welcome to copenhagen fire brigade and the emergency...
TRANSCRIPT
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Welcome toCopenhagen Fire Brigade
and the Emergency Medical System
Peter Bjrn Hansen Freddy Lippert
Ambulanceservice.
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Fire Brigade and Emergency Medical System
of Copenhagen
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Ambulanceservice
Copenhagen Council
Frederiksberg Council
Falck (private firm)
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AmbulanceserviceAmbulance announcement nr. 1039 of 24 November 2000
Agreement/contract Copenhagen Hospital Corporation (H:S)
Hospital law
Free access to medical care.
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Copenhagen Fire BrigadeOrganization
M a n g e m e n tF ire c h ie f
V ic e f ire c h ie f
F ire a n dre s c u re
A m b u la n c e S ta ff
S ta t io n c h ie fH & C
S e rv ic eA fd .
S ta t io n s c h ie fT & D
P re p a rd n e s s
S ta t io n s c h ie fF & V
IT
S ta t io n s c h ie f & R g
1 1 2 D is p a tc h
P h y s ic ia n G e n . M a n g .
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Year 2000
50575
30127
20531
0
10000
20000
30000
40000
50000
60000
1 2
50658 Emergencies 50757 Interfacillity
Tota
l Prio 1 acutPrio 2 acutInterfacillity
Average responds time priority 1. 4 min 24 sec.
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Year 2001
52280
31056
19292
0
10000
20000
30000
40000
50000
60000
50348 Emergency 52280 interfacillity
To
tal Prio 1 acut
Prio 2 acut
Interfacillity
Average responds time Priority 1. 4 min 37 sec.
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Ambulanceservice
750 employees, incl. Administration.
250 in the ambulance service.
200 EMT-I (Intermediate)
50 EMT-B. (Basic)
28 assist.MECU (Mobile Emergency Care Unit).
24 Anaesthesiologists at the MECU
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Ambulanceservice.Ambulance announcement *: Basic assessment of the patient. Advanced trauma life support. Basic and advanced life support. Current treatment. Delivery and Birth care. Intravenous access. ( Level 2-3 ) Medication IM / IV. (for allergy, convulsions, heart attacks and
intoxications - level 3 ) Basic disengagement and basal fire fighting. Extrication/stabilisation ( PHTLS )* Department of health announcement nr. 1039 of 24 November 2000
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Prehospital area in Copenhagen ( H:S )
8 stations incl. Fr.Berg
89 km2
605.000 Citizen
300.000 visitors each day
St. T.St. T.St. .St. .
St. F.St. F.
St. H.St. H.St. D.St. D.
St. V.St. V.
St. C.St. C.
St. T + STT.St. T + STT.St. .St. .
St. F.St. F.
St. H.St. H.St. D.St. D. St. St. FbFb..
St. C.St. C.6 Hospitals
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Ambulanceservice.112 ambulances. 7 Fire stations in Copenhagen and 1 in Frederiksberg.
12 Ambulances. 24 hour duty.
Interfacility transport.1 station.
15 Ambulances between kl. 06.0016.30.
4 Ambulances between kl. 11.00-23.00.
2 Ambulances between kl. 22.00-07.00.
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Ambulanceservice.Ambulances H:S
C
H
F
H:SMECU
Christianshavn
Hovedbrandstationen
Sygetransport
Flledvej
VVesterbro
T DDmningenTomsgrden
FRBFrederiksbergsterbro
STT
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Ambulanceservice.In Copenhagen Fire Brigade - additional:
1 Ambulance for transporting one bed.
1 advanced ambulance for trauma care (Retrivel unit).
1 special vehicle (for services to drug addict and prostitute)
3 cars use for sitting transport.
1 psychiatric ambulance.
Special vehicles for extrication and special tasks.
Fire vehicles
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Ambulanceservice
Ambulance education after the new announcement.Department of health announcement nr. 1036 of 24 November 2000
Level 1
EMT-B
(Basic)
Level 2
EMT-I
(Intermediate)
Level 3
EMT, With special authority
( Paramedic)
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Erhvervsuddannelse til REDDER, ( EUD 2001. ) Grundforlb 1. skoleperiode 2. skoleperiode 3. skoleperiode 4. skoleperiode 5. skoleperiode Grundforlb 2. modul p sundhedsskole Erhvervsrettet pbygning p Tekniskskole eller AMU center
1.modul p 3. modul p Teknisk skole Teknisk skole
Erhvervsrettet pbygning: Kan placeres frit i uddannelsen. Kran D Kystredning/bdtjeneste Dyreredning/strre dyr Personlig sikkerhed ved redningsarbejde i hjde 2 4 uger
Grundfagsmodul 5 uger:
Fllesmodul 10 uger: Grundfag
Omrdefag Transportmodul 5 uger:
20 uger
Grundudd. Almene fag
Valgfag
5 uger
Grundudd. Almene fag
Valgfag
5 uger
Ambulance Almene fag
Valgfag
5 uger
Ambulance - assistent Almene fag
Valgfag
5 uger
Ambulance - assistent Almene fag
Valgfag
5 uger
6. skoleperiode Ambulance - assistent Almene fag
Valgfag
5 uger
7. skoleperiode Ambulance - assistent Almene fag
Valgfag
5 uger
8. skoleperiode Funktionsudd. Brand
3 uger
9. skoleperiode Specielfag. Almene fag Valgfag
4 uger
10. skoleperiode Svendeprve Almene fag Valgfag
6 uger
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r 0 r 1 r 2 r 3
Gru
ndfo
rlb
20 u
ger
Intro
pra
ktik
3 u
ger
1. S
kole
perio
de 5
uge
r
Pra
ktik
14
uger
2. S
kole
perio
de 5
uge
r
Pra
ktik
10
uger
3. S
kole
perio
de 5
uge
r
Pra
ktik
10
uger
4. S
kole
perio
de 5
uge
r
Pra
ktik
2 u
ger
5. S
kole
perio
de 5
uge
r
Pra
ktik
15
uger
6. S
kole
perio
de 5
uge
r
Pra
ktik
3 u
ger
7. S
kole
perio
de 5
uge
r
Pra
ktik
3 u
ger
8. S
kole
perio
de 3
uge
r
Pra
ktik
8 u
ger
9. S
kole
perio
de 4
uge
r
Pra
ktik
19
uger
10. S
kole
perio
de 6
uge
r
Pra
ktiu
k 2
uger
Med grundforlb er uddannelsen p 3 r og 1 mned. ( EUD )Uden grundforlb er uddannelsen p 2 r og 7 mneder ( VEUD )
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Ambulanceservice.Mobil Emergency Care Unit (MECU)
Physician based ambulance rendezvous system
Anaesthesiologists (Anaesthesiology/Emergency Medicine)
Paramedic as assistants
Employed by H:S ( Rigshospitalet )
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Ambulanceservice.H:S MECU.
Copenhagen Fire Brigade is providing the medical ambulance with ambulance crew. Provide EMTs to MECU and H:S Retrieval unit (special vehicle). Assist doctor at scene. Assistant ( EMT-B ) whit special education. Manage major incidents incl. Decontamination
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Dispatch112 call:Is received in Copenhagen council and county by Copenhagen Fire Brigade in the rest of Denmark, it is handled by the Police.
Dispatch 1
Dispatch 2
Dispatch 3
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1 1 2 call. Information send to theFire Brigade dispatch.
Dispatch
The ambulance arrives average in 4. 37 minutes.
(2001)
The ambulances leave within 1 min after the
dispatch.
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AmbulanceservicePreparedness for special occasions and incidents.
Sports and festival arrangement. Mass Gatherings Holidays. EU-Summits and VIP. Counter terrorism and treats.
Mobile Emergency Unit.
Extra ambulances.
Special triage vehicle.
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Ambulanceservice.Personal.
Recruiting
Screening personal 2 days
Profile.Personality.Academic ability. Physical strong.Independent.Responsible.Able to help patients in there most critical fase.At 44 year transferring as fire fighter.
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Ambulanceservice.Quality management
Management board
Quality council
Complaints council
Ambulance forum
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Documentation.
Ambulance journal:
Treatment documentation
Note from hospital
Database
Ambulance journal:
Treatment documentation
Note from hospital
Database
Medical indicators
Operational indicators
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AmbulanceserviceEducation.Yearly continuing education.
External evaluation (Contract ).
Education plans approved by H:S
Materiel.EU standards 1865 and 1789.
External inspection of medico technical equipment.
Daily inspection checklist.
Vehicle safety check (10.000 km).
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AmbulanceserviceJCI standards.
Operative guidelines.
Education and treatment guidelines.
Handbook for personal.
Quality handbook.
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The future challenges.Internal
Accreditation.
Improved documentation.
Less flexibility in hiring staff.
New education ( Level 1-2-3 ).
Dispatch.
Medical challenges.
Distribution of patient groups.
Technologic development. ( GPS,GIS )
External
Higher expectations from the public
More senior citizens.
Regional development.
Oerestad/Metro/construction
Ambulanceservice.
AmbulanceserviceAverage responds time priority 1. 4 min 24 sec.Ambulanceservice