🚀 go-pugleaf

Jerry Gault <jgault@worldlink.ca> schreef in artikel
<324DDFC0.7BD3@worldlink.ca>...
> Hello:
> 
>        Our area is new to true paramedicine, we are a city that has 
> paramedics on the road due to the Ontario Prehospital Advanced Life 
> Support study (OPALS). It's great to finally have paramedics in town, 
> but with this comes many questions. I would like to know how you 
> incorporated paramedics into your Disaster/Emergency plan.

By us in Holland there a more types of Disaster/Emergency plan.

General:
1 06-11 (911) send a ambulance to a call. They arrive and there is a
disaster.

The first ambulance must (Dutch National Ambulance Protocol) look for:
 - riscs for own safety
 - how big is the disaster
 - how many patients, what kind of patients
 - exact place of the disaster
 - looking for the right way for arriving emergency vehicles

Than the nurse of the first ambulance:
- coordinates the medical help
- try to look futher at the acciendient
- have two ways communications with walky talkie to 06-11 (911)
- is not helping with medical help (except short ALS)
- take care that the patients are going to patientsplaces (10 patients by
each other)
- alle nurses of incoming ambulances and medical help is supervised by
him/her

Than the driver of the first ambulance:
- stays in the ambulance
- takes care that now patients are coming in the first ambulance
- helps with coordinating
- is giving information from his nurse to 06-11 (911)
- is responsable for the radio communication
- takes care that the first ambulance is recognised als first/commando
ambulance
  (we have a green light at the back what he is turning on)

Other ambulances:
- are going to the place where 06-11 (911) wants to have them
  are looking out for danger (explosives etc.)
-  are following the instructions of the first ambulance

One of the other emergency plan of Schiphol (but I can not give them for
security reasons)

> particular, on scene actions, roles, load and go, treat on scene or 
> enroute. Our crew configuration is one BLS and one ALS provider per 
> vehicle with BLS only vehicles as well. Another question I have is 
> supplies, what do you carry on your support unit, do you stock ALS 
> supplies

We have a special support car. This car is supplied with ALS
This car is not rotated around but stays in the district.
All our ambulances are supporting ALS and have nurses (by law)

 do you rotate them around so that you use them up by the 
> expiry dates. 
> 
>   I would appreciate any comments, please send them by e-mail as well as 
> posting it, I'm sure to see it that way.:-) I would also be interested 
> in reading your plan.
> 
> Thankyou
> 
> Jerry Gault
> jgault@worldlink.ca

Hoped that you have enough information,


Hans de Vries (RN)
(was in action by disasters: planecrash Bylmer, planecrash Farao,
planecrash Eindhoven)
From "Broeder de Vries"Ambulance
(911 district: Hilversum, Veenendaal, Amerongen, Schiphol + international
ambulanceplanes)
> E-mail:hansdv@iaehv.nl