Your Call Member and Public Event
Welcome The plan for today The role of the Council The Trust in brief you ll hear more from our staff and volunteers We look forward to hearing your views and taking your questions
Your Governors Who we are Why we got involved Our top issues We look forward to hearing your views and taking your questions later on
Murray Clark Community First Responder
Sudden Cardiac Arrest There are 28,000 Sudden Cardiac Arrests (SCAs) outside of hospitals each year in the UK referred to Emergency Medical Services. Target for Red 1 = 8 minutes Hypoxia can occur in around 4 minutes National survival rate of SCAs (no intervention) 8.9% Each minute someone is in cardiac arrest their chance of survival falls by up to 10%
If a defibrillator is used within an 8 minute window of opportunity: 75% chance of recovery
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Murray Clark Community First Responder
CFRs are volunteers who are trained by the Ambulance Service, to respond to emergency calls in their community in conjunction with SECAMB. As they respond in the local areas where they live and work they are able to attend the scene of an emergency within a few minutes, and often before the emergency service arrives. They are able to offer life-saving first aid further increasing the patient s chances of survival.
Accountant Company Director Retired Professional Ex Military Pharmacist Registered Nurse Doctor Firefighter Police Officer SECAMB Staff
CFR Role History Taking Primary Survey Airway Adjuncts Suctioning Choking Adult BLS Defibrillation IPC Drowning Paediatric BLS Record Keeping CPR Contra- Indications DNACPR Orders Burns Observations Chest Pain Stroke Breathing Probs Allergic Reaction Auto-Injectors Salbutamol Diabetic Probs Fitting Trauma SMS System Support CFR Driving Assessments
Operational CFRs = 80 Calls attended = 2136 Red 1 calls attended = 133 Red 2 calls attended = 1285
South East Coast Ambulance Service
SECAmb NHS Foundation Trust Geographical Area : 3,600 square miles. Over 3,300 staff. (1,900 Operational A&E staff) Five Make Ready Centres 47 Ambulance Stations 66 Ambulance Community Response Posts Two Hazardous Area Response (HART) centres
Traditional methods
Make Ready Cycle
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Gatwick and Redhill Operating Unit Split into two dispatch desks. Crawley Desk covering Crawley and Horsham. Redhill Desk covering Redhill, Dorking, Godstone, Caterham, Epsom and Leatherhead. Page No 26 of 2626
In our Operational Unit we operate Double Crewed Ambulances Single Response Vehicles Paramedic Practitioners Critical Care Paramedics Hazardous Area Response Team Page No 27 of 2727
HART Hazardous Area Response Team
What is HART? Paramedic care in hazardous environments Beyond reach of NHS care HOT ZONE/ inner cordon Improves survival rates Support and Enhance Advisory role in special circumstances 15 Teams at Strategic Locations Nationally Gatwick WEST Gatwick Airport Ashford EAST Channel Tunnel Team of SIX
Why? It is an indefensible position that ambulance services do not treat casualties where they fall OSIRIS Exercise, highlighted lack of medical care in HOT ZONE: Detrimental to patient outcome 7/7 Highlighted this further More recent Terrorist Threat
What We Do IRU USAR HAZMAT CBRNe SWaH Con Space IWO DEFRA Mod 3 AMIRT Power Boat TMO MTFA Public Disorder
Incident Response Unit HAZMAT Chemical, Biological, Radiation, Nuclear, explosion Mass-Casualty TMO MTFA, Public Disorder
Urban Search And Rescue Safe Work at Height and Basic Rescue Confined Space (High Risk)
Inland Water Operations SRT Mod 3 Vehicle in Water Powered Boat AMIRT (Alongside)
Off Road Capability Land Rover Winch ATV
Vehicles FRV Landrover Light Heavy Prime Mover Polaris FCV PCV
Training Powered Boat Ambulance Maritime Incident Response Team Powered Respiratory Protective Suit Off Road Tactical Combat Casualty Care Regular on-shift training Structured Training weeks every 7 weeks
PPE
Stuart Plumbley Critical Care/HEMS Paramedic Southeast Coast Ambulance Service.
Oxygen Aspirin Salbutamol Adrenaline Atropine Gelofusine Entonox Glucagen Sodium chloride
Morphine, IV Paracetamol, Ipratropium Bromide, Salbutamol, Adrenaline, Amiodarone, Aspirin, Benzylpenicillin, clopidogrel, Codeine, Diazepam, Diazemuls, Naloxon, Ondasetron, Prednesalone, Chlorphenamine, Hydrocortasone, Glucose, GTN, Morphine, Ketamine, Midazolam, Rocuronium, Magnesium, Co-amoxyclav, Calcium Chloride, Tenecteplase, Phenytoin, Hypertonic Saline
Thank You for listening Stuart Plumbley Critical Care Paramedic Southeast Coast Ambulance Service.
Your comments and questions What do you think of what you ve heard? Is there anything you want your Governors to know about? Any questions about our services?
Thank you for coming Please complete your evaluation form and leave it on your seat. Not a member? You can complete the member form on your seat and return it to our staff. Membership is free. We thank you for supporting your local NHS ambulance service.