“A view from inside the suit”.

1. “A view from inside the suit”.

2. The Hazardous Area Response Team • A unit within the ambulance service providing: • skills, training and equipment for incidents involving hazardous materials • clinical interventions in hazardous environments • response to conventional incidents • - support Command and Control • - triage and clinical interventions • - early logistical support for mass casualties

3. The Hazardous Area Response Team • Triggers: • Serious/Major Incident • Fire / Explosion/Improvised explosive devices • Intelligence led • Major Pre-planned events • Site specific • CBRN/HAZMAT including STEP 123 • Transportation incidents

4. HART Vehicles • Command & Control • forward command vehicle for HART; • extensive range of technologies: high-speed satellite internet link Helmet-mounted cameras Roof mounted camera with thermal-imaging On-line access to data and scientific support Briefing area Weather station London Ambulance Service

5. HART Vehicles • Light Equipment Vehicle Extended Duration Breathing Apparatus Gas Tight Chemical protection Suits NHS PRPS PPE Personal issue Civil Responder Mark 1 PPE Conventional and CBRN Multi Casualty treatment packs Mass-oxygen delivery system Limited Detection, Identification and Monitoring capability London Ambulance Service

6. HART Vehicles • Heavy Equipment Vehicle: • Additional supplies of consumables • Additional conventional and CBRN treatment packs • An additional mass-oxygen delivery systems • PPE resilience • First Response Units • adapted to carry EDBA ,GTCPS and CR1 in addition to standard FRU equipment London Ambulance Service

7. The Training

8. The challenges • Physiological stresses • Dexterity • Mobility • The senses • Fear and anxiety • Comfort

9. Thank you