juin 5, 2022 . Emergency Live A teacher walks into the Classroom and says If only Yesterday was Tomorrow Today would have been a Saturday Which Day did the Teacher make this Statement? be level or not have a gradient more than 1 in 12. This website is not intended for the purpose of providing medical advice. May 13, 2016 10:17 AM, Jorge McMillan NSW Ambulance has one of the largest and most modern public ambulance fleets in the world, made up of approximately 1500 vehicles, of which approximately 1000 are front line ambulance vehicles with an average age of 20 months. Whilst the access will depend to some extent on the vehicles and equipment used, assistance may be provided from adjoining fire and rescue services when the need arises. 3002.4.2a Hoistway doors. Temporary workplaces and unprepared roadways, Site-based ways to stop vehicles from moving, Voluntary accreditation schemes for lift-truck training, Management and supervision of workplace transport risk, Workplace transport safety an overview. 2023-02-28 01:45:37. February 15, 2022 9:55 AM, Taryn J. Ceiling mounted equipment must be able to achieve the required clearance height of 2150mm when in Trials and crash tests for ambulance safety. This can be a turning circle or a hammerhead designed on the basis of the diagram and table below. Terms of Use Access routes to buildings for fire and rescue service vehicles or personnel should not be assessed in isolation and the proposed vehicle access routes will in effect, will be dictated by need for water hydrants and other fire-fighting facilities such as fire mains (see clause 2.14.7). You can change your cookie settings at any time. A .gov website belongs to an official government organization in the United States. Share sensitive information only on official, secure websites. The operating space shown in the diagram below is suitable for either a hydraulic platform or turntable ladder. I am Physician.I live now in Santiago de Chile.I have been always concerned, with Ambulance, because I worked during almost 25 years in ER and Intensive Care Unit.My concern it is about the following items= It provides a behind-the-scenes look at NISTs research and programs, covering a broad range of science and technology areas. English NHS ambulance trusts use several vehicle types, according to the services to provide. In order to allow unobstructed access to a domestic building for fire and rescue service personnel, a paved (or equivalent) footpath at least 900mm wide (see also Section 4 Safety) should be provided to the normal entrances, of a building. and see if a provider could do everything they needed to do to provide care while remaining seated and restrained. This document summarizes the guidelines to design the on-street and the. All Rights Reserved. Ambulance safety standards and general requirements for ambulance conversion: the assurance. Most civilian medevac helicopters in use today have a main rotor diameter of 35-50 feet and a fuselage . Even the vehicles that we depend on to take care of us in the event of an accidentambulancesget into accidents nearly every day. Heights of vehicle likely to be encountered are 4.2 metres high (ie A standard container on a suitable flatbed vehicle). Where the building has obstructions such as balconies or other projections, the building line should be taken to be the outer edge of the balconies or other projections. This website is not intended for the purpose of providing medical advice. Piazzale Badalocchio 9/b, 43126 Parma (PR) Italy heights of external areas such as entry canopies, ambulance entries and delivery canopies should suit the requirements of the vehicles expected to use them. For enquiries or assistance, please email us at halp_helpdesk@moh.gov.sg or give us a call at 67689796 (Mon - Friday, 8am - 8pm, excluding Saturday and Public Holidays). You must have JavaScript enabled to use this form. It makes me feel good about what I do, and we have better products on the market today because of it. 900-920mm width inside the cubicle. Communicate with your air ambulance provider with questions, concerns or new information. The minimum acceptable ceiling height in occupied areas shall be 2400mm, but consideration should . The Building Standards technical handbooks provide guidance on achieving the standards set in the Building (Scotland) Regulations 2004 and are available in two volumes, domestic buildings and non-domestic buildings. The access arrangements increase with building size and height. Also, because of their size, ambulances did not need to meet most of the same crash testing requirements that apply to our cars. We then loaded the designs into simulation software so we could apply different emergency scenarios (e.g., cardiac arrest, trauma, etc.) A ground ambulance vehicle, unless it falls within Chapter 3 11.3 of these Rules, must meet the following standards to be licensed: A. Federal/state safety requirements. All information, content, and material is for information and educational purposes and are not intended to serve as a substitute for the consultation, diagnosis, and/or medical treatment of a qualified physician or healthcare provider. Fleet vehicles Our number one goal with this project was to keep EMS providers seated and restrained so that they can work to save their patients lives without having to risk their own. the height is at least 48 inches over the patie nt area, measured from the approximate center of . Ceiling mounted equipment must be able to achieve the required clearance height of 2150mm when in the stowed position, especially within circulation areas. 356 0 obj <>/Filter/FlateDecode/ID[<11B6D3BFC88D814CA742DDC533D3C84D><3F6E01095DFB56408BA39851EE80561E>]/Index[332 64]/Info 331 0 R/Length 119/Prev 516862/Root 333 0 R/Size 396/Type/XRef/W[1 3 1]>>stream ambulance height clearance requirements. In some locations the sign may need to be illuminated. https://www.nist.gov/blogs/taking-measure/safety-standards-ambulances-stat. ELIS and RDAR: Scheduled system downtime: Every Tuesday from 7.00pm to 10.00pm. It is important to provide a letter of non-objection between the base vehicle manufacturer and the converter, to demonstrate compliance with the standards and ECWVTA until such time as the Worldwide Harmonised Light Vehicle Test Procedure (WLTP) supersedes this requirement. There is no mandatory requirement for a converter to includethis specific equipment in any conversion offer it submits. Lines and paragraphs break automatically. Here only Paramedics, are needed The access arrangements increase with building size and height. Loved it turned out so beautiful:) thank you. These Guidelines have been compiled for IHFG (International Health Facility Guidelines). Ambulances save lives every day, but too many lives are lost when ambulances get into accidents. here the clearance specs: Wheelbase 42.0 inches Seat Height 26.1. The model provides optimum room, storage, and comfort. Lock A clearance of between 60mm and 110mm should be maintained beneath the gate to reduce foot injuries. 2014-2016 Queensland Ambulance Service Fleet Data API XLSX Popular 135 0 obj <>/Filter/FlateDecode/ID[<521A75CC0CCA679FD084F2ACFA5AA4BA><94775FA987CCD54CB3B500D0C178902C>]/Index[111 35]/Info 110 0 R/Length 117/Prev 527581/Root 112 0 R/Size 146/Type/XRef/W[1 3 1]>>stream The CPM reflects contemporary standards of clinical practice and includes systematically developed statements based on the best available evidence. on Here at NIST, we are committed to making sure you get what you pay for when buying something based on weight or measure, such as food or fuel. The US Department of Homeland Security released a document in 2015 titled ", So they are taking measures to make ambulances safer in the USA..well, is this to say that you are FIRING all the assassins and torturers (sounds like PELIKN) who run those "death cabs for cutie) as the song says??? Access from a public road should be provided to assist fire and rescue personnel in their rescue and fire-fighting operations. To be classified as an ambulance, a vehicle must possess a width less than 96 inches and a loading height of no more than 34 inches. there should be a minimum carriageway width of 3.7 m between kerbs; there should be a minimum gateway width of 3.1 m; there should be vehicle access for a pump appliance to within 45 m of every point within single family houses; fire service vehicles should not have to reverse more than 20 m. NIST and its partners in government and industry are working toward replicating the vital aspects of human driving and building a supporting infrastructure. Conversions - in the case of conversions, as specified in regulation 4, the building as converted shall meet the requirements of this standard in so far as is reasonably practicable, and in no case be worse than before the conversion (regulation 12, schedule 6). A lock ( Minimum 40 ft. These dimensions are required to accommodate roof mounted radio aerials. CHAPTER 1: OVERVIEW . ?&F`00[? cA . * Depending on chassis selection Sh^{/m?4^LaP.[K["+BDE89\-fm6lJ6y1VCG`u"t Hp" GS"67sTb L`y0`jLi>TA 7@V2l@V=;`Q7rGF@L]0 &fo~q~}dFl8%5 r/x_6h m%Dx#zV{Y4zrP 3002.4.2a Hoistway doors. cardiac monitors, oxygen, and suction machines, cabinets filled with supplies, and needle and trash disposal bins. Conor O'Brien is an experienced leader with over fifteen years working in senior executive roles. In such cases, advice from the fire and rescue service should be sought. Obviously, this raises a number of very serious safety concerns for providers and patients. 20% maximum slope on driveway or ramp. on This video reveal whats happening behind the scenes of road rescue. NFPA members and public sector officials may submit a question on an NFPA code or standard. 1.1 INTRODUCTION 1-1 Compassion 1-1 Excellence 1-1 Professionalism 1-1 Integrity 1-1 Accountability 1-1 Stewardship 1-1 Design Intent 1-1 1.2 PURPOSE 1-2 1.3 HOSPITAL BUILDING SYSTEM (VAHBS) 1-3 . Seeing an entire industry become so involved in the standards development and conformity process like this is really gratifying. As part of this specification, vehicles and equipment supplied must comply with UK standards BS EN 1789:2007 + A2:2014, BS EN 1865-4:2012 and the ECWVTA 2007/46/EC. 2023 - Emergency Live. In addition, where dry or wet fire mains are installed in a building, parking spaces should be provided for fire and rescue service vehicles a distance not more than 18m from riser inlets. Emergency Live is the only multilingual magazine dedicated to people involved in rescue and emergency. b)Rescue Ambulance=they carry patients with an severe disease, or a patient severely wounded, after a car crash or another type of acci.dentHere must go a Physician and a nurse, besides paramedics.The Physician, must be able to work with the patient, sitting or stand-up The Ambulance,if has all equipment needed, does not need to run like it was participating in 500 Indianapolis Miles.And, an important issue=MUST ALWAYS TO RESPECT THE TRANSIT LIGHTS.MUST STOP BEFORE RED LIGHTS. We join them in calling for EMS providers to "Sit down, and Buckle Up!". The report also found that 44 percent of patients were ejected from the cot in serious crashes. Responses are provided by NFPA Technical Staff on an informal basis. Relative humidity can range between 20% and 85% but only for short periods of time. To only allow the cookies that make the site work, click 'Use essential cookies only.' Unless a written letter of non-objection, no base vehicle system or circuit will have tampered. Dimensions External height (excluding flexible aerials/antennas) 2,750mm to 2,920mm Internal height Minimum 2,000mm External width 2,050mm to 2,450mm External length 6,350mm to 6,950mm Wheelbase 3,600mm to 4,500mm Front overhang 900mm to 1,050mm Rear overhang 1,300mm to 1,500mm Approach angle clearance 20 to 25 degrees Departure angle Brighton Volunteer Ambulance - Safety Height And Weight Requirements To Sit In Front Seat Product reviews: . All death and injured patients, paramedics and drivers that I saw during my career, occur, because the Ambulance Driver, did not respect the Transit Lights.Ambulanes andno one car(Police-Firemen-)are not over the Transit Laws, Thank you for your comment. The Chief XL is one of the best-known ambulances in the industry. (a) A dry private fire hydrant shall be connected to a 150mm diameter dry pipe, which shall be connected at the other end to a four-way breeching inlet. The standard minimum clearance over every part of the carriageway of a public road is 16 feet 6 inches (5.03 metres). VAT Number: IT02277610347 Minimum headroom provided should be 4.65 metres exclusive of any additional space required for lighting units. (b) This breeching inlet shall be within 18m from any fire engine accessway/fire engine access road having minimum 4m width and within 50m from any wet fire hydrant, private or public. New Zealand Aeromedical and air rescue standard - v3.0 2018Air Ambulance/Air SAR Standard V2.0 2013 - expired June 2018A MPLANZ 2016 - Part 1AMPLANZ 2016 - Part 2AMPLANZ 2016 - Part 3AMPLANZ 2016 - Part 4. Vehicle access should be provided to at least one elevation of all domestic building to assist in fire-fighting and rescue operations. . Sign up for e-mail alerts from the Taking Measure blog by entering your e-mail address in the box below. The converter for each build will supply the trusts with an assurance manual and statement confirming the vehicle is fit for purpose and complies with the stated requirements. The stated clearance should be at least 75mm less than the measured height. NIST research engineer Jazalyn Dukes talks about what inspired her career and gives some advice to girls considering a career in structural and civil. In rural areas, access from a public road may not be possible to within 45m of an entrance to the building, and access from a private road will suffice provided the guidance in the table below has been followed. The medical emergency service elevator shall accommodate the loading and transport of two emergency personnel, each requiring a minimum clear 21-inch (533 mm) diameter circular area and an ambulance gurney or stretcher [minimum size 24 inches by 84 inches (610 mm by 2134 mm) with not less than 5-inch (127 mm) radius corners] in the horizontal, the building as converted shall meet the requirements of this standard in so far as is reasonably practicable, and in no case be worse than before the conversion . When the clearance over any part is less than this, standard warning signs both on and prior to the structure should be provided. appliances can adequately access sites, buildings and structures in the event of an emergency. structured car parking and within plots less than 1,000 m2 area, for one or two-. An official website of the United States government. Because ambulances are basically a small emergency room on wheels, the occupants in the back are at perhaps even more serious risk of being injured or killed during an accident than those in other vehicles. endstream endobj 333 0 obj <>/Metadata 24 0 R/Pages 330 0 R/StructTreeRoot 28 0 R/Type/Catalog>> endobj 334 0 obj <>/MediaBox[0 0 595.32 841.92]/Parent 330 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 335 0 obj <>stream Entrance to driveways should indicated with a clear directory sign, which may read, "AMBULANCE ENTRY" or "AMBULANCE ONLY". Every elevation which is provided with vehicle or pedestrian access for fire and rescue service personnel should have a door giving access to the interior of the building. Inward opening doors are preferable because this allows easier forced entry by fire and rescue service personnel should the need arise. We use cookies to collect anonymous data to help us improve your site browsing How to decontaminate and clean the ambulance properly? How tall is a 2007 Honda CRF70? There are communication devices and medical equipment, e.g. endstream endobj startxref on ambulance height clearance requirementswhat is a male beaver called. 2023 - Emergency Live. During this time, the partners crafted new test procedures that work for ambulances while manufacturers tried new designs. Ambulance compartment interior after an accident. Web page addresses and email addresses turn into links automatically. hTmo0+}`~KDimQJ)x)/(qi@lE;sg?60e@a=#y0{! What is the clearance height of an ambulance? From 2010-2015, NIOSH partnered with the ambulance manufacturing community to conduct crash tests of entire ambulances, cots, seats, cabinets, and equipment mounts. Please note that where we refer toequipment supplier names, part numbers and other details in this specification, this is solely for the purposes of identifying the equipment type and the performance levels required by the trust. HSE aims to reduce work-related death, injury and ill health. Overhead Clearances | Bus, Truck & RV Drivers https://youtu.be/Ve4BTJM4JeU Introduction Overhead clearances must be understood at a glance by bus, truck & RV drivers. Please do not provide any personal information, All content is available under the Open Government Licence v3.0, except for graphic assets and where otherwise stated, 2.13 Fire and rescue service water supply, Annex 2.C Vulnerability of roof coverings, Appendix B. Piazzale Badalocchio 9/b, 43126 Parma (PR) Italy This is especially true when you consider that ambulances are often weaving through traffic at high speed on the way to the hospital. The conversion specification has nine parts: general requirements body exterior technology cab requirements saloon requirements emergency lighting and switches vehicle inventory vehicle markings and livery compliance verification Take a quick look at the spec comparison between our different product types and models to see which suits best your departments needs. Webmaster | Contact Us | Our Other Offices, Ambulance accident infographic from the NHTSA. The QAS Medical Standards reflect the inherent requirements of the role of a Paramedic/PTO. 98 100 Design Requirements and Operations Guidelines for Ambulance Bays _____ _____ Page 8 of 16 Temperatures should not drop more than 2 C in the middle of the ambulance bay when overhead doors are opened or closed during access or egress. Your cookie preferences have been saved. Based upon the information collected, we developed over 200 individual criteria that focused on improving seating and restraints, workspace, communications, storage and other areas. The name of the licensee as stated on their provider's license shall be of lettering not less than 8 cm in height. SYvS&P2p^=8ne O Surfaces to driveways should be smooth but non slip and be without uncovered drainage gutters or speed humps. The intention is to assist fire and rescue service personnel connect a short length of hose between the pumping appliance and the inlets to the fire mains quickly and efficiently therefore saving operational time. The crash-test work NIOSH did in the early 2000s really laid the foundation that we built upon. d. experience. A minimum clearance of 100 mm shall be provided between the outside of the pipe, flange or insulation, and walls, and 50 mm to the high point trenches bottoms. The minimum 20 ft (6.1 m) width allows for two-way vehicular traffic and for one fire apparatus vehicle to pass while another is working at a fire hydrant or conducting aerial operations while the 13.5 ft (4.1 m) vertical clearance ensures that fire apparatus can safely pass under power lines, bridges, and other obstructions. on %PDF-1.7 % 5 / 5 stars Great quality, just as . Please note: As part of the Emergency Response and Responder Safety Document Consolidation Plan ( consolidation plan) as approved by the NFPA Standards Council, this Standard has been combined into new consolidated Standard NFPA 1900. Consultation with the fire and rescue service at the earliest opportunity is strongly recommended. Ambulance driveways should be exclusive to ambulance vehicles. Total height of vehicle may differ according to chassis and suspension, * Total height of vehicle may differ according to chassis and suspension, * Total width does not include the fenders From vehicle manufacturers to companies involved in equipping those vehicles, to any supplier of life- saving and rescue equipment and aids. Note: Your feedback will help us make improvements on this site. Average relative humidity should be between 35% and 65%. It comes in a standard package or can be customized to meet specific requirements, providing value, comfort, and safety for patient and crew. Type III ambulances are built upon van chassis and have the . 5. Minimum clearance height: 3.7m Minimum carrying capacity (tonnes): 12.5 tonnes Turning Facilities: Turning facilities should be provided in any dead-end access route that is more than 20m long. Hopefully emergency services take this seriously and work hard to help people that are in need of medical assistance. 2012-2014 Queensland Ambulance Service Fleet Data API XLSX Popular. Trusts are responsible for day-to-day legality of operating the vehicle. English NHS ambulance safety standards: requirements of conversion, Ambulance safety standards by the English NHS trusts: base vehicle specifications. Accessible signage on the cubicle door. These standards are based on both test methods for crash testing and design elements to make the inside of the compartment more user-friendly and safe. Providers feel they have no other option but to stand up and walk around inside the compartment while racing down the highway. Phone: +39 340 2246247 Applicants are assessed against the . Ground should be level to prevent this gap closing through the range of movement. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Queensland Ambulance Service Paramedic/Patient Transport Officer Medical Standards . A minimum ceiling height of 3000mm is required in Operating rooms, Interventional Imaging rooms and Birthing rooms. endstream endobj 112 0 obj <> endobj 113 0 obj <> endobj 114 0 obj <>stream The word "AMBULANCE", not less than 15 cm in height, shall be under or beside each star. This is valid for both as amended and/or replaced, with reference to the national . Following consultation with the fire and rescue service, if it is recommended that an operating space, or spaces, for a high reach appliance should be provided, the operating space(s) should: have a ground loading capacity of not less than 8.3kg/cm2, and. ambulance spec sheet - height clearance for ambulance. ) or https:// means youve safely connected to the .gov website. This may have a significant impact on planning and a feasibility study may be appropriate. If youre lucky enough to have never seen the inside an ambulance, let me give you a general idea of what you would see. For this reason, the more demanding guidance for high reach appliances may be recommended by the fire and rescue service. What is are the functions of diverse organisms? Children safety on ambulance Emotion and rules, what is the line to keep in pediatric transport? Section 515 Section 515830 Ambulance Licensing Requirements a Vehicle Design 1 Each new vehicle used as an ambulance shall comply with the criteria established by the Federal Specifications for Ambulance KKK-A-1822F, United States General Services Chemin, with the exception of Section . Heights of vehicle likely to be encountered are 4.2 metres high (ie A standard container on a suitable flatbed. 395 0 obj <>stream )&0 Db RD7f`=$ 0 [ We also pushed for recessed overhead lighting and handlebar requirements and for clearance space around the providers head to limit the chances for severe head trauma. Minimum 40 ft. Minimum clearance height: 3.7m Minimum carrying capacity (tonnes): 12.5 tonnes Turning Facilities: Turning facilities should be provided in any dead-end access route that is more than 20m long. 1 st March 2023. Vehicle access to the exterior of a building is needed to enable high reach appliances, such as turntable ladders and hydraulic platforms, to be used, and to enable pumping appliances to supply water and equipment for fire-fighting and rescue activities. Vehicles unable to meet all government-mandated requirements cannot be classified as ambulances. Both the converter and trusts must agree on any changes to the timescales. 502.5 Vertical Clearance. by Ceiling heights should achieve the minimum recommended height and comply with equipment manufacturers' installation requirements. This is valid for both as amended and/or replaced, with reference to the national ambulance specification SLA.2. The vehicle access route assumes that access for pumping appliances will be sufficient for houses, but that provision for high reach appliances should be made to buildings containing flats or maisonettes. The following are examples of motorcycle bays: 7 Vehicle access requirements 9 7.1 Carriageway width 9 7.2 Turnaround area 11 7.3 Constricted access (i.e. The latest CEN requirement is for type B emergency ambulances and the national ambulance specification SLA. They conducted four full-vehicle crashes to look at how worker restraints performed, but the testing also revealed other areas of concern related to cot mount strength, seat belt location and seat strength, cabinet location (head impact risk) and lack of equipment mounting. This specification is the high-level minimum standard for the purchase of new DCAs.It allows local variation within the parameters provided. Emergency Live The converter is responsible for obtaining this written permission. Like you mention, standards in situations like this are there to keep people safe and alive when it comes down to it. The requirements for stair and ramp handrails in this document are for adults. What are the Physical devices used to construct memories? This will include: As said, the Trusts are responsible for day-to-day legality of operating the vehicle. Minimum clear circulation spaces of 900mm x 900mm on either side of the airlock (toilet entry) door. Minimum clearance height: 4.0m: 3.7m: Minimum turning circle between kerbs: 26.0m: 16.8m: Minimum turning circle . Every house should be provided with a vehicle access route for fire-fighting vehicles from a public road to not more than 45m from any door giving direct access to the interior of the dwelling. hb```f``Je`e`fd@ A&('c OL~!^ Gtai 90o4D \L@\8/b@,vU?[L=|cj The conversion will be designed and constructed to withstand the rigours of use as a 24/7 ambulance with a seven-year life. | Replied to, Asha Ariel Aleia on Now, the community tests the components and vehicles on their own using the same pass/fail criteria and equipment that the NHTSA uses to ensure our vehicles are safe to drive. The following factors must be given prime consideration in the design of an ambulance entry. As part of this specification, vehicles and equipment supplied must comply with UK standards BS EN 1789:2007 + A2:2014, BS EN 1865-4:2012 and the ECWVTA 2007/46/EC. They actually fall in the same category as those shuttle buses at the airportwhen was the last time you wore a seat belt in one of those? ,&HVYd"~H R"y&p3?$c. The NSW Ambulance road fleet travels approximately 42,000,000 kilometres per year; this equals approximately 115,000 kilometres per day. Hard standing at least 1m each side of the gate is recommended to prevent ground wear and thus trip hazards. Write us: go to the form mail. Neck Hold 4. Turning circles and clearances to kerbs, existing buildings or other obstructions are for the current largest size of ambulance vehicle which requires a minimum turning circle of 15 metres. These new safety standards for ambulances benefit both the patients being transported and the paramedics alike. Any ambient noise . Next article will be on the second part of the requirements of ambulance conversion, COVID 19 in Myanmar, the internet absence is blocking healthcare information to residents in Arakan region, Senegal: Docteur Car fights COVID-19, Polytechnic Institut of Dakar presents the robot with anti-COVID innovations, Germany, targeted attacks on rescue workers on New Year's Eve: Berlin in shock after, Germany, virtual ambulance for the training of the future, UK, ambulance workers' strike successful: sympathetic population, government in, UK ambulance staff strike tomorrow: NHS warnings to citizens, Ukraine, MSF teams treating patients after missile attack on residential, OCHA (UN Humanitarian Agency): 7 reasons why the world must keep supporting, Train collision in Greece, 36 dead and 85 injured: rescuers at work, Nearly 400,000 victims of the Ukrainian crisis received humanitarian aid from, Ukraine, the Italian Red Cross documentary one year after the start of the, Denmark, Falck launches its first electric ambulance: debut in Copenhagen, Vacuum splint: Explaining the Spencer Res-Q-Splint Kit And How To Use It, Coulson Aviation provides aerial firefighting support to Argentina through, Madrid Selects Allison-Equipped Renault Trucks to Renew Fire Department Fleet, Fast and effective dialogue between the ambulance and the Operations Centre: the.
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