Development of HEMS (in Germany) and HEMS in major cities. Thomas Rudder. ADAC

1. Título de sección
Operations in Big Cities
(Example Hamburg)

Thomas Rüder

Jornadas Técnicas de Helicópteros: Operaciones HEMS
Madrid, 11 y 12 de diciembre de 2013

HEMS - in Germany
 57 RTH +
 19 ITH =
 76 Rescue HEL
 74 bases
 3 major operators
 12 - (b.) police

 every place in Germany
is in a 15 minutes reach
of a rescue helicopter

 30 - DRF
 34 - ADAC


History of HEMS
(in Germany)

 since the beginning of comercial aviation
in the early years of the last centuryrescue 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 1968
the first civilian rescue helicopter
was based in Munich by ADAC
for 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 treatment
e.g. in a helicopter

 or
 transport the treatment
to the patient


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

>80%












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

HEMS in Big CitiesHamburg

 2.000.000 inhabitants
 26 Hospitals
 9 emergency doctors
 Elbe
 Airport
 Alster
 2 EMS helicopters

HEMS in Big CitiesHamburg

 Christoph 29
military hospital

 together over 4.000 missions/j

 Christoph Hansa
Trauma center of the
Industrial Injuries Association

 flt time to Dest 1 to 14min

HEMS in Big CitiesAirspace Structure
 controlled airspace









intern. airport
Airbus (Beluga ;-)
2 EMS bases
HEMS traffic
harbour airport
glider sites
sightseeing flts
etc.:
balloons
film/foto flts
obstacles
UAV`s

HEMS in Big CitiesLanding Sites

 Safe landing sites in big cities
are rare by nature

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


HEMS in Big CitiesObstacles I
 the amount
of obstacles
require a
very high
grade of
concentration
and crew
coordination



 the obstacles
limit the
approach and
departue
options


 the exposure times
are very long due
to extremly high
TDP`s and LDP`s


 rearward
take off is
nearly
impossible


 Christoph Hansa
after hitting a
street lamp in
Hamburg
Bergedorf


HEMS in Big CitiesPeople – and Traffic
 People in the city
behave different
 always in a hurry
 don`t care about
other people (`s
properties)
 the own business
is the most important


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

 other peoples properties ~
 you are in a
public area
so You have to
be public ?!?!



 respect / understanding of danger ~ fragileness


never been so true:
 always expect
the unexpected


 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

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Development of HEMS (in Germany) and HEMS in major cities. Thomas Rudder. ADAC