AMBULANCE PROJECT Toyota Commuter Highroof THAILAND & SE Asia THAILAND AUSTRIA The Next Generation Toyota Commuter ambulance Thailand AMBULANCE SAFETY Prototype chassis Toyota Commuter ambulance Thailand AMBULANCE SAFETY Prototype design Toyota Commuter ambulance Thailand Exterior layout AMBULANCE SAFETY Prototype design Toyota Commuter ambulance Thailand Interior layout Paneling on walls and roof made of moulded high-quality food grade fibre glass panels. Interior layout designed according to European standards. 10g tested stretcher support Original Ferno fastener for Ferno stretcher F28 All seats tested and approved according to 76/115 EEC AMBULANCE SAFETY Prototype design Toyota Commuter ambulance Thailand Interior layout Storage cabinet with included compartment for scoop stretcher Stair chair with 10g holding device Roof cabinet with 2 modules made of vacuum formed ABS Interior lighting with night light modus Tiltable infusion holding device Roof mounted holding rail Roof ventilator AMBULANCE SAFETY Prototype design Toyota Commuter ambulance Thailand Seat layout 2 swivel seats at the left side – can be folded up and stored Adjustable backrest, armrest right Tip-up seat with integrated 3point belt at the partition wall, armrests left and right All seats tested and approved according to 76/115 EEC AMBULANCE SAFETY Prototype design Toyota Commuter ambulance Thailand Partition wall cabinet module 1 oxygen cabinet for 2 pcs. 35 ltr. O2 tanks 1 slide out cabinet for smaller items 1 drawer cabient with 3 standard drawers and 1 drawer with an integrated cooling box AMBULANCE SAFETY Prototype design Toyota Commuter ambulance Thailand Roof integrated front signal light system Built on roof rear signal light system High performance LED lights front & rear Additional LED flashers in the front mask and on both sides of the vehicle AMBULANCE SAFETY Signal lights Toyota Commuter ambulance Thailand AMBULANCE SAFETY Signal lights Toyota Commuter ambulance Thailand JANY single swivel seat Type 862 / 862 Contour Integrated automatic 3-point seat belt Adjustable armrest Foldable and rotatable Rigid wheel arch frame and floor pedestal for safe installation Test report 55SN0132-01 Test report 35SG0429-07 AMBULANCE SAFETY Swivel seats Toyota Commuter ambulance Thailand Installation on wheel arch frame and floor pedestal AMBULANCE SAFETY Swivel seats Toyota Commuter ambulance Thailand Schnierle folding seat DHT-1, DHT-2, DHT-3 Integrated automatic 3-point seat belt Adjustable headrest Forward moving backrest for better comfort Rigid frame for partition wall installation Statement of conformity no. 115XS0153-00 AMBULANCE SAFETY Tip up seat Toyota Commuter ambulance Thailand AMBULANCE SAFETY Tip up seat Toyota Commuter ambulance Thailand 20mm sandwich panel (closed and compressed hard foam) Coated with 1mm aluminium face sheet on both sides Easy to clean and disinfect Resistant against decay and humidity High mechanical stability AMBULANCE SAFETY Partition wall Toyota Commuter ambulance Thailand Rigid high grade steel frame with 3 horizontal reinforcement bars Connecting points to the original chassis (floor, B-columns and ceiling) High grade steel retaining brackets at all connecting points between the original chassis and the partition wall frame for maximum strength Powdercoating finish for maximum protection against corrosion. AMBULANCE SAFETY Partition wall reinforcement Toyota Commuter ambulance Thailand Partition wall frame installed and attached to the connecting points of the original chassis. Application of high performance clue for attachment of the partition wall plate. AMBULANCE SAFETY Partition wall reinforcement frame Toyota Commuter ambulance Thailand STEM series MODULINE model MODU-1 & MODU-2 High performance stretcher support with loading ramp Single or double case for accomodation of spineboard and/or scoop stretcher(depending on choice of layout) Designed and built according to the current European guidelines and directives, please see certificate of conformity and certificate DSE/SEP/14-049 Installation in the vehicle according to the installation guidelines of the manufacturer STEM as described in the document MODULINE-ENGLISH-REV.150113 AMBULANCE SAFETY Stretcher support device Toyota Commuter ambulance Thailand AMBULANCE SAFETY Stretcher support certificates Toyota Commuter ambulance Thailand FERNO 28 and Ferno 28Z: Original Ferno holding device F173-2 cot fastener 10 G rated Test report – declaration of conformity AMBULANCE SAFETY Fixation of stretcher Toyota Commuter ambulance Thailand SPENCER Carrera T Tec: Original Spencer fixation device R-Max 10 G rated Test report Nr. 714-191-08-15 AMBULANCE SAFETY Fixation of stretcher Toyota Commuter ambulance Thailand High impact resistant ABS with a top layer of high gloss PMMA. Easy to clean and disinfect, odorless Non-cracking material(in case of an impact) Fire behavior < 101,6mm/min according to FMVSS 302(USA), DIN 75200 and ISO3795 Non hazardous in production and processing Fully recyclable AMBULANCE SAFETY ABS: Toyota Commuter ambulance Thailand Made by Dlouhy Austria Coated with 3mm ABS panels white shiny and blue Rounded edges, no sharp obstacles Locks(latches) are 10 G rated and part of the complete vehicle test reports 10-TAAP-3180/IV, A1-A5 and the 12-TAAP-2760. AMBULANCE SAFETY Cabinets Toyota Commuter ambulance Thailand Holding device with central locking system 10G rated and part of the complete vehicle test reports 10-TAAP3180/IV, A1-A5 and the 12-TAAP-2760 Safe storage of oxygen tanks Easy to change and fix AMBULANCE SAFETY Oxygen holder Definition of Ambulance Safety Includes all damages of the chassis, behaviour of the vehicle after an accident/impact Manufacturer of chassis provides documentation about crash tests, homologation, etc. Ambulance builder is not allowed to amend basic chassis structure AMBULANCE SAFETY Safety of base chassis – resistence against impacts(accidents). Definition of Ambulance Safety All damages of the ambulance interior which can pose a potential threat to the safety of passengers and patients. Ambulance builder has to provide safe interior components Ambulance builder has to provide necessary reenforcement structures Ambulance provider(e.g. hospital) has to train and instruct staff to follow safety guidelines AMBULANCE SAFETY Safety of ambulance interior Potential threats in an Ambulance Fire retundant ? Cracking under application of forces ? Fully disinfectable ? Recyclable ? Health risks during production/processing/dumping? AMBULANCE SAFETY Interior material Potential threats in an Ambulance Cabinets – built and fixed properly? Seats – test documentation? Flooring/anchoring devices – rails & tracks, holding brackets? Medical devices – suitable brackets & holding devices, fixed properly? Stretcher & stretcher support – test documentation/fixation? Medical bags, accessories, patient luggage, bins, personal items – stored and fixed properly and safe? AMBULANCE SAFETY Interior devices What can happen? ALL LOOSE OR NOT PROPERLY FIXED ITEMS WILL BECOME PROJECTILES IN CASE OF AN IMPACT UNSUITABLE SEATS OR SEAT LAYOUT ARE A HIGH RISK BOTH FOR PASSENGERS/PATIENTS & PARAMEDICS CRACKING MATERIAL POSES A HIGH THREAT AND CAN CAUSE SERIOUS INJURIES AMBULANCE SAFETY MOST SERIOUS AND FATAL INJURIES IN AMBULANCES ARE CAUSED BY TRAVELING ITEMS INSIDE THE CAR Examples - Ambulance accidents AMBULANCE SAFETY Examples - Ambulance accidents AMBULANCE SAFETY Examples - Ambulance accidents AMBULANCE SAFETY Examples - Ambulance accidents AMBULANCE SAFETY Fatal accidents US and Europe statistics: box ambulances, benches have the highest death rate among all high speed vehicle accidents AMBULANCE SAFETY What can we do to enhance safety? Refuse any compromises regarding safety Set clear and binding guidelines for handling the ambulance, its equipment and the patient Avoid subsequent amendments of the interior which could have an affect on safety Store and fix all equipment and accessories properly as indicated AMBULANCE SAFETY Perform structural work according to existing corpus of legislation and normatives(e.g. EN 1789) What can we do to enhance safety? Avoid transversal layout of seats or seat benches as the seat belt can‘t be fixed properly Trust only proven products & quality AMBULANCE SAFETY Always use seat belts both for patient and staff PPP & DLOUHY proposal for next generation emergency ambulance Poolpan Patana Thailand - PPP DLOUHY Austria Key Design Attributes Safety Comfort for all Optimal delivery of medical care Reliability Efficiency AMBULANCE SAFETY International Design Partners The cutting edge rescue ambulance…. Optimal Patient Care compliant with EU EN-1789 Ergonomic comfort seats 10G component testing Loading platform reinforced body and walls Unobstructed work space integrated LED warning systems Multiple storage compartments – user configurable ABS interior construction Front/ back facing 3 point restraint seats Tough and Built to Last Sealed & Enclosed interior Night interior LED mode Clean and Green Toyota customized ambulance Aerodynamic roof Factory installed high output air conditioner LED lights High grade interior Environmental insulation AMBULANCE SAFETY Uncompromised Safety
