Friday, 29 April 2016

Exercise Velocity

This week I was lucky enough to be involved in Exercise Velocity as the ambulance operational commander.
The exercise was one of the largest staged in Dorset. More than 70 volunteers, took part in the exercise The volunteers simulated a range of injuries, while 19 realistic mannequins were also placed at the site to represent casualties with more severe injuries or who had died at the scene.which was based on a serious collision involving two large coaches, a minibus, a lorry, a bicycle and five cars.
The day ran as a ‘live play’ scenario, meaning that responders acted as though the exercise was real, following a series of 999 calls to the emergency services.
Representatives from Dorset Police, Dorset and Wiltshire Fire and Rescue Service, South Western Ambulance Service  NHS Foundation Trust, British Red Cross, Dorset County Council,Bournemouth Borough Council and East Dorset District Council joined the exercise.

Pictures of the incident scene and emergency crews.



"Casualties" requiring hospitalisation were taken to mock receiving hospitals and the actors playing injured people who were fit to walk were taken to a survivors' reception centre, set up by the local councils.These provide welfare and practical support to people affected by major incidents, while allowing minor injuries to be treated and for the police to start formally identifying people involved.
 Away from the scene, lots of other plans came into action to support both the victims, their relatives and responders involved in the incident.
The exercise continued over a further two days  exercising how agencies would reunite injured people with their families, and how they would support the loved ones of people who have died.
A Friends & Family Reception Centre set up and at this centre, people playing the role of family and friends whose loved ones are missing, injured or killed received support from a range of local agencies and charities. More than 50 people volunteered to play these roles, offering a realistic test of the facilities.Friends and family members were then assisted by police officers, who took information about the loved one they were concerned about. This was cross-referenced with details collected about people who were involved in the collision and with calls received by the police Casualty Bureau.

If their loved one was safe and well, families and friends were informed where they are and put in touch. If someone was still being treated for injuries, they were directed to the right hospital and reunited as quickly as possible. If someone unknown to police was reported as missing, attempts were made to match their details to any of the collision victims who were yet to be identified.

In the unfortunate scenario that someone's loved one had died in the scenario, family members were offered immediate specialist support from police Family Liaison Officers, who will guide them through this difficult time. This includes a formal identification process, which was tested as part of the final exercise day.



Investigations in to  the cause of the  incident also continued with  police investigation and recovery continuing at the West Moors scene throughout the second day.

The final day was based at the  Bournemouth Public Mortuary, with a simulation of arrangements for 20 realistic mannequins, representing people who were killed in the multi-vehicle collision.

Around 100 members of staff were involved from a variety of agencies. They included Crime Scene Investigators and police officers from Dorset Police and other forces that are part of the South West region, who would be called to assist for such a large incident. Their role was to match the deceased people with details of missing people already collected by the Casualty Bureau or at the Friends and Family Reception Centre, which was tested yesterday.

Home Office pathologists were on site to practice their plans for conducting simultaneous post mortems. Mortuary staff tested how they would manage a sudden and unusually high influx of bodies, while retaining their usual level of compassion and respect. This was all overseen by the Bournemouth Senior Coroner and his staff.

This was one of the most realistic exercises I have been involved in and this was the feeling of many of those involved. I would like to thank the organising staff, volunteers and all those involved for their support of this exercise. The formal debrief will identify lessons from the exercise which will be used to improve the planning and response to significant incidents such as this.

Sunday, 24 April 2016

Off to London town

After a quite week last week this week has been far more hectic.
A visit to London and the Ambition emergency planning and reslience exibition at Olympia was interesting with some great speakers across a range of reslience subjects. 
The underlying key point of many of the speakers was ensuring that local communities are involved in planning  process, to build local reslience and tap in to local knowledge, skills and resources. Recent events have shown how communities  can come together to offer assistance to each other. As category 1 responders we need to ensure we are able to use these community assets in a managed and safe way. To do this we must know what is available locally.
Along side this was the counter terrorism exibition with some really Gucci and geeky kit. 

It was also nice to spend the day doing the touristy bits with my daughter. We visited the O2, the Emerite Airline Cable Car and the London Docklands Musuem. All mixed in with a train ride, underground and Docklands Light Railway.
Poor planning saw me back in Dorset on Wednesday night ,but off back up to the O2 in London on Friday to see the Electric Light Ochestra supported by the Feeling. A great concert in a fabulous venue.


The amp and CD wall at the O2  beats wallpaper!
This week I am back to the normal day job with some interviews and major incident exercise thrown in for good measure.


Sunday, 17 April 2016

A quite week

Nights at the beginning of the week saw me at our local acute hospitals managing handover delays again. It is always great to see the hospital staff and trust staff working together to reduc the impact these delays have on patients. What doesn't change though is a full hospital is a full hospital and people don't stop ringing 999, 111 or their GP's.
Thursday I was of having CBRN refresher training looking at the decontamination set up as well as PRPS suits. Yes I did look like the jolly green giant.
A nice weekend off with some family time rounded off the week before I am back to work this morning.

Sunday, 10 April 2016

Fatal 4

My week off has flown by with lots of little jobs ticked off the to do list. Managed a couple of good walks while managing to dodge the rain. This week was the first Poole Quay Bike Night of the year and yes you guessed it mid afternoon the heavens opened. However it brightened up and there was a good turnout hopefully a sign of good things to come throughout the year.
As a car driver, motorcyclist and Paramedic I wear several hats but the overarching one is that we all need to be responsible for our actions on the road.
Road safety can take many forms from education to crime prevention and let's not forget not wearing your seatbelt, using a mobile phone  and speeding are crimes. You may notice I did not include drink driving in that list it seems that drink driving is far less socially acceptable.
With the nicer weather and longer days more of us will be out and about on the roads so please take care and look out for each other.




Friday, 1 April 2016

Coast to Coast

Well Easter has been and gone with a mixed bag of weather and a busy period for the NHS as a whole.
This week I have been our Operational Commander for the sector and it has seen me attending our local acute hospital trusts to manage trolley waits. I would like to say thank you to both the hospital and ambulance staff involved in dealing with this ongoing problem in a highly professional way. This joint working and professionalism ultimately benefits patients. Thank you to everyone involved.
I am looking forward to a few days off and hopefully the weather will let me get out on the motorbike and also get in a few miles of walking on the coast path.
For those of you who live inland does the coast and the sea have a huge draw for you? I am lucky to live on what I think is one of the most beautiful areas of the south coast and I never tire of the views and scenery which change with the season or more subtly every day. The SWASTFT area is bordered by the sea on three sides and as you can imagine this generates a significant work load both with incidents directly related to the coast and sea, as well as the increased population during the busy tourist seasons.
However no matter how beautiful the area seems it still hold dangers to those who visit and work here.
When you visit the coast there are lots of resources and agencies looking after you.
The Coastguard are responsible for coordinating these resources and can call on their own helicopters, mud and cliff rescue teams as well as those of the Royal National Lifeboat Institution. They are also able to call on the other emergency services and volunteer agencies to provide a response. 
Locally Poole Harbour Commissioners are responsible for safety within the harbour. The harbour is busy with both commercial and leisure craft and ensuring the safety  of these often conflicting users can be difficult. They are responsible for the channel marks, pilotage of commercial vessels in and out of the harbour. They also mount regular patrols to enforce the harbour bye laws and provide safety advice to the users of harbour. They respond to emergencies and also environmental pollution issues in conjunction with other agencies.
Also patrolling the harbour and coast are the maritime section of Dorset Police again they are there to enforce the law, provide advice and detect crime, they are also available to the Coastguard to respond to incidents.
So as you can when you visit the coast there are lost of agencies looking after your safety and ready to respond to incidents.