Hazardous Area Response Team

The hazardous area response team (HART) is an NHS ambulance service initiative devoted to providing medical care to patients in the "hot zone" of hazardous environments. Teams are activated and sent to various incidents, such as CBRN, hazmat, collapsed buildings, patients at height or in confined space, water rescue, and flooding, firearms incidents and explosions.

HART teams are made up of emergency medical personnel, such as paramedics who have undergone specialised training in the use of special procedures, skills and vehicles & equipment.[1] Their specialised equipment includes personal protective equipment (such as breathing apparatus, hazmat suits, and climbing tethers for working at height), cutting equipment for extrication, and flotation devices and rafts for working on water.


Hazardous Area Response Teams originated from a 2004 report on the feasibility of paramedics working in the hot zone or inner cordon of major incidents.[2]

Capabilities of HART

All 16 HART teams within the ambulance services of England & Wales have the same capabilities.[3]

  • IRU (Incident Response Unit) - CBRN (Chemical, Biological, Radiological and Nuclear) & HazMat response
  • USAR - Urban Search and Rescue, including SWAH (safe work at height) and confined space operation
  • IWO - Inland Water Operations, including water rescue, flood response and paramedic care to maritime incidents within 12 miles of the British coast
  • TMO - Tactical Medical Operations, working alongside police and other agencies to provide paramedic care

Operational areas

HART is operational in every NHS ambulance service in England and Wales.

Similar capabilities exist within Scottish Ambulance Service, on the Isle of Man and in Northern Ireland Ambulance Service.[8]

Former NHS ambulance services that had HART capability include


  1. ^ https://www.flickr.com/photos/30131135@N04/4158220703/
  2. ^ Leivesley, Sally (Winter 2003/4). "BANK STATION CHEMICAL ATTACK SIMULATION EXERCISE". Alert: 4–6. Archived from the original on 4 Mar 2016. Retrieved 1 December 2013. Check date values in: |date= (help)
  3. ^ http://www.ambulancehart.org.uk/about_hart/
  4. ^ http://news.bbc.co.uk/1/hi/health/6426697.stm
  5. ^ http://www.southcentralambulance.nhs.uk/our-services/EmergencyPreparedness/hart.ashx
  6. ^ http://www.ambulancehart.org.uk/editorial.asp?page_id=17&page=2&n_id=28
  7. ^ http://www.nwas.nhs.uk/internet/OurServices/HazardousAreaResponseTeamHART/tabid/317/Default.aspx
  8. ^ http://www.demotix.com/news/898268/northern-ireland-ambulance-service-launch-hazardous-area-response-team#media-898229
  9. ^ http://www.thisisbristol.co.uk/news/Bristol-home-major-incident-emergency-crew/article-1730584-detail/article.html

External links

  • [1] - Ambulance HART

This page is based on a Wikipedia article written by authors (here).
Text is available under the CC BY-SA 3.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.