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Hazardous area response team

The Hazardous Area Response Team (HART) is a capability of the NHS ambulance services in the United Kingdom devoted to providing paramedic and enhanced medical care to patients in the "hot zone" of hazardous environments.[1]

CBRN/HazMat - and hazmat incidents

CBRNe

High Consequence Infectious Disease (HCID) - caring for patients with highly contagious diseases including viral haemorrhagic fevers such as and smallpox.

Ebola

USAR - responding to patients at height, in confined space or collapsed or unstable buildings)

Urban Search and Rescue

Water operations - flood and swift water rescue

MTA - tactical medical operations in terrorist or firearms incidents

Security operations - supporting police officers during hazardous operations.

[2]

HART is deployed to various hazardous, complex or prolonged incidents. The national capabilities include:


All HART teams within the ambulance services of England & Wales have the same capabilities.[3] allowing interoperable activities at large scale incidents or planned events such as the Olympic Games or UN 2021 United Nations Climate Change Conference (CoP26). The Northern Ireland team has additional capabilities covering mountain rescue taskings.


Each HART unit consist of emergency medical personnel, primarily paramedics, who have undergone specialised training at the National Ambulance Resilience Unit (NARU) Education Centre[4] in the use of safety critical procedures, skills, vehicles and equipment. Their specialised equipment includes personal protective equipment (such as breathing apparatus, hazmat suits, and safe work at height equipment, and flotation devices and for working in water.

Origins[edit]

The HART capability originated from a 2004 report on the feasibility of paramedics working in the hot zone or inner cordon of major incidents.[5] and the programme was established following the 2005 London Bombings.[6] HART forms part of the health response in support of the National Capabilities Programme being led by the Home Office, which aims to ensure that fewer lives would be risked or lost in the event of a terrorist-related attack or accidental CBRN incident[2] as part of the government and emergency services' "Model Response" plans.[7]

2011 , Wales

Gleision Colliery mining accident

2011 M5 crash, , Somerset

Taunton

and 2012 Summer Paralympics, London

2012 Summer Olympics

2013 Glasgow helicopter crash

of NATO, Newport, Wales

2014 Wales summit

2017

Manchester Arena bombing

London

2017 Westminster attack

2017 London Bridge attack

2018 , Salisbury, Wiltshire

Poisoning of Sergei and Yulia Skripal

2018 , Wiltshire

2018 Amesbury poisonings

(CoP 26), Glasgow, Scotland

2021 United Nations Climate Change Conference

St Helier, Jersey

2022 Jersey Building Collapse

3x Primary Response Vehicle (Volkswagen Transporter)

[10]

3x Secondary Response Vehicle (Mercedes Sprinter)

1x Staff Welfare Vehicle (Mercedes Sprinter)

MAN 7.5t primemover with Polaris 6x6 ATV

[11]

The first generation HART fleet consisted of Iveco Daily, Land Rover Discovery and Volvo XC70 response vehicles, now decommissioned, with a separate Iveco primemover carrying a Polaris 6x6 ATV.


The second generation HART fleet consists of the following vehicles supplied by WAS.[8][9]


The operational fleet is supported by 2x Crew Carriers (Mercedes Sprinter converted by Wilker)

National Ambulance Resilience Unit

Ambulance HART