It is essential that HART units maintain the capability to deliver excellent clinical care to patients in an Urban Search and Rescue (USAR) environment. This course builds on the skills and knowledge gained from the HART Incident Response Unit (IRU) Course, and focuses on confined space medicine, safe systems of work and delivering high quality clinical care in difficult and challenging environments.
PLEASE NOTE: These will only be open to operational members of HART teams and places will be allocated by each unit’s HART Manager. Aspiring candidates should contact their HART training manager for information about the selection process that will be used to select candidates for their HART unit.
SWAH – It is the responsibility of the Trust to ensure all attendees are working in line with the PPE requirement regulations.
This course builds on the skills and knowledge gained from the Incident Response Unit (IRU) Course, and focuses on confined space medicine, safe systems of work and delivering high quality clinical care in difficult and challenging environments. The new format USAR course (2016) will run over two sites. This will be made up of Week 1 at Winterbourne Gunner, where the delegates learn their theory and are introduced to the new training facilities; which include trench and rubble pile. Week 2 – will be held at the Fire Service College where the delegates are put through a series of challenging scenarios, culminating in a large multi agency exercise. The programme should be regarded as dynamic, either to take advantage of opportunities as they present or to work around other students using the specialist rigs.
The USAR tutors will be drawn from experts in their fields across the Ambulance and Fire services and includes tutors from other key areas where their specific expertise is required. The course faculty will comprise of at least three NARU USAR instructors and one specialist Fire & Rescue Service tutor.
Course Programme contents
The course consists of a mixture of theory and practical sessions including the following elements:
- USAR Context and Framework
- Health and Safety
- Medical and Environmental Emergencies
- Confined Space Medicine
- Confined Space Operations
- Clinical Care in USAR Environments
- Remote Patient Assessment
- Safe Working at Height
- Building Construction and Collapse
- Fire Service USAR Operations
The course programme has been constructed to maximise the time and facilities available. The programme should be regarded as dynamic, either to take advantage of opportunities as they present or to work around other students using the specialist rigs.
Intended Learning Outcomes
On completion of this course students will be able to:
- Demonstrate knowledge and understanding the Health & Safety implications of a USAR incident
- Explain the capabilities of FRS USAR response
- Demonstrate the practical aptitude to operate safely in a USAR situation
- Be competent and confident in delivering clinical interventions in confined spaces or at height
- Be able to package and extricate patients in challenging situations with due consideration for patient and staff welfare
The course maps to the following National HART CPD modules:
- USAR/1 Command and Control
- USAR/2 Confined Space Operations
- USAR/3 Emergency Procedures
- USAR/4 Health and Safety
- USAR/5 Scene Safety and Risk Assessment
- USAR/6 FRS Awareness
- USAR/7 Scene and Sector Control
- USAR/8 Staff Welfare
- USAR/9 Building Construction
- USAR/10 Forensic Evidence Awareness
- USAR/11 Transport Incidents
- USAR/12a-i PPE
- USAR/13a-b DIM
- USAR/15 Bullet Bag
- USAR/16a-b Traction Devices
- USAR/17 Airway Management
- USAR/18 HART SOPs
- USAR/19 JRCALC
- USAR/20 Tourniquets
- USAR/21 Triage
- USAR/22 Clinical Skills
- USAR/23 Crush Syndrome
- USAR/24 EZ – IO
- USAR/25 IV Access in Confined Spaces
- USAR/26 Patient Assessment
- USAR/27 Casualty PPE
- USAR/28 Immobilisation & Extrication Devices
- USAR/29 MIBS and Spinal Insert
- USAR/31 Remote Patient Assessment
This course is aligned to the following NHS Commissioning Board Core Standards for EPRR which will assist Ambulance Trusts in meeting these standards by providing relevant educational modules:
|9.11||Have a Hazardous Area Response Team (HART) in line with the current national service specification, including a vehicles and equipment replacement programme|
|9.38||Explain the arrangements for managing triage, treatment and transport for casualties|
This course is aimed at NHS Ambulance Service Paramedics that have the necessary qualifications and skills and operate as part of a Hazardous Area Response Team. Students MUST attend the HART IRU course and certificated SWAH and Confined Space courses prior to attending the USAR course.
We recommend that students have at least one year’s experience as a HART paramedic prior to the USAR course and that they have attended a SWAH refresher within six months of the course.
Students on this course must be HCPC registered Paramedics who operate as part of a Hazardous Area Response Team.
It is incumbent on the student to ensure they have a fitness level commensurate with the demands of the course. The minimum fitness requirements are those demonstrated in the physical competency assessments (PCA) conducted during the selection process. However NARU emphasises that this is a physically and mentally demanding course and students should be well prepared.
It is a pre-requisite of this course that students will have successfully completed the HART IRU course and certificated SWAH and Confined Space courses prior to attending the USAR course.
Comments from previous attendees
- “The instructor’s enthusiasm has made this a fantastic course. The information and techniques learnt have given me confidence in all aspects of my HART role”
- “Great course, enthusiastic instruction. I am ready for anything now!”
Methods of Delivery
The course content is delivered using a variety of theoretical sessions from training faculty and external Subject Matter Experts (SMEs). Students are then given the opportunity to reinforce the theory in numerous realistic practical exercises.
Normal Trust uniform with collar must be worn during classroom sessions and at mealtimes. The dress code for the evenings is smart/casual.
Week 1 the course will be held at:
NARU Education Centre
Defence CBRN Centre
Wiltshire SP4 0ES
Week 2 the course will move to:
The Fire Service College
Week 1 – Accommodation is provided as part of the course at Winterbourne Gunner. You can check in from 1200hrs on the day before. No food is available until breakfast on day one of your course.
Please note some rooms do not have on-suite facilities. Winterbourne Gunner is a military site, we have no control over the accommodation. Rooms are allocated on the day of arrival.
Please bring your own towel and toiletries.
Breakfast, lunch and dinner is provided during the course, starting with breakfast on day one and finishing with lunch on the final day.
There is a café, cash bar, gym and cashpoint on site. Wi-Fi is available in the accommodation block, however, there is a charge, please speak with the Mess Manager for details.
Week 2 – Accommodation is provided as part of the course at the Fire Service College. This is available from 1200hrs the day before however, food will not be available. Your first meal will start with breakfast on the morning of the course.
Please bring your own towel and toiletries.
Breakfast, lunch and dinner are provided during the course.
There is a café, cash bar and cashpoint facilities on site.
Please complete the JESIP E-Learning module which is a mandatory pre course requirement. Bring a copy of your certificate as proof of completion on the first day of the course.
The following pre-learning material has been selected to help you prepare for the USAR Paramedic training course. Most of the work should be revision, however some of the material is designed to help you gain an understanding of USAR and this will assist you with the classroom work.
Please read the articles as they provide some background reference to USAR, the clinical components and the reasoning behind the training programme. You should be familiar with your Trust Major Incident plan, particularly the sections concerning command and control, as well as liaison with other organisations.
- Trust Major Incident Plan
- HART SOPs & NASMeD Triage Sieve
- Prehospital Management of Earthquake Casualties Buried Under Rubble
- Consensus Statement on Crush Injury and Crush Syndrome
- Trust policy/SOP on Rail Incidents
Latest Clinical Practice Guidelines
You must be familiar with the latest version of JRCALC guidelines, particularly the following:
- Part 1 Section 2 – Pain Management Guidelines
- Part 2 Section 1 –Recognition of Life Extinct (ROLE)
- Part 2 Section 1 – Traumatic Cardiac Arrest
- Part 7 Section 1 – CBRN Incidents
- Part 3 Section 3b – Heat Exhaustion and Heat Stroke
- Part 3 Section 3b – Hypothermia
- Part 4 – Trauma Emergencies
- Part 4 –Trauma Emergencies in Children – overview
Further recommended texts
- Tortora G.J, and Grabowski S.R, 2007, Principles of Anatomy and Physiology 10th Ed.,John Wiley & Sons, New York
- Salomone J.P, Pons P.T, (Eds),2007, PHTLS Prehospital Trauma Life Support 6th Ed., Mosby Elsevier, Missouri
- The following notes have been prepared to help you make the most of your stay and to bring the appropriate clothing and equipment.
Each student must bring the following:
- 2 x HART Trust-issued standard boots (1 set will be required for classroom/dining wear)
- 1 x Head torch and spare batteries
- 1 x Safety glasses (EN166)
- 1 x Knee pads
- 1x set Incident Ground Kit
- Technical Rescue Gloves
- 1 x Mantra helmet
- Rucksack/day sack
- 10 x Dusk masks (minimum) including proof of face fit certificate
- An additional Towel/wipes – for use during exercise
- Padlock for locker
- 1 x Water bottle
- Pen & Paper for note taking
FAILURE TO BRING THE APPROPRIATE PPE MAY THREATEN THE STUDENTS PARTICIPATION IN THE COURSE
Eye, hand, head and knee protection is not supplied. Students must bring their trust-issued, HART-standard PPE.
For the duration of the course students will be required to provide an adequate number of tight fitting face masks (half face mask or FFP3 dust masks). As a guide, we recommend that each student brings at least 10 of their trust-issued masks. In order to comply with Health and Safety Regulations students must provide a face fit certificate. This must include the student’s name, the make/type/size of mask they will be using on this course, test date and type of test performed.
We no longer supply bottled water so students must bring a water bottle to refill from the water fountain.