Combined Ambulance and - PowerPoint Presentation

Slide1

Combined Ambulance and Fire service

Situation in Luxembourg

Slide2

Actors in the field

Civil Protection

Fire

Brigade of the City of Luxembourg

SAMU

Luxembourg Air Rescue (LAR)

Private

Operators

City of Luxembourg Fire Brigade

2

Slide3

Civil Protection

Area of

~ 2.100 km

2

Population of ~ 350.000

inhabitants

Covering:

Training

17.688 emergencies

11.524 non-urgent transports

Missions:

City of Luxembourg Fire Brigade

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Slide4

SAMU (Medical Team)

3 stations

Based in hospital

Operating in

rendez-vous

system

City of Luxembourg Fire Brigade

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Slide5

SAMU (Medical Team)

City of Luxembourg Fire Brigade

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Slide6

Luxembourg Air Rescue (LAR)

3 Helicopters

3 Fixed wing aircraft

City of Luxembourg Fire Brigade

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Slide7

Luxembourg Air Rescue (LAR)

City of Luxembourg Fire Brigade

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Slide8

Luxembourg City Fire Brigade

Covering:

Area of

~ 350 km

2

Population of ~

160.000 resident peoplePopulation of ~ 260.000

people in total (daytime)

City of Luxembourg Fire Brigade

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Slide9

Luxembourg City Fire Brigade

Missions:

12.427 emergencies

1.883 non-urgent transports

484

Fires

1509

Rescue

- and

other

technical interventions

City of Luxembourg Fire Brigade

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Slide10

Manpower in operational service

160

fire-fighters

40

fire-fighters

per shift (4 shifts)

~

27 fire-fighters on duty per shift

City of Luxembourg Fire Brigade

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Slide11

Historical Overview

First public ambulance service in Luxembourg (1922)

Very low quality of assistance to the victims up to 1985 (scoop and go)

Training of the fire-fighters no more than a simple first-aid training

City of Luxembourg Fire Brigade

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Slide12

Historical Overview

First on-

field

tests (late 1979-1983)

New type of ambulances (1985)

Better

training for

fire-fighters (from 1986 on) and

Special

training for fire-fighters dealing in preclinical medical care

New

law concerning preclinical medical care (Loi SAMU 1986)

City of Luxembourg Fire Brigade

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Slide13

Training

Training in

Belgium

(1986)

Ambulancier SAMU

520 hours

Mainly for assistance of the doctor

Switch to the training of « 

Rettungssanitäter » in Germany (1993)

Cooperation

with the Hamburg

Fire Brigade for the training of « Rettungsassisent  » (2002)

City of Luxembourg Fire Brigade

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Slide14

Competences

Intubation

Venous

puncture

Semi-automatic

defibrillation

Preparation of medicaments

Administration of certain

medicaments

under

certain well definded conditions

City of Luxembourg Fire Brigade

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Slide15

Training in total

Full

firefighting

training including

enhanced first aid training (1080 hours)

First module of 520 hours paramedics training

Second module of 1200

hours paramedics training (including in-service-training and in-hospital-training)

City of Luxembourg Fire Brigade

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Slide16

Over a period of 15 years

Load

up,

give

first aid, an carry as

quickly as possible to the next hospital (scoop and go)

Give

complete preclinical medical care such as provided in the emergency rooms of hospitals and stabilize the condition of the victim (stay and play)

City of Luxembourg Fire Brigade

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Slide17

Problems still to solve

Fire-fighters

giving

certain

medical assistance are operating in a « grey zone »Some doctors fully support other do notStrong headwind coming from the union of the nurses

Legal

basis

City of Luxembourg Fire Brigade

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Slide18

Main difficulties

Training is very extensive

During

this

additional training fire-fighters are away from their station for a long time

Difficulty

for fire-fighters to be up to date in both fields: firefighting and paramedic

Financial impact

is not unimportant (mainly training costs)

City of Luxembourg Fire Brigade

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Slide19

Main advantages

Polyvalence

Everybody

knows

each others role on an incident

Everybody knows each others technical means

their quantity

there quality

Tactical

approach is common

Better

stressresistance on the scene

City of Luxembourg Fire Brigade

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Slide20

Economic advantages

In a world of constant budget

cuts

and rationalizations it is easier

to maintain actual personal strength

The peak of one « service » is covered by the other

City of Luxembourg Fire Brigade

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Slide21

Conclusions

« All inclusive » service for the

citizen

Image of the profession

Economic

City of Luxembourg Fire Brigade

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Conclusions

Slide22

The choice made in our city

To give the fire-fighters a good training

520 hours of training as a complement of the enhanced first aid training

To

buy

a good

equipment

to allow a docter to work in an emegency-room-like conditions

City of Luxembourg Fire Brigade

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Slide23

City of Luxembourg Fire Brigade

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Questions?

Thank

you

for your attention