Ambulance UK August 2017 by Media Publishing Company

Volume 32 No. 4

August 2017

DEDICATED TO THE AMBULANCE SERVICE AND ITS SUPPLIERS

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CONTENTS

CONTENTS 140

EDITOR’S COMMENT

142

FEATURES

142 A profile of out-of-hospital cardiac arrests in Northern Emirates, United Arab Emirates

Ambulance UK This issue edited by: Sam English c/o Media Publishing Company 48 High Street SWANLEY BR8 8BQ ADVERTISING: Terry Gardner, Brenda Pickering

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IN PERSON

Media Publishing Company

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COMPANY NEWS

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E: info@mediapublishingcompany.com

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COPYRIGHT: Media Publishing Company Media House 48 High Street SWANLEY, Kent, BR8 8BQ PUBLISHERS STATEMENT: The views and opinions expressed in this issue are not necessarily those of the Publisher, the Editors or Media Publishing Company. Next Issue October 2017 Subscription Information – August 2017 Ambulance UK is available through a personal, company or institutional subscription in both the UK and overseas. 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. Cheques should be made payable to MEDIA PUBLISHING.

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139 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.

AMBULANCE UK - AUGUST

“It is a complete cultural change, one which is long overdue, it will be interesting to observe public reaction”

There really is only one thing to talk about, the Ambulance Response Programme (ARP) and the difference it will make. For those of you who read AUK regularly you’ll no doubt remember my personal soapbox about the negative impact and perverse incentives of the former 8 minute response. I’m not suggesting for a moment that I’ve changed anything but I am glad that at last some degree of common sense has emerged and, with the advent of the inherent changes of ARP, we can at last see some real movement in focus from time targets to quality care targets. So what will it mean. Well in theory at least, quicker and more available response for the truly life threatening conditions, more time to choose the most appropriate response to meet individual patient’s needs, and reduce the number of both unnecessary conveyance and over resourcing of incidents (which followed attempts to beat the 8 minute target) leading to more availability of vehicles and clinicians to provide better and more timely care tailored to patient presentation. Of course the challenge now is to prove that it works. Most services have adopted or will adopt ARP in the next few months. The Government issued triage code-set, which has four categories instead of the R1/2 G1/4 that we’re used to, is based on extensive clinical evidence and thus should better reflect actual clinical need especially where there is now a slightly extended ‘clock start’ time for the non-immediate life threats, to allow dispatch staff to consider which resource is most appropriate, called dispatch on disposition (or DoD). It is a complete cultural change, one which is long overdue, it will be interesting to observe public reaction but hopefully the programme will now lead to a shift in emphasis to the quality agenda with a promised set of metrics, based around the impact of the ARP changes, providing the evidence to help the general public to at last recognise that better, more appropriate treatment, is worth a little extra wait. Summer is here, well as near as it gets in Lancashire, and thoughts turn to the holidays. I hope you all get time to spend with your families, forget the pressures of work for a while and enjoy some summer sunshine…. make the most of it, for winter planning awaits!

Sam English, Co-Editor Ambulance UK

140 For further recruitment vacancies visit: www.ambulanceukonline.com

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FEATURE

A PROFILE OF OUT-OF-HOSPITAL CARDIAC ARRESTS IN NORTHERN EMIRATES, UNITED ARAB EMIRATES Alan M. Batt, MSc(c), Ahmed S. Al-Hajeri, BHSc EMHCA, Fergal H. Cummins, MB, MSc (DM).

Abstract ‫ دراسة خصائص ضحايا السكتات القلبية خارج‬:‫األهداف‬ ‫املستشفى واملخرجات في إمارات الشارقة ورأس اخليمة وأم‬ .‫القيوين والفجيرة وعجمان‬ ‫ هذه دراسة وصفية استباقية ملجموعة من حاالت‬:‫الطريقة‬ ‫سكتات القلب خارج املستشفى والتي نقلها طواقم اإلسعاف‬ .2015 ‫ حتى مارس‬2014 ‫الوطني في الفترة من فبراير‬ ‫ من احلاالت‬76% ‫شكلت‬.‫ حالة‬384 ‫ تناولت الدراسة‬:‫النتائج‬ ‫ متوسط العمر ملجموعة البحث هو‬.‫ذكور اصيبوا بسكتات قلبية‬ ‫ نسبة استعادة الدورة الدموية التلقائية التي ُوثقت‬.‫ سنة‬50.9 ‫ من اإلنعاش القلبي‬30% ‫ إلى جانب توثيق نسبة‬3.1% ‫كانت‬ ‫ اس ُتعني بأجهزة‬.‫الرئوي الذي قام به حاضرون في مكان احلدث‬ ‫ من‬0.5% ‫إزالة الرجفان البطيني اخلارجية املتاحة للجمهور في‬ .‫احلاالت و ُعرضت البيانات وفق مقاييس أوتستاين للتقارير‬

AMBULANCE UK - AUGUST

142

Objectives: To report the characteristics of out-of-hospital cardiac arrest patients and their outcomes in the emirates of Sharjah, Rasal-Khaimah, Umm Al-Quwain, Fujairah, and Ajman in the United Arab Emirates (collectively known as the Northern Emirates). Methods: This is a prospective descriptive cohort study of outof-hospital cardiac arrest incidents transported by the national ambulance crews between February 2014 and March 2015 in the Northern Emirates. Results: A total of 384 patients were enrolled in this study. Male victims of out-of-hospital cardiac arrest represented 76% of the participants. The mean age of the study population was 50.9 years. An over-all prehospital return of spontaneous circulation rate of 3.1% was documented, as well as a 30% rate of bystander cardiopulmonary resuscitation being performed. Public access defibrillators were applied in 0.5% of cases. Data is presented according to Utstein reporting criteria.

‫ ألول مرة مت حصر البيانات األساسية اخلاصة بحاالت‬:‫اخلامتة‬ ‫سكتات القلب في اإلمارات التي تقع في شمال اإلمارات‬ ،‫ نسبة ضعيفة حلاالت النجاة من سكتة القلب‬.‫العربية املتحدة‬ ‫ونسبة ضعيفة لإلنعاش القلبي الرئوي الذي قام به احلاضرون في‬ .‫مكان احلدث واستخدام اجلمهور أجهزة إزالة الرجفان البطيني‬ ‫بالرغم من أن النسب تعد ضعيفة مقارنة بالبلدان الغربية إال أن‬ ‫ حتديد البيانات‬.‫النتائج مشابهة في بلدان منطقة الشرق األوسط‬ ‫األساسية الواردة في هذه الدراسة وتنفيذ استراتيجيات ضرورية‬ .‫للحد من الوفيات الناجمة عن السكتة القلبية خارج املستشفى‬

Conclusion: Baseline data for out-of-hospital cardiac arrest was established for the first time in the Northern Emirates of the United Arab Emirates. A low survival rate for out-of-hospital cardiac arrest, low rates of bystander cardiopulmonary resuscitation, and low public access defibrillator use were discovered. Although low by comparison to established western systems results are similar to other systems in the region. Determining the baseline data presented in this study is essential in recommending and implementing strategies to reduce mortality from out-of-hospital cardiac arrest.

Out-of-hospital cardiac arrest (OHCA) is a major cause of mortality

technicians (EMTs), manning 24 ambulances based at 14 stations, and

worldwide. Survival rates from OHCA vary drastically around the world

25 standby points across the Northern Emirates area. The geographic

with survival rates lower in the Middle East and Asia compared to

area covers approximately 12,100 km2, and contains a population of

those in the Western Europe and North America. Recent studies have

approximately 4.7 million persons. The service responded to 31,786

demonstrated low survival rates for cardiac arrests in Saudi Arabia,1

emergency medical calls in the same period, with a total of 33,467

and the Emirates of Dubai.2,3 The National Ambulance (NA) LLC began

patients transported to hospital. All emergency medical calls received

Emergency Medical Service (EMS) operations in the Emirates of Al-

from the NE service area are received in the Ambulance Communications

Sharjah, Ras-al-Khaimah, Umm Al-Quwain, Al-Fujairah, and Ajman in

Center (ACC) in Abu Dhabi. The NA ACC uses King County Criteria

February 2014. These 5 Emirates are collectively known as the Northern

Based Dispatch (CBD) under licence, and has 2 on-site licensed CBD

Emirates. Prior to the establishment of the NA service in the Emirates,

trainers. The CBD ensures that early pre-arrival information is provided

the existing ambulance services were unevenly distributed, varied largely

to the caller. The communications center is staffed by 25 call takers and

in their ability to provide uniform levels of care, equipment was variable,

dispatchers, with support from 5 team leaders, operating 24-hours a day.

and data capture was inconsistent. The NA Northern Emirates service

A backup communications center based off-site is also located in Abu

area is a single-tier Basic Life Support (BLS) ambulance service, which

Dhabi. Members of the public ring 998 in a medical emergency, and this

was initially staffed (during the study period) with 269 emergency medical

call is routed directly to the NA communications center.

Saudi Med J 2016; Vol. 37 (11): 1206-1213 doi: 10.15537/smj.2016.11.16126 From the National Ambulance LLC, Etihad Towers, Abu Dhabi, United Arab Emirates. Received 21st June 2016. Accepted 3rd August 2016. Address correspondence and reprint request to: Mr. Alan M. Batt, National Ambulance LLC, Etihad Towers, Abu Dhabi, United Arab Emirates. E-mail: batt.alan@gmail.com

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AMBULANCE UK - AUGUST

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143

FEATURE Call takers speak Arabic and other languages to aid callers. Other

were included in this study. Cardiac arrest was defined as cessation

languages include English, Tagalog, and Spanish. The call details are

of cardiac mechanical activity that was confirmed by the absence of

then passed to a dispatcher who dispatches an ambulance to cardiac

a palpable pulse, unresponsiveness, and absence of spontaneous

arrest all ideally within a 60-second time frame from receipt of call.

respirations at the site of arrest. The NA clinical treatment protocols

Other details are then gathered from the caller. An optional 998 mobile application is also available through which registered users can request

Prehospital in the UAE ... Batt etGuidelines al (based oncardiac the 2010arrest American Heart Association for

Cardiopulmonary Resuscitation and Emergency Cardiovascular Care)

during location. the period of has thisan data period. The findingthesuggests gender variation during themandated period of this data collection mandated transportation an ambulance to attend their GPS-fixed The UAE age collection the transportation of all OHCA cases to the hospital of OHCA presentation. Male of all OHCA cases to the hospital (unless obviously dead with rigorpatients tended standardized death rate for cardiovascular disease of 308.9 per 100,000 4 (unless obviously dead with rigor mortis, younger than the female patients (49 years ve mortis,decapitation, decapitation, dependant lividity, incineration, other injuries totally for males and 203.9 per 100,000 for females. This figure includes dependant lividity, incineration, other injuries totally years, p=0.029). There were missing incompatible with life, and so forth). Do-not-resuscitate orders do not data for age, expatriate and national populations. In the United Arab Emirates (UAE) incompatible with life, and so forth). Do-not-resuscitate of birth forability 12 to ofobtain cases,12-lead theseECGs cases were exclu exist within the UAE. The EMTs have no there are approximately 2 males for every female in the population, and orders do not exist within the UAE. The EMTs have no analysis. Patients age ranged were <1 year to 9 during the study period. the majority of the population are expatriates of working age (median 5 ability to obtain 12-lead ECGs during the study period. old (mean age: 50.9 years, SD Âą 21.1 years, med age 33.3 years). An estimated 15-20% of the total population of UAE Exclusion criteria were patients who were not years, interquartile range [IQR]: 35.5, 65.0) (Fi Exclusion criteria were patients who were not treated by EMTs due are UAE nationals, with the remainder comprised of expatriate workers Males comprised of 76% (n=291). Patients e treated by EMTs due to recognition of death at scene. to recognition of death at scene. Return of spontaneous circulation from all around the globe. As part of its commitment to improving in this study with known chronic illnesses repr Return of spontaneous circulation (ROSC) rate only (ROSC) rate only includes patients who gained ROSC on-scene, or the health and well-being of both UAE nationals and residents in the 78.1% population. includes gained ROSC prior on-scene, or arrival. prior Patients to hospital who of had the ROSCstudy subsequent to hospital Reported UAE, NA is a contributing members to thepatients Pan-Asianwho Resuscitation illnesses included known history of diabetes m to hospital arrival. Patients who had ROSC subsequent arrival were excluded from analysis for this outcome. Results from postOutcomes Study (PAROS), an international cardiac arrest registry study 7 6 excluded from analysis for this cardiovascular disease, renal disease, to hospital arrival were mortem examinations were not utilized. Utstein style of reporting data is and resp comprising member states across the Asia-Pacific region. Through their diseases. Individuals from the Indian subco outcome. Results from post-mortem examinations incomplete due to non-availability of hospital data. contribution of data to the PAROS study, member states aim to share 7 of reporting data is represented the largest group of OHCA, acco were not utilized. Utstein style information to allow for a collaborative problem-solving approach to the incomplete due to non-availability of hospital data. for 38.8% of all cases (n=149) while patien Statistical analysis was performed using the Statistical Package for Social issue of OHCA. Statistical analysis was performed using the Statistical other Arab countries represented 23.7% (n=91 Sciences (IBM SPSS Version 20, NY, USA). Descriptive analysis was Package for Social Sciences (IBM SPSS Version 20, NY, cases. The UAE nationals accounted for 16.7% performed to determine distribution and frequency, independent group Limited data surrounding OHCA in the Gulf region has been published, Descriptive analysis to determine Further patient characteristics are out 1 t-test was used to compareof agecases. and gender means, and percentages Withwas performed with the exception of studies inUSA). Saudi Arabia and Lebanon. Table 1 . distribution and frequency, independent group t-test were used to describe and report variables and patient characteristics. the exception of Dubai, no OHCA data has been published for the Of the 384 OHCA cases, over half occu wasTheused and gender means, and remaining 6 Emirates in the UAE. aim ofto this compare study was toage identify a home residence (n=208; 54.2%). The nex percentages were used to describe and report variables patient characteristics and outcomes of all OHCA cases presenting to common location was on a street, or highway and patient characteristics. NA crews in the Northern Emirates. The collation and publication of this Results 18.5%). Other locations are summarized in Tab data represents the profiling of OHCA cases in these 5 Emirates. Results. A total of 384 OHCA patients who Figure 2. A total of 384 OHCA patients who presented to the NA EMT crews were The median response time was 9 minute presented to the NA EMT crews were enrolled in this in this study. Based on the population in the 5 Emirates studied study. Based on the population in the 5enrolled Emirates studied receipt of emergency medical call to arrival of t (estimated at 4.7 million), this equates to 8.2 OHCA resuscitation Methods (estimated at 4.7 million), this equates to 8.2 OHCA at the scene (IQR: 6, 14). An ambulance arrive attempts per 100,000 persons during this period. resuscitation attempts per 100,000 persons during this within 14 minutes of receipt of an emergency A prospective cohort study design was applied to the study of all presenting cases of OHCA between February 2014 and March 2015 in the NA Northern Emirates service area of the UAE.3 A literature search was also performed. The study complies with the Declaration of Helsinki and received ethical approval from the Office of the Chief Medical Advisor, NA LLC. The implementation of the PAROS study has received various institutional review board approvals from the countries involved in the PAROS study to which NA LLC is a contributing member. AMBULANCE UK - AUGUST

Emergency medical technicians who provided care for cardiac arrest patients completed PAROS data collection forms specifically designed for this study and approved by PAROS, which were then reviewed by the PAROS coordinator in the NA. Data requiring clarification such as dispatch and arrival times were cross-referenced with dispatch information before entry into PAROS database. All cases of OHCA treated by the EMT crews

144

Figure 1 - Age distribution and frequency of OHCA cases in Northern Emirates, UAE between 2014 and March 2015. OHCA - Out-of-hospital cardiac arrest, UAE - United Arab Emirates

Disclosure: Authors have no conflict of interests, and the work was not supported or funded by any drug company.

1208

Saudi Med J 2016; Vol. 37 (11)

www.smj.org.sa

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145

FEATURE

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AMBULANCE UK - AUGUST

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“It’s simple and easy to use, and it’s small and compact.” Dr. Charles Lick, Medical Director, Allina Medical Transportation

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FEATURE Prehospital cardiac arrest in the UAE ... Batt et al The finding suggests gender variation in age of OHCA presentation.

call in tended 75% of cardiac arrival scene Male patients to be youngerarrests. than theTime femaleto patients (49at years was p=0.029). missing There for 4were cases. Almost allage, patients versusdata 55 years, missing data for or datewere of

transported to the hospital (n=382; 99.5%) by NA birth for 12 of cases, these cases were excluded for analysis. Patients crews,were with 2 patients pronounced dead theSDscene age ranged <1 year to 95 years old (mean age: 50.9 at years, a physician. OHCArange cases[IQR]: presented to ± 21.1by years, median: 53Data years, for interquartile 35.5, 65.0)

Characteristics

Population (n=384) n (%)

Age (years) Mean±SD 50.9±21.1 Median (IQR) 53 (35.5, 65.0) Gender Male 291 (76.0) Female 93 (24.0) Past medical history Heart disease 53 (13.8) Diabetes mellitus 63 (16.4) Hypertension 56 (14.6) Yes, but unknown 152 (39.6) Location type Home residence 208 (54.2) Healthcare facility 10 (2.6) Public/commercial building 36 (9.4) Street/highway 71 (18.5) Industrial place 20 (5.2) Transport centre 1 (0.3) Place of recreation 22 (5.7) In EMS/private ambulance 2 (0.6) Others 14 (3.6) Time from receipt of call to scene arrival (mins) Median (IQR) 9 (6.1) Arrest witnessed Not witnessed 140 (36.4) Bystander 212 (55.2) EMS 30 (7.8) First arrest rhythm VT/VF/unknown shockable 67 (17.5) Unknown unshockable 94 (24.5) Asystole 146 (38.0) Pulseless electrical activity 14 (3.6) Unknown 63 (16.4) Prehospital intervention Bystander CPR 115 (30.0) Prehospital defibrillation 181 (47.1) Bystander AED application 2 Bystander defibrillation 0 Time to first shock from EMS arrival (mins) Median (IQR) 8 (3.2) Prehospital advanced airway Oral/nasal endotracheal tube 5 (1.3) Laryngeal tube airway 2 (0.6) Laryngeal mask airway 1 (0.3) iGel 314 (81.8) None 62 (16.1) Location of cardiac arrest by Emirates Al-Sharjah 174 (45.3) Ras al-Khaimah 56 (14.6) Ajman 51 (13.3) Al-Fujairah 34 (8.8) Umm al-Quwain 16 (4.2) Unknown 53 (13.8) Outcomes ROSC prehospital 12 (3.1) ROSC in emergency department Survived to admission Not available Survived to discharge Not available Post arrest CPC 1/2 Not available EMS - emergency medical services, VF - ventricular fibrillation, VT - ventricular tachycardia, CR - cardiopulmonary resuscitation, RSC return of spontaneous circulation, CPC - cerebral performance category, CPR - cardiopulmonary resuscitation, AED - automated external defibrillator, IQR - interquartile range, ROSC - return-of-spontaneouscirculation

ROSC rate was observed in-hospital during, or immediately after EMS

hand-over. This percentage group is not included in the data analysis. Full Utstein style7 of reporting data is shown in Figure 4.

was inserted in 322 cases (84%) with the most commonly used airway device being the iGel (Intersurgical Ltd., UK). A total of 181 cases had

A mechanical CPR device (LUCAS-2, Physio-Control Inc., USA) was

defibrillation attempted (47.1%) onSaudi a shockable rhythm at some 1209 www.smj.org.sa Med J 2016; Vol. 37 (11) stage,

applied in 273 cases (71%) by EMTs. A supraglottic airway device

either on-scene or en-route to receiving facility.

AMBULANCE UK - AUGUST

the to Emergency Departments (ED) by means other than (Figure 1). NA crews is unavailable for this study period as hospital sites did not begin collecting OHCA data until March Males comprised of 76% (n=291). Patients enrolled in this study with 2015. known chronic illnesses represented 78.1% of the study population. A total of 212 incidents were witnessed by a Reported chronic illnesses included known history of diabetes mellitus, bystander (55.2%) and 30 events were witnessed by cardiovascular disease, renal disease, and respiratory diseases. the NA EMTs (7.8%). There were 140 incidents that Individuals from the Indian subcontinent represented the largest group were not witnessed (36.4%). Data was missing for 2 of OHCA, accounting for 38.8% of all cases (n=149) while patients incidents. Cardiopulmonary resuscitation (CPR) advice from other Arab countries represented 23.7% (n=91) of all cases. The was offered by ACC call-takers and dispatchers to all UAE nationals accounted for 16.7% (n=64) of cases. Further patient callers once a diagnosis of cardiac arrest was confirmed characteristics are outlined in Table 1. or suspected, utilizing King County CBD. Of this, a total of 268 (69.9%) callers acknowledged using these Of the 384 OHCA cases, over half occurred at a home residence (n=208; CPR instructions. 54.2%). The next most common location was on a street, or highway Bystander CPR was attempted in 30% (n=115) of (n=71, 18.5%). Other locations are summarized in Table 1 and Figure 2. cases as confirmed by NA crews on arrival at scene. A bystander automated external defibrillator (AED) was The median response time was 9 minutes from receipt of emergency applied in only 2 cases, and no shocks were delivered in medical call to arrival of the crew at the scene (IQR: 6, 14). An either case. Only 67 patients (17%) were in a shockable ambulance arrive at scene within 14 minutes of receipt of an emergency rhythm at time of first rhythm analysis. The prevalence medical call in 75% of cardiac arrests. Time to arrival at scene data of presenting rhythms is outlined in Figure 3. was missing for 4 cases. Almost all patients were transported to the Of the total 382 patients transported to ED, 370 hospital (n=382; 99.5%) by NA crews, with 2 patients pronounced patients were transported with no record of ROSC at dead at the scene by a physician. Data for OHCA cases presented to any stage pre-hospital. An overall out-of-hospital (at the to Emergency Departments (ED) by means other than NA crews scene, or en-route) return-of-spontaneous-circulation is unavailable for this study period as hospital sites did not begin (ROSC) rate of 3.1% (n=12) was observed. In addition collecting OHCA data until March 2015. a further 2.3% ROSC rate was observed in-hospital during, or immediately after EMS hand-over. This A total of 212 incidents were witnessed by a bystander (55.2%) and 30 percentage group is not included in the data analysis. events were witnessed by the EMTs (7.8%). There were 140 incidents Full Utstein style7 ofNA reporting data is shown in Figure 4. that were not witnessed (36.4%). Data was missing for 2 incidents. A mechanical CPR device (LUCAS-2, PhysioCardiopulmonary resuscitation (CPR) advice was offered by ACC callControl Inc., USA) was applied in 273 cases (71%) takers and dispatchers to all callers once a diagnosis of cardiac arrest by EMTs. A supraglottic airway device was inserted in was confirmed or suspected, utilizing King County CBD. Of this, a total 322 cases (84%) with the most commonly used airway of 268 (69.9%) callers acknowledged using these CPR instructions. device being the iGel (Intersurgical Ltd., UK). A total of 181 cases had defibrillation attempted (47.1%) on Bystander CPR was attempted in 30% (n=115) of cases as confirmed a shockable rhythm at some stage, either on-scene or by NA crews on arrival at scene. A bystander automated external en-route to receiving facility. The median time to first defibrillator (AED) was applied in only 2 cases, and no shocks were shock from arrival of EMTs at the patient’s side was 8 delivered in either case. Only 67 patients (17%) were in a shockable minutes (IQR 3,16). All patients were transported to rhythm at time of first rhythm analysis. The prevalence of presenting tertiary level centers. Cardiopulmonary resuscitation rhythms is outlined in Figure 3. quality data was not collected for the study period. A total of 12 cases gained ROSC at some stage in the Of thepre-hospital total 382 patients transported ED,these 370 patients setting. Eightto of cases were had bystander transported with no record of ROSC at any stage pre-hospital. An(67%). overall CPR performed prior to ambulance crew arrival out-of-hospital (at scene, or en-route) return-of-spontaneous-circulation Seven of the ROSC group were female (58%) and the (ROSC) rate ofage 3.1% (n=12) observed. In addition 2.3%at a mean was 42.was Seven of these casesa further occurred

Table 1 - Patient demographics, out-of-hospital cardiac arrest (OHCA) characteristics and outcomes of OHCA cases in Northern Emirates, United Arab Emirates between February 2014 and March 2015.

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FEATURE Prehospital cardiac arrest in the UAE ... Batt et al

Discussion

Figure 2 - Location of out-of-hospital cardiac arrest (OHCA) cases in Northern Emirates, Arab Emirates between February 2014 and March 2015.

AMBULANCE UK - AUGUST

1210

The median age found in our study corresponds with data recently published from our colleagues in the Dubai PAROS data collection site (Dubai Corporation for Ambulance Services), who report a median age of 50.0 years (IQR 38.0, 63.0). Males accounted for 82.7% (n=405) of all arrests in the emirate of Dubai, and again, the majority of arrests (n=220, 54.3%) occurred at home. Of these 405 arrests, 205 (50.6%) were witnessed, similar to our findings. However, bystander CPR was only performed in 41 (10.5%) OHCA cases in Dubai. The majority of arrests in Dubai (n=362, 89.4%) were presumed cardiac in nature. Hospital survival data is available for Dubai, and an overall survival to discharge rate of 3% (n=12) with a cerebral performance score (CPC) of 1 or 2 in 11 (2.7%) of these cases.2

Many of the witnessed arrests in our study had a large delay in time before activation of the emergency response system. The reasons for this are unknown, but it could be hypothesized from previous studies and anecdotal reports provided by NA crews that many members of the public simply do not understand the time-critical nature of cardiac arrest, and may have trouble identifying the patient who needs immediate medical assistance. Utilisation of ambulance services Figure 3 - Prevalence of presenting in out-of-hospital cardiac arrest (OHCA) cases in Northern Emirates, Arab Emirates in general is low in the Arab gulf between February 2014 and March 2015. VT - VT - ventricular tachycardia, PEA - pulse less electrical activity, region, as demonstrated in a study VF - ventricular fibrillation in 2013, where only 25% of patients presenting to the ED with acute The median time to first shock from arrival of EMTs at the patient’s side coronary syndrome arrived via ambulance.8 Cultural norms regarding death was 8 minutes (IQR 3,16). All patients were transported to tertiary level at home and being taken to the hospital may also have influenced the delay centers. Cardiopulmonary resuscitation quality data was not collected in seeking help. for the study period. Saudi Med J 2016; Vol. 37 (11)

www.smj.org.sa

A total of 12 cases gained ROSC at some stage in the pre-hospital setting. Eight of these cases had bystander CPR performed prior to ambulance crew arrival (67%). Seven of the ROSC group were female (58%) and the mean age was 42. Seven of these cases occurred at a home residence (58%), 2 at a healthcare facility, 2 in a public/ commercial building (17% each) and one in a place of recreation (8.3%). Seven had a mechanical CPR device applied (58%), and nine had an advanced airway inserted (75%).

The relatively low rate of bystander CPR may also be attributed to cultural norms, as highlighted in a study of CPR and AED utilization in Bahrain.9 It may also be attributed to a lack of knowledge surrounding first aid and CPR in general. There is also no established, coordinated public access defibrillator scheme in the UAE. Although there are leadership wishes to promote public access defibrillation, take up of the initiative in the UAE has been suboptimal. Many members of the public are also afraid or hesitant to intervene and assist a person in need due to lack of knowledge, fear of litigation and uncertainty surrounding ‘Good Samaritan’ status.

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149

FEATURE Prehospital cardiac arrest in the UAE ... Batt et al

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Figure 4 - Full Utstein reporting data in Northern Emirates, Arab Emirates between February 2014 and March 2015. EMS - Emergency Medical Service, BLS - Basic Life Support, VF - ventricular fibrillation, ROSC - return-of-spontaneous-circulation, VT - ventricular tachycardia, ASYS Asystole, CPR - cardiopulmonary resuscitation, AED - automated external defibrillator, DC - survival to discharge, 3od - survival at 30 days, MRS - modified Rankin Scale, mm;ss - time in minute:seconds format, vent - ventilations, DNAR - did not attempt resuscitation

While a stand-alone â&#x20AC;&#x2DC;Good Samaritanâ&#x20AC;&#x2122; law does not exist within the UAE,

by all people in accordance with Sharia law. In accordance with this Fatwa,

a Fatwa issued in 2010 by the Official Iftaa Center, General Authority of

no criminal liability will attach to an individual, in respect of Sharia and UAE www.smj.org.sa Saudi Med J 2016; Vol. 37 (11) 1211 law, when they provide first aid to someone in need.10

Islamic Affairs & Endowments states that first aid should be administered

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FEATURE The high incidence of cardiac arrests occurring in the emirate of Al-Sharjah

low rates of bystander CPR, and the poor availability of public-access

can possibly be attributed to a number of factors, but requires urgent

defibrillators. Further collaborative research is urgently needed on the

further research. The emirate of Sharjah is home to a large expatriate

topic of OHCA in the UAE as the current literature on the topic is sparse.

population, with over 37% from the Indian subcontinent (India, Pakistan, and Bangladesh).11 This population are prone to developing CHD at a

Acknowledgment: The authors would like to acknowledge the Pan-

younger age, a risk factor for OHCA. We cannot say this is a certain factor

Asian Resuscitation Outcomes Study (PAROS) steering committee and

that influences the cardiac arrest rate in this Emirate, the proportion of

all National Ambulance staff for their engagement with the PAROS study.

emergency medical calls within the Emirate of Sharjah is indeed higher than other areas of the Northern Emirates service area. This could also partly be due to building design in the larger cities, which are home to many high-rise buildings, an independent predictor of OHCA survival.13 The results from this one-year of data collection support the implementation of certain initiatives. Ong et al6 identified 5 potential strategies for improving survival rates in the participating PAROS countries.These include widespread community-based and systemic efforts to increase bystander CPR; investing in Public Access Defibrillation schemes, having a BLS EMS system, but investing in reducing response times; developing Advanced Life Support EMS systems and investing in hospital-based post-resuscitation care (cardiac arrest centers).The findings from this study support the continued need for system investment, public engagement and education and awareness campaigns for the general public and healthcare professionals on rapid recognition and management of OHCA. An interdisciplinary approach is essential to reduce mortality from OHCA. This approach needs to be guided by data. This data limitation is currently being addressed, since the findings of this study were collated, the NA LLC has worked with hospital sites in the Northern Emirates service area, who have begun the process to collect and enter OHCA data into the PAROS database. This will allow for construction of datasets representing all prehospital cardiac arrest cases in the UAE. By engaging a data collection site of PAROS, a clearer picture of OHCA outcomes in the UAE will be available in the future. The primary outcome data that will be available through publication of full PAROS datasets will be survival to hospital discharge, or survival to 30 days post-cardiac arrest for those who have not yet been discharged from the hospital by the 30th day post-arrest, along with CPC on discharge. There are several limitations to this study that need to be highlighted. Data collection was limited to data collected by NA crews in the prehospital setting utilizing PAROS forms and patient care records. Limited data was obtained on other prehospital variables, such as time from arrest to hospital, cases which were transported by other means, and any performed interventions during these transports. The cause of arrest was not confirmed by post-mortem examination due to the cultural standards. A significant number of OHCA cases might still arrive at a hospital via private transport rather than by transport in an ambulance. Some of these cases may have been attended to by primary care/community care providers, AMBULANCE UK - AUGUST

pronounced dead at home, or not be conveyed to hospital at all. This possibly resulted in incomplete enrolment of patients into our study, which may introduce selection bias. Our own data collection is incomplete for several variables, and may not be totally representative of the true situation. Our inability to discuss findings beyond the prehospital care phase, and the missing data in Utstein reporting as a result, is an obvious limitation. In conclusion, the data collected in this study documented a low ROSC rate for OHCA patients in the Northern Emirates. The findings of this study are to be expected given the low prevalence of early EMS activation,

References 1. Bin Salleeh H, Gabralla K, Leggio W, Al Aseri Z. Out-of-hospital adult cardiac arrests in a university hospital in central Saudi Arabia. Saudi Med J 2015; 36: 1071-1075. 2. Ong MEH, Shin S Do, De Souza NNA, Tanaka H, Nishiuchi T, Song KJ, et al. Outcomes for out-of-hospital cardiac arrests across 7 countries in Asia: The Pan Asian Resuscitation Outcomes Study (PAROS). Resuscitation 2015; 96: 100-108. 3. Batt A, Al-Hajeri A, Minton M, Haskins B, Cummins F. National Ambulance Northern Emirates PAROS Study Annual Report 2015. Abu Dhabi (UAE): Pan-Asian Resuscitation Outcomes Study (PAROS); 2015. 4. Loney T, Aw T, Handysides D, Raghib A, Blair I, Grivna M, et al. An analysis of the health status of the United Arab Emirates: the “Big 4” public health issues. Glob Health Action 2013; 1: 1-8. 5. Euromonitor International. United Arab Emirates country profile [Cited 2013 December 6]. Available from: http://www.hdcglobal. com/upload-web/cms-editor-files/21bc5b40-5eff-40e8-b4ff5b6a20931fed/file/United_Arab_Emirates_Country_Profile.pdf 6. Ong ME, Shin SD, Tanaka H, Ma MH, Khruekarnchana P, Hisamuddin N, et al. Pan-Asian Resuscitation Outcomes Study (PAROS): rationale, methodology, and implementation. Acad Emerg Med 2011; 18: 890-897. 7. Perkins GD, Jacobs IG, Nadkarni VM, Berg RA, Bhanji F, Biarent D, et al. Cardiac arrest and cardiopulmonary resuscitation outcome reports: update of the Utstein Resuscitation Registry Templates for Out-ofHospital Cardiac Arrest: a statement for healthcare professionals from a task force of the International Liaison Committee on Resuscitation (American Heart Association, European Resuscitation Council, Australian and New Zealand Council on Resuscitation, Heart and Stroke Foundation of Canada, InterAmerican Heart Foundation, Resuscitation Council of Southern Africa, Resuscitation Council of Asia); and the American Heart Association Emergency Cardiovascular Care Committee and the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation. Circulation 2015; 132: 1286-300. 8. AlHabib KF, Alfaleh H, Hersi A, Kashour T, Alsheikh-Ali AA3, Suwaidi JA, et al. Use of emergency medical services in the second gulf registry of acute coronary events. Angiology 2014; 65: 703-709. 9. Merrigan OH. Abstract 229: Are there any cultural barriers to automated external defibrillator use in Middle Eastern Countries? Circulation 2015; 124 (Suppl 21): A229-A229. 10. Kelly R. “Good Samaritan” principles in the UAE : legal liabilities when administering first aid. [Cited 2015 Jun 14]. Available from: http://www.clydeco.com/insight/updates/view/good-samaritanprinciples-in-the-uae-legal-liabilities-when-administering-f 11. Khamis J. Indians, Pakistanis make up 37% of Dubai, Sharjah, Ajman population. Gulf News [Internet]. Abu Dhabi; 2015 Aug 6; Available from: http://gulfnews.com/news/uae/society/indians-pakistanis-makeup-37-of-dubai-sharjah-ajman-population-1.1562336 12. Enas E, Garg A, Davidson M, Nair V, Huet B, Yusuf S. Coronary heart disease and its risk factors in first-generation immigrant Asian Indians to the United States of America. Indian Heart J 1996; 48: 343-553. 13. Drennan IR, Strum RP, Byers A, Buick JE, Lin S, Cheskes S, et al. Out-of-hospital cardiac arrest in high-rise buildings: delays to patient care and effect on survival. CMAJ 2016; 188: 413-419.

152 For more news visit: www.ambulanceukonline.com

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NEWSLINE

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Trust invests in fleet with purchase of new ambulances

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Logistics, John Griffiths said:

new calendar year. They are then

“I’m delighted we’ve been able to

One week. Two colours. As

throughout the week and all the

expected to be rolled out at a rate

place this order which will bring

many challenges as you can

activities our supporters are

of four vehicles each week.

obvious benefits to the Trust and

think of.

getting up to. Which colour will

which colour is doing the best

you choose?

of course patients. The purchase The vehicles follow the design

follows a review of our fleet and

During National Air Ambulance

of the Trust’s other ambulances

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NEWSLINE GMB offers guarded welcome to extended 999 ‘dispatch on disposition’ times – but it’s no magic bullet to solve years of underfunding

decision on whether to send an

we need to tread incredibly

ambulance or a paramedic in a

carefully.

car to an emergency. “Patient safety is always the The new method has been

number one priority.

trialled for cases where life was not immediately in danger in

“Extending the time to consider

three areas.

calls can’t be used to try to do more with less.

But recent ambulance waiting times show that the 75%

“Measures to reduce the

target for emergency response

pressure on our members

The Department of Health’s

reaching patients within 8

are cautiously welcome, but

announcement must be

minutes for the most serious

there are multiple reasons for

accompanied by more

cases was missed again in May.

ambulance response times

resources for 999 staff - not less

getting worse, including rising GMB says the NHS needs

demand triggered by cuts to

GMB, the union for ambulance

proper funding, more vehicles,

preventative social care.

staff, has cautiously welcomed

training and a recruitment drive

extended dispatch times for

to tackle the real problem.

call handlers – but says the

“The shocking figures, driven by years of underfunding, show

changes don’t get to the root of

Rehana Azam, GMB National

that there can be no room for

the problem of missed targets.

Secretary for Public Services,

complacency.

said: The Department of Health today

“The Department of Health’s

announced 999 call handlers

“While we welcome the

announcement must be

will be given 240 seconds rather

additional time to secure the

accompanied by more resources

than 60 seconds to make the

right response to 999 calls,

for 999 call staff - not less.”

“Patient safety is always the number one priority. Extending the time to consider calls can’t be used to try to do more with less.”

AMBULANCE UK - AUGUST

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NEWSLINE Management”, “Non-drug Pain

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NEWSLINE WAS

Welsh Ambulance Service celebrates 80 years of 999 The Welsh Ambulance Service is celebrating the 80th anniversary of 999 by shining a spotlight on its Clinical Contact Centre staff. The world’s oldest emergency call telephone service was first launched on 30 June 1937, following a government inquiry as a result of a fire at a London doctor’s surgery, which claimed the lives of five people. To mark the occasion, the Trust has paid tribute to the dedication and commitment of staff working in its three Emergency Clinical Contact Centres (CCCs) in Llanfairfechan, Carmarthen and Cwmbran. Working under the direction of a shift manager, call handlers receive emergency or urgent calls to the service using the Medical Priority Dispatch System, and take the essential details from the caller. Allocators dispatch resources to calls and decide on the type of response needed and, if appropriate, dispatch the nearest emergency ambulance, rapid response vehicle, Community First Responder or helicopter. There are also clinicians in the CCCs who can undertake a further clinical telephone assessment of suitable patients.

AMBULANCE UK - AUGUST

As part of the anniversary, two call handlers have shared their experiences of what it’s like to work in such a fast-paced environment. Cwmbran-based call handler Nathan Hughes described how he enjoys the varied natured of his work and once helped a father to deliver his baby at the side of a road. He also explained the drive to

help others which led him to give up his previous careers as a researcher and journalist to pursue his current role.

toothache or they’ve cut their finger. I think there’s still a lot of work to do around public education.”

“I try and explain that we need to be with the sickest people first but they are so angry that they don’t listen.

Nathan said: “No two days are the same as a call taker for the Welsh Ambulance Service. You know it’s been a good shift when you’ve helped to deliver a baby.

Meanwhile call handler Hannah Williams from Bangor, who now lives and works in Llanfairfechan, has described what she loves most about her job.

“No matter what else you encounter on that shift, you leave on a massive high. I helped to deliver a baby at the side of a dual carriageway once.

She said: “I don’t really have a typical day, it varies so much. I seem to attract the majority of the same calls, lots of falls and chest pain. I never had a pregnancy then I had three in one day.

“I think to become a call handler you need to be compassionate, empathetic but calm at all times and you can’t let the calls affect you. They have come to you for help so you need to remain professional at all times.”

“To hear the joy in the father’s voice afterwards was brilliant. I’ve delivered eight babies during my time with the Trust – none of them were called Nathan though, unfortunately. “I became a call taker because I wanted a new challenge. It was an unlikely leap to the ambulance service but I’d volunteered as a Community First Responder for a couple of years and I found that I really enjoyed helping people.” Nathan, who referees rugby games in his spare time and has also appeared on TV quiz shows Pointless and Eggheads, said that dealing with life-threatening situations can be tense. But he described the feeling when there has been a positive outcome as ‘unbeatable’. He said: “Telling someone how to perform CPR can be especially challenging. It’s a balance between providing reassurance and also being assertive because someone’s life is on the line.

“There are great parts to my job and I love it when someone is in a difficult situation and they turn to us for help. “Some of the people I have helped have really stuck with me as they have been so grateful and appreciative. It always makes me realise why I do this job.” One frustration shared by Hannah and her colleagues is the verbal abuse they sometimes receive from callers. However, she added that while it was difficult to hear, you need to have a caring manner and to understand the difficult situation the caller might be facing to excel in the role. She said: “They don’t treat you as a real person and they think if they abuse and shout at you then the ambulance will get there quicker.

Richard Lee, the Trust’s Director of Operations, said: “As we celebrate the 80th anniversary of 999, we would like to thank all of our dedicated colleagues working in our Clinical Contact Centres for the vital role they play in caring for patients. “They save the lives of people across Wales day in, day out, keeping a calm head and providing help and guidance when often faced with challenging situations. “Rather than sending an ambulance for every call, we also have clinicians who use their knowledge and skills to assist suitable patients over the phone. That might involve referring them to a more appropriate service such as their local GP or offering selfcare advice instead. “It’s only right that we use this occasion to recognise the achievements and commitment of all our Clinical Contact Centre staff.”

“We get training for this but a lot of it comes with experience too. You speak to people in their most horrendous hour but when you know you’ve saved a life, nothing beats that feeling. “Of course, there are frustrations too. Despite your best efforts, the person you’re trying to help may not survive. “It’s also frustrating when people call 999 because they have

Welsh Ambulance Service call handlers Nathan Hughes and Hannah Williams

158 For further recruitment vacancies visit: www.ambulanceukonline.com

NEWSLINE EEAST

Hertfordshire hotel commended by ambulance service following care home blaze

who had suffered a range of

help those in their community

injuries from burns to smoke

speaks volumes.

inhalation.

“I’d also like to thank all of our staff for their efforts on the day

In the following hours of the

as well as our fire and police

terrible incident, the Cheshunt

colleagues. Together we all

Marriott Hotel Marriot opened its

worked as one to provide the

doors to provide shelter, food, and water for the emergency

Hotel staff have been awarded

service staff and patients

a commendation from the

– something that has been

region’s ambulance service

credited by bosses at EEAST.

for their care and compassion in the aftermath of a serious

On Tuesday, 27th June

care home fire.

Senior Locality Manager Clive Goodson and Duty Locality

In the early hours of 8th April,

Officer Carol Jones presented

medics from the East of

the commendation to General

England Ambulance Service

Manager Michael Regenhardt.

NHS Trust (EEAST) were

best possible care for all those who needed it.” Michael said: “The hotel is and has been a part of the Hertfordshire community for more than 20 years. It is one of Marriott’s overriding philosophies that a community supports each other and on 8th April it was our pleasure to provide shelter and provisions to the residents of

dispatched to the major incident

Clive said: “I’d like to thank the

on Cadmore Lane, Cheshunt,

hotel and all of the staff for the

the Newgrange Residential

which sadly claimed the lives of

compassion they showed not

care home in their distressing

two people.

only to our colleagues but also

hour of need whilst assisting

to the patients. It was a tragic

the emergency and social care

Medics worked tirelessly with

incident in which we sadly saw

services at the same time so

from the fire and police service

two people not survive, but for

that they can concentrate on the

colleagues to treat 33 patients

the staff to show willingness to

difficult tasks at hand.”

“I’d also like to thank all of our staff for their efforts on the day as well as our fire and police colleagues. Together we all worked as one to provide the best possible care for all those who needed it.”

AMBULANCE UK - AUGUST

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17/07/2017 14:52

159

NEWSLINE potential cardiac arrest at the

LAS

‘ETCO2 is safe, noninvasive, inexpensive, and rapidly performed at the bedside. It is an essential tool for evaluating patients in the emergency setting’.* *Capnography for the Nonintubated Patient in the Emergency Setting. Craig A. Manifold, CA, et al. J Emerg Med. 2013;45(4):626-632.

Life-saving defibrillators rolled out across London thanks to emergency services partnership

same time as ambulance crews, which means that if they reach the patient first, or are already on scene, they can begin providing life-saving treatment until a skilled clinician arrives. Based on results from the pilot,

An initiative led by London

it is estimated the scheme could

Ambulance Service and

save dozens of lives each year.

Metropolitan Police Service which sees defibrillators added

Sue Warner, Strategic Health

to over 700 police response

& Safety Adviser from the

vehicles and police stations

Metropolitan Police Service said:

across the Capital was rolled

“We are delighted to be working

out from 10 July.

with the London Ambulance Service to save lives across

Are you monitoring ETCO2

team vehicles and station offices

someone is in cardiac arrest, will

with this essential life saving

allow police officers to respond

equipment will enable over 1320

to life-threatening emergencies

officers to respond to these

alongside ambulance crews and

critical life or death emergency

see even more public access

calls.” This initiative is the latest to

Intersurgical’s Sentri range permits the sampling of exhaled carbon dioxide in non-intubated patients during the administration of supplementary oxygen.

•

London. Equipping our response

is used to restart the heart when

defibrillators on London’s streets.

in non-intubated patients?

•

The life-saving equipment, which

Chris Hartley-Sharpe, Head of

be supported by the London

First Responders at London

Ambulance Service to increase

Ambulance Service said, “Every

cardiac arrest survival rates

second counts when someone is

in the Capital. Between 2012

in cardiac arrest. The only way to

- 2017 the number of public

restart a heart is with a defibrillator

access defibrillators in London

so the sooner one arrives with

has increased by 350 per cent

someone trained to use it, the

following work by the Service to

better the outcome for the patient.

raise awareness and availability of defibrillators.

Sentri ETCO2 medium concentration mask Sentri ETCO2 nasal cannula

“While we will always send an ambulance response as a priority,

Recently, the Service embarked

by working together with the police

on an exciting new partnership

service we can ensure patients

with the internationally acclaimed

in cardiac arrest receive vital

GoodSAM app, in which clinically

treatment as quickly as possible.”

trained ambulance staff and members of the public trained to

AMBULANCE UK - AUGUST

For further information please visit www.intersurgical.co.uk/info/sentri

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As part of the initiative,

an approved standard are able to

police officers equipped with

defibrillators, who are available

to life-threatening emergency

to respond, will be alerted to a

calls, including cardiac arrests.

“Equipping our response team vehicles and station offices with this essential life saving equipment will enable over 1320 officers to respond to these critical life or death emergency calls.”

160 AMBULANCE_UK_07.17_sentri.indd 1

11/07/2017 13:35 For more news visit: www.ambulanceukonline.com

NEWSLINE medical technicians Emily Wallis

Speaking at the reunion Storm

Bedfordshire man praises lifesaving medics in emotional reunion

and Julia Horswell.

said: “I asked everyone what

huge explosion. Laura said:

Storm admits it still hasn’t sunk

A man who was critically

“It was like something out of

in but he has grown closer to

injured in a high speed

a Hollywood movie, I was not

his family, and has recently

collision on the M1 last year

expecting it at all.”

raised more than £1,000 for

EEAST

gift I should bring? But how do Storm was pulled clear of the

you thank someone for saving

burning wreckage by Laura

your life? You can’t.”

and Phil moments before a

the Imperial Health Charity in a

has recently been reunited with the medics who fought to

Phil said: “It was a chaotic

skydive. He said: “It wasn’t until

save his life.

scene with lots of debris and

a close friend said, ‘I thought

fire, but the team were fantastic

you were gone’, that I realised

in the face of it all.”

how close I was to dying.”

Storm was taken to St

He added: “I truly appreciate

Mary’s Hospital before being

how lucky I am and also the

transferred to Hammersmith

efforts of the medics, it means

Hospital. He lost 45 percent of

the world to me and my family.”

Storm Warner (22), from Dunstable, was hospitalised following a 100mph collision with a truck in the early hours of the morning on 9th June. Medics from the East of England Ambulance Service

his liver and was placed into

NHS Trust (EEAST) arrived

a coma for more than three

Laura said: “It was great to

within six minutes of the call in

weeks. Doctors said it was a

meet him again and to see

the form of Paramedic Laura

miracle that he was walking

him doing so well, as well as

Wallace, Duty Locality Officer

before then end of the year let

hearing about all the charity

Phil Smith, and emergency

alone to survive the ordeal.

work he has been doing.”

“It was a chaotic scene with lots of debris and fire, but the team were fantastic in the face of it all.”

See us at the EMERGENCY SERVICES SHOW on Stand H31

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10/07/2017 10:31

161

NEWSLINE air ambulance bases across the

Appeal for our new airfield lighting

are delighted to have been able

country.

is extremely welcome. The safety

to provide further funding for

of our aircraft is imperative and

the Wiltshire Air Ambulance,

This donation follows the

this new portable lighting will aid

and are pleased our donation

£250,000 funding that the HELP

our pilots and paramedics when

will ensure the safe takeoff and

Appeal has already pledged for

tasking to an incident and when

landing of the Air Ambulance at

Wiltshire Air Ambulance’s helipad

arriving back at base in Devizes in

their current airbase.

and associated costs at its new

the hours of darkness. We fly up

airbase at Outmarsh Farm,

to 19 hours a day, until 3am, so

“The Wiltshire Air Ambulance

secured funding and taken

Semington, which is currently

airfield lighting is essential to our

has been providing an

delivery of a new airfield lighting

under construction.

operation.

outstanding service for many

helicopter whilst taking off and

The new LED lighting units are

“The portable lighting will be

to be able to provide this

landing safely at its airbase in

placed on the ground to mark the

taken to our new airbase at

additional funding of £6,950,

Devizes at night.

aiming point and wind direction

Semington as part of the lighting

on top of our £250,000 grant,

for helicopter departures and

infrastructure when we move there

which will allow the airbase

The purchase of the new lighting,

arrivals from its base at Police

next year. We are so grateful to the

to continue to run at night –

a HEMS-Star portable helipad

Headquarters, Devizes. The new

HELP Appeal for enabling us to

saving more lives than ever

lighting system, has been funded

lighting has been supplied by FEC

purchase the new airfield lighting

before. Time is life, and just

by a donation of £6,950 from

Heliports Worldwide Limited, of

and for the £250,000 it is donating

a few minutes saved for air

the HELP Appeal. The HELP

Chesham, Buckinghamshire.

for the helipad and associated

ambulances to reach an

costs at our new airbase.”

incident can make all the

Lighting up Wiltshire Air Ambulance’s airfield thanks to the HELP Appeal Wiltshire Air Ambulance has

system that will assist its

years, and we are delighted

Appeal is the only charity in the UK that funds the development

Kevin Reed, Head of Operations

of helipads at Major Trauma

at Wiltshire Air Ambulance, said:

Robert Bertram, Chief Executive

recovery of a patient in critical

Centres, key A&E hospitals and

“The donation from the HELP

of the HELP Appeal, said: “We

care.”

difference to the survival and

AMBULANCE UK - AUGUST Kevin Reed, Head of Operations at Wiltshire Air Ambulance (left), and Mike Doran, Sales Consultant of FEC Heliports Worldwide Ltd, with the new portable helipad lighting system funded by a donation by the HELP Appeal.

162 For further recruitment vacancies visit: www.ambulanceukonline.com

NEWSLINE

AMBULANCE UK - AUGUST

163 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.

NEWSLINE

We never forget you’re the one

saving a life.

AMBULANCE UK - AUGUST

164

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For more news visit: www.ambulanceukonline.com

NEWSLINE Hazardous Area Response Team

were the top performing ambulance

Despite increasing demand the

paramedic Gemma Taylor, who

service in the country for reaching

Service is reaching patients more

responded to the London Bridge

these patients within eight minutes

quickly than a year ago and is one

attack and the fire at Grenfell

– against a backdrop of record

of the better performing trusts in

Tower, said: “It can be a really

demand.*

the UK.*

incidents affect everyone who

Chairman Heather Lawrence,

Heather added: “We recognise

is involved. But we do this job

OBE, said: “We’re delighted and

there is still work to do over the

because ultimately we want to

proud that CQC recognise the

receiving ‘outstanding’ care

next few months.

help patients and their families

significant improvements since we

from London Ambulance

and I’m incredibly proud of what

were first inspected and we have

Service according to the Care

“The Trust Board, our new chief

I do. It’s amazing to know you’ve

made further improvements since

executive and his executive

Quality Commission (CQC)

made a difference.”

February. I’d like to thank all our

leadership team are completely

staff on the frontline, in the control

focussed on addressing the

Improvements have been made in

room and those in support roles

key actions highlighted in this

The report commends the ‘care

every one of the five inspected areas

for everything they have done to

report. We will continue to work

and compassion’ provided by

and the Service has moved up a

improve our service to patients

with our NHS partners and all

ambulance crews who ‘go the

rating to ‘requires improvement’.

over the last two years.

our staff to continue making the

extra mile’ for patients. CQC also

The report recognises sustained

acknowledged the unimaginably

progress has been made since the

“As the nation witnessed during

difficult circumstances ambulance

last inspection in February 2017,

recent events in London,

crews have worked in during the

including significant improvements

ambulance staff are always

last few months when they have

in emergency preparedness

ready to respond in often very

treated patients at the Grenfell

resilience and response. Our

difficult circumstances and we are

Tower fire and after terrorist

response to our most seriously

pleased CQC has recognised the

attacks at Westminster Bridge,

ill and injured patients has also

outstanding care we provide, as

London Bridge and Finsbury Park.

improved and by the end of April we

well as many other improvements.”

LAS

Patients receiving ‘outstanding care’ from London Ambulance Service Patients in the capital are

testing job – these types of

report published on 29 June.

improvements required.”

In an emergency you can always count on us

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165 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.

NEWSLINE EEAST

New focus on women’s interests at ambulance service The East of England Ambulance Service NHS Trust (EEAST) launched a women’s special interest group in unique style; with two of its female staff pulling off a feat of strength and determination in an ambulance pull challenge. The special interest group, who have appropriately named themselves AWE (All Women in EEAST) will explore in more depth the issues women face at work, and what can be done to break down barriers. By improving female representation in senior roles,

Speaking about the new group

say about how they achieved such

scheme explain more about

Lindsey Stafford-Scott, EEAST’s

a mammoth task and what they

why it is good news for patients.

Director of People and Culture said:

hope it will inspire in other women:

“The AWE group have set

“I still want to be able to pick up

Director for Acute Care at NHS

their sights high already and I

people at 68 years old, and I think

England, says that the Ambulance

am proud to support them in

this challenge will really show the general public and our colleagues

Response Programme was

achieving their goals.”

Professor Keith Willett, Medical

that we are strong women and we “It is widely recognised across

want to inspire other women to get

the NHS that there is a need to

strong and be healthy.” Sarah Ford

support more women into senior leadership positions and that the

“It’s as much about the heart

ambulance sector has less senior

and lungs as the strength, the

female representation than other

question isn’t necessarily can you

healthcare employers.”

move a heavy object, but can you keep it moving before your lungs

“In addition to encouraging

give out?” Emma-Louise

women to develop in their careers it is also recognised that learning

To see live footage from the

from women’s experiences

event, please go to: https://youtu.

can provide a great learning

be/_H_dLgvT3JI

opportunity for organisations to improve the workplace for all staff and create a more inclusive and supportive culture which is a key

accelerating gender pay equality,

aim for the Trust.”

and bringing about real, tangible,

“Establishing this group is the first

positive changes the group hope

in a number of important steps the

to start a ripple effect that will go

Trust has taken toward celebrating

on to benefit the Trust’s entire

the women in its workforce and I

workforce.

look forward to seeing the positive impact this has in EEAST.”

Made up of operational and non-

Introducing the Ambulance Response Programme has enabled ambulance services to do the right thing

designed using the views of ambulance clinicians who want to do the right thing for patients: Prof. Jonathan Benger, National Clinical Director for Urgent Care at NHS England, says the new system of working is particularly focused on helping patients who are having a cardiac arrest, heart attack and stroke: WMAS Chief Executive, Anthony Marsh, says the statistics from the three pilot sites are clear; patients benefit from the new arrangements, not only from a faster response to those in most need, but also for those with less serious conditions: Martin Flaherty from the Association of Ambulance Chief Executives, which represents

The introduction of the

all 10 English Ambulance

Ambulance Response

Services, says staff will benefit

operational women in the Trust,

Paramedics Sarah Ford and

Programme will mean that

tremendously from the new

AWE also welcomes the support

Emma-Louise Bowen Hillson, the

more patients will be seen more

system of working, but just as

of men as mentors or guest

inspirational women behind the

quickly than ever before. Here,

importantly, the public should

speakers.

ambulance pull launch had this to

some of the experts behind the

have confidence in it.

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166 For more news visit: www.ambulanceukonline.com

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For more information, visit www.zoll.com/aed3. MCN PP 1603 0161-05 The ZOLL AED 3 is not available for sale in the U.S. or Canada. The product has not received regulatory clearance/approval from the U.S. Food and Drug Administration or Health Canada. ©2016 ZOLL Medical Corporation. All rights reserved. Program Management Onboard, Real CPR Help, ZOLL, and ZOLL AED 3 are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries.

For further recruitment vacancies visit: www.ambulanceukonline.com

NEWSLINE WAS

Triathlete thanks ‘guardian angels’ who saved his life A triathlete has thanked the ‘guardian angels’ who saved his

Collins arrived as back up in

“It was very sudden that Kerry

This includes via the Emergency

an emergency ambulance, he

went from being okay to going

Ambulance Service Committee’s

suddenly collapsed and went into

into cardiac arrest,” he said.

Ambulance Quality Indicators,

cardiac arrest.

which measure the number of “We defibrillated him immediately

cardiac arrest patients who are

Between them the team quickly

and carried out resuscitation and I’m

documented as having a return

administered an electric shock

glad there was a positive outcome.

of spontaneous circulation

with a defibrillator and carried

when they arrive at hospital.

out resuscitation, after which he

“He wrote a letter that was given to

arrest.

regained consciousness.

us afterwards, which was very nice.”

Kerry Jones was asleep at his

They then alerted staff in the

His colleague Chris, who is also

“Every second counts when a

a Clinical Team Leader based in

patient suffers a cardiac arrest

Neath, said: “It was quite lucky

and there’s no doubt that the

that we were there when Kerry

actions of Adrian, Chris and

went into arrest.

Lisa saved Kerry’s life that day.

“We had the defibrillator in our hands

“Early defibrillation and CPR

and shocked him within seconds.

are crucial parts of the chain of

We don’t always get feedback so it’s

survival, as well as the highly

fantastic to hear when there’s a good

skilled work of our hospital

outcome like that.”

colleagues.

As part of the Welsh Ambulance

“We would like to thank

Service’s new clinical response

Kerry for providing such kind

model, the Trust is monitored on

feedback and wish him well in

the standard of clinical care it

his bid to get back on track in

provides for patients like Kerry.

the triathlon.”

life after he suffered a cardiac

Richard Lee, the Trust’s Director of Operations, said:

home in Aberdulais, Neath Port Talbot, when he suddenly began experiencing chest pains in the

cardiac centre at Morriston Hospital in Swansea, before stabilising his condition and

early hours of the morning.

taking him there on blue lights.

The 54-year-old was concerned

Kerry was admitted to hospital in

that he was having a heart attack so decided to call the Welsh Ambulance Service. Paramedic Adrian Thomas arrived at his address in a rapid response car within six and a half minutes of the call.

the early hours of March 17th and underwent an operation to have a stent fitted to improve the blood flow around his heart. He spent three days in hospital and is now on the road to recovery having returned to his job in childcare. He has also

He provided treatment, including

vowed to continue taking part in

pain relief, and carried out an

triathlons in the local area.

electrocardiogram (ECG) to check his heart rhythm.

He said he was amazed at how quickly he received treatment and

Describing how he felt, Kerry said: “A

praised both the ambulance and

couple of days before it happened

hospital staff who saved his life.

I thought I had a chest infection, because I went out for a jog and it

“They got me into hospital and the

literally brought me to a stop.

team there was waiting for me, so the stent went in and half an hour later

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I was up having a cup of tea, they

my doctor, but the day before

were absolutely amazing,” he said.

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“It was all done within the golden

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seconds of that the pain started

hour, and from the operator to the

to travel across my chest and

paramedics to the hospital staff,

towards my armpit.

it all went smoothly. They’re my

that I woke up with an aggravated

guardian angels. “I picked up the phone and told “I’m on the mend now and while

then came downstairs and waited

I know it can be a slow process,

for the paramedic to come in.

my goal is to get back to doing triathlons, which I’ve been taking

“When he arrived he put the ECG

part in for the last five years.”

on me and said that everything was okay and I was going to be alright.”

Paramedic Adrian, who is a Clinical Team Leader based at

At first Kerry’s observations were

Neath Ambulance Station, said he

normal, however shortly after

was pleased to hear about Kerry’s

paramedics Lisa South and Chris

recovery.

AMBULANCE UK - AUGUST

the operator what was happening,

169 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com

NEWSLINE “Once that’s complete they’ll

NEAS

spend a year in the role,

Apprentices deliver vital health care service

supported by mentors and experience Patient Transport Service staff, gaining important on-the-job experience.”

NEAS welcome nine apprentices to Patient Transport Service

The trainees will spend the initial

Nine apprentices are learning

NHS’ Lanchester Road Hospital

part of the programme at the training facility, in County Durham.

how to provide a vital service to patients across the region having

This includes tutoring which will

started careers with the North

give them a chance to earn a

East Ambulance Service.

C1 qualification on their driving and many former ambulance

licence – allowing them to drive

Osborne, Alice Murray, Andrew

It’s all part of an investment

care assistants have gone on

medium-sized vehicles.

Lillico, Amy Galley, Ryan Allinson,

in the next generation of

to secure permanent positions

Sarah Holey and Caitlyn Skelsey

ambulance service staff and the

as Ambulance Care Assistants,

have all started Patient Transport

apprenticeships could be the

Service apprenticeships delivered

beginning of great things for this

through Northern Skills Group.

group.

The cohort will all spend one year

Andrew Lamb, education

as ambulance care assistants –

coordinator with the North East

week induction period, in which

delivering inter-hospital transfers,

Ambulance Service, explained:

they learn first aid, ambulance

hospital discharges and palliative

“This role is seen as a great entry

service policy and importantly

Now as a contributor to the

care transport.

point for a career in the NHS,

driving skills.

Apprenticeship Levy, the

Carl Wilkinson, Iain Stewart, Joe

Emergency Care Assistants or train to become paramedics. “The apprentices start with a four-

AMBULANCE UK - AUGUST

170 For further recruitment vacancies visit: www.ambulanceukonline.com

Since 2012, the North East Ambulance Service has trained 79 apprentices – 52 of whom are still working for the trust today in a range of roles including emergency care and student paramedics.

NEWSLINE Ambulance Service continues to invest in future skills. Peter Wilson, Northern Skills Group director, said: “It’s great to see another creative use of

again should they want any further training.” She added: “It was an incredible learning experience and to be part of the first ever session hosted by

the Trust was equally as special.” Feedback from the participants was equally positive, one person said: “It was very informative and interesting, four hours passed too quickly.”

To enquire or book first aid training please contact our Commercial Training department on 01603 422 841 or email commercial.training@ eastamb.nhs.uk

apprenticeship training in the North East as part of a carefully considered, long term workforce development strategy. “As Apprenticeship Levy payers the North East Ambulance Service has embraced the opportunities available as a consequence of this new model apprenticeship funding and is planning its investment in skills and training accordingly. “The Northern Skills Group team is thrilled to be supporting this cohort as they progress into jobs that are critical to the fabric of our health service.”

EEAST

Unique training event in Bedfordshire a great success A training event for deaf people, the first of its kind at the region’s ambulance service, has been hailed for its success. The session which was hosted in partnership with the East of England Ambulance Service NHS Trust (EEAST) and the Access Bedford charity, which supports deaf people throughout the county. Participants of the training were taught basic life support for adults

and children with an automatic

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external defibrillator (AED) as well as how to deal with choking, wounds, and bleeding. Commercial Training Officer Vikki

OUR PRODUCTS SAVE LIVES

Darby said: “They were an amazing group of people and I learned as much from them as they did from me. It was enlightening to see how we can help them to help others; I look forward to meeting them

171 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.

NEWSLINE WAS

Welsh Ambulance Service celebrates 5th anniversary of its Hazardous Area Response Team The Welsh Ambulance Service is celebrating the fifth anniversary of its Hazardous Area Response Team (HART). The HART team was launched on 1 July 2012 through funding from the Welsh Government, and consists of a specialist team of ambulance staff who are trained to provide life-saving care at major incidents. They provide clinical care in hostile environments like industrial accidents and natural disasters, as well as chemical, biological, radioactive, nuclear and terrorist incidents.

establishment of the team.

industrial incidents and the

the NATO summit in Newport

serious flooding in Aberystwyth

in 2014, and the recently held

and Rhyl.

Champions League final in

He said: “Introducing HART

Cardiff.

in Wales was an important step forward for us as a Trust

Since it was launched, the

They have also played an

Bridgend-based team has

important part in the planning

Chris Sims, the Trust’s Head

been involved in a number of

for major events in Wales,

of Operations - Resilience and

high profile incidents, including

including the 2012 Olympics,

Specialist Operations, led the

and over the last five years our highly skilled team have attended some challenging incidents. “Our training and equipment means we are able to access patients in confined spaces, at height, in water and other challenging environments, where previously our operational crews would have had to wait for support from other agencies. “The training that our teams go through can sometimes be arduous and difficult but their

AMBULANCE UK - AUGUST

commitment is exceptional.” The nature of its work means HART team members may encounter traumatic scenes in their line of work. However, to ensure staff welfare is taken care of, each team has a qualified trauma risk

172 For more news visit: www.ambulanceukonline.com

NEWSLINE management practitioner to

Chris said: “The skills of

service and other partners and

An impromptu CPR competition

assess and sign post them to

our team have developed

we look forward to seeing where

was also organised between

relevant support services.

significantly since we first went

the next five years leads our

the ambulance service, CFRs,

live, increasing their capabilities

dedicated team.”

Norfolk Police, Norfolk Fire

The team complements the

in specialist clinical areas,

existing Special Operations

particularly for trauma patients.

Response Team, whose volunteer members are trained to provide decontamination, mass casualty equipment and mass oxygenation at major incidents. The specially trained HART personnel work 24/7 and can deploy anywhere across Wales, and can also called upon to give clinical care to patients outside of a major incident, as well as support other UK HART teams through mutual aid. For the last three years running,

“Through their training our staff are also now able to respond to patients in swift water and flooding environments, which includes being able to rescue people from vehicles in water. “HART has also welcomed a number of additions to its fleet, including a 6x6 wheel drive all-terrain vehicle, which allows us to get to patients

and Rescue Service, Norfolk EEAST

Lowland Search and Rescue

Hundreds learn to save a life at Royal Norfolk Show

and Happisburgh Coastguard. Andrew Barlow, EEAST Community Collaboration Manager, said: “It was fantastic

Hundreds learnt to save a life during the Royal Norfolk Show. Staff and volunteers from the East of England Ambulance Service NHS Trust (EEAST) took part in the two day event and

who would previously have

were part of the award-winning

been impossible to reach and

emergency services village.

get them safely back to a road

to teach so many children CPR over the two days and hopefully it has sparked their interest in emergency healthcare. We had a really positive response from people wanting to join community first responder schemes across

ambulance while continuing

More than 800 children were

Norfolk and people interested in

their clinical care.”

taught cardiopulmonary

joining the ambulance service.”

HART has attained ‘excellent’

resuscitation (CPR) during

status in the annual resilience

He added: “We are grateful for

the show by community first

The emergency services village

and capability surveys, which

the continuing support from our

responders (CFR) and EEAST

won the best trade stand award

are carried out for all UK teams.

Welsh Government, emergency

staff.

during the show.

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173 For all your equipment needs visit: www.ambulanceservicesuppliers.com

NEWSLINE SECAMB

Car accident survivor reunited with lifesaving ambulance crews A Sussex man who suffered lifethreatening injuries and spent six months in hospital after a serious car accident, has been reunited with the ambulance team who helped save his life. Drew Monckton, aged 36, from Horsham, was travelling in his car on the A24 between Horsham and Dorking, when his vehicle left the road shortly after 6am on 9

to help, alerted her clinical

The prognosis for Drew was

Drew’s dad, Colin, a retired

colleagues and stayed to assist

uncertain and he was kept in an

police officer, who now who

the medical team. Kate’s actions

induced coma for a month. Things

works for SECAmb as an

for going above and beyond the

weren’t any more certain when he

equipment officer at Banstead

call of duty were recognised at the

failed to gain consciousness when

said: “As a former police

Trust’s annual staff awards earlier

attempts were made to wake him

officer I know how nice it is to

this year.

from the induced coma. However,

have people let you know how

over time, and with expert hospital

thankful they are. I wanted to

The first clinicians to arrive at the

treatment, he made improvements

say a massive thank you from

scene were Paramedic Rebekah

and following a six-month hospital

all of us. Everyone, from Kate

Vonk and Associate Practitioner

stay with intense rehab, he was

who initially stopped and helped

Heidi Gaskins after details had

able to return home.

to the guys in the control room, from the crews who attended the

been gathered and support provided by Emergency Medical

Drew, who has had to teach

scene to all the hospital teams -

Advisor Laura Staplehurst.

himself to walk again due to a

they all did a brilliant job.”

brain injury which affects his short Rebekah and Heidi were backed

term memory, was full of praise for

Paramedic Rebekah Vonk

by paramedics Julie Marchant

everyone who helped him.

added: “On behalf of the whole team it’s been a real pleasure

and Johnathan Harrold before air ambulance team Mike Rose and

He said: “I’m just so grateful to

to meet Drew and Colin. It’s

Mark Salmon attended the scene

everyone for everything they did.

essential in incidents such

by road.

You don’t realise when you out

as this that everyone works

and about quite how much the

together as a team and that’s

control room staff, dispatcher

The crews worked together

NHS does. It’s been a real eye

exactly what we did. We all wish

Kate Nebbett, spotted his car in

to provide emergency care to

opener. I’m really pleased to have

Drew and his family all the very

trees down an embankment on

Drew before he was taken to St

been able to meet everyone face-

best for the future and for his

her way to work. Kate stopped

George’s Hospital in London.

to-face to say thank you.”

continued recovery.”

September 2016. Luckily for mechanic and father Drew, a member of SECAmb

AMBULANCE UK - AUGUST

174 For further recruitment vacancies visit: www.ambulanceukonline.com

Focus on Emergency Services in Crisis

TESTED

NEWSLINE

NWAS

First chopper touches down on new lifesaving hospital helipad funded by the HELP Appeal

“During a serious medical emergency, every second counts. Helipads ensure our skilled crew can get patients to the best treatment centre quickly which

ADVANCED AMBULANCE SEATING

ultimately improves chances of survival and reduces the risk of long-term injury. This test flight

A new £1m helicopter landing

is an important step in ensuring

pad at Aintree University

that the entire process is as safe

Hospital in Liverpool received

and efficient as possible. It’s

its first visitors as part of an

just the start of what will be an

inaugural test flight by the North

extremely beneficial addition to

West Air Ambulance.

the emergency service network in the North West.”

Medics say the helipad – which has been operational since

The helipad was funded by the

Monday 3rd July - will save vital

HELP Appeal, which has been

minutes when transferring trauma

providing significant grants to

patients from air ambulance into

fund life-saving helipads since

the hospital, which is part of the

2009.

regional major trauma centre together with neuro specialists at

Robert Bertram, CEO of the

the Walton Centre.

HELP Appeal, said:

Until now air ambulances have

“Everyone is aware of the vital

had to land on the playing fields

roles that hospitals and air

on Lower Lane, after which a road

ambulances play in treating a

ambulance is sent to transfer

critically ill patient, but having a

patients to Aintree’s £35m Urgent

helipad beside the emergency

Care and Trauma Centre. This

department can play a significant

can add up to half an hour to the

part in saving vital minutes when

journey but with the new helipad it

transporting a patient to the

will take just a few minutes.

expert care they need to save their lives.

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Mr Simon Scott, Clinical Director for Major Trauma at

“This is why we felt compelled

Aintree, said:

to get involved and cover the £1 million cost of Aintree University

“The trauma centre treats patients

Hospital’s helipad. We knew the

who are seriously injured and, in

difference having it onsite would

those circumstances, every second

make.

counts. Being able to minimise the transfer time will make a huge

“With the support of the air

difference to our patients and will

ambulances and the excellent

help us save more lives.”

emergency care team at

Aintree – this incredible team of helicopters, a helipad and

receives patients from across

hospital doctors – will make a

Cheshire and Merseyside who

huge difference to those people

need urgent specialist care which

who are travelling through

isn’t necessarily available in their

or residing in Cheshire and

local hospital.

Merseyside, who may urgently need a blood transfusion, CT

Heather Arrowsmith, Chief

scan or any other life-saving

Executive at the North West Air

treatment after suffering a critical

Ambulance Charity, said:

injury.”

AMBULANCE UK - AUGUST

The regional trauma centre

175 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.

NEWSLINE EMAS

New partnership will help save more lives across the East Midlands East Midlands Ambulance Service (EMAS) is the first UK ambulance service outside of London to partner with GoodSAM (Smartphone

The mobile phone application

not in a position to accept the alert,

We are delighted that the East

allows users to register and show

it can be declined and diverted to

Midlands Ambulance Service has

that they are qualified in giving

the next nearest responder.

partnered with us and would urge other organisations and medically

CPR. Volunteer responders; including paramedics, doctors

Dr John Stephenson, Associate

trained individuals around the

and community first responders,

Medical Director at EMAS, said:

world to do so as well.”

once approved, will be alerted

“We respond to around 50 calls

to nearby life threatening

every day that are categorised as

Ali Ghorbangholi, Technical

emergencies.

being immediately life threatening

Director of GoodSAM, continued:

such as cardiac arrests.

“There are first aid trained people all around us but usually the

The system is embedded within the EMAS control room meaning

“We have thousands of qualified

first they know of a neighbour

if someone dials 999 for a life-

people across the region;

having a cardiac arrest is an

threatening emergency that is

paramedics, police colleagues,

assessed as a suspected cardiac

nursing staff, etc; who would be

a patient in cardiac arrest.

arrest, not only will an ambulance

willing to help someone but if they

be dispatched in the normal way,

haven’t heard that shout for help

When someone is experiencing

but the system will automatically

they don’t know an emergency

alert the five nearest responders

is happening nearby. GoodSAM

within an 800m radius.

allows us to make that shout for

Activated Medics); a web based alerting system and application that uses innovative technology to link a qualified lifesaver with

a cardiac arrest seconds count. The survival clock is ticking

help louder.”

and for every minute CPR isn’t performed the chance of survival

When a volunteer is alerted, they

falls by 10%. When a collapse is

will be able to accept the alert

Professor Mark Wilson, Consultant

witnessed shouting for help often

via the GoodSAM app and make

Neurosurgeon and GoodSAM’s

attracts someone nearby who

their way, by foot, to the location

Medical Director, said: “If a patient

knows CPR. By partnering with

of the incident often arriving within

has a cardiac arrest it is the first

GoodSAM EMAS will now use

minutes to start CPR and give the

few minutes after the incident

technology to revolutionise that

patient the best possible chance of

that determine the outcome – life,

shout for help.

survival. If a volunteer responder is

death, or long-term brain injury.

ambulance appearing in their street. If they had known and started CPR a few minutes prior to the ambulance arriving, chances of survival can be considerably increased. GoodSAM now makes this possible; connecting those with the skills to the public in their minute of need.” Dr Stephenson added: “The app is working really well in London and we are looking forward to seeing the benefits in the East Midlands. The system has only been live for a week and already we have alerted responders to 288 emergencies 75 finding a responder within 800m.” EMAS staff, volunteers, Lincolnshire Integrated Voluntary Emergency Service partner fire services, partner police services and EMAS approved healthcare professionals are being encouraged to download the app and be a good samaritan.

AMBULANCE UK - AUGUST

During the initial phase alerts will be sent to EMAS approved staff, volunteers, partner services and healthcare professionals with a view to roll out to a wider pool of responders later in the year.

176 For more news visit: www.ambulanceukonline.com

NEWSLINE

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AMBULANCE UK - AUGUST

Visit our stand at the Emergency Services Show, NEC, 20th & 21st September Put your CPR skills to the test on Brayden Pro at the show the best score each day will win a Brayden Manikin with lights

177

NEWSLINE Bigger, better, faster - new air ambulance takes to the sky Lincs and Notts Air Ambulance have welcomed a new state-of-the-art AgustaWestland 169 (AW169) helicopter at their base in RAF Waddington. The new aircraft became operational on Wednesday 15th June and will support EMAS with around three life-saving missions every day. The AW169 has significant benefits and will enhance patient care. It is bigger, giving paramedics and doctors

technology of the AW169

and with this new aircraft we

we have all grown so fond of

will be of huge benefit to our

can continue doing so for many

and that it will be spotted very

patients, giving them the

years to come. This is only

soon flying through our skies,

very best chances of survival

possible thanks to the generous

on route to another life-saving

possible in their greatest hour

support from the people,

mission.”

the need to refuel.

of need. The aircraft also has

organisations and businesses

the most advanced navigation

in the communities within which

CEO of Lincs and Notts Air

capabilities on offer in the

we serve. A heart-felt thank you

Ambulance, Karen Jobling

industry and is extremely future-

goes out to each and every

said: “Excellent patient care

proof.

one of them. I’m sure our

360-degree access to patients in flight; it is faster meaning it can get to patients quicker; and it has greater endurance meaning it can fly further without

supporters will be pleased to

is at the heart of everything we do. The combination

“We are proud to say that our

see that our new Ambucopter

of speed, endurance, and

Charity saves lives every day,

is the same yellow colour that

Dr Bob Winter, Medical Director at EMAS and regular doctor on board the Ambucopter said: “This new helicopter is great and will help patients across the East Midlands. We tend to use the air ambulance for patients who have experienced a traumatic injury so the additional 360 access to a patient will be great for when the on board crew treat a patient mid-flight.” EMAS support the charity by supplying paramedics to respond on the helicopter but they do rely on donations to continue saving lives. The charity have been

AMBULANCE UK - AUGUST

operational for over 23 years supporting seriously ill adults and children across Nottinghamshire and Lincolnshire. Each life-saving mission undertaken with the new aircraft will cost an average of £2,500 so please consider donating to keep the Ambucopter flying.

178 For further recruitment vacancies visit: www.ambulanceukonline.com

NEWSLINE Allcock-Tyler, Chief Executive of

The Air Ambulance Awards of

the Year Award - Sponsored by

National Air Ambulance Awards: Nominations now open

the Directory of Social Change.

Excellence are now in their fifth

Sloane Helicopters Ltd

Debra brings huge charitable

year and have quickly become

sector experience to the role.

a prestigious event for the pre-

the Year - Sponsored by BMW

hospital care sector. Last year

Government & Authorities

The organisers of the Awards are

saw over 275 people watch

Division

The Association of Air

calling on all air ambulance and

BBC News’s Sophie Long and

ambulance services to consider

Helicopter Heroes presenter Rav

making a nomination this year.

Wilding hand over 11 Awards to

Jim Fitzpatrick MP, Chair of

some outstanding individuals and

Judges, said:

teams. The event has sold-out

Ambulances is today calling on the air ambulance community across the UK to nominate an individual or team for this year’s Air Ambulance Awards of

over the past two years. In a bid

• Air Ambulance Paramedic of

• Air Ambulance Pilot of the Year - Sponsored by Safran UK • Air Operations Support Staff Member of the Year • Charity Staff Member of the Year - Sponsored by Milestone

Excellence. These prestigious,

“Year-on-year, the standard of the

to accommodate more guests this

independent awards honour

Award nominations astonishes

year, the Gala Awards dinner is

the exceptional contributions of

the judging panel, however we

moving to the Millennium Chelsea

• Charity Volunteer of the Year

staff and volunteers within the

know there are some remarkable

Harbour Hotel, and will take place

Award - Sponsored by Tower

UK air ambulance community.

organisations out there who are

on Monday 13 November 2017.

yet to make a nomination for the This year sees the addition of

Awards. This year, we really want to

a new award: Air Operations

see nominations flooding in from

Support Staff Member of the

across the country so exceptional

Year. This category is expected to

individuals and teams can receive

see nominations of dispatchers,

the recognition they deserve.

engineers, back office staff and other non-flying personnel whose

“We have deliberately made the

roles are not covered by other

Awards both straightforward and

Award categories.

free to enter in order to encourage all organisations to nominate

Aviation Group Ltd

Lotteries • Lifetime Achievement Award

Nominations are now open to the

- Sponsored by Specialist

entire sector and are judged by

Aviation Services

an independent panel of experts, chaired by Jim Fitzpatrick MP. Nominations are now sought in the following categories: • Air Ambulance Campaign of the Year Award - Sponsored by Lottery Fundraising Services • Air Ambulance Doctor of the

The Awards also welcome a new

their star individuals or teams.

judge to join the judging panel.

My fellow judges and very much

Year - Sponsored by Leonardo

Adding further knowledge and

look forward to receiving the

Helicopters

experience to the team is Debra

nominations.”

• Air Ambulance Innovation of

• Outstanding Young Person Award - Sponsored by Babcock MCS Onshore • Special Incident Award - Sponsored by Airbus Helicopters The closing date for nominations is 1 September 2017. For more information, to book tickets or to make a nomination, go to http:// www.aoaa.org.uk/aaae/

AMBULANCE UK - AUGUST

The winners from the 2016 Awards of Excellence

179 Life Connections - The Affordable CPD Provider: www.lifeconnections.uk.com

NEWSLINE WAS

Trio of Welsh Ambulance Service paramedics commended after saving woman’s life

Sgt Richards took command of

wouldn’t speak to the police, only

staff to have been recognised with

the scene and quickly arranged

to us. As soon as she looked at

the award.

for the road to be closed off, while

me she recognised me so we had

DI Jones was dispatched in his

a bit of trust there.

capacity as a negotiator.

“We found out that we’d been nominated by the police

“We managed to keep her talking

negotiator who attended. It was

Julie said: “As I came onto the

and she was sitting on a ledge

really nice to be recognised and it

roundabout on Mold Road I saw

that was only half a foot wide.

means a lot.”

called control and told them what

“When we saw she was about to

Julie added: “The Chief Constable

was happening.

fall we just grabbed hold of her

praised how we worked as a team

and the four of us pulled her back

and said how grateful he was.

over the railings.”

We have a great rapport with the

her climbing over the railings so I A trio of Welsh Ambulance Service paramedics have been recognised after saving a woman’s life.

“I stopped, asked for police to come and shut the A483, shouted

Paramedics Julie Ward Smith, Ian Binnington and John Jones, all based in Wrexham, have received a commendation alongside Sergeant Geraint Richards and Detective Inspector Billy Jones from North Wales Police. Their award came after Julie spotted a woman sitting on the wrong side of the railings on a bridge over the A483 in Wrexham while driving her rapid response car one evening. She alerted the control rooms of both emergency services, and was supported shortly after by her colleagues Ian and John in an emergency ambulance.

police in Wrexham and work very

for another crew and started

After being lifted to safety by

talking to her.”

the paramedics and police,

well together.”

the woman was provided with

Chief Constable Polin said: “I

Enquires in the police control

treatment before being taken

would like congratulate all those

room discovered that a vulnerable

to Wrexham Maelor Hospital by

who have been commended.

woman had been reported

ambulance.

missing by staff at Wrexham Maelor Hospital, and she was

The two emergency service teams

identified as being the person

who saved her life during the

sitting on the bridge.

incident on 1 June 2016 have now been recognised with a

The patient refused to speak to

commendation from North Wales

the police officers on the scene,

Police Chief Constable Mark Polin.

however DI Jones was able to negotiate with her through Julie

Speaking after the presentation

and Ian, while John positioned the

at the Kinmel Manor Hotel in

ambulance under the bridge in

Abergele on Tuesday 26 June,

case she fell.

Ian, who is also a Clinical Team Leader, said: “It was a really good

Julie said: “Ian and John arrived

occasion and I think we are some

along with the police, but she

of the only ambulance service

“During the ceremony we heard several examples of actions that go beyond the call of duty. I am acutely aware that each and every day, members of our own organisation as well as our partner agencies work in the knowledge that anything can happen, anywhere in North Wales and at any given moment. “I also congratulate our Welsh Ambulance Service colleagues – who, without doubt, helped save the life of a vulnerable woman in the Wrexham area. “We are extremely fortunate to have such dedicated ambulance crews who do a difficult job and we owe them a tremendous debt of thanks.” Wayne Davies, the Trust’s Locality Manager for Wrexham and Flintshire, said: “We are extremely proud of Julie, Ian and John, who came to this woman’s aid in her

AMBULANCE UK - AUGUST

hour of need, and together with DI Jones and Sgt Richards saved her life through their compassion and quick thinking. “We would also like to thank all our partners at North Wales Police for supporting our staff day in, day Pictured from left to right are: Detective Inspector Billy Jones, paramedics Julie Ward-Smith and Ian Binnington, Chief Constable Mark Polin and paramedic John Jones.

180 For more news visit: www.ambulanceukonline.com

out as we work together to help people across the region.”

NEWSLINE EEAST

Spike in interest from future volunteer life-savers following successful National Volunteers’ Week celebrations Following a successful National Volunteers’ Week 2017 (1st-7th June), we have seen an incredible 360% spike in community first responder (CFR) registrations of interest. In the weeks prior to National

During the Volunteer’s Week

“The driver is so kind and

David Scott, Essex CFR said:

celebrations, we ran a CFR

helpful. A very good man. He

“I enjoy giving back after an

takeover week (w/c 5th June),

makes me happy when I am

illness in 2004 gave me a new

which included a celebration

worried. I wish all people were

outlook on life.”

event for our Brightlingsea

like him.”

CFR group who on 10th June celebrated 20 years of dedicated service to their community. We also ran cardiopulmonary resuscitation (CPR) workshops in the high streets of Bedford and Norfolk, and unveiled another lifesaving defibrillator (AED) in Kedington. Our volunteers provide a vital

Likewise, there is a great sense of comradery and personal fulfilment felt by our volunteers: Julie Lockhart, TUG member said: “It has been a pleasure to work with the Trust, although it can occasionally be challenging. I enjoy the work I do and find a lot of satisfaction in being involved”.

contribution towards helping

Rachel Hillier, Diss CFR coordinator said: “I love the job and hope that I can continue to make a difference.” Daniel Jacobs, Felixstowe CFR said: “It’s knowing I’m part of an amazing team who make a positive difference.” Following the conclusion of National Volunteers’ Week,

Volunteers’ Week, we received

patients in their communities.

Simon Nourse, Halstead CFR

we continues our focus on

on average nine registrations

And their efforts don’t go

said: “As a CFR I’m able to give

supporting and recognising our

of interest compared with

unnoticed, with community

something to our community…

legion of volunteers with more

42 following this year’s

members actively contacting us

it’s a privilege to help those in

events and reward programmes

celebrations.

to pass on their gratitude:

need of help.”

scheduled across the year.

Currently we have close to 999 CFRs that make up almost 300 groups across our region who are trained by us to respond to medical emergencies in the area where they live or work. Their aim is to reach a potential life threatening emergency in the first vital minutes before the ambulance crew arrives. We are also proud to support 140 car drivers who take patients to and from routine appointments, providing a vital service to local community members who are unable to transport themselves. Our Trust User Group (TUG) is an independent group of volunteers from around the region who help us identify and support us with a range of activities. Chaplains also play an integral part within the Trust offering pastoral, emotional and spiritual support to all levels of staff and

AMBULANCE UK - AUGUST

ways of improving services

volunteers regardless of their faith, belief or none.

181 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.

NEWSLINE EMAS

EMAS Paramedic will lead the way in child pain management A Lincolnshire paramedic has successfully secured funding to take part in ground-breaking research into managing pain in poorly children. Greg Whitley, 29, a research paramedic based at Bracebridge Heath in Lincolnshire, has been selected to receive funding for a PhD studentship to identify why

The studentship is very

excited to start and I’d like to

National Institute for Health

prestigious and highly

encourage anyone else who

Research and Collaboration for

competitive with only four

wants to do a PhD to look into

Leadership in Applied Health

funded places across the East

funding.”

Research and Care, East

Midlands. Greg explained that he was thrilled to accept the offer and will begin his

Midlands.

The funding for Greg’s PhD will come from Health Education England, East Midlands and

After applying for the funding, Greg had to give a 10 minute presentation on his proposed

PhD at Lincoln

thesis, followed by 50 minutes

University in

of questioning by a panel of

2018. He will

healthcare experts, to secure

continue to

the grant.

work parttime as a

Greg received a formal offer

paramedic to

letter for the PhD Studentship

maintain his

on Thursday, 15 June. The letter

clinical skills.

stated: “The panel was very impressed with the enthusiasm

pain is inadequately managed

He said: “I

and energy shown in relation

in injured children within

feel privileged

to your proposed PhD study

ambulance services in the UK.

and honoured

and your desire to undertake

to be selected

postgraduate doctoral study

When he has identified

for the PhD

with the aim of developing a

any areas of weakness in

studentship.

clinical academic career.”

for children, Greg will then

“I am very

We wish Greg luck with his

explore ways of improving it.

eager and

studies #PrideinEMAS

emergency pain management

AMBULANCE UK - AUGUST

182 For further recruitment vacancies visit: www.ambulanceukonline.com

NEWSLINE SWASFT

999 celebrates its 80th anniversary

entire country only when all the

Wiltshire 57,863

emergency department and more

telephone exchanges where

Cornwall and The Isles

recently we have lead the way

automated in 1976.

of Scilly

47,489

Gloucestershire 43,421 In 2015/16 our call handlers at

with the Ambulance Response Programme.

Somerset 41,484 “Our dedicated and hard-working

South Western Ambulance

our clinical hubs in Bristol and

Service NHS Foundation

Exeter dealt with more than

*Figures correct as of 10am on

clinical hub staff are a real credit

Trust (SWASFT) is joining in

911,000 incidents. So far in 2017

Monday, June 26, 2017.

to the NHS and the 999 service

the celebrations as the 999

call handlers have dealt with

emergency service telephone

more than 430,000 incidents. The

Chief Executive of SWASFT, Ken

continue to grow and develop for

number celebrates its 80th

busiest county is Devon with more

Wenman, said: “I am proud of

another 80 years and beyond.”

anniversary. They are also

than 101,000 incidents.

our 999 service here in the south west and across the UK. All of

You can find more information

Across the SWASFT patch in

the emergency services do an

about SWASFT at the website:

2017 almost 13% of our patients

amazing job every single day.

http://www.swast.nhs.uk

reminding people to use the emergency 999 service wisely.

and I am sure the 999 service will

First introduced in the London

have been triaged and treated

area on 30 June 1937, the UK’s

appropriately over the phone

“Staff at SWASFT are at the

999 number is the world’s oldest

without the need to send a

heart of the 999 service and

emergency call telephone service.

valuable ambulance resource to

work tirelessly to deliver the best

The system was introduced

the scene.

possible care to our patients. They do an amazing job, often

following a fire in which five women were killed. A government

Incidents in 2017 broken down

in difficult and challenging

inquiry was launched and

by county:

circumstances.

Devon 101,684

“SWASFT often leads from the

Bristol, North Somerset,

front. We are consistently the best

soon after the 999 service was introduced. It became available to the south

South Gloucestershire

72,720

west in 1946 and then to the

Dorset 66,121

performing ambulance service for treating patients outside of an

“I am proud of our 999 service here in the south west and across the UK. All of the emergency services do an amazing job every single day.”

AMBULANCE UK - AUGUST

183 For all your equipment needs visit: www.ambulanceservicesuppliers.com

NEWSLINE NEAS

North East Ambulance Service secures funding to partner with GoodSAM smartphone app to help save North East lives Funding secured to partner with the GoodSAM smartphone app to support the region’s residents who suffer cardiac arrest. It is one of five projects to receive follow on funding from Nesta and the Office for Civil Society as part of the Centre for Social Action Innovation Fund. As a result, volunteer responders, including off duty paramedics and community first responders,

have built the system, using the

When a volunteer is alerted, they

latest technology. GoodSAM

will be able to accept the alert via

Responders will be alerted when

the GoodSAM app and make their

a member of the public dials

way to the location of the incident.

999 in the North East to report

If a volunteer responder is not in a

a suspected cardiac arrest or

position to accept the alert, it can

triggers an alert via the GoodSAM

be declined and diverted to the

Alerter app.

next nearest responder.

Gareth Campbell, Emergency

Campbell continues, “Having

Care Operations Manager

seen how successfully this app

says, “This is excellent news

works in London, we are keen

for the North East population

to bring GoodSAM to the North

and means that those special

East for the benefit of our region’s

skills our workforce uses every

patients. Thanks to this funding

day to help save lives are even

we are able to work in partnership

more accessible. When a public

with the GoodSAM team to bring

access defibrillator is used in

this app to the North East.”

cardiac arrest, the overall survival rate to discharge is 58.6 per cent.

NEAS already has around 100

By ensuring a patient has a patent

Community First Responders

airway and quality CPR is in place

who are everyday members

in those first few minutes, they are more likely to achieve a good outcome.”

will soon be able to register to be automatically alerted by

Once available for qualified first aid

the GoodSAM Responder app

trained professionals to register,

on their smartphones, when

the NEAS operations centre will

someone has a cardiac arrest

alert the three nearest responders

nearby, along with the location of

to the life threatening incident

the nearest defibrillator.

and simultaneously dispatch an ambulance, giving the patient the

Already trialled and making a

best possible chance of survival.

difference in London with the

The partnership will not impact on

London Ambulance Service,

or substitute standard ambulance

GoodSAM (Good Smartphone

dispatch, with crews continuing to

Activated Medics) developers

be sent to scene in the usual way.

of the general public trained by NEAS in basic first aid and life support. They are provided with oxygen and a defibrillator and are deployed by NEAS to life threatening emergencies, such as chest pain, breathing

“If a patient has a cardiac arrest, it is the first few minutes after the incident that determine the outcome – life, death, or longterm brain damage.”

difficulties, cardiac arrest, and unconsciousness, if they are the

to be alerted via the app to

nearest resource, followed by

patients suffering from cardiac

the next nearest emergency care

arrest and the location of the

crew. This app provides an opportunity for those with first aid skills to join the robust community of first responders already working within the North East. Campbell adds, “Responders will be able to provide immediate care to a patient where every second counts, administering life-saving first aid while an ambulance is on its way. A patient who suffers a cardiac arrest stands a

AMBULANCE UK - AUGUST

much better chance of survival if someone with a defibrillator

nearest defibrillator.” Professor Mark Wilson, GoodSAM’s Medical Director and Co-Founder, said: “If a patient has a cardiac arrest, it is the first few minutes after the incident that determine the outcome – life, death, or long-term brain damage”. “There are first aid trained people all around us but usually the first they know of a neighbour having a cardiac arrest is an ambulance appearing in their

can attend the patient in the first

street. If they had known and

minutes of collapse.”

started CPR a few minutes prior to the ambulance arriving, chances

“We will soon be in a position

of survival can be considerably

to invite clinicians to register

increased. GoodSAM now makes

and introduce an integrated and

this possible, connecting those

seamless approach that will

with the skills to the public in their

enable our volunteer responders

minute of need.”

184 For more news visit: www.ambulanceukonline.com

NEWSLINE the community to train as an

country, when they received the

North Norfolk community first responders celebrate National Lottery grant

ambulance first responder. It

Queen’s Award for Voluntary

will also assist us to update

Service.

Community first responders

In a typical year the Stalham

area. Playing a vital role

CFR group volunteer 8,000

assisting the ambulance service

and Smallburgh communities

hours of their own time attending

to reach their most seriously

receive £9,503 in grant funding

close to 200 patients. This

ill patients and commence

from the Big Lottery Fund.

year those figures are already

lifesaving care as quickly as

showing a steady increase, with

possible.

EEAST

(CFRs) in the county’s Stalham

older pieces of equipment. We recently spent more than £4,000

Trained by the East of England

on new equipment, but more is

Ambulance Service NHS Trust,

required.”

CFRs have a strong community spirit and knowledge of their

The fund gives grants to

the group attending more calls

organisations in the UK to help

in the first half of this year when

Norman Lamb, MP for North

improve their communities, with

compared with the same period

Norfolk said: “I am thrilled by this

money awarded coming from

in 2016.

news. I know they are a highly

the UK National Lottery.

dedicated group of people. This And the group’s achievements

award will help them, keep us,

Speaking about the grant,

have not gone unnoticed. In the

safe. Congratulations to them on

group Deputy Coordinator Tim

last few years their members

securing this funding.”

Thirst said: “It’s reassuring to

have received long-service

patients and their families to be

awards, an outstanding

As well as this National Lottery

seen first by someone they may

achievement award and an

grant, the group receive

already know in the community.

ambulance Chief Officer’s

donations from individuals and

This grant will enable us to

Commendation. Last year, came

other community groups in their

expand our commitment and

one of the highest accolades

area including local parish and

encourage more members of

given to any group in the

town councils.

“In a typical year the Stalham CFR group volunteer 8,000 hours of their own time attending close to 200 patients.”

AMBULANCE UK - AUGUST

185 Do you have anything you would like to add or include in Newsline? Please contact us and let us know.

NEWSLINE “She did not have to do this and we

LAS

are eternally grateful for her help.”

Paramedic who apprehended a violent criminal is awarded police commendation

Priscila, who has worked for London Ambulance Service for five year and been a paramedic for the last three years, was nominated for a police commendation for her efforts and was presented

A paramedic working in

her award at a ceremony in

Whipps Cross has received

London on Thursday 11 May. The

a police commendation after apprehending a suspect who assaulted a police officer and then attempted to flee the scene Priscila Currie, 34 from Leyton, was driving down Hoe Street, E17 while on duty when she saw a man acting

commendation recognises the arrest and they were attempting

more officers arrived to take over.

professionalism, team work, bravery and quick thinking of recipients.

to handcuff him. As I went over to help, the man pushed himself and

“In the moment, you don’t think

the officer over a wall.

about your own personal safety –

Speaking of the award, Priscila

you just want to do what’s right.”

said; “I never expected to receive an award for my actions – I was

“My instinct reaction was to jump

violently toward two police officers.

over the wall after them and I

An officer from the Metropolitan

just trying to help. Across the

could see that one of the police

Police Service said: “Although my

emergency services, we all feel

She recalls, “I remember seeing the

officers had his arms trapped

colleague and I only sustained

like family and you do everything

man lash out at one of the police

underneath the suspect and was

minor cuts and bruises, which

you can to support each other.

officers and thought I better pull over

unable to handcuff him. At that

Priscila cleaned up and put

to see if they needed any assistance.

point, I managed to apprehend

plasters on, this would have been

“The ceremony was fantastic; it

the suspect and keep him still

much worse if she had not helped

was an incredibly proud moment

“As I got out of the car I could

long enough for the other officer to

us and our injuries could have

and I had a huge smile on my

see that the man was resisting

arrest him. Then, within seconds,

been far worse.

face the whole day.”

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186 For further recruitment vacancies visit: www.ambulanceukonline.com

NEWSLINE EEAST

Paramedic volunteers to provide trauma care in the armed forces Paramedic Paul Dunn from Lincolnshire is a full time paramedic in Horncastle and a Medic Reserve with the armed forces. To celebrate Reserves Day he shares his story. In the operations room of a military medical facility a radio crackles into life. Close by, the paramedics immediately take notice, among them Staff Sergeant Paul Dunn of 335 Medical Evacuation Regiment, Royal Army Medical Corps. “Nine-liner, Nine-liner!” calls out the medical operations officer receiving the call. The phrase refers to the nine lines of information relayed from the field to medical staff to make them aware of what they will be dealing with, including location, severity of injury and so on. A ‘nine-liner’ can

bleeding severely. Everyone is

fictional, but with an emphasis

draw on their experiences

screaming with pain.

placed on authenticity, the

to help improve my own

training value for him is very

knowledge and practice, which

real.

I then take back with me to my

The medical team immediately get to work. They assess the

civilian job in the Ambulance

injuries, apply tourniquets and

“In the military you do a

dressings, administer morphine,

lot of training for different

write times with markers on bare

mechanisms of trauma injury

With the training benefits so

skin and load the casualties

that you only touch on in civilian

clear, Paul’s employer has been

onto stretchers and into the

practice,” said Paul. “It can

very supportive in allowing him

back of the ambulances. After

be blast injuries, high and

the time to attend courses and

only a few minutes the scene

low-velocity gunshot wounds,

exercises. He believes other

has been cleared. The wounded

catastrophic haemorrhaging,

paramedics debating whether

are soon transferred to a Resus

traumatic limb amputations,

to join the military reserve

facility, essentially a military

and all in an immersive, realistic

services have a lot to gain, both

A&E. There they are stabilised

setting.”

personally and professionally.

more advanced facility with

Paul served in the army

“I’d definitely recommend

surgical capability.

infantry for twenty-five years,

it to any of my paramedic

then attended university to

colleagues,” said Paul. “You

All of this has taken place

train as a paramedic. He

extend your skills, knowledge

not on some dusty desert

recognised that he could

and experience by working

battlefield, but in rural

combine both experiences and

with likeminded clinicians

Shropshire. The blast and

make a contribution to military

from across the country,

gunfire are simulated, the

medicine, while improving

improve your teamwork and

wounded civilians and

his own skills to apply at East

communications, travel abroad

soldiers played by cadets or

Midlands Ambulance Service.

and it doesn’t cost your

Service.”

and readied for transfer to a

servicemen. The amputees

employer a thing.”

are real, but are covered in

“It’s great to be part of an

impressive makeup. It has

IRT, with a mix of doctors,

More information about careers

been one of many scenarios

anaesthetists, medics and

in the Reserve Army Medical

undertaken by Paul during a two

paramedics,” said Paul. “That

Services can be found by

week-long training exercise. The

combination means I can learn

searching online for ‘Army

battle wounds may have been

from other practitioners and

Reserve’.

often mean serious casualties. Within seconds, Sergeant Dunn’s Initial Response Team (IRT), has set off in specialist military ambulances to provide initial treatment at the scene. As a paramedic with the East Midlands Ambulance Service in civilian life, scrambling quickly is what Paul is used to doing. The difference is what he finds upon arrival.

AMBULANCE UK - AUGUST

The IRT is confronted by multiple casualties: a gunshot wound to the abdomen, firstdegree burns to a soldier’s hands, a young civilian girl with shrapnel protruding from her arm. The most devastating injuries are two soldiers who have had their right arms blown off, one at the elbow and the other at the shoulder. Both are

Paramedic Paul Dunn from Lincolnshire is a full time paramedic in Horncastle and a Medic Reserve with the armed forces

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IN PERSON PONT charity, and if this awards helps to

WAS News

Double delight as Welsh Ambulance Service colleagues awarded Queen’s Ambulance Service Medal There has been double delight for the Welsh Ambulance Service after two of its colleagues were awarded the Queen’s Ambulance Service Medal.

highlight the magnificent effort of both teams of volunteers then I would happily accept this as recognition of all the teams involved. “I have worked with many inspirational people over the past 32 years with the Trust and within the Mid Glamorgan Ambulance Service and I have gained many great friends. “I thank them sincerely for all the support they have offered. I have the best and most patient

Community First Responder (CFR) Officer Tony Rossetti and Clinical Support Officer Robin Petterson, both from Cardiff, were recognised in Her Majesty’s Birthday Honours List. Tony has worked for the ambulance service for 32 years, and has dedicated himself to growing the number of CFR volunteers, who give up their spare time to provide first hand emergency care to communities in Wales. He is also a leading contributor to the PONT charity, which helps the poorest communities in Uganda, and has devised and delivered lifesaving training for operational health workers in the Mbale district. He was on holiday in Italy when the honours list was announced and has spoken of his pride after receiving news of the award. Tony said: “I don’t think I’ve ever been so surprised or shocked. It’s a very humbling experience to think that someone thinks enough of you that they would take the time to nominate you for such an award. “I have a passion for what I do with regards to our Community First Responders and the

wife and most loving family and friends, and for them and everyone I have mentioned, I share this recognition.”

Clinical Support Officer Robin Petterson

Tony began teaching lifesaving skills in the 1980s when he supported Dr Richard Lewis with the Save a Life campaign and has delivered training in basic life support and effective use of a defibrillator to more than

I thought I’d have a look at who was on the Queen’s honours list. “Next thing I saw my name on there and

20,000 volunteers

thought ‘I wasn’t expecting that’. It was a

In 2003, his contribution to pre-hospital

feel proud to be alongside so many previous

surprise, it was very humbling and made me

care was recognised by the British Heart Foundation (BHF) when he became the first paramedic in the United Kingdom to be funded by the charity to carry out his role. He was also involved in the successful launch of a Welsh Government funded Public Access

worthy recipients within the Trust. “I’m proud of all of my career because I left school and started with the ambulance service straight away pretty much. “I’m grateful to everyone I’ve worked with,

Defibrillator initiative.

including Keith Goodall who gave me my first

Meanwhile Robin has dedicated 30 years of

me and just everyone I’ve had the pleasure of

his life to the ambulance service after joining as

working with.”

opportunity at 16, whoever’s line managed

part of the original cadet scheme in Wales with South Glamorgan Ambulance Service in 1986.

During his career he has progressed through a number of roles, including Patient Care

He currently spearheads the Trust’s frequent

Services operative, Emergency Medical

caller work, aimed at reducing the number of

Technician, Paramedic and Clinical Team

people who regularly dial 999 inappropriately,

Leader, to his current position of Clinical

and providing them

Support Officer.

with more suitable services for their

In 2014 Robin accepted the challenge of

needs.

setting up the new Clinical Desk function for the Trust, which supports staff in its three

He said news of

Clinical Contact Centres.

receiving the award He has also taken on the role of the Frequent

shock.

Caller Lead for the Trust, heading up a team which shares data with local health boards on

Robin said: “I was

people who use the ambulance service more

just about to go to

than five times in a month.

bed and started

Community First Responder (CFR) Officer Tony Rossetti

having a look

A multi-agency group then meets to identify and

through Twitter to

provide support to them, which could involve

see who Cardiff City

providing increased care packages, or community

had signed, when

support via third sector or voluntary agencies.

AMBULANCE UK - AUGUST

came as a complete

189 Do you have anything you would like to add or include? Please contact us and let us know.

IN PERSON LAS News

New Chief Executive joins London Ambulance Service

of Welsh royalty as he was awarded the

“He’s lived round the world and he said until

Queen’s Ambulance Service Medal.

you go elsewhere to live you don’t realise how important the NHS is and how good we’ve got

Nigel Rees, the Trust’s Head of Research and

it in this country.”

Innovation, has spoken of his pride after being London Ambulance Service’s new Chief

presented with his medal by Prince Charles at

Nigel now works as Head of Research and

Executive, Garrett Emmerson, takes up

a ceremony in Buckingham Palace.

Innovation at the Trust, based in Cardiff, and is also working towards his PhD.

his role. It comes after he was recognised in the New Garrett said he is “proud and honoured” to be

Year’s Honours List 2017 for exemplary service

In his role, he has further developed the Trust’s

appointed as Chief Executive and says it is “an

and exceptional devotion to duty.

Research and Development Forum, created close working relationships with Swansea

exciting time to join the Service”. As well as the Prince of Wales, Nigel also had a

Clinical School and secured funding for many

Setting out his immediate priorities Garrett

chance encounter with national team manager

important research projects.

said: “The quality of our patient care is already

Chris Coleman, who was there to collect his OBE

good and we will continue deliver excellent

after guiding Wales to the Euro 2016 semi-final.

in ambulance research and has taken part in

health care to Londoners in the face of increasing demand.

Of his investiture, Nigel said: “To be honest I felt as though I was representing my colleagues more than anything. It was nice to be recognised

“Prince Charles was really nice and he said

contribution to the service, particularly in

been in and about some of the trials we’re doing. “I told him that research was flourishing and he said it was even better to hear that it’s happening in Wales.

the last two years and help set the Service’s longer term vision and strategy.” On his first day in the Service, Garrett met ambulance crews, motorbike and cycle responders as well as control room staff and those supporting frontline operations in the back office. Garrett, who was previously Transport For London’s Chief Operating Officer for Surface Transport, says he is proud to work in “one of AMBULANCE UK - AUGUST

the greatest cities in the world”.

Tracy Myhill, Chief Executive of the Welsh Ambulance Service, said: “We are delighted

long I’d been with the service for, what roles I’ve

“I want to build on progress already made in

conferences in the United States and Sweden.

for helping to develop paramedic practice.

congratulations to me in Welsh. He asked me how

London Ambulance Service’s new Chief Executive, Garrett Emmerson

He is a regular speaker in worldwide events

that Nigel has been recognised for his sterling driving forward improvements in clinical care for patients in Wales through his commitment to research and innovation. “He is a highly deserving recipient of the Queen’s Ambulance Service Medal and we are pleased that he and his family enjoyed a memorable day.”

“It’s a good example of education paying off. I’ve worked hard at education right throughout my career.” Nigel, who attended the ceremony with his wife Rebecca, son Lloyd and daughter Ffion, has been instrumental in the recent success of the Trust in winning two prestigious Research for Patient and Public Benefit grants. He joined the ambulance service in 1989 as a cadet with Powys Ambulance Service, before progressing to Patient Care Services and then becoming an Emergency Medical Technician, working at various locations across South Powys. He returned to his home of Ystradgynlais as a paramedic in 1993 and was Powys’s first Advanced Paramedic Practitioner.

WAS News

Nigel’s pride at Queen’s Ambulance Service Medal award

Describing his meeting with the Wales manager,

A senior member of the Welsh Ambulance

“He’d been involved in a road accident before and

Service had a brush with two different types

he said the ambulance service were amazing.

Nigel said: “Chris Coleman was on his own in the corner so I went over and had a chat with him for about half an hour. He was lovely.

190 For more news visit: www.ambulanceukonline.com

Nigel proudly shows his Queens Ambulance Service Medal

IN PERSON NEAS News

The Queen awards NEAS chief in Birthday Honours’ Paul Liversidge, Chief Operating Officer, has been awarded the Queen’s Ambulance Medal in the 2017 Birthday Honour’s List. The honour, which is presented to recognise distinguished service in the ambulance service, was given in recognition of the enormous contribution and influence Paul has made in his 33-year career in the North East. Chairman Ash Winter OBE said: “We are all delighted for Paul’s recognition of his work in the region. He has made a significant contribution caring for patients and supporting our crews. This award is given to those in the NHS ambulance service who have shown distinguished or meritorious service, including service marked by exceptional ability, merit and exemplary conduct. I can think of no other worthy recipient of this today than Paul and it is well-deserved.” Martin Flaherty OBE, Managing Director of the Association of Ambulance Chief Executives (AACE) said: “AACE is exceptionally proud of all ambulance staff who go that extra mile to care for patients and contribute to the development and progression of the ambulance service, at all levels. The QAM is a very prestigious award that recognises the hard work and dedication of some of our very best ambulance professionals and we warmly congratulate the latest recipients.” Paul, aged 55, of Newcastle, worked as a frontline paramedic for seven years before taking over responsibility for training and developing cadets. He became head of the training unit for new staff and his success saw him appointed as divisional commander for accident and emergency services and later as general manager for patient transport services. Paul later became project manager for NHS Direct when it was launched in the

Northumbria area. At that time it was one of only three pilot sites for the new telephone health service reaching more than one million people and earning highly positive feedback in support of its roll-out across the country. He also played an instrumental part in introducing the air ambulance service in Northumbria by establishing and recruiting the senior management, which has since gone on to achieve charitable status running three helicopters covering the North East and Cumbria. Paul’s ability also saw him become part of a specialist ambulance team that went out to Kuwait to build the country’s ambulance service after the 1990 Gulf War. He was appointed a Board Director in 2000 and became Chief Operating Officer in 2011, responsible for more than 1,800 emergency care, patient transport and operations centre staff in the service. He is the longest serving NHS ambulance director of operations (or equivalent) in the country and remains a qualified paramedic. WAS News

Trust appoints Non-Executive Director Helen Birtwhistle The Welsh Ambulance Service has appointed a new Non-Executive Director in the shape of Helen Birtwhistle. Helen, who is a graduate of St Anne’s College, Oxford, and who has a degree in Philosophy, Politics and Economics, has a background in strategic leadership and communications with a particular emphasis on health and care. Most recently, she was Group Director of External Affairs at the NHS Confederation after four years as Director of the Welsh NHS Confederation. There she worked to equip the organisation to be a strong independent voice of the seven integrated health boards and three NHS Trusts in Wales, including the Welsh Ambulance Service, and a driver for positive change. Helen began her career as an NHS National Administrative Trainee with the then South Glamorgan Health Authority and subsequently became a hospital manager.

There she became health correspondent and deputy news editor before moving into public relations. Paul Liversidge, Chief Operating Officer, has been awarded the Queen’s Ambulance Medal

Helen worked in a number of roles at a PR company, with a particular emphasis on

She also spent a year seconded to the National Assembly for Wales as Head of External Communications. Currently she is Director of Wales For Europe, an independent grassroots organisation, campaigning to foster the strongest possible continuing relationship with the EU. She is also a member of the Governing Body of the Church in Wales, and Vice Chair of its Standing Committee, and a member of the International Advisory Board, Cardiff Business School. Helen’s new role supports the work of the Trust’s Partnerships and Engagement directorate, and she is geographically aligned to Powys. She said: “I am thrilled and excited to be appointed to the Board of the Welsh Ambulance Service and am impressed with the commitment, dedication and professionalism of all those I have met right across the organisation. “It is clear that this is an ambitious and determined Trust, with clear values and purpose. “I am excited to work with people who share my commitment to strong partnership working across organisations and sectors, and particularly with patients and the public.” 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 the Health Secretary and bring independent judgement and a range of financial, legal, commercial or corporate governance expertise to the Board. They 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. Chief Executive Tracy Myhill said: “I’m really impressed by Helen’s energy, ideas and passion for the service. “I look forward to working with her and benefiting from her vast experience and broad perspective on the NHS.” Helen’s appointment comes following the retirement of Non-Executive Director David Scott, who joined the Board in 2014 after having spent the majority of his career in local government.

AMBULANCE UK - AUGUST

She switched career in 1984 when she gained a post-graduate diploma in journalism studies at Cardiff University and joined daily newspaper, the South Wales Argus.

healthcare, for 20 years, latterly as managing director.

191 For all your equipment needs visit: www.ambulanceservicesuppliers.com

“Learning new skills and techniques is important for my career progression but it also means I’m better equipped to help the patients I attend.” Mel Eddon, Emergency Care Assistant,

Yorkshire Ambulance Service

The Emergency Services Show 2017 – it’s all about you A unique event for everyone who works in the emergency services. Over 400 exhibitors, free CPD-accredited seminars and live product and rescue demonstrations. Hall 5, NEC, Birmingham. Wed 20 – Thu 21 September 2017. Free entry at www.emergencyuk.com.

Event sponsors

Event partners

Event supported by

COMPANY NEWS BOC Healthcare BOC is the UK and Ireland’s leading supplier of medical gases and related services for healthcare professionals. BOC Healthcare strives for continuous improvement, shown in our latest cylinder innovations. The new intelligent therapy device LIV IQ® calculates the time remaining according to the gas content in the device and the selected flow rate. The result is shown on a large and clear digital display which indicates device content, selected flow rate and time remaining for patient treatment. The visible and audible low cylinder content warning signal provides healthcare professionals with the peace of mind that the delivery of medical oxygen is maintained to the patient at all times.

MEDACX unveils EVE-TR Emergency Transport Ventilator for EMS teams in the UK ‘In an emergency every second counts, therefore a critical care transport ventilator must be immediately ready for use on any patient size with safe compliant Ventilation’ ‘Safe-Start’ Ventilation from Emergency to Intensive Care In developing the EVE-TR Emergency Transport Ventilator, priority was given to immediate operational readiness.

• Electronic Oxygen mixing 21%

with hot swap battery packs

to 100% • Crystal clear 8.4 inch colour

• Click and connect ambulance and helicopter charging

touch screen display

integration stations

• Configurable user displays, loops, curves and trends

• Waveform Capnography EtC02 included ensures

• Intuitive controls, Alarm

full compliance to the new

functions and Displays

ERC/UK Resuscitation ALS guidelines1 on use of waveform

• Invasive and non-invasive

capnography.

ventilation modes: PC-CMV, PC-SIMV, PCACV, PC-ACV+, nPC-CMV, nPC-SIMV nPC-ACV+, VC-SIMV, VC-CMV, DUOPAP, nDUOPAP, CPAP nCPAP, CPAP backup, PRVC, PSV and ETT compensation • Pre-oxygenation, 02 Flush, Nebulisation, Inspiration hold

At the push of ‘ONE’ button EVE-

• Optimised 6 hour battery life

With extremely competitive pricing options please contact us for details: Tel: +44 (0) 2392 469737 Email: info@medacx.co.uk Website: www.medacx.co.uk References: 1

European Resuscitation Council

[ERC] - ERC Guidelines 2015

TR ensures rapid ‘Safe-Start’ patient ventilation for Neonates > Children > Adults in less than 70 seconds from power on; including ‘device safety self-tests

For more information on LIV IQ® or BOC Healthcare, please contact us on 0161 930 6010 or email bochealthcare-uk@ boc.com

and patient breathing circuit compliance! EVE-TR ensures clinical compliance and improved patient outcomes through rapid deployment and speed of essential lifesaving lung ventilation from 500grams pre-term neonates to 200kg+ Adults with a Vt. range of 2ml to 2000ml. ‘Leading the way in Patient Ventilation for 40+ years’ Fritz Stephan GmbH started manufacturing neonatal and child and today is a world leader and innovator in neonatal, child and adult patient ventilation. State-of-the-art Ventilation and Sensor Technology

AMBULANCE UK - AUGUST

ventilators over 43 years ago

• EVE has inbuilt air turbine technology

193 Do you have anything you would like to add or include? Please contact us and let us know.

COMPANY NEWS Oxylog VE300: A sturdy life saver in emergency response A very compact ventilator for use in emergency service Hemel Hempstead – Lightweight, sturdy and simple to operate – the Oxylog VE300 is Dräger’s newly developed emergency and transport ventilator that is particularly apt for use outside of the hospital environment.

VE300 follows a simple and

with volume-controlled ventilation

The ventilation data can be

clear philosophy of operation,

or support their lung function

transferred using the USB or

e.g. it consists of an intuitive

using CPAP ventilation. The

input screen and a touchscreen

Bluetooth interface and can

optional capnometry function

that can be turned 180°. The

measures the CO2 level in the

therefore be documented when

ventilator weighs only 3.6 kg

exhaled air during ventilation.

and is designed ergonomically,

Furthermore, the Oxylog VE300

with a large handle. It allows the

offers a CPR (cardiopulmonary

first responder to comfortably

resuscitation) function to also

Visit our stand (F80) at the

transport the device including

allow ventilation of patients during

Emergency Services Show and

the breathing gas cylinder and

resuscitation.

the patient is transferred to the hospital team.

experience our new Oxylog VE300

to easily place it next to the

for yourself, or visit www.draeger.

patient. The Oxylog VE300

com/oxylog for more

works in environments with

information.

a temperature ranging from minus 20°Celsius to plus 50°Celsius and can be

Emergency doctors and

operated for up to nine

paramedics can provide patients

hours straight.

with the most important ventilation modes and, if necessary, use the

Ventilation in almost any

device for CPR1.

emergency Whether invasive, non-invasive or

If there is a life to save, time

spontaneous: First responders

is at a premium. The Oxylog

can provide emergency patients

cardiopulmonary resuscitation

COMING SOON

JRCALC Supplementary Guidelines 2017 Available in September, this 2017 supplement to the JRCALC Guidelines provides an update on best practice in healthcare for out of hospital clinicians. It is produced in addition to the UK Ambulance Services Clinical Practice Guidelines 2016 and is an interim publication in advance of the JRCALC Clinical Practice Guidelines 2018.

Ensure your JRCALC Guidelines are completely up to date for just £1.99 a month! Sign up to iCPG and receive the JRCALC Supplementary Guidelines automatically, on release. For more information, visit www.icpg.co.uk

No signal? No problem. You can access iCPG even when you’re offline.

Key topics covered include:

AMBULANCE UK - AUGUST

194

• Maternity • Sepsis • Trauma • Safeguarding adults and children • Falls in older adults • Pain management • Updated drug guidelines

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For further recruitment vacancies visit: www.ambulanceukonline.com

COMPANY NEWS are 100 per cent confident in

Cartwright Introduces Five Year Warranty

the quality and reliability of all our

Cartwright Conversions introduces a five year warranty on its PTS Vehicles that covers the base vehicle and the conversion; part of its launch of a new line of restyled ambulances.

“This five year warranty is a

vehicles but undeniably in life there are times when things go wrong.

commitment to support our customers long after they’ve taken delivery of their vehicle and with our unique dual cover the vehicle is covered both inside and out, so whatever the problem we can arrange to get you back up-and-

The Yorkshire-based vehicle

running with maximum efficiency.”

The Tempus onboard the new AW169 at EHHAT

converter will offer the manufacturer-backed warranty as

Cartwright operates a 24-hour

standard on its Heritage line of

warranty advice line and works hand-in-hand with the vehicle

PTS Vehicles built on the latest

manufacturer to provide nationwide

Fiat Ducato. This restyled

roadside cover up to 120,000 miles.

ambulance has a modern, sleek finish with a moulded lining that’s

The new line of PTS vehicles

lighter and easy to clean.

was launched into the market at NAPFM’s Emergency Fleet

Cartwright’s bold move to

Exhibition in June to positive

introduce dual warranty covering

feedback and can be bought

both the base vehicle and the

or hired on weekly terms from

conversion comes from their

Cartwright Conversions.

commitment to give customers ultimate peace of mind.

Visit www.cartwrightconversions.co.uk

Operations and Commercial

to view the full range of products

Director, Steve Shaw, said: “We

or call 0800 0320 279.

The Tempus ALS becomes the monitor/ defibrillator of choice for Essex & Hertfordshire Air Ambulance Hampshire based Remote Diagnostics Technologies (RDT) and Essex & Hertfordshire Air Ambulance (EHAAT) are delighted to announce their partnership. Following extensive evaluation, RDT’s Tempus ALS Patient Monitor & Defibrillator will support EHAAT in their provision of first class prehospital emergency medical service to the people of Essex, Hertfordshire and surrounding areas. This follows several successes for the Tempus ALS in the build up to launch at the Emergency Services Show in September this year. The team at EHAAT support the stance that the partnership with RDT and other Air Ambulance users will allow powerful synergy and development of new ways to deliver patient care and data capture.

“EHAAT are excited by this partnership, both with the excellent characteristics and ability of the Tempus ALS, with its cutting edge modular design, communications and portability, and with RDT themselves. They have proven to be a customer focused entity with a forward-thinking design team.

Scott McIlwaine, Clinical Operations Manager, EHAAT says: “The move to the Tempus ALS comes at the same time as our new AW169 and MD902 helicopters, we have redesigned our equipment to suit these platforms and the Tempus Pro monitor allows us to take patient monitoring to a new level. It will link with our patient database to allow seamless data transfer and allow the production of detailed patient report forms that could enhance patient care at receiving hospitals.” RDT are established as a leader in the design and manufacture of unsurpassed flexible prehospital monitoring solutions. Since being unveiled at Medica in late 2016 and during its pre-launch phase, the Tempus ALS has stirred great interest in the Emergency Medical Services and Prehospital Markets. The RDT team have worked closely with key customers to understand how Tempus ALS offers them a new approach to monitoring/defibrillation, the advantages over what is currently available and how this enables them to deliver improved patient care. RDT CEO, Graham Murphy said: “We are delighted Essex & Hertfordshire Air Ambulance have selected the Tempus ALS as their Patient Monitor & Defibrillator of choice and proud that RDTs will be supporting them in their incredible work saving lives in Essex and Hertfordhsire.”

AMBULANCE UK - AUGUST

Stuart Elms, Clinical Director, EHAAT says:

Questions we have asked are not only answered but new ideas and design are put forward.”

195 For all your equipment needs visit: www.ambulanceservicesuppliers.com

COMPANY NEWS Trust continues with rollout of new Computer Aided Dispatch system South East Coast Ambulance Service NHS Foundation Trust is set for the second phase of migration to a new Computer Aided Dispatch (CAD), system.

The Trust has been using its

and ultimately the patients

varied demands of the diverse

current CAD system for more

who we provide a service to.

business environments in which

than 10 years. A decision

It is already enhancing the

their customers operate.

was taken by the Trust Board

information capabilities to plan

last year to upgrade to a new

and forecast activity, as it is

Nielsen Chemicals have

system in order to improve

a reliable and future-proofed

recently launched the complete

reliability, user experience

system.

infection control solution, with

and improve performance and

products in the range designed

information. A competitive

“A huge amount of work has led

and developed not only to be

tendering exercise led to Cleric

up to this point and I would like thank every SECAmb colleague

effective for cleaning but also

Computer Services being awarded the new contract to

involved, including our ICT and

implement the new CAD early

Operational Teams, the EOC

this year.

staff who have adapted so seamlessly to the new system,

‘Cleric’ have been working

and every member of EOC staff

The new system is well

with ambulance services for

for their hard work in training.

established and currently in use

more than 30 years ensuring

in three other UK ambulance

they have developed a deep

“Along with the move to the new

trusts, and has been operating

understanding of user and

HQ and EOC in Crawley, the

at the Trust’s Coxheath EOC

service needs.

introduction of the new CAD represents another positive step

East in Kent since 5 July 2017. Feedback from staff already The CAD is the system used to

using the new system at the

record all data related to 999

Trust’s EOC East has been very

and urgent requests of the Trust

positive. In addition to improved

for ambulance assistance and

reliability and performance,

is primarily used by Emergency

other key benefits of the

Operations Centre (EOC) staff

new system include its ease and speed of use, improved

to assess, prioritise and, if

mapping, as well as its flexibility

necessary, dispatch ambulance

in order to meet any future

crews to 999 calls.

needs.

Following a successful

SECAmb Executive Director of

transition at its EOC East, the

Operations Joe Garcia said:

Trust’s EOC West in Crawley

“We’re really pleased with

is expected to begin using the

the way the new CAD system

new system from 19 July. Staff

is working at our EOC East

currently based in Banstead are

already and we’re looking

due to start using the new CAD

forward to migrating our EOC

when they move to the EOC

West. The system will be of

West in early September.

huge benefit to the EOC staff

forward for the Trust. We look forward in the coming weeks to completing the migration to the new system in September.”

Nielsen Chemicals The Complete Infection Control Solution For nearly 50 years, Nielsen Chemicals have been an established manufacturer of specialist cleaning products for the Automotive Industry. Their brand portfolio offers a complete range of cleaning, valeting, maintenance and infection control products. Nielsen products are sold in the UK directly to national

to ensure the longevity of the vehicles on which they are used. Each of the products has been formulated against a specific microbial spectrum and are effective against a range of micro-organisms. Products within the range will not lose strength over time and are guaranteed to be effective for the duration of their lifecycle. Bactericidal All Purpose Cleaner, Biocidal Cleaner and Sanitiser (Foodsafe) and One Shot have all been tested in accordance with EN 1276. The products have a kill rate 99.999% proven effective against the following strains: MRSA, Escherichia coli, Salmonella Typhimurium, Listeria monocytogenes, Staphylococcus aureus, Enterococcus hirae and Pseudomonas aeruginosa. Terminex Virucide Cleaner can be used on all surfaces including fabrics to help prevent cross contamination. Using these products in combination provides the complete infection control solution.

accounts, via a network of AMBULANCE UK - AUGUST

franchisees and worldwide through a trusted base of distributors. Their fullyfacilitated manufacturing site also houses an international training academy and advanced research and development laboratory. This enables Nielsen to develop and design marketleading products in line with current legislation to meet the

196 For more news visit: www.ambulanceukonline.com

PROFESSIONAL RANGE

COMPANY NEWS Rescroft Ltd Rescroft is a well known name in the emergency services sector. Based in Redditch, Worcestershire, they are a key seating supplier to the majority of blue light vehicle builders and convertors throughout the UK as well as producing specialist seats for customers in both Europe and Asia. Founded in 1976, they employ over a hundred people who are involved in the design, manufacture and supply of a range of products that are fitted into the various blue light and emergency services vehicles. Their CT Lite Duo has recently been fitted as a rear facing attendant seat by a number of authorities and offers a lightweight solution for use by attendants, passengers or smaller children requiring a harness belt configuration. The seat can be fitted on a sliding base to help with cleaning at the rear. Their Levl seat, a swivelling stretcher seat, is fitted in many vehicles and a specially adapted belt was recently introduced to make the seat more comfortable for younger passengers. Other popular products include the

Winga and Plica tip and turn

over the world, across numerous

with bulky/heavy equipment. This is

seats and the Defender Titan,

markets including aviation,

significant as the evidence shows

an M1 standard passenger seat.

shipping, military, mining and

that back pain is likely to affect 60-

All products are fully compliant to

exploration, RDT is a leader in the

80 % of people over their life time,

current legislation. Rescroft have

global telemedicine in the pre-

and is particularly a problem for

had their own in house test facility

hospital care space. The market

healthcare workers2. What’s more is

for many years and this continues

leading Tempus Pro Monitor is the

that back pain from lifting accounts

to help them monitor and improve

vital signs monitor of choice for

for over 20% of emergency medics’

seats as well as working with

the UK Tri-services and is rapidly

on-the-job injuries3.

manufacturers and carrying out

being adopted by a number of

full in vehicle seat belt anchorage

NATO militaries including USA,

Being small and light is made

testing.

Australia, Norway and Spain

even more compelling when the

amongst others.

benefits of revolutionary dual-

Further details of all the Rescroft

screen capability are implemented

products can be found on their

Since being unveiled at Medica

during resuscitation care. The

website at www.rescroft.com

in late 2016 and during its pre-

advanced critical care monitor

launch phase, the Tempus ALS

and professional defibrillator that

has stirred great interest in the

comprise the system can be

Emergency Medical Services and

used to perform all its monitoring

Prehospital Markets. The RDT

or therapy functions with or

team have worked closely with

without the other device – but pair

key customers to understand

automatically when together. This

how Tempus ALS offers them

gives a very reliable system and

a new approach to monitoring/

importantly allows professionals

defibrillation, the advantages over

on scene to be able to focus

what is currently available and

precisely on the information that

how this enables them to deliver

they need, reducing the impact on

improved patient care.

cognitive bandwidth. This could

RDT celebrates over 20 years in business: Growth is set to continue with the official launch of Tempus ALS monitor defibrillator at the Emergency Services Show 2017 To mark their 20th anniversary as they enter their next phase of growth, Hampshire based Remote Diagnostics Technologies (RDT) are delighted to announce the official launch of the Tempus ALS monitor/defibrillator at the Emergency Services Show (ESS) on stand G47, 20th – 21st September 2017 at Birmingham NEC.

assist greatly in alleviating the The Tempus ALS is ground-

human factors that contribute to

breaking in size and weight which

prehospital adverse events such

allows for standardisation across all

as: monitoring changing patient

emergency response vehicles. In

condition, overall case complexity,

addition, smart weight distribution

multiple co-morbidities and a

allows for a 3.2kg shoulder / hand

deteriorating patient4.

carry of the advanced monitor module (Tempus Pro) on scene

For a product demonstration and

with a 2kg professional defibrillator

to learn more, please visit the RDT

(Tempus LS) in a grab bag1. This

team on Stand G47 at ESS, or

can reduce the risks associated

visit www.tempusals.com

This year, RDT are celebrating over 20 years of success in business on a global scale. In the past 4 years, the business has it has doubled and revenue was up 60% in the past year. Founded in 1997 by CEO Graham Murphy, RDT are recognised as a leader in the design and manufacture of unsurpassed

AMBULANCE UK - AUGUST

trebled in size, in the past 2 years

flexible prehospital monitoring solutions. With customers all 1 The Tempus ALS is a modular system. When configured so that the 3.2kg Tempus Pro is carried on scene via a shoulder / hand carry and the 2kg Tempus LS defibrillator is carried in a fully equipped grab bag. 2 Centers for Disease Control and Prevention. Emergency Medical Services Workers Injury and Illness Data, www.cdc.gov/niosh/topics/ems/data2011.html. 3 Adib-Hajbaghery and Zohrehea. Nurs Midwifery Stud, 2013, 2(4), 103–104 4 Price R, Bednall, JC, Patterson JA, Middleton PM Emerg Med J. 2013 Jul;30(7):583-8. doi: 10.1136/emermed-2011-200971. Epub 2012 Jul 16.

197

COMPANY NEWS Another Milestone for Bluelight UK Ltd Bluelight UK has been working with a partner to provide a cost-effective solution to the ever-increasing needs of our patient transport service. With a myriad of converters to choose from, pitching quality against price Bluelight UK believes its latest offering will woo the NHS Trusts and private sector to their all-new British registered and built concept.

are a number of converters we

the adaptability required to carry

Once the vehicle is in on the

tend to favour. By taking the best

bariatric stretchers, incubators,

road, it is reassuring to know that

bits with the most flexible seating

standard stretchers and or

you will have the support of one

configurations, the end of lease

wheelchairs. The van specification

of the UK’s biggest and most

vehicles will have a higher value

features Renault’s “Intelliride”

established converters at your

than their predecessors and will

air suspension system which is

side just in case a fault should

be far easier to market appealing

factory fitted together with many

occur. Watch this space for more

to a larger audience.” He added,

other refinements such as air

details.

“Secondary use is an important

conditioning, single front passenger

consideration, and a good,

seat, battery can interface, factory

Bluelight UK continues to

well-maintained used vehicle can

glazing and glazed rear doors.

provide good quality refurbished

command a higher residual value

The 130Bhp Renault diesel engine

ambulance vehicles for use in

for the sake of a few hundred

provides good fuel economy with

both private and public sector

pounds in the initial conversion.”

low emissions. Servicing could

organisations and supplies

not be easier. Parts are readily

brand new front-line and high

Bluelight UK is hoping to unveil

and affordably available through

dependency units too.

its brand new PTS vehicle later

Renault’s dealer network. Renault

this year, giving potential clients

offers a 4 year 100,000 mile

If you are interested in providing

MD Simon Forster commented,

a preview of the specification on

warranty as standard through the

a quality product for your clients

“We’re not re-inventing the wheel.

offer before year-end and in time

retail group and the Renault Truck

from a company with a proven

There have been good and bad

for 2018 registrations. Available

network also has “out-of-hours”

track record, contact sales@

conversions over the years. With

with either Vauxhall Movano or

servicing which is essential for any

bluelightuk.co.uk for more

our unrivalled experience in the

the award winning Renault Master

operator needing to maximise the

information or phone the office on

sale of pre-owned vehicles, there

window van, this conversion offers

use of their new asset.

01942 888800

AUK_August_AUK_August_2013 11/10/2013 10:53 Page 254

THE CLASSIFIED SITE For For further further information make information or or to to make aa reservation reservation please please contact contact

Terry Terry or or Brenda Rachel Tel: Tel: 01322 01322 660434 660434 Fax: Fax: 01322 666539 email:

AMBULANCE UK - AUGUST

198

info@mediapublishing info@mediapublishing company.com or by post to: Media Media House, 48 High Street 48 Swanley Swanley KentBR8 BR88BQ BQ Kent

Life Connections 2014 Exmed Study Day

Theme: Difficult Airway Course EMS™ – An introduction For further recruitment vacancies visit: www.ambulanceukonline.com TH

THE CLASSIFIED SITE

QUALIFIED AND NEWLY QUALIFIED PARAMEDICS SALARY RANGING FROM £22,128 TO £35,577 plus unsocial enhancements (depending on qualification status) Join us and you’ll find an Ambulance Service that understands the better we look after you, the better equipped you’ll be to look after our patients. We are passionate about providing care closer to home and equip all of our staff with the training, support and skills they need to deliver a higher level of care, enabling more of our patients to be treated without conveyance to hospital. And we want a better future for you too. Our career framework supports our paramedics to develop specialist or managerial careers, with the progression of many of our current staff testament to our commitment to internal progression and career development Whether you crave a coastal location, the best of the British countryside or the historic cities of Cheltenham, Bath and Bristol (to name but a few), you really will find a better lifestyle outside of work here in the beautiful South West. • • • •

The most clinically advanced Trust within the UK Permanent and bank opportunities available One of the most beautiful parts of the country Lowest conveyance rate in the UK

Let us look after you better. For your next career move visit www.betterparamedic.co.uk

• A better work-life balance • Dedicated staff support service • Structured career pathways

/swasFT

WORKING WONDERS Join Us. For all your equipment needs visit: www.ambulanceservicesuppliers.com

AMBULANCE UK - AUGUST

Better you, Better everybody.

199

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.

ÂŠ2016 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