East Midlands Ambulance Service NHS - NHS Trust
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Our Services

Hazardous Area Response Team (HART)

Our Hazardous Area Response Team (HART) are specially recruited and trained EMAS personnel who provide an ambulance response to major incidents. These may involve chemical, biological, radiological or nuclear (CBRN) or other hazardous materials or could involve incidents such as train crashes, large-scale motorway accidents, building collapses or significant fires that have occurred as a result of an accident or have been caused deliberately.

 

HART work alongside fire and rescue services within the ‘inner cordon’ (or ‘hot zone’) of a major incident. Their job is to triage and treat casualties and to save lives in very difficult circumstances. They are also there to look after other emergency personnel who may become injured whilst attending such incidents.

 

The team have all received a minimum of 6 weeks advanced training to give them the additional skills for the types of situations and patients they may be called to. For example, under authorisation from a doctor, they can use certain surgical skills such as surgical airway incision / tracheotomy to secure an airway and making an incision to drain air or fluid where patients have a chest injury during a prolonged entrapment. They are also PHTLS (pre-hospital trauma life support) trained so that they can provide enhanced care.

 

Due to the diversity of major, hazardous or complex incidents that the team could be called to they have a wide range of equipment available to provide appropriate care. For example:

 

- A range of PPE (personal protective equipment) such as chemical protection suits

- A vehicle capable of treating mass casualties and giving oxygen to up to 48 people at once

- A communications vehicle for coordinating a team response on scene

- ‘Pop-up’ triage units to assess and treat patients on scene

- A 6-wheel-drive Polaris buggy for transporting equipment and personnel into a dangerous ‘hot zone’.

 

HART also work closely with other agencies, such as police and fire, and have a national remit to support other HART crews nationally. They were recently called upon to support at the G20 in London and will be available to provide support at the upcoming Olympics in 2012.

 

Day to day our HART have what is needed to help patients in new ways and are regularly called upon to attend to a range of incidents across our five Divisions. The base at East Midlands Airport gives them an ideal central location to respond to our heavily populated areas of Derby, Nottingham and Leicester.

 

Key facts

 

Address:

Mansfield                         

                                       

Areas served:                                   

Derbyshire, Nottinghamshire, Leicestershire and Rutland, Northamptonshire and Lincolnshire         

 

Calls responded to each year:       

50-60 per month (not including FRV calls)

 

Population covered:                       

4.8 million in the East Midlands                     

 

Staff based there (number):           

42 HART Paramedics plus Team Trainer and HART Manager

 

Vehicles based there:                     

11 vehicles including 3 main HART vehicles, 2 FRVs (fast response vehicles), 2 USAR (urban search and rescue) vehicles and a minibus for transporting teams for mutual aid.

 

Something you may not know about HART:  

EMAS HART were one of the first teams of their type to be set up outside London.

 

 

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EMAS HART with Lincs Fire & Rescue at Lincs floods courtesy of Getty Images
EMAS HART members Drew Station and Roger Towers (left of boat) with Lincs Fire & Rescue at Boston, Lincolnshire floods 5 December 2013. Image courtesy of Getty Images
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HART 5