Railway Incident Procedures 17.11.2021 v5 PDF

Railway Incidents EPRO Transport Lead  Welfare Subjects covered during this training may evoke memories of incidents that you have witnessed or been involved in....

Railway Incidents EPRO Transport Lead  Welfare Subjects covered during this training may evoke memories of incidents that you have witnessed or been involved in. If you have any concerns please discuss with your Course Director/staff at the education centre. Support is available to all staff, more information is available on The Pulse LINC emergency on Call – 0207 922 7539 Staff Counselling Referral Line – 0800 882 4102 MIND Blue Light Infoline – 0300 303 5999 TRiM Assessment Wellbeing Hub – 0203 162 7554 London Ambulance Service NHS Trust 2 Learning Objectives Develop an awareness of the different railway infrastructure in London. Define the POWER Principles Gain an understanding on safe ways of working on or near each railway network. Management of a person under a train (PUT) incident. Management of a person ill on a train incident (PIOT). London Ambulance Service NHS Trust 3 What are the types of Railways in London? London Underground Network Rail Docklands Light Railway Croydon Tramlink London Ambulance Service NHS Trust 4  Network Rail London Networks Trams Ltd KeloisAmey LUL London Ambulance Service NHS Trust 5 Facts and Figures Oldest underground network in the world. 11th busiest globally and 3rd in Europe. Only 45% of it is underground! Victoria Line one of the busiest train lines in Europe. Northern, Central, Jubilee and Victoria lines are automatic. London Ambulance Service NHS Trust 6 The Underground in Context London Ambulance Service NHS Trust 7 London Ambulance Service NHS Trust 8 PUT incidents January to March 2018 9 Facts and Figures Based in East and South East London. Fully automated driverless railway. Each train has a Passenger Service Assistant on board. Low number of incidents Most stations are unstaffed. London Ambulance Service NHS Trust 10 DLR London Ambulance Service NHS Trust 11 Croydon Tramlink Based in Croydon but route extends to Beckenham and Wimbledon. Road and Rail based network Driver operated. Have priority on the road even under emergency conditions. London Ambulance Service NHS Trust 12 Croydon Tramlink London Ambulance Service NHS Trust 13 Network Rail Includes all train operating companies like Virgin, LENR Thameslink, South Eastern, Southern, South Western Railways, Great Western etc. Also includes London Overground, TFL Rail and Eurostar. Will also be responsible for the Elizabeth Line when operational. London Ambulance Service NHS Trust 14 15 Elizabeth Line A new line for London The Elizabeth line will stretch more than 60 miles from Reading and Heathrow in the west through central tunnels across to Shenfield and Abbey Wood in the east. The new railway - currently being built by Crossrail Ltd. - will stop at 41 accessible stations, 10 newly built and 30 newly upgraded, and is expected to serve around 200 million people each year. London Ambulance Service NHS Trust 16 17  Track environment Anything within 2m of any rail including platform ramps is defined as part of the track London Ambulance Service NHS Trust 18  Track Hazards – Slips, Trips & Falls You must be accompanied by Railway staff when accessing the track The track environment has multiple trip hazards such as cables and lineside equipment Do not step on any rail Do not step on the sleepers as they may be greasy Walk only on the ballast London Ambulance Service NHS Trust 19  Track Hazards – Points Points can move at any time without warning Points must be secured if working nearby Always walk around point mechanisms. Never directly over them London Ambulance Service NHS Trust 20 Trackside Incidents - Person Under Train (PUT) London Ambulance Service NHS Trust  The 5 stages of the Procedure London Ambulance Service NHS Trust 22  Power off and trains stopped confirmed by the authorised person on scene or via EOC London Ambulance Service NHS Trust 23 London Underground  Confirm power off and trains stopped  Face-to-face or via EOC if LU person absent (PORES)  Visualise short circuit devices at front and rear of train London Ambulance Service NHS Trust 24 PORES Procedure Power Off Request – Emergency Services (PORES) London Ambulance Service NHS Trust 25  LUL and BTP Emergency Responders Network Incident Response Team (NIRT) brings the NIRM and BTP Medic. Blue lighted response. 2 x Pan London Emergency Response Unit – brings a specialist team capable of jacking up, moving, righting and cutting trains. 4 x Pan London (2 x blue light 2 x normal) London Ambulance Service NHS Trust 26 Docklands Light Railway - DLR  Confirm power off and trains stopped usually through EOC  Visualise short circuit device at front of train London Ambulance Service NHS Trust 27 Network Rail  Confirm power off (if ground level) and trains stopped  Overhead power not routinely switched off. Lower train pantograph  Face-to-face or via EOC if NR person absent  SCDs are not used routinely London Ambulance Service NHS Trust 28 Pantograph Ask the driver to lower the pantograph Keep all equipment and persons away from the orange line at top of train as this is the 3 metre safety line London Ambulance Service NHS Trust 29 Keep Clear London Ambulance Service NHS Trust 30 Red Bond Red bond considered as live wires but insulated. Return unused energy back to network. Don’t touch, especially if damaged. Seek advice from RIO/MOM London Ambulance Service NHS Trust 31 Network Rail Response – Emergency Intervention Unit (EIU) Based at key locations across London. Bring RIO/MOM to scene under emergency conditions. BTP medic on board London Ambulance Service NHS Trust 32 Croydon Tramlink  Confirm pantograph lowered and trams stopped face-to- face  Contact EOC if in doubt  Driver acts Tram incident officer, until senior staff arrive.  Remember road safety as well. London Ambulance Service NHS Trust 33  MAKE SURE YOU ARE TALKING TO THE RIGHT PERSON ON SCENE 34  Off the tracks unless patient appears viable London Ambulance Service NHS Trust It is not possible to assess a patient from the platform. Remember ROLE procedures. 36 ROLE London Ambulance Service NHS Trust ROLE Decapitation* Massive cranial and cerebral destruction* Hemicorporectory or similar massive injuries incompatible with life* Decomposition/putrefaction* Incineration (full thickness burns >95%TBSA)* Hypostasis Rigor Mortis Confirmed submersion for longer than 1.5 hours London Ambulance Service NHS Trust 38  Wear your Personal Protective Equipment No Excuses London Ambulance Service NHS Trust 39 London Ambulance Service NHS Trust 40  Ensure EOC and/or LAS Scene Commander are informed when staff are entering and leaving trackside London Ambulance Service NHS Trust 41  Ensure all you are all on the same LAS talkgroup when working underground London Ambulance Service NHS Trust 42  Rapidly remove the viable patient and treat in a safe, agreed area London Ambulance Service NHS Trust 43 Appropriate Treatment Areas  YES X NO London Ambulance Service NHS Trust 44 Major Trauma Patient Remember these patients will normally have major traumatic injuries that require surgical intervention at hospital. Rapid removal to an MTC is vital. London Ambulance Service NHS Trust 45 Clinical Impact A snapshot audit of information from 2012 provided by the London Trauma Office indicated; Patients LU; 50% fatal on scene, 10% died in hospital, 40% discharged alive from hospital NR; 95% fatal on scene, 5% discharged alive from hospital Higher time on scene increases mortality rate in penetrating and blunt trauma Higher response times (getting to the patient) increases mortality rate in blunt trauma London Ambulance Service NHS Trust 46 Review POWER London Ambulance Service NHS Trust 47 Person Ill on Train (PIOT) If a patient is still on a train the priority is to rapidly move them off the train as soon as soon as it is practical London Ambulance Service NHS Trust 48 Stalled Trains – THINK HEAT Health Impact: consider the potential NHS impact – consider significant / major incident & SOC Emergency Planning & Resilience Officer: contact the on-call EPRO for advice and attendance through EOC Arrival Procedures: driver to maintain contact with EOC, attendant to liaise with LUL staff. Windscreen report on arrival Think Triage Sieve: crew to take triage belt pack and action cards with them. Think more than one patient London Ambulance Service NHS Trust 49 What is the Impact of Stalled Trains? Passengers become unwell on other trains. Overcrowding on stations. Passengers self detrain onto a live railway. Significant disruption to train services and economic impact. Public order issues London Ambulance Service NHS Trust 50 51 The Impact! London Ambulance Service NHS Trust 52 Lewisham Incident 2018 London Ambulance Service NHS Trust 53 Further Information Can be found on the EPRR section of the pulse. OP/009 Operating Procedures for Responding to Railway Incidents. Incident Action Cards. Information posters on station. London Ambulance Service NHS Trust 54 Summary Remember the POWER Procedures Ensure power is off and trains stopped Rapidly remove live casualties Persons Ill On Trains need prompt removal Remember the bigger picture and potential impact Be prepared for multiple casualties Remember the HEAT Protocol and your triage cards London Ambulance Service NHS Trust 55 Questions? London Ambulance Service NHS Trust 56