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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

AMBULANCE SAFETY
Prototype design
Exterior layout
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Prototype design
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
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Prototype design
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
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Prototype design
Seat layout

2 swivel seats at the left side –


can be folded up and stored

Adjustable backrest, armrest


right

Tip-up seat with integrated 3-


point belt at the partition wall,
armrests left and right

All seats tested and approved


according to 76/115 EEC
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Prototype design
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
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Signal lights
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
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Signal lights
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Swivel seats
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


Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Swivel seats
Installation on wheel arch frame and floor pedestal
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Tip up seat
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


Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Tip up seat
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Partition wall
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


Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Partition wall reinforcement
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.


Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Partition wall reinforcement frame
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.
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Stretcher support device
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
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Stretcher support certificates
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Fixation of stretcher

FERNO 28 and Ferno 28Z:

Original Ferno holding


device F173-2 cot fastener

10 G rated

Test report – declaration of


conformity
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Fixation of stretcher

SPENCER Carrera T Tec:

Original Spencer fixation


device R-Max

10 G rated

Test report Nr. 714-191-08-15


Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
ABS:
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
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Cabinets
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.
Toyota Commuter ambulance Thailand

AMBULANCE SAFETY
Oxygen holder
Holding device with central locking system

10G rated and part of the complete vehicle test reports 10-TAAP-
3180/IV, A1-A5 and the 12-TAAP-2760

Safe storage of oxygen tanks

Easy to change and fix


Definition of Ambulance Safety

AMBULANCE SAFETY
Safety of base chassis – resistence
against impacts(accidents).
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


Definition of Ambulance Safety

AMBULANCE SAFETY
Safety of ambulance interior
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
Potential threats in an Ambulance

AMBULANCE SAFETY
Interior material

Fire retundant ?

Cracking under application of forces ?

Fully disinfectable ?

Recyclable ?

Health risks during production/processing/dumping?


Potential threats in an Ambulance

AMBULANCE SAFETY
Interior devices
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?
What can happen?

AMBULANCE SAFETY
MOST SERIOUS AND FATAL INJURIES IN AMBULANCES
ARE CAUSED BY TRAVELING ITEMS INSIDE THE CAR

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
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?

AMBULANCE SAFETY
Perform structural work according to existing corpus of legislation
and normatives(e.g. EN 1789)

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


What can we do to enhance safety?

AMBULANCE SAFETY
Always use seat belts both for patient and staff

Avoid transversal layout of seats or seat benches as the seat


belt can‘t be fixed properly

Trust only proven products & quality


PPP & DLOUHY proposal for next
generation emergency ambulance

AMBULANCE SAFETY
International Design Partners
Poolpan Patana Thailand - PPP
DLOUHY Austria

Key Design Attributes


Safety
Comfort for all
Optimal delivery of medical care
Reliability
Efficiency
The cutting edge rescue ambulance….

AMBULANCE SAFETY
Uncompromised Safety 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
ABS interior construction – user configurable

Front/ back facing 3 point Sealed & Enclosed interior


restraint seats Night interior LED mode

Tough and Built to Last Clean and Green


Toyota customized ambulance Aerodynamic roof
Factory installed high output air LED lights
conditioner Environmental insulation
High grade interior

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