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London HEMS before the
claxon!
Joseph Steer
HEMS Paramedic London's Air Ambulance
London a typical day….
London a typical day….
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%
You get stabbed in London- What actually
happens??
Clinician dispatch and support
Types of dispatch
Identifying the physiology- listening to a
failing heart
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
The Research
Challenges- future developments
• RVP’s – Delay
• Other ambulance service answers the phone- delay
• Crew support- via video link
• Early accurate cardiac monitoring – transmitted
Thankyou- happily discuss

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London HEMS before the claxon | Joseph Steer at TBS23