Cycle Responder
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Cycle Responder
A cycle responder is a medically trained responder, such as a paramedic or first aider that uses a bicycle to respond to a medical emergency. They are used by professional ambulance services to respond to emergency calls and also by private and voluntary providers of medical cover at events. Cycle responders are provided in order to provide fast, effective medical assistance to patients in areas in which a traditional road ambulance or response car would have a delayed response time, and where responders on foot may not be fast enough, or cannot provide sufficient cover over an area. This means that they are primarily deployed in areas of high traffic congestion, such as city centres, with large cities such as London and Manchester making extensive use of them. They are also used in specialist applications such as inside large shopping precincts and airport terminals, and for covering first aid at events. History First aid response on bicycles has been used by event first aid ...
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London Ambulance Service
The London Ambulance Service NHS Trust (LAS) is an NHS trust responsible for operating ambulances and answering and responding to urgent and emergency medical situations within the London region of England. The service responds to 999 phone calls across the region, and 111 phone calls from certain parts, providing triage and advice to enable an appropriate level of response. It is one of the busiest ambulance services in the world, and the busiest in the United Kingdom, providing care to more than 8.6million people, who live and work in London. The service is currently under the leadership of chief executive Daniel Elkeles and chair Andrew Trotter OBE QPM. The service employs around 5,300 staff. It is one of ten ambulance services trusts in England providing emergency medical services, and is part of the National Health Service, receiving direct government funding for its role. The LAS responded to over 2.1million 999 calls for assistance, and over 1.2million incidents in the ...
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Motorcycle Ambulance
Motorcycle ambulances are a type of emergency vehicle which either carries a solo paramedic or first responder to a patient; or is used with a trailer or sidecar for transporting patients. Because of its size and performance, a motorcycle ambulance is able to respond to a medical emergency much faster than a car, van, or fire truck in heavy traffic, which can increase survival rates for patients in cardiac arrest. History Motorcycle ambulances were used during World War I by the British, French and Americans. At the time the advantages of light weight, speed, and mobility over larger vehicles was cited as the motive for the use of sidecar rigs in this role. The US version had two stretchers arranged one on top of the other. The French ambulance used a sidecar that held a single patient, who could either lie down or sit up. The British Red Cross Society used an NUT motorcycle with a double decker sidecar like the US version. During testing it needed only a turning area, v ...
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Defibrillator
Defibrillation is a treatment for life-threatening cardiac arrhythmias, specifically ventricular fibrillation (V-Fib) and non-perfusing ventricular tachycardia (V-Tach). A defibrillator delivers a dose of electric current (often called a ''counter-shock'') to the heart. Although not fully understood, this process depolarizes a large amount of the heart muscle, ending the arrhythmia. Subsequently, the body's natural pacemaker in the sinoatrial node of the heart is able to re-establish normal sinus rhythm. A heart which is in asystole (flatline) cannot be restarted by a defibrillator, but would be treated by cardiopulmonary resuscitation (CPR). In contrast to defibrillation, synchronized electrical cardioversion is an electrical shock delivered in synchrony to the cardiac cycle. Although the person may still be critically ill, cardioversion normally aims to end poorly perfusing cardiac arrhythmias, such as supraventricular tachycardia. Defibrillators can be external, transv ...
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Safety
Safety is the state of being "safe", the condition of being protected from harm or other danger. Safety can also refer to the control of recognized hazards in order to achieve an acceptable level of risk. Meanings There are two slightly different meanings of ''safety''. For example, ''home safety'' may indicate a building's ability to protect against external harm events (such as weather, home invasion, etc.), or may indicate that its internal installations (such as appliances, stairs, etc.) are safe (not dangerous or harmful) for its inhabitants. Discussions of safety often include mention of related terms. Security is such a term. With time the definitions between these two have often become interchanged, equated, and frequently appear juxtaposed in the same sentence. Readers unfortunately are left to conclude whether they comprise a redundancy. This confuses the uniqueness that should be reserved for each by itself. When seen as unique, as we intend here, each term will a ...
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Traffic
Traffic comprises pedestrians, vehicles, ridden or herded animals, trains, and other conveyances that use public ways (roads) for travel and transportation. Traffic laws govern and regulate traffic, while rules of the road include traffic laws and informal rules that may have developed over time to facilitate the orderly and timely flow of traffic. Organized traffic generally has well-established priorities, lanes, right-of-way, and traffic control at intersections. Traffic is formally organized in many jurisdictions, with marked lanes, junctions, intersections, interchanges, traffic signals, or signs. Traffic is often classified by type: heavy motor vehicle (e.g., car, truck), other vehicle (e.g., moped, bicycle), and pedestrian. Different classes may share speed limits and easement, or may be segregated. Some jurisdictions may have very detailed and complex rules of the road while others rely more on drivers' common sense and willingness to cooperate. Orga ...
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Observation
Observation is the active acquisition of information from a primary source. In living beings, observation employs the senses. In science, observation can also involve the perception and recording of data via the use of scientific instruments. The term may also refer to any data collected during the scientific activity. Observations can be qualitative, that is, only the absence or presence of a property is noted, or quantitative if a numerical value is attached to the observed phenomenon by counting or measuring. Science The scientific method requires observations of natural phenomena to formulate and test hypotheses. It consists of the following steps: # Ask a question about a natural phenomenon # Make observations of the phenomenon # Formulate a hypothesis that tentatively answers the question # Predict logical, observable consequences of the hypothesis that have not yet been investigated # Test the hypothesis' predictions by an experiment, observational study, field study ...
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Pannier
A pannier is a basket, bag, box, or similar container, carried in pairs either slung over the back of a beast of burden, or attached to the sides of a bicycle or motorcycle. The term derives from a Middle English borrowing of the Old French ''panier'', meaning 'bread basket'. Animal panniers Traditional panniers for animal transport are typically made of canvas, leather, or wicker. Modern panniers may be rectangular boxes of hard-sided plastic. Panniers are loaded in such a manner as to distribute weight evenly on either side of the animal. For horse packing, and when carrying particularly heavy loads on other animals they are supported by a pack saddle to distribute weight more evenly across the back of the animal. In some cases, additional items are placed on the back of the animal, between the panniers. Bicycle panniers There are many styles of bicycle panniers. Touring panniers are usually sold in pairs, intended to hold enough equipment for self-sustained tours ov ...
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Medical Dressing
A dressing is a sterile pad or compress applied to a wound to promote healing and protect the wound from further harm. A dressing is designed to be in direct contact with the wound, as distinguished from a bandage, which is most often used to hold a dressing in place. Many modern dressings are self-adhesive. Medical uses A dressing can have a number of purposes, depending on the type, severity and position of the wound, although all purposes are focused on promoting recovery and protecting from further harm. Key purposes of a dressing are: * Stop bleeding – to help to seal the wound to expedite the clotting process; * Protection from infection – to defend the wound against germs and mechanical damage; * Absorb exudate – to soak up blood, plasma, and other fluids exuded from the wound, containing it/them in one place and preventing maceration; * Ease pain – either by a medicated analgesic effect, compression or simply preventing pain from further trauma; * Debride the ...
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Bandage
A bandage is a piece of material used either to support a medical device such as a dressing or splint, or on its own to provide support to or to restrict the movement of a part of the body. When used with a dressing, the dressing is applied directly on a wound, and a bandage used to hold the dressing in place. Other bandages are used without dressings, such as elastic bandages that are used to reduce swelling or provide support to a sprained ankle. Tight bandages can be used to slow blood flow to an extremity, such as when a leg or arm is bleeding heavily. Bandages are available in a wide range of types, from generic cloth strips to specialized shaped bandages designed for a specific limb or part of the body. Bandages can often be improvised as the situation demands, using clothing, blankets or other material. In American English, the word ''bandage'' is often used to indicate a small gauze dressing attached to an adhesive bandage. Types Gauze bandage (common gauze roller ...
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Bag Valve Mask
A bag valve mask (BVM), sometimes known by the proprietary name Ambu bag or generically as a manual resuscitator or "self-inflating bag", is a hand-held device commonly used to provide positive pressure ventilation to patients who are not breathing or not breathing adequately. The device is a required part of resuscitation kits for trained professionals in out-of-hospital settings (such as ambulance crews) and is also frequently used in hospitals as part of standard equipment found on a crash cart, in emergency rooms or other critical care settings. Underscoring the frequency and prominence of BVM use in the United States, the American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiac Care recommend that "all healthcare providers should be familiar with the use of the bag-mask device." Manual resuscitators are also used within the hospital for temporary ventilation of patients dependent on mechanical ventilators when the mechanical ventilato ...
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Airway Management
Airway management includes a set of maneuvers and medical procedures performed to prevent and relieve airway obstruction. This ensures an open pathway for gas exchange between a patient's lungs and the atmosphere. This is accomplished by either clearing a previously obstructed airway; or by preventing airway obstruction in cases such as anaphylaxis, the obtunded patient, or medical sedation. Airway obstruction can be caused by the tongue, foreign objects, the tissues of the airway itself, and bodily fluids such as blood and gastric contents ( aspiration). Airway management is commonly divided into two categories: basic and advanced. Basic techniques are generally non-invasive and do not require specialized medical equipment or advanced training. These include head and neck maneuvers to optimize ventilation, abdominal thrusts, and back blows. Advanced techniques require specialized medical training and equipment, and are further categorized anatomically into supraglottic devices ...
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Cardiac Arrest
Cardiac arrest is when the heart suddenly and unexpectedly stops beating. It is a medical emergency that, without immediate medical intervention, will result in sudden cardiac death within minutes. Cardiopulmonary resuscitation (CPR) and possibly defibrillation are needed until further treatment can be provided. Cardiac arrest results in a rapid loss of consciousness, and breathing may be abnormal or absent. While cardiac arrest may be caused by heart attack or heart failure, these are not the same, and in 15 to 25% of cases, there is a non-cardiac cause. Some individuals may experience chest pain, shortness of breath, nausea, an elevated heart rate, and a light-headed feeling immediately before entering cardiac arrest. The most common cause of cardiac arrest is an underlying heart problem like coronary artery disease that decreases the amount of oxygenated blood supplying the heart muscle. This, in turn, damages the structure of the muscle, which can alter its fun ...
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