Dutch ambulances (1945-1975)

Dutch ambulances (1945-1975)

:   K.J.J. Waldeck, M.D., Ph.D.
:   United Kingdom
:   978-90-288-2043-2
:   80
:   EUR 16.95 Incl BTW *

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Fragmenten uit het boek 'Dutch ambulances (1945-1975)'

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S9 Fiat238 (1970)ofthe rural hospital Prinses Beatrix from Gorinchem and fitted up as ambulance by Versteegen, 's-Hertogenbosch. The manufacturer of these Fiats could supply the exterior with an extended roof. The roof was made out of synthetic material, just like the roofs of the Mercedes and Chevrolet with a Dutch exterior. The reason for the synthetic material was to diminish the weight ofthe ambulances. The exterior suggests a spacious cabin, the truth is on the other hand that the length of the interior was hardly long enough for a Dutchman, who was lying on a stretcher. There were na cheaper ambulances that could be delivered in those days.

60 Fiat 238 (1970) ofthe Dutch Red Cross and fitted up as ambulance by Akkermans, Oud Gastel. The Red Cross had a large number of these so-called PAM-ambulances at their disposal. PAM is the abbreviation ofPersonnel-Ambulance-Materials. These ambulances were multifunctional, intended for the transportation of personnel and equipment to the place of the calamity, and of course for the transportation of the victims to the hospital.

61 Mercedes-Benz 23 O-lang (1970) oftheMunicipal Health Service (GGD) of Rotterdam, built by Akkermans, Oud Gastel. The way Akkermans built the ambulances

for their regular clients remained the same over the years; a high roof, angular, and firm. Even the front doors were fitted with a small window on the upper side.

62 Mercedes-Benz Europ 1200L (1970) oftheMunicipal Health Service of Velsen, built by Binz, Lorch (former West Germany) . The indication '1200' meant that the ambulance had an extra extended roof. De 'L' indicated a 25,6 inch extended chassis. The German brochures referred to the cabin as 'der Krankenraum wird zum Behandlungsraum' (the patientaccommodation becomes a therapy theatre). Binz reacted to the only just rediscovered mouth-to-mouth resuscitation and the external cardiac massage by remarking that 'Alles in allem ein Fahrzeug ist, das auch aktuellen medizinischen Forderungen zur Sofortbehandlung Unfallverletzter gerecht wird' (Altogether an ambulance that offers new possibilities for emergency

therapy to accident casualties ). The service from Velsen had two more accessories installed, namely a special grill on the right of the large grille for the sound of the hom, and a loudhailer on the left of

the grille so that fellow roadusers could be called upon to clear the way if necessary. The ambulances of the GGD were operated by the private ambulance service Kloosterhuis from IJmuiden.

63 Top: Mercedes-Benz 408 (1970) of the private ambulance service 1. Hoek from Woerden, fitted up as ambulance by Visser Bros., Leeuwarden. It probably was no coincidence that such an ambulance was in service in Woerden. In 1962 a serious train-crash occurred in Harmelen, near Woerden. The problem that arose was there was no Dutch standard concerning the stretchers. The result was that patients could not be transported to hospitals on a stretcher which belonged to an another ambulance. This accident was the reason that the surgeon from Woerden, Dijkstra, in the 1960s indulged himself in the demands that had to be set for the transportation of the victims of serious accidents.

Bottom: Mercedes-Benz 408 (1970). One ofthe demands that the surgeon Dijkstra set was more workspace in the patientaccommodation. A second demand was that the patient could be given treatment from any side. Not all the demands were realised though. It remained a question of doing something for the patient before and during the transportation to the hospital, or piek-up and go. The three stretchers in the picture indicate the last strategy.

64 Opel-Kapitän Bonna (1971) oftheMunicipal Health Service (GGD) of Ede, built by Miesen, Bonn (formerWest Germany) and delivered by NEDAM, Roermond. The stretcher in this extended Opel could be shoved in up to the partition wall, so the patient would lie between the axles of the wheels. More important is that the patient could be put in the Trendelenburg-posture (head lower compared to the pelvis, like advised to do sa for patients with serious haemorrhage). The boot existed oftwo parts; the lower lid had been fitted with a revolving tray (the stretcher would be pulled out and turned on the lower lid, sa that the two bearers strain

themselves in lifting the stretcher. The GGD of Ede was one of the first ambulance services of those years in the Netherlands to drive around in dark yellow ambulances out of safety measures.

65 BedfordCF (1975) ofthe Municipal Health Service of 's-Hertogenbosch, of which the outside is build by Binz, Lorch (formerWest-Germany) and the inside by the public works department from 's-Hertogenbosch. In Great Britain this van was a very popular chassis and body to built ambulances on. Presumably this is the only specimen on Dutch soil. Because of the extended frame the side door, which gave access to the cabin, opened all the way to the back-axle. The step could not be pushed in so it frequently occurred that the step was driven off.

66 ChevroletNomad (1971) of the private ambulance service Ziekendienst Het Witte Kruis, The Hague, photographed in front of the outpatient department of the municipal Leyenburg Hospital. Het Witte Kruis themselves fitted up this ambulance and was only used for the transportation of the nonemergency cases. It was the permanent vehicle driven by the current managing director, Ruud de Jong. The oxygen flask lay behind the driver's seat and was given through the partition wall if necessary.

67 Chevrolet ClIO (1972) of the Municipal Health Service of Haarlem, built by Visser Bros., Leeuwarden. Remarkable is the extremely extended door in the front (with extended window).This ambulance has been photographed at the back of the outpatient department building of internal diseases of the University Hospital (AZL) at the Wassenaarseweg in Leiden.

68 SA or SAM (1972). Noone has yet dared to put this Emergency Ambulance (SpoedAMbulance) on the road, designed by [ansdaal. Without any restrictions [ansdaal designed this ambulance as his graduate assignment at the University (formerTechnische Hogeschool) afDelft. His opinion was that up to that moment na ambulance met same basic requirements concerning the treatment and the transportation of the seriously ill and injured. In addition he could meet the requirements which had been formulated by the surgeon from Woerden, Dijkstra. The most important demands were that the patient had to lie as dose to the ground as

pos si bIe and between the axles of the vehide, with his head pointing to the backdoor. The attendant had to be able to access the patient from any side of the cabin. But most important was the space

near the head of the patient, as there the most life sa ving performances would be given. A full headroom had to be realised for the attendants (6ft3 inch instead of the demanded Sft3inches by the

Ambulance Service Act). With this graduate assignment [ansdaal obtained his engineering title in technical and industrial design with first dass honours (cum laude).

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