Hazardous area response team
The Hazardous Area Response Team (HART) is a capability of the NHS ambulance service in England and Wales devoted to providing paramedic and enhanced medical care to patients in the "hot zone" of hazardous environments.
HART is deployed to various hazardous, complex or prolonged incidents. The national capabilities include:
- CBRN/HazMat - CBRNe and hazmat incidents
- High Consequence Infectious Disease (HCID) - caring for patients with highly contagious diseases including viral haemorrhagic fevers such as Ebola and smallpox.
- USAR Urban Search and Rescue - responding to patients at height, in confined space or collapsed or unstable buildings)
- Water operations - flood and swift water rescue
- MTA - tactical medical operations in terrorist or firearms incidents
- Security operations - supporting police officers during hazardous operations.
All 16 HART teams within the ambulance services of England & Wales have the same capabilities. allowing interoperable activities at large scale incidents or planned events such as the Olympic Games or UN CoP 26 conference.
Each HART unit consist of around 45 emergency medical personnel, primarily paramedics, who have undergone specialised training at the National Ambulance Resilience Unit (NARU) Education Centrein 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.
The HART capability originated from a 2004 report on the feasibility of paramedics working in the hot zone or inner cordon of major incidents. and the programme was established following the 2005 London Bombings
- 2011 Gleision Colliery mining accident, Wales
- 2011 M5 crash, Taunton, Somerset
- 2012 Summer Olympics and 2012 Summer Paralympics, London
- 2013 Glasgow helicopter crash
- 2014 Wales summit of NATO, Newport, Wales
- 2017 Manchester Arena bombing
- 2017 Westminster attack, London
- 2017 London Bridge attack
- 2018 Poisoning of Sergei and Yulia Skripal, Salisbury, Wiltshire
- 2018 2018 Amesbury poisonings, Wiltshire
- 2021 United Nations Climate Change Conference (CoP 26), Glasgow, Scotland
The second generation HART fleet consists of the following vehicles supplied by WAS.
- 3x Primary Response Vehicle (Mercedes Sprinter)
- 3x Secondary Response Vehicle (Mercedes Sprinter)
- 1x Staff Welfare Vehicle (Mercedes Sprinter)
- MAN 7.5t primemover with Polaris 6x6 ATV
The operational fleet is supported by 2x Crew Carriers (Mercedes Sprinter converted by Wilker)
HART is operational in every NHS ambulance service in England and Wales.
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