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Jeremy Myerson, Redesigning the London Ambulance
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- Опубликовано: 14 авг 2024
- Jeremy Myerson, of the Helen Hamlyn Centre for Design healthcare research lab, presents their redesign of the London Ambulance
You can watch Jeremy's full presentation at Make:Shift 2016 here: goo.gl/B3e1iP
Make:Shift is a two-day conference on the future of making, presented by the Crafts Council (UK). Find out more at: www.make-shift.org.uk
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We don't care if a ambulance looks cozy, it's there to get us to the hospital quickly and without causing extra damage. The top comment highlights a lot of what is actually needed
Modular. So “you only take kit you need for the emergency you are responding to” issues I could see with this
1. surely this would increase response times
2. Ambulances are often not at their station and are going from job to job to job
3. What if they get flagged down or witness a RTC (Road Traffic Collision) where they need equipment, but don’t have it because they had just been to a different job and took kit that is not relevant to the RTC. They wouldn’t have the kit to help
I do not think that's what he meant. You only take what you need to the patient. Everything is still in the car. Just not everything in a heavy pack, where you would only use 10% of.
@@rockhock108 That's not what he says, nor is it what the ambulance shows. He says at the start (0:22) that you "because it's not a smart vehicle you have to put everything in there for every eventuality". He wants to take things out of the ambulance, for the crew to slot in as they go to the emergency, which will as Nathan said increase response times.
@@Scott-py1sd That's the way that I interpreted what he said, only taking what you need for each job. However, as others have stated, it doesn't allow for being tasked with a higher priority job after leaving the station or getting diverted to a new job on the way back to the station from the hospital.
I can see this approach coming a cropper in the face of hard real world experience in spite of all the testing. Lord knows how these ambulances are standing up to the Corona Virus pandemic.
I take it none of you guys work on ambulances? He is saying that instead of having 1 bag which had major trauma pack, maternity packs, resusitation pack etc in, it will have seperate packs in cupboards, and you take which ones you need out of the cupboard. Ambulances dont have tine to go back to station between wach call. smh
@@AB-cs7vm no he isn't. He doesn't mention that once. He makes it quiet clear he is talking about the ambulance being modular, not the bags that the gear goes in.
Australian ambulances are already pretty well laid out. Enough cupboards to keep a crew stocked for a 12 hour shift, with the exception of some consumables which can be restocked at hospital from a dedicated ambulance supply room. I think our work stations are pretty well designed for how we work. The current UK ambulances seem to have some poorly utilized space near the treating officers' seat.
some EMS providers in the UK go for German ambulance manufacturers; I work at a German EMS provider and tbh the ambulances we run have their fair share of both pros and cons. We carry a lot of equipment stored in the cupboards and exterior/interior compartments but in most units necessary equipment is out of reach for crews sitting next to the patient on the run to the hospital; They also have a lower top speed than they used to have, many of them have poor emergency lights setup and a box layout with a high center of gravity
I don't plan to be in the ambulance but one thing that was important to me was accurate blood pressures. Traveling down the freeway hitting every pothole can be frustrating. And also having a knob for AC. In the back of the box there are 3 settings 1 loud cold air 2 loud air and loud hot air. Other than that 360 pt care doesnt sound half bad. We Yankees have mods.
Exciting news - would love to see the whole presentation on the final product.
He says they got an old Australian ambulance to "butcher up"? It was a body from what is called a "bariatric" ambulance, for overweight large patients. They do get used for emergency work , however this is not the standard Australian Mercedes ambulance. The regular Australian ambulances are a lower profile, and are preferred over the larger ones, as they handle better, have less body roll, and more comfortable for crews and patients.
I was wondering that too. I haven't seen an ambulance body like that since the circa 1980s Superior modular bodies used in Qld. and ACT. And how many "old Australian ambulance bodies" are sitting in a UK back yard? Shipping to the UK would be prohibitive. I saw the development of the layout of Australian sprinter ambulances, and happy to say that except for a resus or birthing, they're now ideal. Especially when in this day and age it's your office for 12 hours.
@@coover65 Good point about obtaining the ambulance body. They may have done a deal with a shipping company. I know a guy who sort of "collects" old ambulances and hearses, and he has a friend who manages a cargo company and he imports the vehicles into Australia, only paying the necessary customs fees, and sundry charges,which are not that bad really, as the vehicle is not for normal use. He gets the actual freight for free. Nice work if you can get it.
Placing the stretcher in the middle like that looks like it causes more problems than it fixes. Way to little room to move around and it looks like it would be a pain reaching that far over the patient for the gear. If it was a larger ambulance like the huge trucks they have in the US it would work, but not with small ambulances. IMO.
I went with several EMS providers in Germany; Apart from the most compact of BLS ambulances where the stretcher is placed on one side, larger BLS and all ALS units I've seen had their stretcher in the middle; On most units the stretcher platform can be moved to the right and left to create more space on one side if needed
Why did they need to buy an ambulance from Australia? Dosent the london ambulance service have a couple broke down rigs they could have cannibalized?
Interesting to see so many comments from those whose job this is. It would be nice to have some responses from the presenter, as everyone might learn something.
Amazing video with great explanation
as an ex first aider with the SJA, i like it, and its bout time they modernised the ambulance throughout the uk not just in london
I’m sorry but being a first aider is completely different to working on an ambulance . The ambulance structure is effective ensuring that all equipment is readily available without climbing around a bed . Ambulances are pretty modern already .
If you are equipping the ambulance in a basic life support role you have less equipment you need to carry then if you're in the advanced life-support role. In my area about an hour drive North of Washington DC. Our ambulances are paramedic staffed and center mounted cots. They also have the additional duty of being equipped to carry firefighting gear with self-contained breathing apparatus. This requires a heavier chassis. In our area waiting for a paramedic to upgrade an ambulance is time prohibitive better to have them all ready staffing the plus eliminates a Chase car
Iny my area just outside our capital city Munich in the Free State of Bavaria, Germany, we run compact BLS Transport Ambulances for primarily non-emergency patient transports (can still act as first responder for an emergency call to cover the time until further crews arrive) and full-size ALS Emergency Ambulances. Both are van-based but the ALS unit have a box and the BLS don't. No BA sets on the ambulances though. Additional to the ALS Ambulances we also run car-based Emergency Doctor Units
@@EnjoyFirefighting I was in Schweinfurt back in 88-91 I learned about the emergency doctor over there great idea. Here I pick up the radio and I can have a Helicopter in 15-20 minutes to take you to the World famous Shock Trauma center or John's Hopkins hospital and put you on a table in 20 minutes from lift off. We have a GO Team that can be air lifted to you with a Trauma Doctor ,a Anesthesiologist, and Trauma Nurse along with 2 flight Paramedics that staff the Helicopter. The can give blood, amputate, and give better drugs then we carry. I had them on scene years ago for a really bad accident I had them knock the patient out so I could use the Jaws of Life to untangle their foot. Once the patient was knocked out I could cut and spread to get their foot free. If I could not, they where going to have to amputate to get the person out. The driver was hit head-on and the floor wrapped up around his foot I never seen anything like it before or since. And yes I went to Oktoberfest 2 times a most wonderful time. Maybe I can get back over there one day.
@@rescueraver for really critical conditions and long transport to the hospital we get helicopters on scene pretty quick as well. Either we request them when on scene, or they are dispatched with us from the beginning. Although we're on the far side of the city from their base, they arrive at the same time or only minutes after we do (if dispatched at the same time). But apart from that we have the ground-based emergency doctor cars which is really convenient; In two days I have my next shift on our doctor car.
In some areas there are not only "ordinary" emergency doctors, but there are also ones specialized onto pediatric emergencies. Yes there are extra "child emergency doctor cars" and "newborn emergency doctor cars" ... my area is covered by those in the city. In the city where I used to live there's also an emergency car with a mobile ECMO based at the university hospital
Ever looked in an Europe/German Ambulance? This system works very good i would say
German ambulances? Most of them are a joke with equipment being out of reach for sitting crews, still a great share of manual cots, poor lights setups, many BLS units not having any helmets, poor safety features, low top speeds ... simply outdated in many ways
Finally a NEW step forward among German ambulances:
ruclips.net/video/K-acnUFl_zo/видео.html
So intimidating! I’m so scared
Frazer Ambulance, Houston, TX.
That’s not the inside of a current London ambulance…. 🙄
C.Miesen already had this haha. Just buy vehichles there.
Uh? What?
I wished I'd bought that oz ambo food £430.😂 I'd have gonevto £455😂😂😂
This a joke !!!
By placing stretcher in the middle under assumption that 360 degree access is always required is laughabl. In doing so when a sitting patient needs to transfer to a hospital chair there is no space..
They have omitted to include the fact that modular packs are ineffective as jobs are changeable en route, technology breaks, h+s with leads on floors, that filite stock of items is stupid as you may use more than several stock items on one patient dependent on condition.
MANS A JOKE
I am quiet disappointed with this, the presenter makes a number of statements that he then suggests are included in the finished design,
A significant number of incidents attended by ambulances are to patients, who are unable to communicate, through various reasons, coupled with not having ID and another person with them who can identify them, or even tourists, non uk nationals etc so having immediate access to a persons medical records is irrelevant. The London Ambulance Service has in the region of 500, emergency Ambulances, it is not practical for them to keep returning to a base between calls to collect different ''case'' pods. If you were going to reduce the visible pods, then a carousel type unit set between the cab and the treatment area would be more practical.. The principal error with the current Ambulances is the chassis length, to short by a metre, some are single wheel rear axle, and the weight of the VW engine when they get chosen is heavier than the Merc so it reduces the payload. The treatment area pod, needs to be a 'demount' unit, so when you loose the chassis cab, for whatever reason you don't loose the whole Ambulance.. Hope you are still at the planning stage and non have been commissioned.
I have just retired after fourteen years as a Public Governor with an NHS ft, and would not have supported the purchase of these units.
lol here in Germany the first EMS provider goes for a even longer chassis than the normal ALS Emergency Ambulance would have, instead of making them shorter
This is just horrible. These ambulances might look like kitchens but trust me they are the best environment for the patient and are amazing for treatment. Leave them the way they are. And dont make them into this bullshit
Just use American box rigs. Lol
Use german ones, even better
Americans have bulky, overweight and slow vehicles that handle like a barge! All about show, with ridiculous lights and sirens to match. So, no thanks.
@@franzhose5162 tbh Ambulances aren't sth Germans can be proud of ... most of them have an outdated layout, with equipment usually being out of reach while sitting next to the patient, with many providers still running completly manual cots, ambulances getting a lower top speed, poor lights setups, and hell thanks no many BLS units even don't have any helmets on board