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Nigel Hare

We asked our Operations Manager and paramedic Nigel Hare a few questions, to give you an insight into what working with the Devon Air Ambulance is like for him…

What is your working day like on the Air Ambulance?

Once the equipment and the aircraft is fully checked the crew have a briefing outlining aspects such as the weather, tide times, and on the moors, details of whether the firing ranges are in use. From that point onward we are ready to respond to emergency calls.

Each day starts with a full check of all our equipment. That is both medical and aviation. Even if I have worked the day before and know everything was present and working yesterday, we will still check each day as occasionally items of equipment get used at an incident by other paramedics or if equipment is electronic in nature, the batteries might become flat overnight.

How did you become a member of the Air Ambulance crew?
If I track the start of that path right back to the beginning it would be fair to say that Dartmoor is responsible. When I entered my teenage years I was keen to take part in the Ten Tors challenge and as my school had no involvement in the expedition I needed to find another organisation that did. My options were either the Scouts or the St John Ambulance, both of which were entering teams. However as their meeting nights were on the same day of the week I had to choose one or the other; I chose St. John.  As well as taking part in the Ten Tors for several years, eventually going on to manage my own teams, I also became passionate about first aid and helping people, which in turn led to me embarking on a career in the ambulance service, and ultimately, joining the team on the Air Ambulance.

What was it like when you first started on the Air Ambulance?
My first operational shift was in 1997. I was mentored by an experienced member of the aircrew and even though I had been a Paramedic for five years, the challenges of working on the Air Ambulance were so different from my normal role that it felt like I was fresh out of training college. There are so many other factors to take into consideration, such as the weather, the amount of fuel we have, the choice of treatment centre, as well as all the normal challenges of treating the patient.  My first few weeks remain a blur ,however I will never forget the time very early on in my time with the team when a patient who I did not think would survive their injuries subsequently visited the airbase to meet the crew. It was very apparent that the speed of the Air Ambulance played a significant part in their survival – from that point forward developing the service, in partnership with the South Western Ambulance Service, has been a big part of my life.

How often do you fly with the Air Ambulance?
Most of my role now is in supporting and developing the service, leaving a great team of pilots and paramedics to deliver the service to the patients. However I am still very fortunate to fly three or four times a month which enables me to continue to see first-hand the benefits the service brings to patients.

The Air Ambulance is often seen on and over Dartmoor, do you recall any particular incidents on the moor?
Dartmoor is indeed a place we attend frequently to help people. In fact last year over 130 incidents we responded to were on Dartmoor, either on the open moorland or in its towns, villages and hamlets. I remember many different incidents, each for different reasons. There have been several challenging rescues on steep ground or between the rocks on Tors. There have been occasions where we have had to carry people long distances to reach the helicopter because of the steep terrain or poor weather meaning the helicopter could not quite get to the top of the hill which was covered in cloud. It is amazing how often on moorland that seems deserted people appear as if from nowhere offering to help lift and carry the patient. Unfortunately it is also surprising how often they don’t; and the crew have to persevere alone! But I will never forget the expression of immense relief on one lady’s face, followed by tears, when we landed just yards from her husband who was having a heart attack, miles from anywhere or any other help.

heli in snow paintingDo you have a favourite area of the moors?
I have a couple. I am very privileged to have seen all of the moors from the air; flying across the moors between Mortonhampstead and Burrator on a clear sunny day is a wonderful experience; open moorland, farmsteads, Tors on either side, the imposing view of the prison at Princetown and then the panorama of Burrator Reservoir, the Tamar Valley, Cornwall and the Atlantic; all at the same time! But if I’m walking on the moors on a day off, I love the walk to my name sake, Hare Tor, via Tavy Cleave, an experience I can now share with my son as he practices for his first Ten Tors Expedition this year.

What does the future hold for Devon Air Ambulance?
We are always looking to develop the service we provide to the people of Devon. This year sees us celebrate 21 years of the Devon Air Ambulance.  In that time we have moved forward from using a second-hand ex-military aircraft operating just five days a week, to two aircraft operating 7 days a week covering a period of up to 14 hours a day in the summer. Later this year we take possession of our second brand new aircraft, designed specifically for the needs of the patients we meet and all made possible by the support of the people of Devon. Extending even further the hours each day we can deliver our service to the seriously ill or injured, whilst at the same time increasing the clinical capabilities of the service, will help ensure that we can help even more patients in their time of need.

Thanks Nigel!

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Kidz First Aid support

Katie Finn of KFAGuest blogger:  Katie Finn, Kidz First Aid

I am a paediatric nurse and after many enjoyable years of working in Paediatric A&E settings I realised that first aid information specific to children’s emergency procedures is not easily obtainable for parents so I decided to go it alone and set up Kidz First Aid. My aim is to give parents peace of mind and confidence, so they know what to do if things go wrong.

To spread the word of my courses I decided to exhibit at a baby fair but felt I needed to have a product on offer for parents to buy rather then just handing out leaflets. One of the topics I cover on my course is first aid kits. Then it struck me – why not design my own and make it child specific. In the end I went for 3 different designs – one for babies that is small enough to cram into a nappy bag, a middle range one that can be used by all the family and a deluxe model that can be used by older children themselves as well as adults.

I decided on the contents with a little help from my nephews (although I don’t think the eye pad was the one they had in mind) it was then on to the bag. There are so many generic green bags out there I wanted mine to be different and fun as well as locally made. I found a very helpful neoprene company in Cornwall and the kits were born.

My decision to support DAAT was a very easy one. Not only are they local and very relevant to my work but in my previous nursing role as Paediatric Burns Nurse for Devon I heard nothing but praise for the team from parents when their children had been airlifted to Frenchay Hospital. This is a vital service and I am happy to donate £2 to the charity for every first aid kit I sell. The DAAT team are all so friendly and supportive of my new venture and I was absolutely delighted when they said they would endorse my kits – I could not wish for better support.

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Therapy Works South West visit DAAT HQ

IMG_2030By Sarah Collier, Therapy Works South West

Devon Air Ambulance Trust provide an invaluable service and we thought the DAAT staff could probably do with some attention themselves. We /Therapy Works South West arrived at the Exeter head office to a warm welcome and set up our special massage chairs in a pleasant office space sandwiched between two busy meeting rooms. Some of the 14 members of staff we saw had never had any kind of massage before and didn’t know what to expect from Seated Acupressure Massage- their 30 minute appointment convinced them of the benefits! In fact, all of these hard working DAAT staff really appreciated the opportunity to unwind and let us attend to their upper bodies – especially tight necks and shoulders. A busy, sometimes pressured, work schedule and unavoidable computer work often leads to muscular aches and pains, headaches and eyestrain.

DAAT staff enjoyed their treatments, combining warming and loosening strokes (to back, neck and arms) with pressure point work (to back, forearms and hands).

“I felt so much better sat at my desk afterwards, it would help greatly regularly”

Many commented on the stretches and passive movements that are part of the treatment and that help to further release key area of tightness – especially beneficial in the neck and shoulder area. “It helped with an existing injury”. Everyone was receptive to some self-care tips on posture and simple stretches to do in the office to minimise the build up of aches and pains from e.g. computer use as well as RSI (repetitive strain injury). “Relaxing, informative, mentally and physically beneficial – very therapeutic” It was really enjoyable and rewarding to spend the day with such a great bunch of people. Thank you DAAT!


www.therapyworkssouthwest.co.uk/

 

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Why I got involved with Devon Air Ambulance Trust

Michelle Lovegrove

When I was asked to write a blog for Devon Air Ambulance I decided to take some time to think about the charity and why working with them is so important to me.

As a freelance designer I rarely have the luxury of picking and choosing my customers, but I have to say I am in the fortunate position of genuinely “liking” all of my clients and Devon Air Ambulance is at the top of that list. Not only are they an inspiring group of people to work with, the charity itself provides an essential service for our beautiful county.

As well as being privileged enough to produce design work for the charity, i am on occasion asked to photograph significant events for the Trust on a volunteer basis. Both of these roles keep me in touch with the great work conducted by the charity and strengthens my resolve to assist in any way I can.

My volunteer photography work proves that all businesses, even an independent like me can find a way to support Devon Air Ambulance. I don’t have budgets available to sponsor events or make monetary donations, I can’t even say that I can always really afford the time to volunteer.

However, the patient stories I read whilst designing the Helipad Magazine and the enthusiasm of the DAAT Team encourages me to make the time…..it could be for my benefit one day after all!

I urge everyone out there to get involved where they can. Pop into your local DAAT shop, or even just buy a lottery ticket. There are countless ways to support Devon Air Ambulance no matter if you are CEO of a large corporation or an individual like me who is just grateful to see our red angels in the sky.
www.lovegrovedesignandphotography.co.uk

www.michellelovegrovephotography.com 

www.19sglimpseofglamour.co.uk 

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Julie is back in action and supporting the Daat team

jul4It was my absolute privilege to spend the day with the DAAT staff team last week providing them with a workshop on using Facebook and how it can be used to bring even more support and encouragement to their brilliant work. We had a really good day going over the features of the social network, how to make the most of time spent communicating and connecting with others, and of course how we can develop DAAT pages, groups and campaigns further in the months ahead. Some of the team were a bit reluctant about it all and others only using the network for purely social purposes, but by the end of the session we had a real enthusiasm for how it can be put to effective use to support the Trust.

If you are a regular F

acebooker then make sure you ‘like’ their page now to receive lots of updates, features, news and photos - http://www.facebook.com/devonairambulancetrust/

The workshop came as part of my return to action, and as regular readers of this blog will know this is my way of starting to give back to the charity having been rescued by the DAAT helicopter in August of last year. I am now up-and-about a bit more, able to spend most days in the office, and even though transport and mobility is a challenge with the x-fix frame on my leg, I was able to get to Exeter thanks to colleagues at Cosmic and their support for this work.

And also last week I was able to present to a wonderful ladies networking evening at the Exeter Golf and Country Club courtesy of Old Mill Accounting and it was a further opportunity to explain to business women in the room that – “It Could be You!”. None of us knows when we might need to be rescued, and we really do need to keep offering the team at DAAT as much support as we can to keep this service effective and successful.

The recovery process after the accident and having broken my leg so badly is proving slow and frustrating, but its been highly motivating for me to be able to offer support to the DAAT team, and they’ve given me plenty of added inspiration for the months ahead when I hope to be able to offer plenty more support, ideas and encouragement to their work.

And in other news! My nephew Archie wants to be a Devon Air Ambulance pilot and was absolutely thrilled recently when the helicopter made a landing near his home and he was allowed to grab a few photo moments. He’s an absolute star and clearly has pilot potential don’t you think?

WP_000698      WP_000703

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Working together

Working together

Highway maintenance is one of the key services SWH provides across the region. This can range from winter maintenance, drainage improvements, road marking, excavation and traffic management.

SWH began supporting Devon Air Ambulance Trust (DAAT) in 2010 after asking staff to vote for a preferred charity. We get inundated with requests for support from charities, and while we help where we can, we felt it was important to have a clear attachment to one that our staff believe in.

Very often we attend the scene of accidents along Devon’s roads and motorways and often work closely with DAAT. We see their work first hand and understand how important it is to ensure people receive the right treatment as swiftly as possible; the role they play in this is absolutely vital.

DAAT’s work resonates with our staff whose support for them is unequivocal. More than 600 employees voted resoundingly in favour of electing them as our charity of choice and we are proud to support the great work that they do.

At Christmas SWH elected to support DAAT by providing a donation in exchange for using one of their e-card designs to send to colleagues and clients. We believe the benefits are twofold; it helps to reduce unnecessary paper wastage and also helps support a local charity which provides a valuable service.

Ben Pyle, MD of SWH is pictured.

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New Devon Air Ambulance

Nigel HareBlogger:  Nigel Hare, Operations Manager and Operational Aircrew

January marked an exciting time for Devon Air Ambulance Trust as the new helicopter, funded by the people of Devon to help enhance our service, arrived in England and has started the transformation into an Air Ambulance. This is the next stage in its 18 month journey from drawing board to operational use.

There are many advantages in Devon Air Ambulance owning its own helicopters, as opposed to leasing them, including the ability to specify what level and type of equipment the aircraft will have. This means not only do our patients benefit from an aircraft which best meets their needs, but also our pilots and paramedics get to work in an environment where the demands of their role are reflected in the design of the aircraft. Through maintaining a constant awareness of aviation and clinical developments on the horizon, we have also been able to design in some future proofing options to help enable our service to continue benefitting patients and crew in the longer term.

Eighteen months may seem like a long lead in time for the helicopter to enter service, however modification to the aircraft specifications, such as enhanced safety features and radio communication suites, need to be factored in at the design stage, before the aircraft enters into production. This is because every wire needed to operate equipment has to be incorporated into wiring looms and any potential conflicts with other aircraft systems have to be ruled out prior to construction commencing.

This applies equally to items which are not aviation in nature, such as the mounting brackets which hold the medical equipment. In the new aircraft we are incorporating a new generation of patient vital signs monitor in collaboration with the South Western Ambulance Service NHS Foundation Trust. This new system will enable the paramedics to attach the patient to the monitor at the scene of the incident, whether that is in the patient’s own home or within an up turned car, and the patient’s vital signs including pulse rate, blood pressure and oxygen concentration will not only be displayed on screen for the paramedics to see, but can also be viewed real time in the receiving hospital, enabling the medical staff to gain an understanding of the patients physiology even before the patient arrives at the hospital. Fixing a patient monitor to a wall in a hospital would require someone to simply find a free piece of wall, drill a few holes, and screw in the bracket. On a helicopter this process is a little more involved.

First, we have to find the right space within the helicopter where the paramedics can view the display whilst ensuring they can also reach the controls from their seats. The place the monitor is to be mounted needs to have a special mounting frame incorporated either on or within the wall which will take the weight of the monitor. No solid brick walls here to screw into! The weight of the monitor, bracket and the reinforcing then needs to be incorporated into the aircraft design. A helicopter is a bit like a children’s see-saw, with the rotor mast being the pivot point. You can’t simply put everything either in front or behind the rotor mast, it needs to be distributed and balanced equally within the helicopter, otherwise just like when only one child sits on the see-saw, we wouldn’t get off the ground!

Over the coming months in other blogs I will cover some of the key stages of its transformation from the fitting of the special navigational systems which help the crew find those isolated incidents through to the installation and testing of the medical interior which consists of items such as the stretcher, lifesaving medical equipment and of course that new vital signs monitor!

I will also cover the changes we have made to enable the aircraft to operate at night and along with my fellow bloggers provide a glimpse into how Devon Air Ambulance has a vision to enhance the operating hours of our service over the coming years.

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Best possible tasking to incidents crucial

Nigel Hare - Operations Manager and Aircrew

Nigel Hare – Operations Manager and Paramedic/Aircrew

by guest blogger Nigel Hare, Operations Manager, Paramedic/Aircrew of Devon Air Ambulance Trust

Man who stopped breathing helped by Devon Air Ambulance

On Thursday 3 January at 1225 hours I was on shift at the Exeter airbase when we were tasked to go to Okehampton. We were deployed just one minute after the 999 call was received. The call advised that an elderly man had stopped breathing.

We are continuously looking via our HEMS desk (helicopter emergency medical services) at the best possible tasking to incidents, where speed really can make a difference. Recently we have expanded upon our deployment into Devon’s town centres targeting patients who stop breathing or are suffering cardiac difficulties. Working in partnership with paramedics from the South Western Ambulance Service NHS Foundation Trust who may also be at the incident, the air ambulance is able to offer not just enhanced clinical care to the patient but also a much quicker journey time to the most appropriate hospital, for those patients where time really does make a difference. This was one of those occasions.

The patient was situated in the town centre, but the nearest appropriate landing site was in Simmons Park. This therefore meant that my colleague Nigel Lang and myself had to run, carrying all our equipment, approximately 400 metres in order to reach the patient.

Although the patient had stopped breathing, he was successfully resuscitated and conveyed to the RD&E Hospital emergency department team.

 

 

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Challenging Landing – 1 January 2013

Teignmouth Beach – 1 January 2013 by Nicola Courtier

The first day of the year was a relatively busy one for Devon’s Air Ambulances, with three jobs in total.

At 1139 hours our Exeter based helicopter was called to Teignmouth beach to an adult male with a suspected cardiac arrest.  The helicopter was allocated just 2 minutes after the 999  call was received!

Flying that day Senior Base Pilot,  Captain Rob Mackie.  This job shows just some of the challenges that the crew face on a daily basis.  Here’s Rob…

“On approach to Teignmouth beach, I could see there were several hundred people on the beach, enjoying the nice weather. This obviously makes my job more challenging as I, along with my fellow crew members, was at this stage surveying the area, looking for the safest and most appropriate place to land.”

He added “Because of the number of people, children and dogs loose on the beach, it was difficult trying to find a suitable landing site. The unfortunate part about the Air Ambulance is that it draws in a crowd; people on the ground are busy looking at what is happening and the helicopter, and they forget why we are there and that we need the space to land safely. Safety is paramount – it’s not only the safety of the people on the ground but also the well being of my crew.

“A Police officer had managed to clear a small area of beach by the sea wall, which allowed me to touch down briefly on the tide line, allowing Helen and Richard, our two paramedics, to get out of the aircraft with rotors still running. Once they were out of the helicopter and clear I then took off again.”

“Shortly afterwards Life Saving/Surf Rescue took control of the site, joined by the Police, and cleared an area towards the pier. Whereas we often land in car parks, or in Teignmouth on The Den itself, on this occasion due to the number of spectators and vehicles, it was not possible. I would make a plea that if anyone sees the Air Ambulance trying to land to stand well back, keep hold of small children and put dogs on leads. This helps us greatly.

“I would like to take this opportunity to thank everyone at Life Saving/Surf Rescue,the Police, Coastguard and South Western Ambulance Service Foundation Trust ambulance personnel on the ground, who all worked tirelessly together. Our primary aim is to get to the patient as quickly and safely as possible and we very much hope that the patient makes a good recovery.”

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Thanks for your support

As 2012 draws to a close we wanted to use our blog as an opportunity to say thank you for the support received during 2012.  We also thought it would be a good opportunity to share with you the link to download our Helipad magazine which we are extremely proud of.  Here’s the link to the Winter 2012 edition of Helipad.

Thinking back, over the past year, our mind goes back to Christmas Day 2011 when our crews attended to three year old Freddie. Whilst mum Andrea was busy cooking for the family lunch, the children were upstairs playing.  Freddie somehow managed to climb onto the bedroom window, undo the window lock, and fall out of the first floor window, onto the patio below.  Freddie was so poorly he was airlifted by one of our helicopters to hospital and then needed a critical care paediatric transfer by our other aircraft for specialist treatment in Bristol.  Freddie has made a full recovery and the family are looking forward to going away this Christmas.

Nigel Hare our Operations Manager tells us “Children represent about 12% of our workload that we undertake each year so last year we responded to about 158 children, and although we don’t do an awful lot of inter-hospital transfers for children, in fact we only did 4 last year, that is primarily because the DAA’s advantage is that we can take children direct to the hospitals they need to go to in the first place.  Yesterday was a classic case in point; we went out to the Honiton area for a child who was severely injured at home, but rather than conveying them to the local hospital which would ultimately result in requiring an inter-hospital transfer to the specialist treatment centre, we picked the child up along with the child’s mother and flew them direct to the paediatric unit in Bristol.”

It’s also been quite a year for Devon Air Ambulance Trust as a whole…

Highlights
The end of the BBC Radio Devon Air Ambulance Appeal – listeners raised a stonking £800,000+ towards our new helicopter

A record entrant of bikers took part in our Motorcycle Ride Out in July – over 750
Celebrating our 20th birthday in style with a big birthday party at Darts Farm, near Exeter

Looking forward and dates for your diary
Our 21st birthday – party on 7 September 2013 at Dart’s Farm

The arrival of new helicopter G-DAAN which will replace the leased EC135 helicopter flying out of the Steve Ford Airbase in North Devon – around the county flight of G-DAAN – more information to follow.

1 March – 9 June – Capturing Devon Photo Competition.  A calendar of the winning photos is now available at £5 each (plus £1.50 postage) at our online shop or your nearest DAAT charity shop.

13 April – Commando Kids

14 July – Motorcycle Ride Out

15 September – Agatha Christie One Mile Sea Swim

23 September – start of National Air Ambulance Week – could you be a hero for a day?

5/6 October – Royal Marines Commando Challenge

For information on the above plus much more why not keep a look out on our website at www.daat.org

Our iphone app
We’ve launched our iphone app this year too!  We’re very proud of it – especially the ‘where am I?’ function; even if you don’t have a mobile phone signal the map appears with your location shown, including a postcode.  This is especially relevant if you are a keen walker or horserider, as you might not know exactly where you are if you have the misfortune to need help.  There’s also lots of other features on the app.  If you are an android user don’t worry as this version of our app will be with you next year too!

Text donate

We love technology and we’re continuing to promote our text donate service.  If you would like to help keep us airborne this Christmas, why not add us to your Christmas list?  Simply text ‘heli’ to 70300 to donate £3 (you will be charged £3 plus one standard text rate fee).

However  none of the above would be possible without the amazing and humbling support the Charity and service receives from the community, businesses and friends of Devon – we really couldn’t do it without you so on behalf of the trustees, staff, crew, volunteers and the patients you are making a difference to every single day a big THANK YOU!

So as this year draws to a close, all it leaves us to do is wish you an enjoyable and peaceful Christmas and a happy and healthy New Year.

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