human factor

1. EMS
THE FAM DOCTORS TEAM WELCOMES YOU TO
FIRST HEMS TRAINING IN JAKARTA
FOR
THE FOUNDATION OF THE FRENCH ACADEMY OF
MEDECINE (FAM)

2. 18/12/2019 2
ROAD CAR ACCIDENT

3. 18/12/2019 3
6 PM : car fall from a bridge - 15 meters
high
H + 10 min : First arrival ground
ambulance with a doctor
2 victims on the shore :
male, driver, 34 years, abdominal blunt
trauma, FAST echo +
female, passenger, 32 years, femur
fracture, head trauma GCS = 14
THE SCENE

4. 18/12/2019 4
You are the dispatcher : which elements you
need to organize the evacuation of the two
injured people ?
if you want a ground transport ?
if you want a helicopter evacuation ?

5. 18/12/2019 5
• Distance between the accident and trauma
center ?
• to calculate the evacuation's delay
• Sunset's hour ?
• Weather ?
• How many helicopters are available ?
• Night fly for HEMS possible ?

6. 18/12/2019 6
• You have 2 HEMS available but only one can fly by
night - only one patient in helicopter
• You have 1 ambulance with doctor on the bridge
• Ground transport to the trauma center : 30 minutes
• Air transport to the trauma center : 15 minutes
• Sunset hours : 7:15 PM

7. 18/12/2019 7
You arrive at 18h45 with HEMS on the scene -
how do you proceed ?

8. 18/12/2019 8
Finally, how we manage this accident :
• Only one HEMS available because on the sunset
• The helicopter on the scene embark the passenger and
desembark her on the bridge (because very difficult and time
consuming to cross the river with the stretcher). The
ambulance with doctor do a ground transportation.
• 19:15 PM : she was on the bridge -
• 19:25 PM : depart of groung transportation -
• 19:55 PM : arriving at trauma center
• the helicopter come back and embark the driver and fly to the
trauma center
• 19:30 PM : take off with the driver -
• 19:45 PM : arriving trauma center

9. 18/12/2019
Doctor Hervé Roy
Emergency Physician
Doctor Pascal Zellner
Emergency Physician
Mr. Ralph Setz
HEMS Marketing
Director
Doctor Nicolas Peschanski
Emergency Physician
THANK YOU FOR YOUR ATTENTION