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London Trauma System Launch Event Thursday 10 th September Church House, Dean' s Yard, London Trauma System Launch Event Thursday 10 th September Church House, Dean' s Yard, Westminster, London SW 1 P 3 NZ

Prehospital Care • London Ambulance Service • Emergency Medical Services – Day time helicopter Prehospital Care • London Ambulance Service • Emergency Medical Services – Day time helicopter response (HEMS) – Night time car service • BASICS • MERIT

HEMS – London’s Air Ambulance • 1988 charitable / public initiative • Pan London HEMS – London’s Air Ambulance • 1988 charitable / public initiative • Pan London Service – 30% activity going to Royal London Hospital • Team – Clinical team is a senior doctor & experienced paramedic • Crewed by staff from all over London – Wider team: pilots, fire crew, data, driving manager • “Intensive Care at the Road Side” • Ensures – Best & quickest treatment post injury – Quickest transfer times to cities major trauma centres

Unparalleled Care • Attracts other world leaders as service providers – e. g. Norway, Unparalleled Care • Attracts other world leaders as service providers – e. g. Norway, Australia • Unique levels of patient care

Unparalleled Care • Thoracotomy • Unique levels of clinical scrutiny Unparalleled Care • Thoracotomy • Unique levels of clinical scrutiny

Night Time – Response Cars Night Time – Response Cars

Night Time – Response Cars • Available when aircraft is off line – Night Night Time – Response Cars • Available when aircraft is off line – Night – Bad weather or maintenance • Not complete cover – Periods in night / earlier morning when no funding for cover

BASICS • Voluntary group of doctors – Support at times when HEMS not online BASICS • Voluntary group of doctors – Support at times when HEMS not online – Support for times of surge

MERIT Response (Medical Emergency Response Incident Teams) MERIT Response (Medical Emergency Response Incident Teams)

MERIT Response (Medical Emergency Response Incident Teams) • Dedicated medical support for major incidents MERIT Response (Medical Emergency Response Incident Teams) • Dedicated medical support for major incidents • Described in latest national guidance for major incidents • Currently doesn’t exist in London – An onerous system falling to each hospital – Supported by a voluntary system. • Proposal for a commissioned system designed around the response on the 7 th July 2005 bombings – Builds on local expertise of the EMS teams – Uses economies of scale for recruitment, training, exercising, equipping etc – Delivers accurate levels of triage – Helps deliver the best survival rates for critical patient groups

Thank You Thank You