to modernise the service to fruition.” News
Non-Executive Director Reappointment at Yorkshire Ambulance Service NHS Trust
Following his retirement from the police service, he was appointed by the Welsh Government to act as a Commissioner for the Isle of Anglesey County Council.
The NHS Trust Development Authority (now NHS Improvement) has confirmed the reappointment of Erfana Mahmood as a NonExecutive Director of Yorkshire Ambulance Service NHS Trust (YAS) from 15 May 2016 for a further two-year term.
He carried out this role until May 2013, when the Government’s intervention in the Council’s affairs was brought to a successful conclusion.
Erfana joined the Trust Board in May 2012 in a Non-Executive Director capacity. She is a non-practising qualified solicitor with extensive
governance experience in the public and private sectors. She is a Senior Independent Director at the Trust, Chairman of the Yorkshire Ambulance Service Charitable Fund Committee and a member of the Quality, Audit and Remuneration and Terms of Service Committees. Non-executive appointments to NHS trusts made by the NHS Trust Development Authority (now NHS Improvement) are subject to the Code of Practice of the Commissioner for Public Appointments. Erfana has been appointed from 15 May 2016 until 14 May 2018. She has declared no political activity in the last five years. Interim Chairman of the Yorkshire Ambulance Service NHS Trust Board Pat Drake said: “It is very important that we balance refreshing membership of the Board with maintaining a degree of continuity. I am very pleased that Erfana has agreed to serve as a Non-Executive Director for up to an additional two years. She will continue to contribute her legal expertise, as well as working with various committees, the YAS Charitable Fund and the Black and Minority Ethnic (BME) Staff Network.” Erfana Mahmood said: “I am delighted to have been re-appointed to the Trust Board for a further two years which will allow me to remain involved in developing the services delivered by Yorkshire Ambulance Service and further improving patient care.”
He was appointed Chairman of the Trust in September 2013 on an interim basis and appointed substantively in February 2014
AMBULANCE UK - JUNE
Mick Giannasi
131 For all your equipment needs visit: www.ambulanceservicesuppliers.com
COMPANY NEWS
AMBULANCE UK - JUNE
132 For more news visit: www.ambulanceukonline.com
COMPANY NEWS Will Broughton – Paramedic and Director of the Academy explained, “We want to afford emergency medical staff and others the chance to understand how environmental factors and complex decisions challenge their practice. Using our immersive classrooms we can control sound, light, images, temperature and smell.”
Fixed immersive classroom; garden scene
“We are heavily involved in writing new and innovative courses with Awarding Bodies and Higher Education Institutions to match the technology – and enhance the student experience and depth of understanding.”
New Education Centre – The Academy of Professional Development The Academy of Professional Development is a stateof-the-art immersive education facility based near Beaconsfield (just 25 minutes from Heathrow Airport). The only facility in the UK with 3 immersive classrooms within one building, our focus is emergency medical team and Paramedic education. With partners across the UK, Europe and beyond the venue is also used by Military, Security and Corporate clients. The education team are committed to the development and delivery of meaningful education, using immersive technology and understanding how environments shape behaviour.
Why is immersive education required? Over many years, our team have noticed that Student Paramedics appear to miss many of the subtleties that occur in clinical practice – this is because they have not been exposed to the environments that challenge their behaviour in the real world. Immersive classrooms allow us to simulate those challenging environments and carry out live debriefing at the site of the incident. The technology we use is the same as that put into St Georges University and used by our colleagues in Yorkshire Ambulance Service. What we offer? At present, the Academy offers a range of ambulance specific courses including the First
Student Paramedics in immersive fire situation at St Georges University
Response Emergency Care (FREC) programme. We also offer Emergency Ambulance Driving (FutureQual). Supported by a network of highly experienced educators we are able to offer a bespoke design and development service, to tailor a course to your specific needs. Open Days 25th – 29th May 2016 The Academy team are hosting public open days from the 25th to 29th May 2016 (08:30hrs-16:30hrs). We will be showcasing our
immersive classrooms, advanced simulation technology, high-fidelity realistic manikins and the team will be on hand to discuss our courses and bespoke development service. To book an open day visit, just let Will Broughton (wb@ academyprodev.com) know which day and time. To view course details and for further information please visit: https://www.academyprodev.com
AMBULANCE UK - JUNE
Fixed immersive classroom; woodland scene
Realistic manikin produced in partnership with TraumaFX
133 Do you have anything you would like to add or include? Please contact us and let us know.
COMPANY NEWS New Zoll state-ofthe-art life support equipment New state-of-the-art life support equipment is being installed by The Air Ambulance Service on two of its helicopters and in two night cars. The charity is investing more than £100,000 in ZOLL X Series® monitor/ defibrillators for Warwickshire & Northamptonshire Air Ambulance and Derbyshire, Leicestershire & Rutland Air Ambulance. The units, which are highly portable, have been designed for use at major trauma incidents such as road traffic accidents, and for medical emergencies such as heart attack or severe difficulty in breathing. The new ZOLL X Series monitors enable air ambulance doctors and Critical Care Paramedics to: • Defibrillate a patient to restore a normal heart rhythm • Monitor the heart’s electrical output using an electrocardiogram
• Monitor oxygen content of the
directly at the patient’s side.
blood “It will help our doctors and The ZOLL X Series also has
Critical Care Paramedics
a CPR dashboard™ which
gather all the information
can be used to ensure
they need to deliver expert
chest compressions during
trauma care at the scene
in the blood following smoke
cardiopulmonary resuscitation
of any accident or medical
inhalation
(CPR) are to the right depth and
emergency.
• Support a patient’s heartrate through ‘external pacing.’ • Measure carbon monoxide
AMBULANCE UK - JUNE
frequency. “In total, we have invested
• Measure carbon dioxide in the patient’s blood following a
Richard Clayton, Director of
more than £100,000 in these
medical & trauma emergency
Operations for the local air
new units. Because the charity
ambulance, said: “This is an
receives no government
amazing diagnostic and patient
funding, this has only been
monitoring device. It is highly
possible thanks to the
portable and rugged, so can
generosity of local communities
easily be taken off the helicopter
across the five counties we
or the night car and used
serve,” said Richard.
• Monitor a patient’s blood pressure • Monitor a patient’s temperature
134 For more news visit: www.ambulanceukonline.com
“This is an amazing diagnostic and patient monitoring device. It is highly portable and rugged, so can easily be taken off the helicopter or the night car and used directly at the patient’s side.”
AUK_August_AUK_August_2013 11/10/2013 10:53 Page 254
THE CLASSIFIED SITE
For further information or to make a reservation please contact Terry or Brenda Tel: 01322 660434 Fax: 01322 666539 email: info@mediapublishingcompany.com or by post to: Media House, 48 High Street, Swanley Kent BR8 BQ
Fo informa ar ple
Terry
Tel: 0 Fax: 0
info@m com
or Me 48 H
Ke
We are recruiting Paramedic and ECP opportunities South West, Surrey, London, South East, Worcester, Milton Keynes & Kent. We have a number of opportunities for Paramedics and ECP's to join our 111 and Out of hour services. Within 111 we are looking for Paramedics to work as Clinical Advisors & provide over the phone advice to patients with non-emergency/urgent care needs. We have both full & part time vacancies and the role offers great career progression. Home-working and bank opportunities available for pathways trained staff on satisfactory completion an assessment day In our OOH sites we have bank contracts available for ECP's to work alongside our GP's and ANP's. This involves attending out of hour visits and also providing over the phone triage. Full system training is provided for the roles within 111 and can be completed on a part or full time basis. For more information please contact angeline.chandler@careuk.com on 07501728277.
Life Connections 2014 To apply visit Exmed Study Day go.herts.ac.uk/jobs
We currently have the following vacancy:
Lecturer/Senior Theme: DifficultLecturer Airway Course EMS™ – An intro in Paramedic Science Thursday 15TH May 2014 Kettering Salary: £31,656 - £47,801 paConference Full time position working 37 hours per week TIME: A.M PRESENTATION (part time would be considered) 08.30 - 09.00
Job Ref: 013607 09.00 - 09.15
Centre, Kettering NN15 6P
Registration
Tea/Coffee, Exhibition
You will be a Paramedic registered with the 11.30 - 12.00 Stations (4 rotations/30 min. each) Health and Care Skills Professions Council (HCPC). Ideally you a ETI sound knowledge and Group 1 will have BVM, experience of teaching and/or supporting Group 2 EGD’s & Rescue Airways students and an interest in developing innovative Group 3 Needle & Surgical Airway ways of delivering our curricula. 4 a solid Video Laryngoscopy YouGroup will have knowledge base of
PRESENT Skill Stations Rotation 2
Introduction & History of the Course
An exciting opportunity has arisen for 09.15 - 09.45 The Airway Algorithms an enthusiastic Paramedic committed to 09-45 - 10.30 Prediction of the Difficult Airway enhancing the profi le of Paramedic Practice in10.30 the UK to join our dedicated and friendly - 11.15 BVM and Laryngoscopy team of Paramedic lecturers. 11.15 - 11.30
TIME: P.M 12.00 - 12.30
12.30 - 13.30 13.30 - 14.00
Lunch, Ex Skill Stations Rotation 3
14.00 - 14.30
Skill Stations Rotation 4
14.30 - 14.45
Airway Self Scope Vid
14.45 - 15.00 15.00 - 17.00 17.00
Tea/Coffee, E Practical Moulages Wrap up
pathophysiology, history Topics and Speakersbiosciences correct at theand timeexcellent of press but may be subject to change
CPD c
taking and physical assessment skills; our lecturing Delegate Rate: £72.00 (inc VAT) staff participate in teaching, assessment and includes: delegate bag, refreshments and the opportunity to visit over 60 tra module management on our range of Paramedic programmes. Initially you will be expected to participate primarily in teaching and assessment on the undergraduate BSc (Hons) in Paramedic Science. You may also be required to teach on our post graduate programme, short courses and have opportunities to be involved in Paramedic research, an area we are consistently developing.
Only 7 places remain available!!
To register call 01322 660434 or visit:
www.lifeconnections.uk.com
All our programmes are supported by world-class learning resources, comprehensive on site skills facilities and extensive web based resources that can be accessed from office or home.
Closing date: 3 July 2016.
The University offers a range of benefits including a guaranteed pension, professional development, family friendly policies and discounted memberships at the Hertfordshire Sports Village.
AMBULANCE UK - JUNE
For an informal discussion about the post, please contact: John Talbot, Professional Lead for Paramedic Science on 01707 284538 (j.r.talbot2@herts.ac.uk) or Dr Karen Beeton, Head of Department on 01707 284114 (k.s.beeton@herts.ac.uk)
135 For all your equipment needs visit: www.ambulanceservicesuppliers.com
Does he need a trauma centre or the local hospital? Twenty-year-old male in a motor vehicle accident. Airbag has deployed. Car has significant front-end damage. Is he bleeding internally? Will he need a trauma centre? These are some of the questions you need to answer on a suspected trauma call, as haemorrhage is the leading cause of death after injury.1 The new trauma parameters on the ZOLL X SeriesÂŽ help you accurately and quickly assess your patients so you can feel more confident in your treatment decisions.
Insight for informed decisions. www.zoll.com/uk/trauma-care Acosta JA, et al. Journal of the American College of Surgeons. 1998;186(5):528-533.
1
Š2016 ZOLL Medical Corporation, Chelmsford, MA, USA. X Series and ZOLL are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries. MCN IP 1601 0092-05