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NCEMS FoundationNCEMS Foundation2010 Conference2010 Conference
Baltimore, MDBaltimore, MD
EMS BikeEMS BikeIssuesIssues
THANK YOU !THANK YOU !
To President George, Vice Pres. Scott, To President George, Vice Pres. Scott, Sect. Joshua and the entire staff of the Sect. Joshua and the entire staff of the NCEMS FoundationNCEMS Foundation
To YOU To YOU –– the participants at this the participants at this conference and the agencies you conference and the agencies you representrepresent
To the alum of past conferencesTo the alum of past conferences
EMS Bike IssuesEMS Bike Issues
Why An EMS Bike UnitWhy An EMS Bike Unit
How To Start An EMS Bike UnitHow To Start An EMS Bike Unit
Training Issues For EMS Bike UnitsTraining Issues For EMS Bike Units
Equipment Issues For EMS Bike UnitsEquipment Issues For EMS Bike Units
Why An EMS Bike Unit ?Why An EMS Bike Unit ?
As a stepping stone to the future !As a stepping stone to the future !
To reduce response times of the existing To reduce response times of the existing EMS response agencyEMS response agency
Provide early defibrillationProvide early defibrillation
Reduce the burden on the ambulanceReduce the burden on the ambulance
Why An EMS Bike Unit Why An EMS Bike Unit (cont.)(cont.)
To gain access to specific areas that are To gain access to specific areas that are not accessible by an ambulancenot accessible by an ambulance
To staff specific events on the campusTo staff specific events on the campus
As a means of public relationsAs a means of public relations
To obtain visibility for the EMS UnitTo obtain visibility for the EMS Unit
Why An EMS Bike Unit Why An EMS Bike Unit (cont.)(cont.)
Low costs Low costs -- $$$ for an ambulance, QRS $$$ for an ambulance, QRS vs. bikevs. bike
Ease of maintenanceEase of maintenance
Staff morale boosterStaff morale booster
No pollutionNo pollution
How To Start An EMS Bike UnitHow To Start An EMS Bike Unit
Identify the Need Identify the Need -- the stats !the stats !
What is the average response time ?What is the average response time ?
How many calls need an ambulance How many calls need an ambulance –– the the equipment it contains or for transport ?equipment it contains or for transport ?
How To Start An EMS Bike Unit How To Start An EMS Bike Unit (cont.)(cont.)
Determine BLS vs. ALSDetermine BLS vs. ALS
Medical supplies Medical supplies -- quantity, diversity, quantity, diversity, protection and security protection and security (of drugs or narcotics)(of drugs or narcotics)
How many days, special events or responses to How many days, special events or responses to be used atbe used at
Training For EMS Bike UnitsTraining For EMS Bike Units
The The 4 R4 R’’s s of training:of training:
RecognizedRecognizedRecentRecentRelevantRelevantRealisticRealistic
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RecognizedRecognized
In the EMS field, curriculum and instructors In the EMS field, curriculum and instructors are recognized by NREMTs, State DOHare recognized by NREMTs, State DOH’’s s or other certifying agencies.or other certifying agencies.
Training for EMS Bike Units also needs to Training for EMS Bike Units also needs to be recognized by an authorizing agencybe recognized by an authorizing agency
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Recognized Recognized (cont.)(cont.)
International Police Mountain Bike AssociationInternational Police Mountain Bike Association
International Association of Medical Bike UnitsInternational Association of Medical Bike Units
InIn--House EMS Bike training House EMS Bike training
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RecognizedRecognized (cont.) (cont.)
IPMBAIPMBAPolice on Bikes training since 1993Police on Bikes training since 1993EMS on Bikes training since 1997EMS on Bikes training since 1997basic police/EMS cyclist class is 32 hoursbasic police/EMS cyclist class is 32 hoursPublic Safety Cyclist II class since 2003Public Safety Cyclist II class since 2003
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RecognizedRecognized (cont.)(cont.)
IAMBUIAMBUBike Medic Provider training since 1999Bike Medic Provider training since 1999basic course is 24 hoursbasic course is 24 hourspart of training is scenario responsespart of training is scenario responses
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RecentRecent
Static vs. DynamicStatic vs. Dynamic
StaticStatic:: philosophy of training isphilosophy of training is‘‘ if it ainif it ain’’t broke t broke –– dondon’’t fix it t fix it ’’‘‘ we have always done it that way we have always done it that way ’’‘‘ dondon’’t rock the boat t rock the boat ‘‘
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Recent Recent (cont.)(cont.)
Static vs. DynamicStatic vs. Dynamic
Dynamic: dictates that the curriculum and the Dynamic: dictates that the curriculum and the instructor evolves and changes with new instructor evolves and changes with new information, technology and techniquesinformation, technology and techniques
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Recent Recent (cont.)(cont.)
DynamicDynamicIPMBAIPMBA’’ss ‘‘Complete Guide To Public Safety CyclingComplete Guide To Public Safety Cycling’’ has has
been updated and expanded (from 256 pages and 130 been updated and expanded (from 256 pages and 130 photos) and was distributed in the Fall 2007. Available photos) and was distributed in the Fall 2007. Available for purchase at for purchase at www.ipmba.orgwww.ipmba.org
IPMBAIPMBA’’s s web page is consistently updated with the latest web page is consistently updated with the latest information information www.ipmba.orgwww.ipmba.org
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RecentRecent (cont.)(cont.)
DynamicDynamic
IPMBA IPMBA instructors must teach one course per year to instructors must teach one course per year to maintain instructor authorizationmaintain instructor authorization
IPMBA IPMBA has held annual conferences since 1993 with the has held annual conferences since 1993 with the best cadre of international instructors period !best cadre of international instructors period !
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RelevantRelevant
There Are There Are 2 2 Parts of Your JobParts of Your Job
Getting to the scene of the emergency safelyGetting to the scene of the emergency safely
Being able to render medical care to those in needBeing able to render medical care to those in need
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Relevant Relevant (cont.)(cont.)
Getting to the scene of the emergency safely:Getting to the scene of the emergency safely:
Proper gear selection Proper gear selection -- the the ‘‘Good SpinGood Spin’’ conceptconcept
Proper braking techniques Proper braking techniques -- routine and emergencyroutine and emergency
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Relevant Relevant (cont.)(cont.)
Getting to the scene of the emergency safely:Getting to the scene of the emergency safely:
Slow speed bike handling skills Slow speed bike handling skills -- the balance and cone the balance and cone course drillscourse drills
Cycling in Cycling in ‘‘emergency response modeemergency response mode’’
OffOff--road riding skillsroad riding skills
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Relevant Relevant (cont.)(cont.)
Police Officer James C. McBridePolice Officer James C. McBrideMetropolitan Police Department District of ColumbiaMetropolitan Police Department District of Columbia
25 year old male25 year old male 2 years of police service2 years of police service
Bike Patrol Officer Bike Patrol Officer -- Killed In The Line Of DutyKilled In The Line Of Duty
August 10, 2005August 10, 2005
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
RealisticRealistic
Does the bike training environment Does the bike training environment reflect that in which reflect that in which
you will be responding ?you will be responding ?
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Realistic Realistic (cont.)(cont.)
Curbs:Curbs: descents, ascents, parallel, perpendiculardescents, ascents, parallel, perpendicular
Stairs:Stairs: carry techniques, descents, ascentscarry techniques, descents, ascents
Urban Obstacles:Urban Obstacles: common hazards encounteredcommon hazards encountered
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
Realistic Realistic (cont.)(cont.)
Crash Avoidance Skills:Crash Avoidance Skills:look back exercises; look back exercises; ‘‘quickquick--turnsturns’’;;
maximum braking techniquesmaximum braking techniques
Crash Survival Skills:Crash Survival Skills:are they taught are they taught –– are they practiced ?are they practiced ?
Training For EMS Bike Units Training For EMS Bike Units (cont.)(cont.)
The INSTRUCTOR must be a PECHThe INSTRUCTOR must be a PECH
ProjectionProjection
EnthusiasmEnthusiasm
ConvictionConviction
HeartHeart
EMS Bike Unit EquipmentEMS Bike Unit Equipment
A Juggling ActA Juggling Act
What You Have CurrentlyWhat You Have Currently
What You Want In The FutureWhat You Want In The Future
Your Ability To Get What You WantYour Ability To Get What You Want
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Testing and Evaluation:Testing and Evaluation:Before you buy anything, make inquiriesBefore you buy anything, make inquiries
as to who is using the productas to who is using the productand what are the good / bad features about it.and what are the good / bad features about it.
‘‘ do not redo not re--invent the wheelinvent the wheel’’
SWAGSWAGDo not be afraid to askDo not be afraid to ask
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
The BicycleThe BicycleFrame material:Frame material:
steel steel -- strong, does not catastrophically failstrong, does not catastrophically failheavy, subject to the elementsheavy, subject to the elements
aluminum aluminum -- (either 6061 or (either 6061 or 70057005) ) litelite--weight, does not rustweight, does not rustno warning before failure, transfers no warning before failure, transfers road vibrationsroad vibrations
titanium titanium -- super strong but who can afford it ?super strong but who can afford it ?
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
The Bicycle The Bicycle (cont.)(cont.)
Derailleur SystemsDerailleur SystemsThe drive train of the bicycle is one of the most important The drive train of the bicycle is one of the most important components and allows you, with proper gear selection to, get incomponents and allows you, with proper gear selection to, get into to that that ‘‘Good SpinGood Spin’’ mode mode -- unless you have a single speed bike.unless you have a single speed bike.
Recommendations:Recommendations:Front Front -- Shimano Deore or SRAM 5.0 seriesShimano Deore or SRAM 5.0 seriesRear Rear -- Shimano LX or SRAM 7.0 seriesShimano LX or SRAM 7.0 series
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
The Bicycle The Bicycle (cont.)(cont.)
The Wheel AssemblyThe Wheel AssemblyThe two wheels of the bike will be supporting all of the weight The two wheels of the bike will be supporting all of the weight (rider + equipment) while the bike is in motion and absorbing a (rider + equipment) while the bike is in motion and absorbing a majority of the vibrations caused by the surface being traversedmajority of the vibrations caused by the surface being traversed..
Recommendations:Recommendations:Combination type tread pattern; minimum width 1.75Combination type tread pattern; minimum width 1.75””; ; 36 spokes of 18 gauge stainless steel (triple weave pattern); 36 spokes of 18 gauge stainless steel (triple weave pattern); double walled rim; tire insert; Presta valve inner tube double walled rim; tire insert; Presta valve inner tube
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
The BicycleThe Bicycle (cont.)(cont.)
Shock SystemsShock SystemsTraditional front suspension fork systems Traditional front suspension fork systems absorb road vibrations and reduce fatigue butabsorb road vibrations and reduce fatigue butcauses a loss of energy in forward movement.causes a loss of energy in forward movement.
‘‘DialDial--outout’’ front suspension systems as foundfront suspension systems as foundon Cannondale and Fuji for when not needed.on Cannondale and Fuji for when not needed.
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
AccessoriesAccessories
KickstandsKickstands
RacksRacks
Gear BagsGear Bags
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
KickstandsKickstands
Considerations:Considerations:
Load capacity Load capacity –– ability to support the weight of the bicycle ability to support the weight of the bicycle and the EMS gear being carried.and the EMS gear being carried.
Single contact point with surfaceSingle contact point with surface
Dual contact point with surfaceDual contact point with surface
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Kickstands Kickstands (cont.)(cont.)
GreenfieldGreenfield single point contactsingle point contact
TranzTranz--XX single point contactsingle point contact
Pyramid ProPyramid Pro single point contactsingle point contact
BellBell single point contactsingle point contact
PletscherPletscher dual point contactdual point contact
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Rear RacksRear Racks
Considerations:Considerations:
Weight Capacity Weight Capacity -- must be able to support the weight of must be able to support the weight of the medical equipment being carried.the medical equipment being carried.
Strut Design Strut Design -- must be able to prevent the pannier bags must be able to prevent the pannier bags from draping into the wheel assembly and damaging from draping into the wheel assembly and damaging the spokes.the spokes.
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Rear Racks Rear Racks (cont.)(cont.)
Considerations Considerations (cont.)(cont.)::
Frame connection point Frame connection point -- the bolts connecting the rackthe bolts connecting the racksystem to the frame of the bike must be of sufficient tensilesystem to the frame of the bike must be of sufficient tensilestrength to support the rack and the weight of the medicalstrength to support the rack and the weight of the medicalequipment being carried.equipment being carried.
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Rear Racks Rear Racks (cont.)(cont.)
BlackburnBlackburn EXEX--1 Expedition1 Expedition 35 lbs capacity35 lbs capacity
CannondaleCannondale Model 112440Model 112440 50 lbs capacity50 lbs capacity
DeltaDelta
JanddJandd ExpeditionExpedition 50 lbs capacity50 lbs capacity
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Rear Racks Rear Racks (cont.)(cont.)
Old Man MountainOld Man Mountain Red RockRed Rock 60 lbs capacity60 lbs capacity
TopeakTopeak Tourist seriesTourist series 55 lbs capacity55 lbs capacityOS TubularOS Tubular 55 lbs capacity55 lbs capacity
ZefalZefal
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and PanniersBags and Panniers
Considerations:Considerations:
How much and what type of equipment will How much and what type of equipment will the bag be required to carry ?the bag be required to carry ?
Does the bag or pannier have a specific function ?Does the bag or pannier have a specific function ?
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
Considerations (cont.):Considerations (cont.):
Do you really use all of the equipment that isDo you really use all of the equipment that isbeing carried in the bag and panniers ?being carried in the bag and panniers ?
If not .If not .……....
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
Considerations (cont.):Considerations (cont.):
Does the bag or pannier have interior pockets Does the bag or pannier have interior pockets or dividersor dividers to accommodate different sizes to accommodate different sizes of equipment ?of equipment ?
Are the pockets clear so that the equipmentAre the pockets clear so that the equipmentis visible ?is visible ?
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
Considerations Considerations (cont.):(cont.):
If using an If using an ‘‘openopen’’ or pillow type bag do you placeor pillow type bag do you placeequipment horizontally or vertically ?equipment horizontally or vertically ?
If stacking equipment horizontally, place seldom usedIf stacking equipment horizontally, place seldom useditems in the bottom of the bag.items in the bottom of the bag.
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
Considerations Considerations (cont.):(cont.):
Are the bags / panniers connected to each other orAre the bags / panniers connected to each other ora single unit ?a single unit ?
If the bags are connected to each other, how easy isIf the bags are connected to each other, how easy isit to disengage them from each other ?it to disengage them from each other ?
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
Considerations Considerations (cont.):(cont.):
How are the bags / panniers connected to How are the bags / panniers connected to the bike rack ?the bike rack ?
How easy is it to disengage the bag / pannier How easy is it to disengage the bag / pannier system from the bike rack ?system from the bike rack ?
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and PanniersBags and Panniers (cont.)(cont.)
AllTuffAllTuff Fort Wayne, INFort Wayne, IN
ArkelArkel Quebec, CanadaQuebec, Canada
AxiomAxiom CanadaCanada
ConterraConterra Bellingham, WABellingham, WA
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
Inertia DesignsInertia Designs Santa Barbara, CASanta Barbara, CA
IronduckIronduck Chicopee, MAChicopee, MA
JANDDJANDD Santa Barbara, CASanta Barbara, CA
OpenhouseOpenhouse Cheshire, UKCheshire, UK
EMS Bike Unit Equipment EMS Bike Unit Equipment (cont.)(cont.)
Bags and Panniers Bags and Panniers (cont.)(cont.)
OrtliebOrtlieb Heilsbronn, GermanyHeilsbronn, Germany
R & BR & B FabricatorsFabricators Oakwood, OHOakwood, OH
Thomas EMSThomas EMS Salt Lake City, UTSalt Lake City, UT
THANK YOU NCEMSFTHANK YOU NCEMSF
Lieut. John F. Washington Jr.Lieut. John F. Washington Jr.
IPMBA Instructor Trainer forIPMBA Instructor Trainer forPolice and EMS Cyclist programsPolice and EMS Cyclist programs
Commander Commander –– Bike Patrol UnitBike Patrol UnitUniversity of Pennsylvania Police DepartmentUniversity of Pennsylvania Police Department
4040 Chestnut Str. 4040 Chestnut Str. -- Phila., PA 19104Phila., PA 19104cell: 215 778 8531cell: 215 778 8531
e/m: e/m: [email protected]@publicsafety.upenn.edu