1. Attending RTC’s (Additional Considerations During Fire Strike) Paul Eldridge August 2013

2. To refresh all staff with procedures to be adopted at RTC’s and the additional considerations to be taken during potential fire strikes. Aim

3. Paul Eldridge August 2013 To highlight potential issues created by fire strikes. To refresh ALL staff in basic scene approach, layout and PPE for attending RTC’s. To raise staff awareness of additional options available during potential fire strikes. Objectives

4. Paul Eldridge August 2013 We are informed that there will be a level of cover We are unsure of what level Aware that it will be reduced (in number and probably experience) This will lead to Probable delays in attendance times Possible non-attendances Possible prolonged extrication times These issues may also delay attendance of the Police Causing issues around traffic management Causing scene safety issues This presentation should highlight safe practices and procedures on scene, in above eventualities. If Fire Strikes Do Occur

5. Paul Eldridge August 2013 RTC happens Serious consideration must be made, as to where to position your vehicle. To ensure that your response lights are visible to approaching traffic. The following presentation shows best practice, road layout will dictate you make modifications to suit the incident.

6. Paul Eldridge August 2013 Recap of Normal FIRE Procedure Fire will cone off area & ensure Fire Extinguisher and Hosereel is available, before setting up an equipment dump Fire Appliance Arrives & Fends Off This enables a safe working area for the emergency services and victims of the incident Main Kit Dump All EMAS resources should drive past the incident and reverse up, where possible. EMAS are then positioned in the safest area for access and egress for patients and equipment

7. Paul Eldridge August 2013 FRV On Scene 1 st FRV arrives and adopts a fend off position Wearing correct PPE Helmet High-Viz (zipped up) Take all equipment required for Incident from the FRV and do not return to it. Take the Fire Extinguisher off the FRV and place close to the scene. Leave ALL blue and red response lights ON This is for your safety the FRV is now your protection The DCA should drive past the incident and then reverse up to the scene Maintain a 2 meter clear radius around the scene, only having equipment in that area that is in use. With equipment available but not currently in use within a 5 meter radius. 2m 5m EMAS only carry small fire extinguishers and in the rare event of fire, for the extinguisher to be effective the fire needs extinguishing whilst small

8. Paul Eldridge August 2013 DCA on scene 1 st DCA arrives and adopts a fend off position Again Leaving ALL blue and red response lights ON Wear correct PPE Helmet High-Viz (zipped up) Do not return to the DCA, this is now your barrier and protection Take all equipment required from the DCA & Extinguisher and place near to incident Any additional equipment should be taken from the FRV and the FRV not returned to. When the FRV arrives, it should adopt the fend off prior to the DCA This enables the stretcher and additional equipment to be utilised safely and for safe loading of patient The DCA can now be returned to and driven past the incident

9. Paul Eldridge August 2013 When the Police Arrive Police will also then cone off the area, creating a safe area of work Police should take up a fend off position prior to EMAS vehicles The FRV can be returned to, to retrieve further equipment or re-stow equipment Once the area is coned off and the Police have taken up the fend off Consideration should be given to closing the road for safety. If Road Closure is required, request the Police do so. On Motorways and some A Roads this function may be performed by the Highways Agency

10. Paul Eldridge August 2013 In the absence of Fire &/or Police, consideration should be made to request HART. HART are carrying the following extra equipment, to assist during times of Strike Action. Lighting - vehicle based and portable. Cones and blue flashing lights for scene safety. Fire extinguishers. Leverage tools for light rescue. (levering doors open) Tool box for light rescue (removal of seats) Thermal Imaging Camera (for scene assessment) Requesting HART

11. Paul Eldridge August 2013 HART Requested DCA to drive past incident and reverse, further HART vehicle for additional scene safety if required HART Arrive Cone off and ensure Fire Extinguisher near to incident If you know HART are attending or request HART to attend, please provide updates via Control. If the Fire Service are in attendance and/or the incident is likely to be resolved normally please stand HART down, as resources are likely to be stretched and their attendance might be required elsewhere in the region.

12. Paul Eldridge August 2013 HART May Close The Road If Required

13. Paul Eldridge August 2013 Scene Layout, Cordons & Other Considerations 2m 5m Main Kit Dump Helicopter Landing Site H TIC Lighting Thermal Imaging Camera Helps with scene assessment and searching for people ejected from vehicles

14. Paul Eldridge August 2013 Ensure correct PPE is worn Helmet High-Viz (zipped up) Consider the issues of Fire Strike Delay in attendance Non-attendance Delay in extrication Delay in Police attendance Scene Safety Fend Off (response lights on) Not returning to vehicle in fend off Consider the assistance HART could bring in the absence of FIRE or POLICE Recap

15. Paul Eldridge August 2013 Stay Safe Any Questions? Please e-mail keith.sharpe@emas.nhs.uk Please also view the Trust SRS PowerPoint

16. Paul Eldridge August 2013 FRV On Scene 1 st