Nice. But I saw a documentary about a helicopter team in germany and they did not have to run to the scene. A police car drove them. I think this is much better for the doctor and the paramedic to focus.
@RBAC1 there might be more medical emergencys in nyc but LAS takes more calls then any one ambulance service just because they are virtualy the only ambulance service in London unlike nyc where they have loads of hospital based ambulances aswel as the FDNY
Our Ambulance service is based on emercency doctors.
In Vienna we have 1 Helicopter vor 2mio people. Whole in whole we have 14 doctors in Vienna, normaly on rapid response cars
The paramedics have different education levels. With the highest level yo are also allowed to perform i.v , intubation and applicate some drugs. Unfortunately Vienna is the only area where we have a professional paramedics, the rest is volunteer based. So medics in rural areas have normaly low education levels.
Im fully qualified medic and i can say that a big problem is that our emercency doctors have only an 40 hour cours after their study!
So every gynecologist and GP can do that course and work as a emercency physican and thats far to little education.So we have good qualified medics and often bad doctors. I think good docs are important for a professionell ambulance service, but quality is better then quantity. Switzerland is showing us how it would work with a combination of doctors and medics.
I just love these videos...Want to become traumatologist one day :) And I saw this helicopter while visiting London =D I know someone get hurt, but I was glad to see it :-)
Trauma injuries are seen by HEMS. It isn't up to a bunch of armchair medics to criticise and comment. They should only answer to the patients they treat, and the outcomes they lead to. London HEMS are the best in the business, and they know how to do their job
@fastmango Well said mate. As one who has paramedic and nursing degrees and is now in medschool, I can tell you that medics have a lot of holes in their knowledge. There is a reason that doctors are awarded the title 'doctor' and paramedics are not. No amount of jealousy and dick measuring will change that. The HEMS doctors are not 'just' doctors but trauma specialists. Keep in mind that each paramedic is only using their skill set and illusion of autonomy through guidelines written by doctors.
expertise compared to paramedics, they are trained to bring calm and take control of the situation and play a key role at major incidents. The advantage of the heli isn't just to avoid the traffic, it also allows them to fly the patient directly to the best hospital, usually one of the 4 major trauma centres (some burns patients may go out of London). Although it sometimes a scoop and run may be appropriate, it is often necessary to stabilise them before moving. Remember, only the most serious
doctor is that they are infinitely more experienced in dealing with major trauma (seriously don't bother arguing that paramedics do. The average for an LAS paramedic is about 2 a year. HEMS often go to 5 a day) they also bring the ability to perform thoracostomy and chest drain, thoracotomy for penetrating traumatic cardiac arrest e.g. stabbing, RSI and intubation, amputation and advanced life support e.g. Active compression decompression CPR. In addition to their improved range of skills and
Ok so here in London we only have 1 heli. Except Scotland all the uk air ambulances are charities. London does have 5 RR cars for night and when the heli is offline. It would simply take too long to faff about with securing the LZ, the heli will land anywhere as close as possible to the scene (Min LZ is 26ft square. Some amazing shots of it landed on the bank of the Thames between the water and the wall) they've done tens of thousands of landings and never had a problem. The bonus of having the
What?!?! A few things struck me about this segment:
1) One Heli for ALL of London? That's unreal.
2) They land WITHOUT and LZ ground contact to recon and clear the zone. Why not call a engine company (fire engine) to secure a LZ for them. That's the way we do it here in my area (Seattle/King County, WA, USA).
3) Why the heck do you need a trauma doc on the helicopter? Why not two Paramedics and/or nurses?
4) 60 minutes of on-scene time PRIOR to being flown out!?!?
Haha Yeah I feel ya man, Paramedics in Canada and the United States don't need Doctors to go on calls. Our Medics can handle anything and they get the job done right.
i think they do a wonderful job, if that were a member of my family i wouldnt care how long it took aslong as they arrived in hospital alive and stable. they are in the best care with a paramedic and a doctor who have the training to do whatever it takes to keep you alive, i would trust my life in their hands how ever long it took. there should be more of them. look at the good side and not trying to pick out the bad, people make mistakes.
Waaaaaaaaaaaay To much time on scene. It took an hour to get that child to an ER. 10 min or less should be your target on scene time for any trauma. Were paramedics, you do your work in route; Airway, two large bore IV's and transport to definative care. That kid needed surgery. Not 10 min to RSI. But, Im not familiar with the system in London, so let me not be an "Armchair" medic. It's always easier when it's not your call. 1000 medics would have run the call 1000 different ways.
@Torriano33 : I'm with you my friend. On scene time was ridiculous. And whoever the crew was prior to the heli crew getting there, didn't even have an IV started. If this call was in my area, the BLS crew would've had this PT packaged and ready for the ALS crew. When they arrive, immediately in the back of the medic unit. RSI and multiple IV's and off to the trauma center.
If it was far out, then airlift would've been at least put on standby and an LZ determined.
If you notice the Helicopter had to land 1/2 kilometer from the scene, only for the crew to be walking , then picked up by a police car to get to the scene. Studies are now showing Air Ambulance is NOT the fastest route to the hospital. That boy should have been intubated in the ambulance enroute to the hospital. Ugh TOO MUCH TIME ON SCENE!
these guys need to stop dicking around on scene with a trauma patient and get to the hospital. The hospital is going to save him, not the paramedics. The patient needs an operating room.
@SpassMacher2000 So you'd rather transport a pt straight away, only for them to deteriorate halfway through the journey to hospital because you negleted to stabilise them? I'd have to agree with digitalis here. Jog on my old boy.
@HenrySJA No. You can stabilize quickly and still transport a patient quickly to the hospital where they can get DEFINITIVE CARE IN A HOSPITAL OPERATING ROOM.
Stabilisation takes as long as it takes I'm afraid. If you rush this process before transportation to hospital, then you've probably got a dead body on your hands.
Paramedics are capable of doing everything as well. So tell me this buddy, here in Canada whenever there is a critical situation with a Patient in life or death condition. How come Paramedics here manage to do everything and get the patient stable and provide more extensive care prior to going to the Hospital ? Stop dissing Medics, you'll be begging for one if your in need.
@havoc999998 Your quite right.. In london paramedics can intubate, canulate carry out needle needle cricothyroidotomy and needle cricothyroidotomy. CCPs are being made so that Ket, Midaz + RSIs can be carried out.
@1nm1 Obviously money is an issue as it's a charity. However, I spoke to a doctor who works on the HEMS, and put the question to him. He said that it simply isn't necessary to have more than one. If there is ever a need for the team to be deployed to more than one place at once, the helicopter can ferry another team (or many, in the case of a major incident) too another scene. Remember that not all patients require transport by air - many go by road ambulance to hospital.
@stiglistanbul That's because you live in rural Germany where ground hospital transport times are significantly increased due to distance. In a huge city like London, hospitals are much closer to the patients making air medical less important. The time it takes for an ambulance to respond to a call, asses the patient, and transport can be as little as 20 minutes depending on how close the unit is. The helicopter has to get it's crew loaded, spin up, fly out, load the patient, and fly back...
@corley989 AFTER the ground crew has already responded and made contact and identified the need for rapid transport. In addition, the density of urban structures, power lines, parks, and other landing impairing objects make response in an urban environment extremely dangerous or impossible.
It's simply faster, safer, and in the best interest of the patient to move them by ground ambulance in an Urban setting due to the close proximity of hospitals as compared to an rural area.
@corley989 hmm, not really. We're not THAT rural :D Plenty of emercency services here, our local ambulance station has 7 Ambulances/Medical Transports as well as a NEF (basically an emergency doctor from the local hospital). But I guess what it all boils down to is, that you can't compare British and German emergency services.
Nice. But I saw a documentary about a helicopter team in germany and they did not have to run to the scene. A police car drove them. I think this is much better for the doctor and the paramedic to focus.
NeedHeadMusic 1 month ago
@NeedHeadMusic ok i did not watch far enough :) Great that they also get this service :)
NeedHeadMusic 1 month ago
@NeedHeadMusic because police was on the scen earlier and secure landing zone?
jurek323 14 hours ago
Busiest in the World ? I don't think so ! NYC FDNY EMS.
RBAC1 1 month ago
@RBAC1 After watching this documentary, I am left with saying London EMS is the most unique EMS system in the World..
RBAC1 1 month ago
@RBAC1 there might be more medical emergencys in nyc but LAS takes more calls then any one ambulance service just because they are virtualy the only ambulance service in London unlike nyc where they have loads of hospital based ambulances aswel as the FDNY
J00eybb 1 month ago
@RBAC1 200,000 Medical calls a year for FDNY Vs 1,500,000 for London Ambulance...
RonFuckingBurgundy 1 week ago
Our Ambulance service is based on emercency doctors.
In Vienna we have 1 Helicopter vor 2mio people. Whole in whole we have 14 doctors in Vienna, normaly on rapid response cars
The paramedics have different education levels. With the highest level yo are also allowed to perform i.v , intubation and applicate some drugs. Unfortunately Vienna is the only area where we have a professional paramedics, the rest is volunteer based. So medics in rural areas have normaly low education levels.
giulionfs1 1 month ago
Im fully qualified medic and i can say that a big problem is that our emercency doctors have only an 40 hour cours after their study!
So every gynecologist and GP can do that course and work as a emercency physican and thats far to little education.So we have good qualified medics and often bad doctors. I think good docs are important for a professionell ambulance service, but quality is better then quantity. Switzerland is showing us how it would work with a combination of doctors and medics.
giulionfs1 1 month ago
I just love these videos...Want to become traumatologist one day :) And I saw this helicopter while visiting London =D I know someone get hurt, but I was glad to see it :-)
greetings from Czech rep ;-)
diuzstimdopice 2 months ago
bilateral femur and pelvis fracture omfg that's over enough to go to shock.
pool741 2 months ago
Good God. They have to drive there with the stress of the traffic and then work on the accident scene. WHAT is the UK goverment doing ?????
fincasandaluciablog 5 months ago
Best by far
SuperBigronnie 5 months ago
Trauma injuries are seen by HEMS. It isn't up to a bunch of armchair medics to criticise and comment. They should only answer to the patients they treat, and the outcomes they lead to. London HEMS are the best in the business, and they know how to do their job
fastmango 9 months ago
@fastmango Well said mate. As one who has paramedic and nursing degrees and is now in medschool, I can tell you that medics have a lot of holes in their knowledge. There is a reason that doctors are awarded the title 'doctor' and paramedics are not. No amount of jealousy and dick measuring will change that. The HEMS doctors are not 'just' doctors but trauma specialists. Keep in mind that each paramedic is only using their skill set and illusion of autonomy through guidelines written by doctors.
ScorpyCFS 2 months ago
expertise compared to paramedics, they are trained to bring calm and take control of the situation and play a key role at major incidents. The advantage of the heli isn't just to avoid the traffic, it also allows them to fly the patient directly to the best hospital, usually one of the 4 major trauma centres (some burns patients may go out of London). Although it sometimes a scoop and run may be appropriate, it is often necessary to stabilise them before moving. Remember, only the most serious
fastmango 9 months ago
doctor is that they are infinitely more experienced in dealing with major trauma (seriously don't bother arguing that paramedics do. The average for an LAS paramedic is about 2 a year. HEMS often go to 5 a day) they also bring the ability to perform thoracostomy and chest drain, thoracotomy for penetrating traumatic cardiac arrest e.g. stabbing, RSI and intubation, amputation and advanced life support e.g. Active compression decompression CPR. In addition to their improved range of skills and
fastmango 9 months ago
Ok so here in London we only have 1 heli. Except Scotland all the uk air ambulances are charities. London does have 5 RR cars for night and when the heli is offline. It would simply take too long to faff about with securing the LZ, the heli will land anywhere as close as possible to the scene (Min LZ is 26ft square. Some amazing shots of it landed on the bank of the Thames between the water and the wall) they've done tens of thousands of landings and never had a problem. The bonus of having the
fastmango 9 months ago
omfg what a bad couverture of the territoy! but really grat skilled paramedics and doctors...
fuckhacap 10 months ago
Is there only one emergency vehicle for the doctor or have you more than one?
dellxp1730 1 year ago
Is is just me, or does Dr. Zane Perkins have a South African accent?
Swissair171 1 year ago
What?!?! A few things struck me about this segment:
1) One Heli for ALL of London? That's unreal.
2) They land WITHOUT and LZ ground contact to recon and clear the zone. Why not call a engine company (fire engine) to secure a LZ for them. That's the way we do it here in my area (Seattle/King County, WA, USA).
3) Why the heck do you need a trauma doc on the helicopter? Why not two Paramedics and/or nurses?
4) 60 minutes of on-scene time PRIOR to being flown out!?!?
WTF!
sirhcdeer 1 year ago
@sirhcdeer
Haha Yeah I feel ya man, Paramedics in Canada and the United States don't need Doctors to go on calls. Our Medics can handle anything and they get the job done right.
havoc999998 1 year ago
they been on scene for 60 min i don't understand why they past so much time there. immobilise and go. You don't know the golden hour in uk????
laflafla 1 year ago
holy shit for whole london only one helicopter?
u have to built a system with more emergency PHYSICIANS and more helicopters ;)
Gerechtable 1 year ago
i think they do a wonderful job, if that were a member of my family i wouldnt care how long it took aslong as they arrived in hospital alive and stable. they are in the best care with a paramedic and a doctor who have the training to do whatever it takes to keep you alive, i would trust my life in their hands how ever long it took. there should be more of them. look at the good side and not trying to pick out the bad, people make mistakes.
smellykidd 1 year ago
Waaaaaaaaaaaay To much time on scene. It took an hour to get that child to an ER. 10 min or less should be your target on scene time for any trauma. Were paramedics, you do your work in route; Airway, two large bore IV's and transport to definative care. That kid needed surgery. Not 10 min to RSI. But, Im not familiar with the system in London, so let me not be an "Armchair" medic. It's always easier when it's not your call. 1000 medics would have run the call 1000 different ways.
Torriano33 1 year ago
@Torriano33 : I'm with you my friend. On scene time was ridiculous. And whoever the crew was prior to the heli crew getting there, didn't even have an IV started. If this call was in my area, the BLS crew would've had this PT packaged and ready for the ALS crew. When they arrive, immediately in the back of the medic unit. RSI and multiple IV's and off to the trauma center.
If it was far out, then airlift would've been at least put on standby and an LZ determined.
sirhcdeer 1 year ago
If you notice the Helicopter had to land 1/2 kilometer from the scene, only for the crew to be walking , then picked up by a police car to get to the scene. Studies are now showing Air Ambulance is NOT the fastest route to the hospital. That boy should have been intubated in the ambulance enroute to the hospital. Ugh TOO MUCH TIME ON SCENE!
1danadrive 1 year ago
@1danadrive you hit the nail on the head exactly. too much time on scene is exactly right.
SpassMacher2000 1 year ago
these guys need to stop dicking around on scene with a trauma patient and get to the hospital. The hospital is going to save him, not the paramedics. The patient needs an operating room.
SpassMacher2000 1 year ago
@SpassMacher2000 Jog on sonny.
digitalis112 1 year ago
@SpassMacher2000 So you'd rather transport a pt straight away, only for them to deteriorate halfway through the journey to hospital because you negleted to stabilise them? I'd have to agree with digitalis here. Jog on my old boy.
HenrySJA 1 year ago
@HenrySJA No. You can stabilize quickly and still transport a patient quickly to the hospital where they can get DEFINITIVE CARE IN A HOSPITAL OPERATING ROOM.
SpassMacher2000 1 year ago
@SpassMacher2000
Stabilisation takes as long as it takes I'm afraid. If you rush this process before transportation to hospital, then you've probably got a dead body on your hands.
HenrySJA 1 year ago
@SpassMacher2000
Paramedics are capable of doing everything as well. So tell me this buddy, here in Canada whenever there is a critical situation with a Patient in life or death condition. How come Paramedics here manage to do everything and get the patient stable and provide more extensive care prior to going to the Hospital ? Stop dissing Medics, you'll be begging for one if your in need.
havoc999998 1 year ago
@havoc999998 Your quite right.. In london paramedics can intubate, canulate carry out needle needle cricothyroidotomy and needle cricothyroidotomy. CCPs are being made so that Ket, Midaz + RSIs can be carried out.
sky9878 1 year ago
Londoners should be OUTRAGED that there is ONLY one medic helicopter in the area.
Even a "bean-counter" has to admit that these people make a disproportionate POSITIVE impact to the medical service.
1nm1 2 years ago
@1nm1 Obviously money is an issue as it's a charity. However, I spoke to a doctor who works on the HEMS, and put the question to him. He said that it simply isn't necessary to have more than one. If there is ever a need for the team to be deployed to more than one place at once, the helicopter can ferry another team (or many, in the case of a major incident) too another scene. Remember that not all patients require transport by air - many go by road ambulance to hospital.
mark67x89 1 year ago
gibts für ganz london nur einen "christoph" ??
anakin3456 2 years ago
is there really only one helicopter for london??
anakin3456 2 years ago 2
Yes there is only one helicopter that covers the whole of the Greater London area within the M25.
leegt5 2 years ago 4
@leegt5 oh... in germany we have in berlin (3 million.) two and in hole germany 80-90 helicopters...
jow112 1 year ago
@leegt5 wow... here in rural Germany we have 3 emergency helicopters on that expanse
stiglistanbul 11 months ago
@stiglistanbul That's because you live in rural Germany where ground hospital transport times are significantly increased due to distance. In a huge city like London, hospitals are much closer to the patients making air medical less important. The time it takes for an ambulance to respond to a call, asses the patient, and transport can be as little as 20 minutes depending on how close the unit is. The helicopter has to get it's crew loaded, spin up, fly out, load the patient, and fly back...
corley989 10 months ago
@corley989 AFTER the ground crew has already responded and made contact and identified the need for rapid transport. In addition, the density of urban structures, power lines, parks, and other landing impairing objects make response in an urban environment extremely dangerous or impossible.
It's simply faster, safer, and in the best interest of the patient to move them by ground ambulance in an Urban setting due to the close proximity of hospitals as compared to an rural area.
corley989 10 months ago
@corley989 hmm, not really. We're not THAT rural :D Plenty of emercency services here, our local ambulance station has 7 Ambulances/Medical Transports as well as a NEF (basically an emergency doctor from the local hospital). But I guess what it all boils down to is, that you can't compare British and German emergency services.
stiglistanbul 10 months ago
@corley989 there are 2 Helicopters for the City of Hamburg, Population around 2 Million.
Crazyfogfighter 1 month ago
@leegt5
dats an Poverty testimony
Gerechtable 8 months ago
@leegt5 did you notice that the helicopter is sponcerned by Virgin 1??
ptonyanxfan 4 months ago
@leegt5 Is this Helicopter sponsored or paid by Virgin ?
Jared861 1 month ago
@anakin3456
NHS !
paulhasstyt 1 year ago
Hey there, thanks for uplaoding.
Great documentary!
Interesting job and a great city on top of that...
Love London ;)
Regards from Germany
myfirstaccount111 2 years ago
yes, great thing. part two...??? doing kind of this job in germany. interesting, the problems with landing and how to get to injured are the same...
dickerschlingel 2 years ago
I managed to miss this on TV so thanks for posting... will you do the other parts too?
pastaman69 2 years ago 6
greatttttttt video thanks for uploading cant wait for the other parts
cedarjet201 2 years ago 4