Volunteer Emergency Responder on the kit and equipment our volunteer responders carry

This #VolunteersWeek we'll be taking you behind the scenes with our volunteer Emergency Responders - who give their time to respond to patients in blue light vehicles and #TeamLAS uniform.
Emergency Responder Benji is on shift today and he filmed this video about the kit in ER cars, before starting his shift.
www.londonambulance.nhs.uk/wo...

[@coover65]

Great to see such people giving back to the community. Admittedly I am surprised that a densely populated city like London would need volunteers. We have volunteer first responders here in Australia but only in small, remote communities. They get backed up by either road or flight paramedics, but in my state at least, every town of more than a few thousand residents has an ambulance station with paramedic coverage 24/7.

[@FrankEdavidson]

Can't be everywhere. CFRs and lay responders buy time for ambulance to get through often dense traffic. I expect Australian cities - built where there were no legacy roads - are more planned than UK ones and emergency vehicles have more of a chance of getting through. Many of the roads in London are from time immemorial, some, perhaps from before horses. When London burned down in 1666 they tried planning the regeneration with better topology of roads but they just went ahead and rebuilt London much as it was but in stone and brick instead of timber.
Only SA had RRN but you've now Sandpiper Australia, a network of volunteer doctors, anaesthetists, surgeons, nurses and paramedics augmenting ambulance, HEMS, coastguard, mountain and cave rescue services with specialist skills. It's based on BASICS Scotland, the name from the Sandpiper Trust charity which supplies standard 'Sandpiper' bags to responders with some slight variances in contents to accommodate the scopes of practice ranging from rural practice nurses and GPs to trauma surgeons and anaesthetists or rural GPs. It also brings a system of clinical governance and a system of training. BASICS Scotland is based on BASICS, a different legal entity* which started up in East Anglia. *The four regions of our country have their own health systems all called the National Heath Service. Scotland has one ambulance service, E&W is more urbanised and has 10 ambulance trusts I think. There are different legal systems in S (Scots Law) E&W (English Law) as well, so inevitably both organisation will differ in their working. It's good to see the volunteers at Sandpiper AUS take on the setting up of governance systems, equipment in the states in Australia.

[@FrankEdavidson]

What I'm surprised at is how well equipped he is and I'm assuming other CFRs working for London AS are. I spoke with a CFR here and he'd next to Naff all BLS and oxygen but they mostly only get sent to MIs and CAs - no trauma, no ODs.

[@coover65]

@@FrankEdavidson I hadn't heard of Sandpiper Australia until your comment. A look at their website shows the valuable work they do. I'm not sure on other states, but in Queensland only career ambulance service paramedics can legally provide public emergency pre-hospital treatment and transport. Small localities are an exception, where QAS trained first responders are used, and the flying doctors (RFDS) is an adjunct to the patient care role. British cities are very compact compared to Australian ones. Brisbane in land area is about ten times the size of London, but with a population of 29% of London's. Our freeway system is pretty good, plus main roads and suburban streets are much wider than British ones. With the exception of Western Australia and the Northern Territory, each state is serviced by one state government owned ambulance, fire and police service. WA and NT use St. John for emergency ambulances, and with SA rely heavily on volunteers outside urban areas. In Queensland we have about 4500 staff, of which about 3,900 are career paramedics. Being a large state (7.64 times larger than the UK), we have some 290 ambulance stations. Most ambulance services also have their own winch capable rescue helicopters, and two states have fixed wing aircraft. Our training and equipment are very similar to that in the UK.

[@christophercarr1331]

brilliant video showing all of your equipment in a rapid response car 👍

[@archimedesscrew3710]

Nebulisers?
SLB AND IPR?

[@WelshBMWandAudiDriver]

Just salbutamol

[@lewiss626]

Do you have to be a trained paramedic/health care professional to be a volunteer responder

[@quintonlee4107]

No, you don't need to be a Healthcare Professional to be a Volunteer Emergency Responder. You will be given training and undertake a Level 3 First Responder Qualification.

[@lewiss626]

@@quintonlee4107 do they use blue lights

[@samuelo6816]

@@lewiss626 Yes

[@pacmanseven2544]

Nice. Does that car have Blue lights?

[@stoke9585]

Yes, it’s a fully kitted blue light VW Tiguan.

[@alfiefairs4707]

Can emergency responders use igels

[@archimedesscrew3710]

No

[@alfiefairs4707]

@@archimedesscrew3710 what's in the airways bag then

[@archimedesscrew3710]

@@alfiefairs4707 np and op airways....

[@alfiefairs4707]

@@archimedesscrew3710 that seems a very big pouch for npas and opas

[@archimedesscrew3710]

To be fair, I was not looking at the bags.
I left 18/24 ago. It certainly wouldn't be allowed when I was employed.
Let's say it would be highly unlikely that a volunteer responder would be allowed to use an I-gel. You would have to go into theatres, perform a number and be signed off by an anaesthetist.
A manual hand held respirator will be in the bag too.
Sorry if I am not giving you enough info. Just doing my best.

[@danielfowles-ti1oe]

If 999 calls comes in about RTC you need get the in 2 miss ok

[@zutkravmaga]

Why is the Cat Hem pouch not in the primary bag. Poor practice imho

[@rossmurray3692]

The trauma/cat hem kit is designed to be easily accessible and seperate to the primary bag. Clinicians should have a good idea whilst enroute to a call if Cat Hem is present as it should come up in the Call Handling Process. It ensures that no time is wasted trying to dig through the primary bag and that the kit is readily available to use. It also means that in the event of there being a 2nd casualty etc with no Cat Hem then the clinicians can split and deal with seperately; One dealing with the Cat Hem using the trauma kit and the other dealing with the less serious using the primary bag. Any kit needed from the primary bag can be easily given over to the trauma pts clinician as it's all in individual pouches.
You'll find that most if not all Ambulances throughout the UK have a Trauma/Cat Hem kit seperate to their response/primary/BLS bag whatever you want to call it. It's STANDARD practice not POOR practice
Have a good day :)

[@zutkravmaga]

@@rossmurray3692 i am part of the ambulance service. And it is wrong !
Standard doesn’t make it right. You know as well as I do, MDT is hardly ever correct. If you need a TQ you do not want to be running to the ambulance for it.
Poor practice. Standard or not !

[@zutkravmaga]

@@rossmurray3692 However to be clear, ER’s do a fantastic job and deserve much credit. Was just an observation on the practice around leaving one of the very few truly and immediately time critical pieces of kit in the car/truck routinely.

[@samuelyoung8838]

@@zutkravmaga Upload proof to your channel

[@zutkravmaga]

@@samuelyoung8838 proof of what ?