Newsletter Cross Border Cooperation in Prehospital Emergency Care December 2012

Newsletter December 2012 -This newsletter is dedicated to a train crash course that was held in Luleå in 4-5th December.

Train crash course 4‐5 December in Luleå - The 4-5th December a course in train crash rescue was held in Karlsvik outside Luleå. The course was a collaboration between NLL, the rescue service and KcKM at Umeå University. The course was held in severe conditions with about minus 18◦ C.

- Norwegian and Finnish ambulance personnel were invited. The Finnish ambulance personnel were not able to come due to their work with a Injured passengers could be evacuated through the new organisation. Norwegian ambulance window with help from a ladder put below the window. personnel from , Mo I Rana and Rognan attended the course. Medical management - During the course a parallel session was held with the Norwegian personnel. The Swedish concept concerning medical management called PS was presented to the . There is no national concept in but there are discussions regarding this after the Utöya event.

From left: Kurt-Ivar Hansen, Narvik, Tage Eriksen, Rognan, Ole-Asbjörn Soli, Mo I Rana, Börre Berglund, Narvik och Merete Klaebo, Mo I Rana.

A train in a 90◦ position During the first day the focus was on a train standing on its wheels on the rail. It was tested to evacuate persons through a window sliding the A session with medical management in focus. stretcher on a ladder. Se picture below and to the right at the top. Future activities - We concluded that there are common interests to have future activities with prehospital management in focus. Tabletop exercises can be one way to train together. - Börre Berglund from Narvik thought that this train crash course could be a topic for ambulance and fire personnel in Norway. In Norway there are no national standard or course for train rescue. It might be a matter for the Norwegian Fire Academy located in Narvik.

A ladder is put against the train and a stretcher can be slided down on the stretcher.

Lecture by Peter Johansson, KcKM, Umeå University. The rescue service is using a circular saw to open the roof. The opening is used to evacuate passengers from a train compartment.

Lift of a train in a 90 degree position with a low pressure air cushion. The train wagon weights about 40 tonnes and to lift it on one side requires at least two An injured is evacuated through the opening in cushions. The lift is done to release trapped passengers and to be able to evacuate through the window the roof. underneath.

An injured is evacuated from the train at the end A person can be evacuated through a window on of the train. a back board.

Contact information

Norrbotten County Council Laplands medical district Project owner Project member Anders Öhlund, Head of security Antti Saari, Dr., Chief Physician of Emergency Phone: +46702608899 Department, Rovaniemi hospital E-mail: [email protected] Phone: +358163282150 E-mail: [email protected] Project manager Pontus Albertsson, PH. D. Project member Gällivare hospital. Tero Karvinen, Chief Nurse of Emergency Phone: +46705890646 Department, Rovaniemi hospital E-mail: [email protected] Phone: +358401273193 E-mail: [email protected] Project member Stig Holmberg, Ambulance coordinator Västerbotten medical district Phone: +46706405280 Project member E-mail: [email protected] Outi Nyberg, Chief Physician, Kemi hospital

Phone: +358400684516 Helse Nord RHF, Norway E-mail: [email protected] Project member Oddvar Larsen, Section leader Northern Ostrobothnia Hospital District Phone: +4799225855 Project member E-mail: [email protected] Tuukka Toivio, Dr. Deputy chief of EMS Center,

Oulo university hospital Project member Phone: +358405647764 Randi Sporck, Advicer E-mail: [email protected] Phone: +4741851615 E-mail: [email protected]