London HEMS before the claxon A talk by Joseph Steer at TBS23

1. London HEMS before the
claxon!
Joseph Steer
HEMS Paramedic London's Air Ambulance

2. London a typical day….

3. London a typical day….

4. LAA 2022
• 2000 patients seen
• 8-10 stabbings a day (MPS data)
• LAA attend around 2 a day average
Penetrating, 34%
Traffic, 26%
Fall, 22%
Other, 11%
Medical,
7%

5. You get stabbed in London- What actually
happens??

6. Clinician dispatch and support

7. Types of dispatch

8. Identifying the physiology- listening to a
failing heart

9. 45 year old stabbed once in the chest
Time Event Interval
(mins)
Cumulative
Time
(mins)
14:14 999 - Call Connect 0 0
14:18 HEMS Activation 4 4
14:22 Aircraft Lift from Helipad 4 8
14:29 Aircraft Landed 7 15
14:34 HEMS On Scene – with Patient 5 20
15:07 HEMS Depart Scene to Major Trauma Centre 33 53
15:16 HEMS arrived at Major Trauma Centre 9 62

11. The Research

12. Challenges- future developments
• RVP’s – Delay
• Other ambulance service answers the phone- delay
• Crew support- via video link
• Early accurate cardiac monitoring – transmitted

13. Thankyou- happily discuss