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New South Wales Ambulance

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A government agency or state agency , sometimes an appointed commission , is a permanent or semi-permanent organization in the machinery of government ( bureaucracy ) that is responsible for the oversight and administration of specific functions, such as an administration . There is a notable variety of agency types. Although usage differs, a government agency is normally distinct both from a department or ministry , and other types of public body established by government . The functions of an agency are normally executive in character since different types of organizations ( such as commissions ) are most often constituted in an advisory role — this distinction is often blurred in practice however, it is not allowed.

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77-964: NSW Ambulance , previously the Ambulance Service of NSW , is an agency of NSW Health and the statutory provider of pre-hospital emergency care and ambulance services in the state of New South Wales , Australia . Established pursuant to the Ambulance Services Act, 1976 (NSW) and operating within the Health Services Act, 1997 (NSW), the service provides clinical care and health related transport services to over 7.9 million people in New South Wales (NSW), across an area of 801,600 square kilometres (309,500 sq mi). NSW Ambulance employs more than 6,100 staff including 4,952 paramedics who operate over 1,600 response vehicles from 220 locations across

154-534: A CBRN School to train Marine CBRN Defense Officers and Marine CBRN Defense Specialists at Fort Leonard Wood , Missouri . See also: Chemical Biological Incident Response Force (USMC CBIRF) The USN requires all personnel to take a web-based CBRNE training annually to get a basic understanding of facts and procedures related to responding to a CBRNE incident. The Nuclear, Biological and Chemical Protection Troops (NBC Protection Troops) of

231-631: A CBRN unit. Both PGK and FRU teams handle CBRN calls before an army PNBK unit responds. All members of the NZDF are trained in CBRN drills for deployment. RNZN personnel conduct training with the NZ Army and RNZAF for any deployment or training. The RNZAF conducted regular yearly training for all its personnel given the higher probability of airfields being the target of an enemy CBRN attack. RNZAF Security Forces personnel conduct all CBRN training for

308-399: A Doctor and a Critical Care Paramedic, who work together to bring the highest level of pre hospital clinical care to patients. Medical Teams can perform a number of complex medical procedures beyond the scope of Primary and Intensive Care Paramedics. It operates from six bases across NSW, located at Bankstown , Albion Park , Orange , Belmont , Tamworth and Lismore , along with Hume in

385-552: A bicameral legislature. The term "government agency" or "administrative agency" usually applies to one of the independent agencies of the United States government , which exercise some degree of independence from the President's control. Although the heads of independent agencies are often appointed by the government, they can usually be removed only for cause. The heads of independent agencies work together in groups, such as

462-598: A career in CBRN at the United States Army CBRN School (USACBRNS) at Fort Leonard Wood . The USAF uses Air Force Specialty Code (AFSC 3E9X1) U.S. Air Force Emergency Management , who are also CBRN Specialists. The USAF trains all US Airmen pursuing a career in counter-CBRN operations at the USAF CBRN School at Fort Leonard Wood. The USMC uses CBRN as an abbreviation for two military occupational specialties . The Marine Corps runs

539-529: A commission, board or council. Independent agencies often function as miniature versions of the tripartite federal government with the authority to legislate (through the issuing or promulgation of regulations), to adjudicate disputes, and to enforce agency regulations. Examples of independent agencies include the Federal Communications Commission (FCC), Federal Reserve Board , U.S. Securities and Exchange Commission (SEC),

616-609: A fleet of over-snow vehicles, including a Hägglunds all-terrain vehicle, a Kässbohrer Geländefahrzeug over-snow vehicle, two Yamaha snowmobiles, a 4WD quad bike and trailer and a 4WD Mercedes Sprinter , which allow paramedics to access the alpine areas of the Snowy Mountains. SOT operate custom built Toyota Hilux utilities as their primary response vehicles, which are fitted out with an equipment pod that allow them to carry specialist equipment such as cordage (rope), harnessing equipment and breathing apparatus. Each vehicle

693-624: A million reindeer against anthrax in 2015. Around 1.5 million reindeer carcasses in Russian permafrost are at risk of melting due to global warming in the Arctic . There is a risk that global warming in the Arctic can thaw the permafrost, leading to new infections in reindeer. An anthrax outbreak in 2016 in reindeer caused the Russian Armed Forces to evacuate a nomadic reindeer herding tribe. In May 2012, BioPrepWatch reported that

770-524: A numerous specialist vehicles for road based responses, including Ambulances and 4WD response vehicles. The helicopters are managed and maintained on a contract basis by Toll (Southern Bases) and Westpac (Northern Bases). An additional medical team is based out of Westmead Hospital in Sydney, who are operated by the not for profit organisation CareFlight . It operates an Airbus H-145 and respond in conjunction with NSW Ambulance's other medical teams across

847-497: A part of the country's Rapid Deployment Force . The Policía Federal Argentina have the Brigada de Riesgos Especiales, this unit is the only national response for CBRN/HAZMAT incidents. Also, has three units called Riesgo Quimico y Biológico, Riesgo Radiológico y Nuclear, and the tactical response unit called Protección QBNR. Brazilian firefighters are trained for NBC situations. During the 2016 Summer Olympics , police forces like

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924-587: A range of rescue tools including battery extrication equipment and rope rescue gear. In the winter months, the Alpine Operations Team is active, based at Perisher Valley, this specialised team of 20 paramedics provide patient access and care to the entire NSW Alpine region. The Alpine Operations Team utilises unconventional vehicles to access patients, from snowmobiles to over-snow ambulances and their paramedics are specifically trained in overnight camping, search and rescue and avalanche recovery. SOT

1001-657: A strong background of medical experience and leadership. Community First Responders (CFR) are part-time and volunteer members of other emergency services or community members trained in nationally accredited advanced medical skills, who respond to medical emergencies in conjunction with Paramedics in remote areas of the state. There are 33 CFR units in total; 11 Fire and Rescue NSW , 11 NSW State Emergency Service and 12 Rural Fire Service , with each unit generally carrying their complement of medical equipment on board existing response vehicles such as fire engines . NSW Ambulance prioritise cases into several priority levels based on

1078-458: Is a class of protective measures taken in situations where chemical , biological , radiological , or nuclear (including terrorism ) hazards may be present. CBRN defense consists of CBRN passive protection, contamination avoidance, and weapons of mass destruction mitigation. A CBRN incident differs from a hazardous material incident in both scope (i.e., CBRN can be a mass casualty situation) and intent. CBRN incidents are responded to under

1155-773: Is a government agency of the Hellenic Republic that is responsible for the Greek regions of Macedonia and Thrace . The term agency in India has several meanings; for example, the Cabinet and the parliament Secretariat describes itself as a " nodal agency for coordination amongst the ministries of the Govt. of India". Most notably as an international feature, what appear to be independent agencies ( or apex agencies ) include some that have active roles for Ministers: such as,

1232-841: Is a regiment of the Sri Lanka Army that focuses on countering chemical, biological, radiological and nuclear (CBRN) hazards in the country.[1][2] The Sri Lanka Navy and Sri Lanka Air Force also maintain CBRN units in addition to the Army's CBRN regiment The Malaysian Army formed a CBRN unit, Peperangan Nuklear, Biologi dan Kimia 3 Divisyen (English: Chemical, Biological and Nuclear Warfare Division 3 ; PNBK 3D) in April 2002. The Royal Malaysia Police has CBRN providers. The Pasukan Gerakan Khas (PGK) has two special operations detachments with HAZMAT expertise - 69 Commandos and Special Actions Unit . The Federal Reserve Unit (FRU) also has

1309-400: Is also fitted out with an array of medical equipment, often featuring the same general duties kits found in emergency ambulances, allowing them to provide treatment to patients. SOT also operate Holden Colorados and Toyota Landcruisers for special operations work such as major incident deployments, which are often double crewed. They also operate a number of specialist support vehicles from

1386-758: Is also responsible for providing the Tactical Medical Operations capability for NSW Ambulance. SOT was the first full-time Tactical Paramedic Team in Australia working in conjunction with the NSW Police Force Tactical Operations Unit . The Medical Retrieval Unit (MRU) (through the Rapid Launch Trauma Centre) are responsible for the coordination and response of NSW Ambulance's Medical Retrieval Teams. Each Medical Team consists of

1463-697: Is also used by the UK Home Office as a civil designation. Police, fire and ambulance services in the UK must all have some level of CBRN providers. Within the ambulance service, this is performed by the Hazardous Area Response Team (HART) and Special Operations Response Team (SORT). Since the introduction of new equipment to UK fire services under the New Dimension program , CBRN decontamination of personnel (including members of

1540-585: Is the Mercedes-Benz Sprinter . Run by both General Duties and Intensive Care crews, Sprinters make up the large majority of the ambulance fleet across the state. A number of rural areas previously used Volkswagen Transporters , but these have now been replaced. Some rural stations also operate Toyota Landcruiser Troopcarriers which are configured for patient transport and are used to access patients in difficult and remote terrain. The Troopcarrier 4WD vehicles have an after market side access door on

1617-455: Is to be the host of the first Brazilian Navy nuclear-powered submarine; and the Nuclear, Biological, Chemical and Radiological Defense Company, at Duque de Caxias, Rio de Janeiro . The Air Force is making special teams for transporting victims from CBRN attacks/accidents. The term CBRN is in common use in disaster and emergency services organizations across the country. Since July 2005,

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1694-494: The Australia Capital Territory . Each Medical Team primarily operates from a specially equipped AgustaWestland AW139 helicopter. Two aircraft operate from Bankstown, with one aircraft attached to each of the other bases. A third helicopter is operated from Bankstown as a Newborn Emergency Transport Service aircraft. Each helicopter aircrew consists of a pilot and a crewman. The teams also have access to

1771-511: The Australian Health Practitioner Regulation Agency provide minimum requirements to ensure that paramedics in Australia are competent, qualified, and able to provide safe and effective care to the public. Other requirements include holding an accredited qualification, being fit to practice, and passing a criminal history check. The first recognised ambulance service in New South Wales, known as

1848-810: The Canadian Armed Forces also started using the term CBRN Defence , instead of NBC Defence , due to the increased threat of dirty bomb use (which is radiological in nature). CBRNE is a new term that is being used in both civilian and military organizations. The Canadian Joint Incident Response Unit is a Canadian Forces unit, under the direction of the Canadian Special Operations Forces Command , charged with supporting "the Government of Canada in order to prevent, control and mitigate CBRN threats to Canada, Canadians and Canadian interests." All members of

1925-507: The Canadian Armed Forces are trained in CBRNE defense and maintain minimum standards, tested at least every three years. At the provincial level, cities are provided opportunities for emergency services with CBRN training. In Ontario, emergency services in Windsor, Peterborough, Toronto, and Ottawa have obtained CBRN standing at NFPA Standard 472 Level 3 Technician level. In mid-July 2016,

2002-607: The Department of the Treasury . Most federal agencies are created by Congress through statutes called " enabling acts ", which define the scope of an agency's authority. Because the Constitution does not expressly mention federal agencies (as it does the three branches), some commentators have called agencies the "headless fourth branch" of the federal government. However, most independent agencies are technically part of

2079-553: The European Parliament negotiated a new draft counterterrorism directive aimed at protecting Europe's people from biological, chemical and other attacks. The timeline of the directive is illustrated in the following table: The directive would criminalize: The directive also includes text to help victims of terror attacks. Hong Kong has had CBRN response capabilities since the early 1990s and advanced training from 1998. The Standing CBRN Planning Group (known as

2156-749: The GATE from São Paulo, the Federal Police , and the National Public Security Force were prepared. In the military, there is CBRN equipment and personnel in all branches of the Armed Forces. The Brazilian Army has two specific teams: the 1st Chemical, Biological, Radiological and Nuclear Defense Battalion , which is based in Rio de Janeiro and is responsible for decontaminating military equipment, weapons, and personnel, and

2233-653: The Mobile Brigade Corps (Brimob) has a CBR unit under the Gegana detachment. It was formed in December 2009. This unit acts as first responders to bomb and terrorist threats in the public. The Irish Defence Forces have CBRNE training and equipment capabilities – in particular the Ordnance Corps ( Explosive Ordnance Disposal/EOD teams ), Engineer Corps and Army Ranger Wing (ARW) – and will aid

2310-699: The National Labor Relations Board (NLRB) and the Federal Trade Commission (FTC). A broader definition of the term "government agency" also means the United States federal executive departments that include the President's cabinet-level departments and their sub-units. Examples of these include the Department of Energy (DOE) and the Internal Revenue Service (IRS), which is a bureau of

2387-1176: The National Security Council , the Medical Council of India , the Pharmacy Council of India (PCI), the Indian Council of Agricultural Research , and the NITI Aayog , which is chaired ex officio by the Prime Minister. Russia has had many government agencies throughout its history. The USSR had the secretive KGB . Today, Russian government agencies such as the FSB , FSO , and the GRU use Spetsnaz or other masked operators for any missions. Other organizations include Kremlin and presidential security. The Government agencies in Sweden are State controlled organizations who act independently to carry out

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2464-616: The Parliament of the United Kingdom , Scottish Parliament or the Welsh Parliament . The Congress and President of the United States delegate specific authority to government agencies to regulate the complex facets of the modern American federal state . Also, most of the 50 U.S. states have created similar government agencies. Each state government is similar to the national government, with all but one having

2541-585: The Russian Federation are special forces designed to conduct the most complex set of measures aimed at reducing the loss of associations and formations of the Ground Forces and ensuring their combat tasks assigned during operations in conditions of radioactive, chemical and biological contamination, as well as at enhancing their survivability and protection against high-precision and other weapons. The Russian government vaccinated around half

2618-611: The ARAMAR Nuclear, Biological, Chemical and Radiological Defense Battalion, at Iperó , São Paulo , conceived to provide physical security and to perform CBRN emergencies control actions at the Centro Experimental Aramar, responsible for developing Brazilian Navy nuclear researches; the Itaguaí Nuclear, Biological, Chemical and Radiological Defense Battalion, at Itaguaí, Rio de Janeiro , which

2695-640: The Ambulance Transport Corps. In 1910, they opened their first station on the west side of the city, occupying the former parcels office at Summer Hill Railway Station . In 1912, the first motorised ambulance entered service with the Corps, followed by two ambulance trams in 1915. The service was then renamed the NSW Ambulance Transport Service Board in 1921, with further technological advances such as

2772-780: The British Navy Board , responsible for ships and supplies, which was established in 1546 by King Henry VIII and the British Commissioners of Bankruptcy established in 1570. From 1933, the New Deal saw growth in U.S. federal agencies, the " alphabet agencies " as they were used to deliver new programs created by legislation, such as the Federal Emergency Relief Administration . From the 1980s, as part of New Public Management , several countries including Australia and

2849-616: The Chemical, Biological, Radiological and Nuclear Defense Company, based at Goiânia and part of the Brazilian Special Operations Command , that makes the decontamination and defense in CBRN situations. The Brazilian Presidential Guard and Army Police also have CBRN units. The Brazilian Marine Corps has the CDefNBQR (Nuclear, Biological, Chemical and Radiological Defense Center) that controls

2926-559: The Civil Ambulance and Transport Brigade, commenced operations on April 1, 1895. Their first ambulance station was a borrowed police station in Railway Square , Sydney, which was staffed by two permanent officers. At the time, patients were transported on hand-held stretchers and hand-litters . As demand grew, so did the service and they were soon transporting over 2,000 patients a year. In 1905, they were reorganised into

3003-644: The Interior's associate d Disaster and Emergency Management Presidency AFAD Works in coordination with law enforcement units to intervene in the events of any CBRN accident. Apart from these, Turkey mostly makes its own CBRN protective clothing and equipment. Mechanical and Chemical Industry Corporation 's Maksam factory mainly covers the needs of respirators for NATO and neighboring countries. Main products such as SR6 and SR6M NBC Respirator licensed United Kingdom production. MAKSAM Panoramic Mask MKE NEFES (breath) CBRN Gas Mask SR10 and SR10 ST Masks CBRN

3080-945: The Medical Retrieval Unit. As well as intensive care skills, they're trained in Special Operations, allowing them to work in hostile environments such as building collapses, floods, caves, cliffs and remote bushland. They also have the ability to perform complex medical procedures and administer highly specialist drugs in the field to patients, under the authorisation of a Critical Care Doctor. Duty Operations Managers (DOM) are senior paramedic inspectors responsible for supervising clinical operations and managing crews on shift across each ambulance zone. They provide an experienced oversight at complex medical incidents, supporting paramedics with patient management and treatment. DOMs are qualified Paramedics with additional formal qualifications in management and leadership, with

3157-475: The Mercedes support vehicle. Government agency A government agency may be established by either a national government or a state government within a federal system. Agencies can be established by legislation or by executive powers. The autonomy, independence, and accountability of government agencies also vary widely. Early examples of organizations that would now be termed a government agency include

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3234-780: The RNZAF and complete CBRN courses at the Defence CBRN Centre in the United Kingdom. The NZ Army teaches all pre-deployment CBRN training for members of the NZDF. The New Zealand Special Air Service is also trained for operations including disposal, and containment of chemical agents in a CBRN environment. Pakistan-based defense industry GIDS manufactures NBC suites which include Individual Protective Equipment (IPE) like gloves , boots , and air filters as well as decontamination kits and Chemical Weapon Agent (CWA) detectors. The Spanish Army 1st CBRN Regiment 'Valencia'

3311-488: The Russian security service ordered over 100 "capsule cradles", which are devices that people can use to protect infants or even small pets in the event of a nuclear, chemical, biological, or radiological threat. According to the article, Soviet military engineers invented capsules in the 1960s. A company is currently producing the capsules in a factory in Russia. Numbers vary, but news reports and market forecast reports place

3388-627: The SRPG is the CBRN Incident Advisory Group (RIAG) form in the initial stages of a CBRN incident using telephone conferencing. RIAG consists of five experts who assist with the technical response to the incident by providing real-time advice and support to the departments involved. The Hong Kong capability is well rehearsed, with regular departmental exercises conducted and a full-scale CBRN exercise conducted every year. The Indian Army ordered 16 CBRN monitoring vehicles, of which

3465-433: The SRPG) plans for all CBRN incidents in Hong Kong. The SRPG was set up with the support of the Secretary for Security by the Senior Bomb Disposal Officer in Hong Kong, Dominic Brittain. It consists of representatives from 9 government departments who plan the response to CBRN threats. These departments include Police EOD, Fire Services, the Hospital Authority and the Department of Health, amongst others. The operational arm of

3542-584: The Special Operations HQ at Bankstown including; – Forward Control Vehicle (Mercedes Sprinter fitted out as a mobile forward command post) – Rescue Support Vehicle (Mercedes Sprinter fitted out with rescue and extrication gear, often used for training) – Logistics Support Vehicle (Hino Truck used to carry bulk equipment and medical supplies) – Major Incident Support Units (Two Mercedes Sprinters with custom bodies fitted out to carry major incident support equipment) – SOT Multi Purpose Vehicle ( Mercedes Sprinter MPV used for special operations) Each of

3619-601: The United Kingdom developed the use of agencies to improve efficiency in public services. Administrative law in France refers to autorité administrative indépendante (AAI) or Independent Administrative Authorities. They tend to be prominent in the following areas of public policy; Independent Administrative Authorities in France may not be instructed or ordered to take specific actions by the government. The General Secretariat for Macedonia and Thrace ( Greek : Γενική Γραμματεία Μακεδονίας-Θράκης), previously Ministry for Macedonia and Thrace ( Greek : Υπουργείο Μακεδονίας-Θράκης)

3696-400: The assumption that they are intentional and malicious; evidence preservation and perpetrator apprehension are of greater concern than with Hazmat team incidents. A 2011 forecast concluded that worldwide government spending on CBRN defense products and services would reach US$ 8.38 billion that year. In English , the 1990s term CBRN (Chemical, Biological, Radiological, and Nuclear)

3773-615: The civil authority if requested. The Irish Army runs CBRNE defense courses has detection equipment, and decontamination equipment and is reported to have purchased 10,000 protective CBRN/NBC suits , enough for all of its personnel. All Army Reserve personnel undergo CBRN warfare defense training. The Irish national police force, the Garda Síochána , has a number of nationwide CBRN response teams. The teams are based regionally (in six regions; Dublin, Eastern, Northern, Southern, South-Eastern & Western) and began operating in 2004 with 100 trained officers (170 responders trained throughout

3850-546: The country as of 2009). There is a requirement for members to be re-certified within 18 months of training. CBRN response teams are trained by the Garda Tactical Training Unit, and supported nationally by the Emergency Response Unit (ERU). Other emergency services also have limited CBRN expertise, such as the Health Service Executive (HSE) and Dublin Fire Brigade (DFB), which have a Hazardous Materials (Haz-Mat) and Chemical Incident Unit. 14 CBRN Regiment (Chemical Biological Radiology and Nuclear Regiment), Sri Lanka Engineers

3927-593: The executive branch, with a few located in the legislative branch of government. By enacting the Administrative Procedure Act (APA) in 1946, Congress established some means to oversee government agency action. The APA established uniform administrative law procedures for a federal agency's promulgation of rules and adjudication of claims. The APA also sets forth the process for judicial review of agency action. CBRN defense Chemical, biological, radiological, and nuclear defense ( CBRN defense ) or Nuclear, biological, and chemical protection ( NBC protection )

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4004-406: The face of the fleet for many years to come. By the late 1970s and 1980s, Intensive Care Paramedics were introduced, allowing the service to bring unprecedented levels of pre-hospital care to patients. In 1985, the Air Ambulance fleet received further upgrades with four new King Air B200C's . As the importance of pre-hospital care skyrocketed in the service, the Special Casualty Access Team (SCAT)

4081-521: The field and administer specialist drugs to seriously ill or injured patients. Extended Care Paramedics (ECP) are specialist paramedics who take a ‘GP’ type approach to non emergency incidents. Their role is to ease the workload of emergency ambulance crews by dealing with non emergency incidents using specialist training and techniques. These include prescribing medication, changing catheters and resetting dislocations among many other skills. Critical Care Paramedics (CCP) are elite paramedics assigned to

4158-406: The first 8 were inducted in December 2010. It was developed by the Defence Research and Development Organization (DRDO) and manufactured by Ordnance Factories Board . The Indonesian Army has a CBRN defense unit which is the Kompi Zeni Nuklir, Biologi dan Kimia (abbreviated "Kompi Zeni Nubika Pusat Zeni TNI AD") translated as Army Engineers Nuclear, Biological, and Chemical Company . The unit

4235-437: The first rescue trained ambulance officer in NSW. He received training from the existing Police Rescue Squad, and subsequently commenced operations on the service's new 'Q' (Rescue) Van. In 1967, the Air Ambulance Service was established, operating a single Beechcraft Queen Air B80 . Over the next ten years, this would grow to a fleet of five aircraft. In 1970, the service purchased 45 new Ford F100 ambulances, which would become

4312-429: The installation of radios in ambulance vehicles by the mid 1930s. By 1937, the Central District ambulance fleet had grown to 15 vehicles, with many others operating in districts across the state. In 1958, the first fibreglass body ambulances entered service, marking a significant advancement in the design towards the modern ambulance. In 1962, Station Officer Jim Smith (a former rigger at the Port Kembla Steelworks) became

4389-443: The left hand side for paramedic access into the treatment cabin. MPVs are large custom built Mercedes Sprinters , which are equipped to deal with large complex bariatric patients. The rear patient transport area of the vehicle is significantly larger than a standard emergency ambulance, and is also equipped with specialist casualty loading and patient management gear, such as mechanical lifting equipment. As well as bariatric patients,

4466-828: The most advanced providers of pre-hospital care in the world. Paramedics form the backbone of NSW Ambulance through their dynamic application of skills and expanding role in the community. They provide the bulk of frontline healthcare, responding to all types of emergencies across the state. Paramedics are highly trained in a broad variety of medical skills to assess patients’ conditions, make quick decisions, and perform life-saving procedures, often in high-pressure environments. Paramedics must hold an accredited degree or be assessed to have equivalent qualifications alongside experience. Intensive Care Paramedics (ICP) are highly skilled and experienced paramedics, who provide advanced intensive patient care. Their extensive experience and training allows them to conduct advanced medical procedures in

4543-467: The number of patient transports to hospital with their significant range of equipment. PICUs provide rapid response to emergencies across Metropolitan NSW, utilising a range of Holden Captivas , and Kia Sorentos . Staffed with a mix of GD and IC Paramedics, they're able to provide immediate lifesaving care to patients in the busy areas of Sydney and Newcastle. NSW Ambulance also operate three Motorcycles, staffed by IC Paramedics, which are able to negotiate

4620-513: The outcome in individual cases as well. In addition to the State and its agencies, there are also local government agencies, which are extensions of municipalities and county councils . Agencies in the United Kingdom are either executive agencies answerable to government ministers or non-departmental public bodies answerable directly to parliament or the devolved assemblies of the United Kingdom. They are also commonly known as Quangos . Agencies can be created by enabling legislation by

4697-416: The policies of the Government of Sweden . The Ministries are relatively small and merely policy-making organizations, allowed to control agencies by policy decisions but not by direct orders. This means that while the agencies are subject to decisions made by the Government, Ministers are explicitly prohibited (so-called ban on ministerstyre ) from interfering with the day-to-day operation in an agency or

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4774-455: The public) has become a task carried out by fire services in the UK and they regularly train for such scenarios. Army All personnel are trained in CBRN through basic training and are to complete an online assessment annually. The British Army has a single dedicated regiment for all C-CBRN (Counter) matters in the armed forces. 28 Engineer Regiment is the only regiment within the armed forces that has full C-CBRN capability. Formed in 2019

4851-448: The regiment will officially be at full operational capability from early 2023, with the need for CBRN specialists becoming of more importance. Personnel within the regiment are trained in live environments where CBRN materials are used. The United States Army uses CBRN as an abbreviation for their Chemical, Biological, Radiological, and Nuclear Operations Specialists ( MOS ). The United States Army trains all US Army soldiers pursuing

4928-817: The remote Australian wilderness. SOT operate on a day-to-day basis from rapid response vehicles spread across Sydney, Wollongong and the Central Coast, located at St Ives, Bankstown, Macquarie Fields, Caringbah, Point Clare, Wollongong, Northmead and Katoomba in the Blue Mountains. They additionally operate a number of specialist vehicles from their Special Operations Base at Bankstown, including 4WD Ambulances and numerous specialist support vehicles. In some rural areas of Regional NSW, SOT are trained and equipped as primary rescue units, allowing them to extricate patients in addition to their medical access role. They operate six Rescue Units, based at Wagga Wagga, Singleton, Tamworth, Bomaderry, Cowra and Rutherford, with two spare vehicles located in Sydney. These Rescue Units are equipped with

5005-400: The six SOT Rescue Units is also assigned a Hino Rescue Truck . Each rescue is equipped with a wide array of rescue and extrication equipment such as forcible entry gear, battery cutting tools and rope rescue gear among other equipment. Each truck also carries a complement of medical equipment similar to SOT Response Vehicles. A seventh Hino Rescue is kept in Sydney as a spare, in addition to

5082-567: The standing force, however, SkyddC is also responsible for training conscripts, training 60 in 2022-2023. CBRN defense units in Turkey are the mainly CBRN Defense Battalion ( Kimyasal Biyolojik Radyolojik Nükleer (KBRN) Savunma Tabur ) of Turkish Armed Forces including CBRN Defense Special Response Unit ( KBRN Savunma Özel Müdahale Birliği ) and CBRN School and Training Center Command ( KBRN Okul ve Eğitim Merkezi ) Gendarmerie General Command has also unit within self Gendarmerie Search and Rescue Battalion Command has CBRN units. Ministry of

5159-520: The state. The Air Ambulance Service also conduct long distance inter hospital patient transport, ensuring the continuation high level medical care between hospitals during transit. Based at Sydney its operates five Beechcraft Super King Air aircraft. Additional Fixed-Wing ambulances also operate in Dubbo and Broken Hill as part of a contract with Royal Flying Doctor Service . In January 2024, two Pilatus PC-24 operated by Pel-Air commenced operating. The primary response vehicle of NSW Ambulance

5236-423: The state. The service responds to around 1.1 million calls a year, with an average response time of 7.47 minutes to 1A emergencies (cardiac or respiratory arrests), against a target of 10 minutes. In 2018, paramedicine became a regulated profession, legally protecting the title of paramedic and establishing mandatory professional standards for practitioners. Health Practitioner Regulation National Law (NSW) and

5313-685: The tight and congested areas of Sydney's inner city. DOMs operate a range of response vehicles, predominantly SUVs and Utilities, which allow them to respond rapidly to incidents and provide immediate on site expertise and oversight. Each vehicle carries an array of medical equipment similar to a PICU, allowing them to perform patient care when required (such as arriving on scene at an incident before an ambulance crew or assisting with multiple patients). The wide fleet of vehicles used by DOMs includes Holden Captivas , Holden Colorados , Holden Trailblazers , Toyota Prados , Isuzu MU-Xs , Isuzu D-Maxs and Kia Sorentos . Perisher Valley Ambulance Station operate

5390-491: The urgency of the case, which are categorised into: As of early 2019, NSW Ambulance attended over two thirds of Priority 1 calls within 30 minutes. The Special Operations Team (SOT) are responsible for specialised ambulance operations across the state. Their role is to bring paramedic level care to patients in any kind of hostile environment including cliffs, canyons, caves, floods, bushfires, building collapses, confined spaces, hazardous materials incidents, active shooters and

5467-454: The vehicles are also highly beneficial for patients undergoing hospital transfers who require specialist equipment such as life support machines to travel with them in the ambulance. ECPs operate a fleet of Hyundai iLoads and Toyota HiAces which are fitted out with an extensive range of extended care equipment. These vehicles are unable to transport patients, instead they provide extensive specialised treatment to patients on-scene, minimising

5544-425: Was created as a replacement for the 1960s–1980s term NBC (Nuclear, Biological, and Chemical), which had previously replaced the earlier 1950s term ABC (Atomic, Biological, and Chemical). The addition of the R (for Radiological ) is a consequence of the "new" threat of a radiological weapon (also known as " dirty bombs "). In the 2000s, the term CBRNE (Chemical, Biological, Radiological, Nuclear, and Explosive)

5621-558: Was equipped with a defibrillator . In 2004, both immediate and long distance care were enhanced across NSW, with the purchase of new rapid response cars and new Air Ambulances (four King Air 200s). The late 2000s saw vast increases to the service's specialist capabilities, with the creation of the Medical Retrieval Unit, the Special Operations Team and the Extended Care Program, making the service one of

5698-495: Was formed in 1986. This team of elite paramedics brought intensive care to patients in the most extreme of situations, ranging from cliff falls to building collapses. SCAT Paramedics were trained in a range of skills including climbing, winching, breathing apparatus , CBRNE , caving , canyoning , USAR , bushcraft, four wheel driving and wilderness survival. A major step forward for the service came in 1991, when every ambulance in NSW

5775-799: Was formed in March 2005. Training in the defense against CBRN agents as part of combat support is the main aim of exercise 'Grifo' (Griffin) – the most important of this type that the Army undertakes. The National Police and the Spanish Civil Guard have their own CBRN units. The Military Emergencies Unit and emergency services have CBRN training. The Swedish Armed Forces has the National CBRN Defence Centre (designated SkyddC) localized in Umeå as its main CBRN protection forces. It consists of one company (1st CBRN-company) as

5852-780: Was founded on 22 April 1986 under the command of the Indonesian Army Corps of Engineers . The unit is also in cooperation with the Ministry of Health, the Indonesian Nuclear power regulator agency, the Veterinary Research Agency, and the National Nuclear Power Agency. This unit is the one and only unit that can handle CBRN Defense Capability within the Armed Forces. The Indonesian National Police special unit

5929-521: Was introduced as an extension of CBRN , the inclusion of the E (for Explosive ) is for the enhanced (improvised) explosives threat. In Spanish the term NRBQ ( Nuclear, Radiológico, Bacteriológico y Químico ) has replaced NBQ . The Argentine Armed Forces has the Batallón de Ingenieros QBN 601 of the Argentine Army , was the first CRBN response team created, in the 1990s, as

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