PureFivePD London Ambulance
Service Basic Information Guide
1 | Chain of Command.
2 | Training information.
3 | Ambulance Divisions.
4 | Basic Medical Information
5 | Contact the SLT.
1 | Chain of Command -
The chain of command within the London Ambulance Service is a very simple yet effective one. It goes as follows:
-Director Of Ambulance Service
-Deputy Director of Ambulance Service
-Assistant Director of Operations
-Clinical Team Manager
-Head of HART/CBRN
-Advanced Paramedic Practitioner
2 | Training Information -
Your training within the LAS will mostly be on-the-job, in which you will ride alongside Ambulance Staff in their day to day work and learn on real jobs. However a small portion of your training will be in a classroom environment and learning the core practices of the job.
3 | Divisions -
The main divisions within the London Ambulance Service are as follows:
> [CRU] Cycle Response Unit - You are on a bicycle equipped with all the equipment of an RRV and are tasked with reaching areas quickly in highly populated dense areas.
>[MRU] Motorcycle Response Unit - You are on a Motorcycle with all the same equipment as an RRV and are tasked with getting to a scene as fast as possible to ensure the patient is as stable and receives the best care possible.
>[HART] Hazardous Area Response Team - You are a specialised team meber who responds to calls in dangerous/hazardous areas that a regular Ambulance staff member can not access such as water, Confined spaces, a stuck patient or even in events such as a terrorist attack or CBRNE incident.
>[HEMS/AAATT] Helicopter Emergency Medical Services - Air Ambulance Advanced Trauma Team - As a HEMS/AAATT Doctor you are tasked with providing HOSPITAL level of care to the patient and ensure they’re being given the best possible chance of life/recovery.
[ADVANCED PARAMEDIC+ ONLY]
4 | Basic Medical Info -
> Standard Observations:
Respiratory rate: 12 Breaths per minute
Pulse: 100-120 Beats per minute
Oxygen Saturations: 94-95% up to 100% is normal, 88% for COPD Patients
Blood Glucose: 7.8-11.1mMol
Temperature: 37-37.8 degrees celsius
Blood pressure: 120/80
Capillary refill: Less than 3 seconds
Peak flow: 80-100%
Capnography: 35-45mm Hg
> Glasgow Coma Scale
Open before stimulus - 4
After spoken or shouted request - 3
After trapezius or fingertip stimulus - 2
No opening at any time - 1
Best Verbal Response:
Correctly gives name, place and date - 5
Not orientated, but communicates coherently - 4
Intelligible single words - 3
Only moans/groans - 2
No audible response - 1
Best Motor Response:
Obeys two part request - 6
Brings hand above clavicle trapezius stimulus - 5
Bends arm at elbow rapidly but movement appears normal - 4
Bends arm at elbow, but clearly abnormal - 3
Extends arm at elbow - 2
No movement in arms/legs - 1
The FAST test is used prehospitally to determine if someone is having a stroke.
F - Face - is the face droopy in any places, are there noticeable changes on the left side to the right?
A - Arms - When they hold their arms out at 90 degrees, does one arm sink down? Does one arm rise up?
S - Speech - Is the speech slurred? Is their mouth droopy?
T - Time - Ensure a time-critical transfer and note the time the symptoms started
5 | Contact SLT -
To contact a member of our Senior Leadership Team, feel free to drop a message in #las-chat and ping the DoAS with your question, concern or enquiry.