Welcome toCopenhagen Fire Brigade

and the Emergency Medical System

Peter Bjrn Hansen Freddy Lippert

Ambulanceservice.

Fire Brigade and Emergency Medical System

of Copenhagen

Ambulanceservice

Copenhagen Council

Frederiksberg Council

Falck (private firm)

AmbulanceserviceAmbulance announcement nr. 1039 of 24 November 2000

Agreement/contract Copenhagen Hospital Corporation (H:S)

Hospital law

Free access to medical care.

Copenhagen Fire BrigadeOrganization

M a n g e m e n tF ire c h ie f

V ic e f ire c h ie f

F ire a n dre s c u re

A m b u la n c e S ta ff

S ta t io n c h ie fH & C

S e rv ic eA fd .

S ta t io n s c h ie fT & D

P re p a rd n e s s

S ta t io n s c h ie fF & V

IT

S ta t io n s c h ie f & R g

1 1 2 D is p a tc h

P h y s ic ia n G e n . M a n g .

Year 2000

50575

30127

20531

0

10000

20000

30000

40000

50000

60000

1 2

50658 Emergencies 50757 Interfacillity

Tota

l Prio 1 acutPrio 2 acutInterfacillity

Average responds time priority 1. 4 min 24 sec.

Year 2001

52280

31056

19292

0

10000

20000

30000

40000

50000

60000

50348 Emergency 52280 interfacillity

To

tal Prio 1 acut

Prio 2 acut

Interfacillity

Average responds time Priority 1. 4 min 37 sec.

Ambulanceservice

750 employees, incl. Administration.

250 in the ambulance service.

200 EMT-I (Intermediate)

50 EMT-B. (Basic)

28 assist.MECU (Mobile Emergency Care Unit).

24 Anaesthesiologists at the MECU

Ambulanceservice.Ambulance announcement *: Basic assessment of the patient. Advanced trauma life support. Basic and advanced life support. Current treatment. Delivery and Birth care. Intravenous access. ( Level 2-3 ) Medication IM / IV. (for allergy, convulsions, heart attacks and

intoxications - level 3 ) Basic disengagement and basal fire fighting. Extrication/stabilisation ( PHTLS )* Department of health announcement nr. 1039 of 24 November 2000

Prehospital area in Copenhagen ( H:S )

8 stations incl. Fr.Berg

89 km2

605.000 Citizen

300.000 visitors each day

St. T.St. T.St. .St. .

St. F.St. F.

St. H.St. H.St. D.St. D.

St. V.St. V.

St. C.St. C.

St. T + STT.St. T + STT.St. .St. .

St. F.St. F.

St. H.St. H.St. D.St. D. St. St. FbFb..

St. C.St. C.6 Hospitals

Ambulanceservice.112 ambulances. 7 Fire stations in Copenhagen and 1 in Frederiksberg.

12 Ambulances. 24 hour duty.

Interfacility transport.1 station.

15 Ambulances between kl. 06.0016.30.

4 Ambulances between kl. 11.00-23.00.

2 Ambulances between kl. 22.00-07.00.

Ambulanceservice.Ambulances H:S

C

H

F

H:SMECU

Christianshavn

Hovedbrandstationen

Sygetransport

Flledvej

VVesterbro

T DDmningenTomsgrden

FRBFrederiksbergsterbro

STT

Ambulanceservice.In Copenhagen Fire Brigade - additional:

1 Ambulance for transporting one bed.

1 advanced ambulance for trauma care (Retrivel unit).

1 special vehicle (for services to drug addict and prostitute)

3 cars use for sitting transport.

1 psychiatric ambulance.

Special vehicles for extrication and special tasks.

Fire vehicles

Ambulanceservice

Ambulance education after the new announcement.Department of health announcement nr. 1036 of 24 November 2000

Level 1

EMT-B

(Basic)

Level 2

EMT-I

(Intermediate)

Level 3

EMT, With special authority

( Paramedic)

Erhvervsuddannelse til REDDER, ( EUD 2001. ) Grundforlb 1. skoleperiode 2. skoleperiode 3. skoleperiode 4. skoleperiode 5. skoleperiode Grundforlb 2. modul p sundhedsskole Erhvervsrettet pbygning p Tekniskskole eller AMU center

1.modul p 3. modul p Teknisk skole Teknisk skole

Erhvervsrettet pbygning: Kan placeres frit i uddannelsen. Kran D Kystredning/bdtjeneste Dyreredning/strre dyr Personlig sikkerhed ved redningsarbejde i hjde 2 4 uger

Grundfagsmodul 5 uger:

Fllesmodul 10 uger: Grundfag

Omrdefag Transportmodul 5 uger:

20 uger

Grundudd. Almene fag

Valgfag

5 uger

Grundudd. Almene fag

Valgfag

5 uger

Ambulance Almene fag

Valgfag

5 uger

Ambulance - assistent Almene fag

Valgfag

5 uger

Ambulance - assistent Almene fag

Valgfag

5 uger

6. skoleperiode Ambulance - assistent Almene fag

Valgfag

5 uger

7. skoleperiode Ambulance - assistent Almene fag

Valgfag

5 uger

8. skoleperiode Funktionsudd. Brand

3 uger

9. skoleperiode Specielfag. Almene fag Valgfag

4 uger

10. skoleperiode Svendeprve Almene fag Valgfag

6 uger

r 0 r 1 r 2 r 3

Gru

ndfo

rlb

20 u

ger

Intro

pra

ktik

3 u

ger

1. S

kole

perio

de 5

uge

r

Pra

ktik

14

uger

2. S

kole

perio

de 5

uge

r

Pra

ktik

10

uger

3. S

kole

perio

de 5

uge

r

Pra

ktik

10

uger

4. S

kole

perio

de 5

uge

r

Pra

ktik

2 u

ger

5. S

kole

perio

de 5

uge

r

Pra

ktik

15

uger

6. S

kole

perio

de 5

uge

r

Pra

ktik

3 u

ger

7. S

kole

perio

de 5

uge

r

Pra

ktik

3 u

ger

8. S

kole

perio

de 3

uge

r

Pra

ktik

8 u

ger

9. S

kole

perio

de 4

uge

r

Pra

ktik

19

uger

10. S

kole

perio

de 6

uge

r

Pra

ktiu

k 2

uger

Med grundforlb er uddannelsen p 3 r og 1 mned. ( EUD )Uden grundforlb er uddannelsen p 2 r og 7 mneder ( VEUD )

Ambulanceservice.Mobil Emergency Care Unit (MECU)

Physician based ambulance rendezvous system

Anaesthesiologists (Anaesthesiology/Emergency Medicine)

Paramedic as assistants

Employed by H:S ( Rigshospitalet )

Ambulanceservice.H:S MECU.

Copenhagen Fire Brigade is providing the medical ambulance with ambulance crew. Provide EMTs to MECU and H:S Retrieval unit (special vehicle). Assist doctor at scene. Assistant ( EMT-B ) whit special education. Manage major incidents incl. Decontamination

Dispatch112 call:Is received in Copenhagen council and county by Copenhagen Fire Brigade in the rest of Denmark, it is handled by the Police.

Dispatch 1

Dispatch 2

Dispatch 3

1 1 2 call. Information send to theFire Brigade dispatch.

Dispatch

The ambulance arrives average in 4. 37 minutes.

(2001)

The ambulances leave within 1 min after the

dispatch.

AmbulanceservicePreparedness for special occasions and incidents.

Sports and festival arrangement. Mass Gatherings Holidays. EU-Summits and VIP. Counter terrorism and treats.

Mobile Emergency Unit.

Extra ambulances.

Special triage vehicle.

Ambulanceservice.Personal.

Recruiting

Screening personal 2 days

Profile.Personality.Academic ability. Physical strong.Independent.Responsible.Able to help patients in there most critical fase.At 44 year transferring as fire fighter.

Ambulanceservice.Quality management

Management board

Quality council

Complaints council

Ambulance forum

Documentation.

Ambulance journal:

Treatment documentation

Note from hospital

Database

Ambulance journal:

Treatment documentation

Note from hospital

Database

Medical indicators

Operational indicators

AmbulanceserviceEducation.Yearly continuing education.

External evaluation (Contract ).

Education plans approved by H:S

Materiel.EU standards 1865 and 1789.

External inspection of medico technical equipment.

Daily inspection checklist.

Vehicle safety check (10.000 km).

AmbulanceserviceJCI standards.

Operative guidelines.

Education and treatment guidelines.

Handbook for personal.

Quality handbook.

The future challenges.Internal

Accreditation.

Improved documentation.

Less flexibility in hiring staff.

New education ( Level 1-2-3 ).

Dispatch.

Medical challenges.

Distribution of patient groups.

Technologic development. ( GPS,GIS )

External

Higher expectations from the public

More senior citizens.

Regional development.

Oerestad/Metro/construction

Ambulanceservice.

AmbulanceserviceAverage responds time priority 1. 4 min 24 sec.Ambulanceservice