development of hems (in germany) and hems in major cities. thomas rudder. adac

Jornadas Técnicas de Helicópteros: Operaciones HEMS

Madrid, 11 y 12 de diciembre de 2013

1. Título de secciónOperations in Big Cities(Example Hamburg)

Thomas Rüder





HEMS - in Germany

every place in Germanyis in a 15 minutes reachof a rescue helicopter

57 RTH +

19 ITH =

76 Rescue HEL

74 bases

3 major operators

12 - (b.) police

30 - DRF

34 - ADAC





History of HEMS(in Germany) since the beginning of comercial aviation

in the early years of the last century-rescue by aircraft has been an issue

at the end of world war 2 first rescue flights with helicopters have been conducted

but it took several more years to establish a civilian helicopter rescue system .........





History of HEMS(in Germany)

13th of June in 1968the first civilian rescue helicopterwas based in Munich by ADACfor a test-phase, which is supposed to be the initiation of the worldwide HEMS rescue net

1st of November 1970 first civil EMS-Helicopter was permanently based for rescue services- Christoph 1 in Munich





Best Rescue System? studies have shown the advantage of quick medical treatment

transport the patient very quick to the treatmente.g. in a helicopter

or

transport the treatment to the patient





German Rescue System The German rescue system is very emergency doctor based

fall from height one under shooting, stabbing trapped/jammed cardiac arrest coronary syndrome respiratory failure convulsion (cramp attac) stroke attack non responsive persons

e.g. sugar shock, temporary unconscious, drunk

>80%





HEMS in Big Cities-Hamburg 2.000.000 inhabitants

26 Hospitals

9 emergency doctors

Elbe

Airport

Alster

2 EMS helicopters





HEMS in Big Cities-Hamburg Christoph 29

military hospital

together over 4.000 missions/j

flt time to Dest 1 to 14min

Christoph HansaTrauma center of theIndustrial Injuries Association





HEMS in Big Cities-Airspace Structure

controlled airspace

intern. airport Airbus (Beluga ;-) 2 EMS bases HEMS traffic harbour airport glider sites sightseeing flts etc.:

balloonsfilm/foto fltsobstaclesUAV`s





HEMS in Big Cities-Landing Sites

Safe landing sites in big citiesare rare by nature

usually you have to accept smaller sites with lower distances to obstacles





HEMS in Big Cities-Obstacles I

the amount of obstaclesrequire avery highgrade of concentrationand crew coordination






the obstacleslimit theapproach anddepartue options






the exposure timesare very long dueto extremly highTDP`s and LDP`s






rearward take off isnearly impossible






Christoph Hansaafter hitting astreet lamp inHamburg Bergedorf





HEMS in Big Cities-People – and Traffic People in the city

behave different

always in a hurry

don`t care about other people (`sproperties)

the own business is the most important

“leaving city rescue for a country side base is like going on vacation”





HEMS in Big Cities-People – and Traffic other peoples properties ~

you are in a public areaso You have tobe public ?!?!





HEMS in Big Cities-People – and Traffic respect / understanding of danger ~ fragileness





HEMS in Big Cities-People – and Traffic

never been so true:

always expectthe unexpected





HEMS in Big Cities-People – and Traffic

Don`t believe You have a break after landing





HEMS in Big Cities-Operational Challenges higher workload

shorter distances

less time

fewer landing possibilities

smaller landing sites

more obstacles

more exposed to the public / spectators / traffic





HEMS in Big Cities-coping the challenges never hurry

prepare, what is preparable (e.g. google)

one step after the other

choose landing site very carefully

always perform overflight of landing site

stick to procedures

CREW COORDINATION – CREW SPIRIT





HEMS in Big Cities

development of hems (in germany) and hems in major cities. thomas rudder. adac

Education

operaciones hems madrid

history of hems

drunk jornadas tcnicas

vacation jornadas tcnicas

obstaclesjornadas tcnicas

munichjornadas tcnicas

adacjornadas tcnicas

patientjornadas tcnicas