St John World (1992)

GETTING TO GRIPS WITH AMBULANCES

STJOHN

MP HIT LIST

Catching up with the good guys

Equipping yourself for

Chessington World of Adventures wishes to thank St John officers for all their invaluable assistance in the park during our very successful 1991 season. We wish them a very Happy New Year.

BCFC

UNITED

' kindly provided by the t. John London (Prince of Wales ' s) District Ambulance Brigad at Kenlpton Park throughout the

Celebrities All! Grand Stuff

4

Keeping us on our toes. HRH Princc<;s Margaret, Grand Prc'>ldent of the Brigade, visited Grosvenor Crescent ovember. HRH The Princess Royal (niece and Commandant-in-Chler or the Cadets) looks down rrom the painting; Chier President Lady Eli/abeth Godsal is pictured right.

General Ir Peter and Lady dc la B i1llcre wcre the gue'>h ofhon at a dinner held in the Illre Hall. Hereford that ho ted b\ Pre"ident of thc t John ouncd Mr Thoma" Dunnc Thc g\?' \\a.., nomlI1ated t John Per onalit) of the year b) the

The 1991 Grand Prior's competition \>\ as held at Torquay in November. Full detail of the results will appear in next month's SJ W bu t here are some su itably euphoric winner in the meantime, (I to r) British Gas Ea tern (The Grand Prior' Trophy); ham Po t Office Ladies (Hore ham Rose Bowl) and the South Glamorgan Fire Service (Sir Denis Rooke Trophy, Open Event). accountant" Pnce Hereford hope" that the <.l\\ard \\ill become an annLlal featurc( fundral..,lI1g campaign Ictona Farr and Icola Roper botanlcall) -endo\\ ed Badger

The Archbishop or Canterbury inspects evidence of the Order of St John's less-pacific past at St John's Gate last ovember. The Archbishop and his wire, Mrs Carey, were Gucsts or Honour at an Order luncheon hosted by The Lord Vestey, Lord Prior.

The \\ IImer of our Memorahk DlI1ner, Competition In the "lo · vember I' UC \\a, 11"" D DI\OI1 of Louth in LlI1coln,lme he didn t get ('\ en an wcr right. but thcn nobody ebe did' Congratulation a ..,Igned cop) I.., \\ Inging its \\ a) toward" you the re"t 01 you \\ III Just ha\ e to dig dcep and bu) a COP) from upplie..,' The Jame.., Bond film Dcrd-, II1lmo <;tarred In \\a CasillO Novate; the TV ertcs he didn t star In \\a, \ \ l'IT P(,( IItilll Prlll - (/( (" George Bcmard Sha'W \\ rote "Thcy 're so vcry young - cvcn their parents probably haven't Sf "There IS Imc sll1cerer than the a major war - but they know that Rcmembrance unday is a tim e' love of food" (MOil olld SlIpelbcing sad for the deaths of mcn who thcy ncvcr met but who dl 1/10/1); William Pitt ,aid "[think I sothatallchildrenshouldbesafc.Sothcy'rcsadandsolcmna01(l could eat one 01 Bellam) ' s \eal all the grown-up'> on the parade." This was the front page capll pies" beforc c\piring, and the 1111from thc LO/lgridge News showing Badgers from the Longle ) lIais VSOP stand for "Very SpeDivision why say morc"! eia l Old Pale"

is a 12 year-old bo). He and hi, dog look after a nod. of t\vO dozen goat and sheep 111 the Juticcll1 Hills abmc Jericho. One day. during April 1991. he picked upa blLalTc mctal object that was I) ing on the ground. He remembers little more until waking up in the Children'" \\ Llrd of John Ophthalmic in the unu"ual po ition for a Bedouin child of being in bed under a rooL left hand shattered and the slg.ht of his left eyc had gone. A twO hour operation carried out b) St John surg.eon" remO\ ed nearl) half a cupful of metal fragments fr0111 hi.., bod), II1cluding a half-Inch slJuare pieee from inside the e)e. Hi' hand recmered function in thc 1110,,1 remark.abJe manncr but. unfortunatel) .the e) c \\ as "'crioll"l) and pennanently damaged. everthelcss he retain, useful peripheral ight in that eye and its appearance has not been affected. 0\\. back \\ irh his dog. he is leall1l11g to Ihro\\ "tone.., Lh accuratei) as eVt:r at the fo'\es skulking around hiS nock in the de"erl.

1992 St .Iohn \ \ orld 5

Ards work rewarded

Badger from Northem Ireland line-up on the steps of nne \ Cathedra l Belfast on Sunda) 13th October for the nnual Service of Re- Dedica t ion.

Amongst the people v, ho attended were 70 isitor,> from England. Scotland and Wales. including of the Chapter General. Prior to the ceremony confreres were accorded a reception and ci\ ic lunch at Belfa..,t Cit) Hall.

Three days before the Re-Dedication. The Lord Pnor and Lad\ Veste) attended a meeting of the Commander) Chapter at Hill-,borough Castle which concluded v.ith an Investiture (detail-, of\.\hich 1'0110\>,. month).

These events followed a triumphant return from Dublin \>"here thc orthem Ireland team vvon it First Aid competition against the Republic of Ireland and retained the Sir Otto Lund Trophy. The event wa., held at the Grand Hotel Malahide and the '>cenario involved an outbreak of fire a t the ho tel. The team also picked up highest team marks for the up,in!! and FiN Aid section'>

Finally. our apologlcs to both Ireland and Wale,> for a printing error \.\hich transposed the pictures of the [ri h and Wel'>h continoent In our Brigade Conference report last o\ember. We promise )l:"ou that thc editor doe kno\.\ the difference!

Royal approval

oLllh Ea"tem rca I'> claimll1g a '!iN' after 1(\ Scr\ icc Bar Prc'>enl to the LlandetIo branch In Dy fed team ha:just ",:on Cnell1on) hcld In Greel1\\ Ilil on the 0\ emher _ the Ilr.,t JI1G a Prince of Wales Award alter a .,trenuou., lund ral lng campaign which time such presentatlolh ha\ L hccn ht:ld on.1I1 \n:a basis and at \rc;t led to the re.,un eetlon of the derelict local Rcd Cross Hall which i leased 1'hll1)' - t\\ 0 ,en Ill' medal haf' covering en ice completcd het to them and 1l)l)O. \\ere pre.,el1ted. t\.\o 3rd

cr ca711e to;. the St John team u cd the DlnchH Employment Training Schemc to total 01 0\ er XOO ) car., of ScI" Ile access local trade"man , many 01 whom donated their sef\ Ices "One 1\1r ban Bro\\ nor thc \nm Cadet Fmle \\a made ,In Ilor suspect'i." the committee continued ··that St John secretary. Mrs Patrlua 1cmhel ami -\SO R Dd\ Ie ho recel1ll\ moved ttl Attwood'" remark to the Judging Panel that it IS amallng what a good pre-,entcd \\ Ith .1 pla4 11l or appreciation The -occa ion \\ .1'" attemlt bcggar can do' covers a great deal of hard work". \1r... Stretton and Dr EC Da\\ tllL both e\ - mcmber 01 E rca Sadl) thL Superintendent - In -Chief. 1'11\ lidel,1 StC\\ .In - Ro \\ a unable to attcnd dUl' to III - health (- i1 he'., tI1l', !.!et \\ ell \1.1' am!) and the pre.,entation.., \\ere madl' by District "IOIII!! r\ GtIling'. "WIII othel -\rl\IS iC lluntie hold a "'lIndar c\ell!l" \\ lite..,

Fair play in C. Down

Barl:lara "\\ hnkIHI\\ But \\ hate\crhappelh South Ea'.Icrn The tJohn Division In Bangor. Count\ D()\\n was forced toclo.,e d(m n made a Itltle blllli hl.,tor) - We \\ere lir t! Or \\\.:re \\c ," Its hall ,lie.\. years ago after It had vandaIt..,ed se\eraltlmc..,. Such \\ as the damage that It \hlS not e\ en decmed wOl1h repairing. and thc DI\ ISlon ha nm\ hegun the long haul or 1und ral"lng to build neV\

Dunedin donations

premise"

The 01\ 1'>lt)l1·.., 1110..,t recent drol1 \\ as a Garden Fete held in the ground, 01 the To\\ n Hall. ronncrl) B,lngor Ca..,tle The Fete \\ <I'> fonnall) opened on a cold but dl) day h) 1\1r Frank 1\11tchell from L I ter Tele\ l'>lon \\. hile thc \141) or 01 Count) Dl)\\ n. councillor Gordon Dunne. judged the chtIdren's Fanc) Ore Parade

Be Ide the u<.,ual snack '>t,lIb the 01\ ISlon mustered an Intlateable castle Jnd tunnels a treasure hunt game: balloon race. facc painting. c:t"ualt) make -up : clock golf. lOck..,. hoop-Ia and 'GIP"') Lec the AI/a 1(/1/ ronune teller (ahl) portrayed b) '\ 1 Lee Bridget) A 0 Agnes Adem

II/ U II/h '.1 'K, baked the 'gue ., Its-weight cakc ,tnd nammed bottle.., full of 'gue<.,sI illil aiD C hO\\ -I11:1I1)" \\eels

1\ (' 1\ ('/'t' Elderly and disabled gueqs were ferried in b) Illll1i-bus borroV\ ed /( lIIfl/l'd ( (I trom the local, ahatlon A.ml) l\1a.l0r and drh en b) Area PllbItc Out) /11I I/J/ C(lIn Officcr PhlItp Brook..,. The final total ral...,ed v.a £( 7022 - not bad. to a) (h(' !Jllllcd/! there \\ ere three other garden lete on the '>,\1111.' day! CI/lh /If/lid Belt) \lcllro) , Donn Area PRO tit/IIII hili didl/'(

Correction

"v1cmhers or '\e\\ Zealand'.., Dunedin Ilo.,pitaller" Club under Prc..,idenc) 01 Bett) Jacbon t\1BE. ral...,ed 0\ er /<;' L()()() for Ophthalmic Ho'..pital in Il)l) I The group al..,o ,>upports local hn,p l and rai.,e<; money through a ho..,t of acllvltle.., rrom mlllc and knillin <.,treet markets and cate\lng Apparently the) also make a mean Jill marmalade

Move over Michelangel(J

Grand Prior Cadet Michaela Goodale wa.., unttIthrec year .tgo in ell:, (lIthe Bndlll1gton urslng Cadet DIVISion. but "tood do\\ n to take;l: (hon-;) course 111 GraphiC DeSign at I Iumbersldc Pol) technic. 0..,00 had .,he attended the graduation ceremon) than she \.\ as rctall1ed to p, a \.\ inclow In St James Church. LI<.,...,ett to commemorate tht: prCSe\1l. ISH Squadron RAf- at Ltsset dUring WW2 "A great honour!" sa) Count) We're not arguing

Barbara Rus'..ell. the author of last month...., article on the Gulf War. /11 a e/'/\/ \. has asked us to pOint out that she IS a el\ Ice Hospital Welfare Officer and not a nurse - as 'vve descrihed her In the Introduction Our upologle..., for any Il1lsunder tandll1gs that \11a) have resulted from th is

Won by a whisker

Here's an idea for lundralsers The hal1111an of the tal1\\ a) t John Fellowship. Mr E melItc. MBE organised a compdillol1 to gucss the number of ornamental cah placcd In her home Members and fricnds were Invllcd to participate With all proceeds gOll1g to the OTYJ appeal. In the event £201 \.\as rai"ed and V\T can no\\ re\ectl that Mr l11elllc has no less than 63 omamentallCllI1es n) atIurophtle<,out there care to LOp that?

Fellowship Column ---Notes on a visit to South Africa

gra tul a t ion K ent!

Tonhridg e Branch, Ke nt. Conlact: t11 [) BrowlI , 182 Bislur, Oak Ridc A ('/// r:v 10 3PS'

The Annual Generall\l ee ting 1992 - Ol1ce I hereh) gl\ en the n1l1th Annua l Jeneral 1eel1ng of the t John h:llo\\ship \I ta h. e place at the Manon ountr) luh.le\ eland 011 TlIe da)

Ma} 1992 at 2. I Spill S und ay [tem tor the gcnda hould reach Ille h) 12 \ 1arch 19t We allended the Ball forStJohn D e taIl wIi I be for", arded eparatel) 10 Branche , member" and friends

T u es d ay

Pride of Place

We were 1l1vlted to the openll1g of the Cape Tov.n Centre and an exhibition of John \\ork. whIch was well attended Sandra Adle). ,- v. ho v.. orked in Overseas Rela- I hac arc Ihose who \('(' ('hur!l\' (/\ 1I !,lIhl/(" \llll/lle hill IJlif L d d' h ., tlon 111 on on unng t e spnng

/JOc/IC\ Call1/Ol und shollld 110/ rcpla( (' Ihl' rO/l1l/lurr \('c/or was present. opened Ihe nev.. HQ

SO commenced Prime John 1"101 in hi" h y note "peel officially. Ihe Challlle" AId FoundatIOn Contcrence 1,I"t '\0\ ember \11 \ 1.IIOf\\ on to argue that \ ollllltary \\ 11lll1l1prm e" the qu.I1I1y of Ilk for hoth th Wedn es d ay \\ ho recel\e it and for \\ ho t:i l' t' It Lady made a recording "The voluntary I" not, the tIckIng ,rl.I"ter 01 1 thl: cllare for V\.'ol/1on· s HOIII programme on hut 111" the ccme11l hIndIng "llL ICt) tllgelhel \11 \ 1a.l01 allmned the role of nursing in t John and

The Chari tie AId Foundalion ,ef\ e" to further Ihe intere t 01 what StJohn doe interviewer chantle, - "omc JO,O{){) ha\e been rc!.!i"tered in the la-.lten \ear" ak" was particularl) II1terested in the and Mr Major \vas talk in!.! on the da.; that hi" .!.!ll\ Cn1ll1ent iallnched C - ommunit) v. ork role. Chant Ie" BIll. intended to promote the (arguably parado:xical!) aInI higher standard or management and I(mer Ieveb 01 hureaucraC\ Thur s d ay

The ne\\ Act i" to l11ake it easier for people III get Iniorr The conference. at the Holiday tion on an) chant)'s management to to any arpar Inn. opened at 8am and delegates anomalIes It amb to clan I) Ihe tru\lee.., resplln..,lbii Itle". pro\ ltk a Ie, (c.150, but more the next day) f"rame\\ork forchant) <lClountll1g and generally place tightercontroh were welcomed by the Pnor. The f"undraismg. so a.., to iron out the 'scandal,,' v. hich ollenc<lu..,e me mill Mayor of Cape Town made an or the publIc to hold back Irom giving 10 \\ onh y cau"e.... impassioned .,peech aboul the imAmld t talk of 'enlightcned capllalI..,m' and reference to a "cher mense problems facing 'The where I Off ofall corporate profits \\ ould he donated lochantle.." Mr 1\1.1 Changing outh Africa" _ a theme co nceded that th ere had been a dec lIne 111 giVIng III ILJLJO "due to uwhich ran through the conference rece lon v.. hlch we arc nov" e11lergll1g from". - and dwe lt on the problems of the He conc luded on a \\ Ish to "ec dialogue deepened hetween charIll townshipsand the increasing abuse and governments and v. Ith a pledge to "upport greater recognItion of drugs and alcohol and the spread volunteer contnbu t lo1l', to ,ouet)' of AIDS in particular. HIS forecast for the future was quite frightening. Abouthalfa million live in the Cross Roads Township alone, GOIl'I"IIIIICII{ l//f7/wrll which is within a mile of the tOWI1 110. f)m IWII\ III FI I('\ centre of Cape Town. He thanked JlWI/(/!.i(' III IIWllIWill a St Jo hn for their work /)(11)11(" f7m/llc' t hallks and appealed to them to continue. IlIl' ((IIIICIO ofMI( /wel 1 then thanked the Priory of ('1/('1 OB r /fJl South Africa for inviting me and 11 wlllll g \0111('0 1 ) .1 Lady We tbury to attend and read 1II(,lI1omhilw out messages from the Grand Prior,

the Bailiff of Egle and Lady Westbury visited Cape Town between 27th September and 6th October for the 1991 Centellary Conference

the Lord pnor and' the Prelate congratulating Cape Tov. n on their Centenary.

Dr Kamadein. an Indian. v. ho is DireClOrofthe Cape Tov.n Centre,then "poke 011 simi Iiar subjects to allc\late the 10\.\ n hlp problem

The afternoon ..,ession theme v. as "The Image of St John in the Future" and the Implemelllation or the Canadian Trail1lng Programme

The Mayor gave a v.onderful cocktail pan) in the evenll1g for aboul 200 people.

F rid ay

Again an 8am start.

TI;e conference di \ ided inro v,orkshops on :

a) The Role of the Bngade in the Future

b) The Training Directorale c) Communit) Care

d) Markelingand Public Relation

e) The Spiritual and ReligIOUS Role of the Order in Ihe Changing South Africa.

All werc excellenl and we attended more or all orlhem The highIIgh[s of the Individual workshops were reponed to the plenar) session in the afternoon.

£),(,lIillg - there \\as a huge Investiture 111 the Cathedral and \.ve did not return to Ihe Hotel untIl 11.30pm

S aturd ay

We were taken to the Pier \.\ here the Fir ' l Aid competitions were being held There werc 12 teams anclthe competition was siaged 011 a barge the pier and very well organised

We wen I out to where the Prior presented 3n old lad)

\.\ I[h her Ser. ing Slsterav. ard She had funded a marvellous communIt} centre v. hich wa" staffed b) 37 volunteers and headed by a community nur'>e

We returned in the aflcl1loon to see the re!)1 of the compe lltion<, An excell e nll) staged sea re,,c lle demon Iration pro\ ided a first rate public rel a tions vehicle and wa watched b) a good cro\.\ d of onlookers at the pier. T\>,o boab were hrought 111 ith burns and fracture ca"uallie, ..,0 reali tic that a quay,ide band stoppcd and remo\ ed thei r hal<, \\ hen the stretcher \\a" brought pa t! In the e\ ening we attended the Pnze-Gi\ ing and dance. ThIS \.\.a" the first time a coloured team had won - the same team pro\ ided Ihe band at the follo\\ 1l1g da)'s in,peclion parade

S u nday

General Knoebble. Head or the Am1). and lOok the ,>(llute at a parade or about 200 Bri-

gade member:--. The Prior i" Irying to intere"t the Ann) in St John involvement.

SUl1day /(//(' a/icrJ/ool1 - \\e fle\.\ back to the CK

In Conclusion It ee rmlikel) IhatArchhl"hop Tu[u \\ ill be apPol11 led Prelale in the \ ery near fUlure There arc 7.()()() member" or lheOrderin oU lhAfricaof \\ hich 1.000 are In Ihe Cape There I" no doubl Iha l number" arc ".Idly declining - "" indeed Ihe) are here In Ihe C K There arc man) more cnloured and black l11emher"Join· ing Ihe I John Amhulance and Ihi" \ er) encourag Ing

Lon/alld Lady H ('\l!1I11Y I Icti ) 111111 lite H{fyor o{Ca/J(' [(11111 and lit£' Prior/or ()/Illt A/i-/m

Gestures of suppOl1

Th e rece nt A pp rove d C o d e of Pr ac ti ce w hi c h m ake it nec S ill)' for th e re t o be a tr a in e d Fir t A id e r fo r eve r), SO e mpl oyee ee m l ike

co mm o n e n e 0 w h y i n t th e re a tr ai ne d Fir t A id e r fo r ev I)' SO c hildre n in a sc ho o l?

That's the underlying mes age of the Early Da) Motion on the opposite page which ha been put before the GO\ ernmenl. The Motion is. in effect. a petition calling on the Go\ernmentto act on the question of First Aid in chooL at an 'e arly day' in the future.

Thi is the list of the of 13 MPs \\ ho signed the motion - something of a record. since it is the second highest e ver number of signatorie'i to an EDM

A Roben Balchin. the e\-DirectorGeneral of the ssociation and hainllan of the S t John ational chools Project. put it: "This is unl ik.ely to be surpa,>sed the rules about who is allo\\ ed to sign an EDM have changed he mOlion wi th the highest number of ignatories \\ as submitted some 30 years ago".

Robert Balchin is hopeful that such a strongl) supponed motion with such evident cros-pany ,>upport will achieve re,>ults.

"There are signs that the gO\ernmenl is tak.lng \ er) seriousl) \\ hat we re saying about First Aid in choob. Immediately after the election.., e '>hall be a k.ing the govenlment to con:ider progressive legislation - starting \\ ith grant maintained and locall) managed <;econdary schools and then mo\ ing on to primary school<;.

" I am del ighted at the re ponse that there has been across all parties ell Thorne MP and the other sponsors of the mot ion deserve real congrat u!at ion and thanb from all in the world of First Aid "

Readers who want to 'c heck up on their own P should be aware that some are not allowed to sign EDM,>. namel): member.., or the Go\,ernment; parliamentar) private secretaries to mini..,ters: certain member.., orthe Opposition front bench : part) leader.., and fOnller part) leaders: part) \\ hip and certain part) orfice holders

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For Wales & the

A IC\<lI1der.Rlchard

A II\ on.Mlchacl AII;.l,on.Rupcn Allen.Graham Ilon.D<I\ld -\ndcr'on. Don,lld rchcl.Pclcr \rm\tron g. lld ar) f'Ilold.J<IC 4 uc , rnold.l homa\ A\hh) .D;)\ Id A\hle) .Jack A\hton.Jo\cph A'pll1\\al1.JaLk Alkln,on.Da\ Id

Bilnk\.Ton)

Barnc,.Ro'lc

Barron.l<-c\ 111

B<III'lc.Spcnccr

Baltlc.John Beaumont Dark. \l1Ih on) Begg\.Ro)

BCllh.AJ

Bcll. lUan

Bellll1gham.llenr)

Bcllotll.Da\ It!

Bcndall. \ 1\ Ian Benn.Ton)

Bcnnctl. ndrc\\ Bcnyon.W

Be\ an.Da\ Id Gdro) tlnc)

Blackburn.John G Blunkctl.Da\ Id Boatcng.Paul Body.Rlchard Bon\or. Ichola, Bo,cawcn.Rohcn Botlomlcy.Pcter

Boyc\.Roland Boy,on.Rhode, Braclley.Kcllh Brall1c.Bcrnard Bray.Jercmy Bra/lcr.Julian Brown. Ichola\ Bro wne. J ohn Bru ce. lan Brucc.Malcolm

Bu c k.An ton y

But c.: hc r.John

Caborn. Rl chard Callaghan.Jlm

Th e text afth e E arly Day M ati an :- "That (hi s House co mm ends th e rece ntly rel'ised Approl ed Code r?/, Practic e which/allowed the Il ealth alld SaJety ( Fir st Aid) R eg ulation s J98J (Jl ea l(h and SaJety at Work etc Ac( J9 74) and which now requires (ha( el'ery emp loye r oJmo re than 50 people sho uld ens ure th e Oil sire al 'ailahilit )' of a qualifi ed Fir st Aider and beli e l'es {h e sa me requirement sho uld app(v /0 childrell ill chools; mo reOl 'e r re cog nises (h e mlue oj (ea chin g first or eme rgen(v aid in ,)choo ls; applauds the initiatil 'e 0/ the St J o hn Ambulance in iss uin g it s publication Em erg enC)' Aid ill Schools which. acco mpanied hy I'ideo, shows how children ca n he tau g ht a hasic co ur se hem'een th e ages 0/ 10 alld 15 yea rs so (hat (he y are competent in assessing emergency situati ons, res tartin g breathing and circulati on dealing with bl ee din g, shock alld un co nsc ioll sness especia lly re sultin g from dru g o r so lt 'e m abuse and hum s and sca lds and so qualifyinf!Jor th e St J o hn Amhulance Thr ee Cross Emergency Aid Award: and co ngratulat es th e six children H'ho thi s yea r receit'ed th e St J o hn Amhulance's Rohe rt Sal chill Award/or pUflillg th ese skill s to th e hest possihle li se by sCII'ing or attempting to sal'e life."

al11pocll.McIl/IC'> alllphcll.Ronnlc Campocll-Savour,>.D ana\ an.Dcnnl' arldc. Ie\ Carli,le.John arr. \tII Lhacl an\\lIght.Jllhn a\h. \\t dliam Channon.Paul Churchlll. \V Il1,IOIl Clark. \1 Ichacl lark.Wdliam Clarkc.1ol11 Clelland. l) a\ lei ohell. ll arr)

Coh In.l\ ll lhacl 011\\ a\ .Dcn:k oomh'.SII11on

orb\ n Cormack.Patnck

Co\.Tol1l

Cran.JaI11C\ Crllchle) .Juklll Cnm

Cr)cr.Boh

CUllll11lng\.John Cunlilk.Lm urric.Ed\\ ina

Dal)c11.1 alll Ddrlll1g \I I'I'ur Davlc,>.Ron Davi Da). tcphl'n De\ Iln.Tllll Dlckcn'.(;coflrc)

DILb.1crr)

Doran.Frank Dougla,.DIL k Dovcr.Dcn Dunn.Bob Dunnachlc.J Il11m) Dunv. oody.Gv.) nClh Durant .An th on)

Dykc\.llugh IE

Eat! Ic.A Ic \antlcr

-a'>lham.Kcn

E\ an\.John bcnnctl.Da\ Id Ev. ln g. l laITY

EWlI1g. Mar garct 1F

hlirbairn.Nlchola\ Farr.John FalchCII.Dcrck

ravcll.Tony Fearn.Ronnlc Fcnncr.Peggy

Field.Frank Finsberg.Geoffrey Flannery,Manln Flynn,Paul Fookes,J ane t

Fool.Mlchael

ForsYlhe.CIi fford

Foulkes.George Fowler. ornlan

Fox.Marcus Fran ks.Cecil

Fraser.John

French.Douglas Fr) .Peler

Fyfe.Maria tr> Jl

Galbraith. am Gale,Roger Gallov.a) .George Gardlller Gcorgc

GarretUohn

Garretl.Ted

Georgc.Brucc

Gdben.John Gill.ChrlStopher Glyn.Alan Godman. orman A Goldlng.L1ln

Goodhan.Philip

Gorman.Teresa Gor\Uohn

Graham.Thomas Granl.Amhon)

Grant.Bernic Greenwa) Hl\ll'y Greenwa) ,Jo hn Gregory. ona l Griffilhs.Eldon Gri ffi th o.Peter Gnffith .WIIl Gnst.lan

Grocotl,Bruce Grylls.Mlchael

1HI

Hampson, Ke lth Hannam, Jo hn

Hard y, Pe te r Ha rg reaves,A ndrew Har greaves .K e n Harman. Harriet

Hase lhurst.A lan Hawkin s.C hri s o ph er Hayes ,J erry Hay nes.F ran k Haywa rd Robe rt Hea l,Sy lvia

He nd e rso n Do ug

Ilil1.Jal11 Cs

Hin c hliffe, David Hoey. Kat e

Ho gg. ornlan

Home Robcnson.John

Ho rd e rn Pe tc r Howa rth,Gcorgc

Howell.Davld Il owell,Den ls Howe ll Ra lph Howe ll s,Geralm Howe lh .Klm Hoyle,Doug Hu g he\,John Hu ghes.Roy Ilu ghe,>. imon Ilu me.John Hu nUohn Hunter.

1Ilslcy.Eric Inll1g.Charie>, JI

Janman.Tim Janner.Gre\ die Je..,scl.Toby Johnson mllh.Geoffrey Johnslon.Ru,>sell Jones.Barr)

Jones.lcuan W) n Jones.Mart) n Jones.Robert B Jopling.Mlchael 1K

Kenned) .Charle\ Kdfedder.James Ki rk wootl. rch)

Kn o\.Da\ Id 1L

Lambie.Da\ Id Lal11ond.Jal11es Latham. Ichael an Leadbltler.Ted Lee.John Leighlon.Ron Lesler,JlIl1 Lestor.Joan Lilhcrland.Robert Livsey.Richard L1oyd.lan L1oyd.Ton) Loyden. ddle Luce.Rlchard

Macdonald. a lum 1aclennan. Robert Mad e .Davld

Ma gi nnl s, Ke n Ma hon , li ce Malins Humfr e, Mallon ea mu s Ma re U hn Mariand Paul Marshall Ml chae l Manln.Ml c ha e l J

Male\.M Ichael Maxwell-Hy.,lop.Robln McAllion.John McAvoy.Thomas McCanney lan McCrca.Willlal11 Mc..Fall,John McGrad) .Eddle \1cKay.Allen McKelvey.Willlam McLel\h.Henr) McMaster ,Gordon MC I ,ur-Wdson.Mlchael Mc a lr-Wdson.Patrick McWilllam.John \II eale.Alan \1 eyer. mhon) \II iI 1\. 1a III Mlscampbell. OI111an \1lt chell. U 11I1 \1lt chell.Davld Moate.Roger Mol) neau\.Jal11es 1onro.Hector Momgomery.Fergus Moonie.Lev.ls Morgan.Rhodn Moms. Ifred Moms.:'lichael Momson.Charies 0\\ lam.:' larJone :'1u dd.Da\ Id i\lullin.Chns \1urph ) .Paul

Neale.Gemlrd e lson. nlhon) ' eubert.M Ichael , Icholson.Emma

O·Bnen.\ illiam O·Hara.Edward Oakes.Gordon Oll1k. tanle) Owcn.Da\ Id JP Page.Rlchard

Pal s le) Ian Par kln\ on.Cecil PaIT) Roben Patchetl.Terr) Pa ws e) .James Peacock,Elizabeth Pendry. T om Pikc.Pe ler L Po rt er. Ball')

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Po \\ e ll.\ illiam Pn cc. David Pnmarolo.Da \\ n

QUIll.Joyce

Radlce.Giles Raffan.Ke lth Randall.SlUan Rathbone.T1111 Rees.Merl) n Reld.John Rhodes Jame Roben Rld.,dale.JuIJan Robertson George Roblllson.Geoffre) Robll1son.Peler Roe. \1 anon Roger,.Allan Rooker.Jeff Rooney Ten) Ross Ernle Ro\s.Wdliam Ro\sl.Hugh Rosl.Peter Ro\\ e. ndrev. Ro\\ lands.Ted Rud tlo Uoan

almond.Ale\ edgemore.Bnan ha\\.Da\ Id ha\\ .Giles ha\\ .Mlchael heerman.Barr) helton.William Shepherd Colin hepherd. Rl chard Sher,o) .:'Ii chael hore.Peler hon.C1are Sdlar.,Jlm inl\.Roger keel.Tre\ or mlth. ndre\\ mlth,Chm milh.C)ril mlth.Dudle) l11ith.J ohn P l11ith.Tim m) Ih 1arlln nape.Peter oame,. '\llchola ole) .C II\ e peanng. Igel peed.Kl:lth peller.Ton) plccr.Jlm 4 lll'e,RoOIIl tan brook 1vor teel.Da \ Id teen mhon) crr) te\\ art. lan lokcs.John lOll Roger trang. a\ In

SUl11berg.Da\ IU ul11mer\on.Hugo 'TI"

Ta) lor. Ian Ta) 10r.John D Taylor. \1 Jllhe\\ Ta) lor.Tedd) Temple - \1 0m' Peler Thol11a\.Dalydd Eli, Thomp on.Donald Thompson.Jack Thomp\on Palnck Thorne. '-: eli Thornlon. laiLolm Thurnham.Peler To\\ nend.John To\\ n end C) nl D Trace) .Rlchard Tredlllnlck.Da\ Id Tnmble Da\ Id Trolter.'\e\ i11e Turner Dennl Vaughan.Gerard VdI.Kelth

\\ alden.George Walker.A Celli

\\ Jlker.Bill

\\ allace.Jal11e, \\ \\ <tile) .Joan \ alters.Dennl' \\ ard.John

\\ drdell.Garelh Warell1g.Robert '\ \\' arren.Kennelh

\\ ahon. \l lke \\ alh.John

\\ ell,.Bo\\en Wel,h -\ndre\\ Wel'h. \ Iichael

\\ heeler.John \\ Igglll.Jerr) Wi gle) Dafydd \\ IIkIl1,on.John \\'llli am\.Alan

\\' i1Ii<lIm.Alan \\ \\ d,on.Bnan

\\ Inl1l k.D'1\ Id \\ IIllenonAnn \\ Inlenon. '\ Ichola, \\IS c .\u dre) \\ oll\on. \ lrk \\ oodcock. \llk c \\ ol1hlnglOl1.1'on) .J11ll1l1) Janua ry 1992,' ( J o hn \\ o rl d 11

W adham Stringer A mbulan ces

Britain 's leading manufacturer: Choos l fr om a wide range of coachbuilt qualit vehicles with specification packag e to meet the various applications yOI

MIAB PIONEER AMBULANCE

Graham Andrews of the British Ambulance Preservation Society kicks off our ambulance review with a few highlights from last year's AMBEX exhibition.

need in the field of operation

Samaritan Conversion Sty lisi compact and cost effect ive ava ilabl on leading Van shells .

The floral town of Harrogate, North Yorkshire wa once again the venue for the annual joint conference of the Association of Chief Ambulance Officers and theAmbulance Service Institute. AMBEX, as thi conference is known, was he ld from 10th to the 13th at the Royal Hall in Ripon Road and displayed orne of the late t innovations in the ambulance world.

Variou combinations ofcha'isi and body manufacturers were on display along side muny new control and communications advancements ..,uch a vehicle location and up-date radio system.., which are ideally ,>uitcd to large fleet u"er..,. uch equipment is fine for the A M B U CON V F A N R S I o

MIAB Pionee r - GRP exce ll ence demountab le or fixed format - ava ilab on lead ing chass is

profe"sional 'iervice'i but what was on show for the average St. John mcmber or Divi..,lon'?

If you arc lookin g for a ne\A vehicle then AMBEX i" the place LO make the initial contacts, both for Ideas in vehicle design and in corre"pondence \.\. ilh vehICle u..,er<., Stand" covering high visibility clothing, vehicle marking and fir"t aid equipment were there to tempt the ta..,te-bud". Many stands had "aleable items ranging from books to per"onal ambulance item:--.

'F ree bi es '

Y/('/'('t'del 3/0 \\ 'i(17 Stringer modll/ar hod ,

A recogn ized spec ial ist manufactu rt Allhough not as obviou<., a.., previou<., year". freebies were in abunw ith a Qua li ty Assurance stand ar dance amplesofthe'SAM'splintwereontrialbutduetotheimport problem" the full ..,ife ..,plints were nOl ;1\.ailable for sale on the day. EAlL's accepted by all leading Van an howc\er there are a number or supplier" in country \\. amp le (elll chass is bu ilders "LOcb. The I IUI1man company had a very Wide range 01 Ilr'-.t ,-ud selection

Another company who reported overwhelming interest Vva TIME CO, a London based surgical instrument upplier. e er having e:-.hibited at AMBEX before the) were amazed at the requests for indi\. idual items - 'Cissor:--, laryngo..,cope::. and forceps going pal1icuarl y well. 0 good v. as the trade that they ran out of price list. on the fir..,t day. TRL T R. the Canadian ambulance builders who caused a <.,tir la<.,t year. again managed to ..,tealthe show with their latest model - the Scotian tar paramedic unit, \ ery large. very visual and very well de..,igned. More practical for the single user than the fleet buyer Land Rover Defender and Discovery vehicles were on show with differing layouts.

One other company that deserve.., a mention for a very innovative product is EML v. ith their ea..,y to u..,e lightweight tents. Being rotproof and simple to erect and di..,mantle the are suitable for most J Divisional posts. Prices may vary with quantity.

COACHBUILDERS LTD B E 5 dre:--sing:--, case" and other useful bit.., all very reasonable ac ording to their price list.

Finally AMBEX saw the first public outingofAMB IE BE R, thi" cuddly po lar bear avai lab le in different si/es is the National Ambulance ervice's answer to We ll iephanl. Produced by Buc k inghamshire Ambu lance Service the concept was to be launched at London Lt Zoo.

Wadham Str i ng er Coachbu ilders ( If you have never been to MBE before and have been conHamb ledon Road , Wate rl oo ville, cemed that it is purely for H ervice.., mak.e a date in your diarie.., Hants P07 7UA Tel: 0705 2582 11 1'01' ncxt year. You will not be di..,appointed!

Te le x: 86473 WADCHB Fax: 0705 255 1

Tilt' ,hoI\' s(culing Tri l(or cO(iol/ S(or

Thc Bn l l h Illbulance Pre\Cnallon OCICI: I'> a ,>oclel) ror ambulance elllhu"i.hh: il h,h an \ccllent. regular llc""hcCl "hlch dc\ OIC It· 'iclr 10 ce lebrating \ illlagc and cla""il ambu· lancc,> and a join l organi"cr or Ihe 0:Lllional Ambulance Rail). Forlllcl11ber"hipdelail"L'l)nlaCl Graham mlre\\ ",17 W lIlchcl"ca Rd. Ll"lboul1lc. Ea..,1 u,,\e\ B 22 7PP Januar:- 1L)92 S t Jo h n \\ o rl d IJ

There aren't any St John helicopters - and it's unlikely there ever will be given the high-level training requirements. But, as this article suggests, liaison with helicopter ambulances is liable to increase.

Hover to you John?!

While the UK i the third bigge't civil he licopter user country in the We t after the USA and Canada, it still ha a long way to go before matc h ing North America and Europe in the Emergency Medical Services (EMS) league table.

However, EMS craft are increa ingly in the news here re cuing accident victims, tran, porting the critically ill and serving the community.

L ond o n

The Helicopter Emergency Medical Service (HEMS) ha been operating for nearly two years aiming to improve the tandard of care received by accident victim , in the UK. The Royal College of Surgeons ha ' estimated that a third of death after accidents would be preventable with better treatment

HEMS was et up to bring the advanced care available in ho pital to the roadside so that treatment could be tarted by an experienced doctor at the earliest possible time. There is often a 'Golden Hour' after injury during which the patient remains relatively table, and the helicopter and its team has the equipment and kill needed to u e this time to the patient's best advantage.

HEMS is controlled by the London Ambulance Service and flies approximately 5 missions a day to incidents such as road traffic accidents, falls from a height, perons hit by a train, and assaults such as tabbings and shootings,

The system is funded jointly by Express Newspapers and the Department of Healt h, and is current ly being evaluated by a team from Sheffield University. The doctor working on the ystem are already convinced that they are managing to ave a s ignificant numberoflive and are improving the standards of trauma care in London.

The May 1989 to June 199 1 statist ics were:

• Total number of patients carried - 378

• Ground escort of patients by medical crew - 65 patients

14 5 t J o hn Wo rld January 1992

• Ground aS ist by medical team at accident ite - 429 patient C ornwall

One of the mo t succe ful air ambulance project i: Cornwall' First Air mbulance, introduced in partnership with Bond Helicopters on I pril 19 7. ov. 111 Ih fifth year of operation, C rnwall's air ambulance has flown over 3.200 (e timated for eptember 1991). On primary mi ions with accidents and emegencies, the air ambulance ha, an a erage response time or less than 10 minutes. It is fully integrated with the Ambulance Service and the onl) criteria for its U'ie -like the de patch of an) ambulance - i th,l[ it should provide possible to an accident or emergency call. At 1.20/c, the abortive mis ion rate for the air ambulance i even better than the 7.-+% for the overall Ambulance Service.

All running costs are covered by rai ed from the public through a charitable trust, the Fir tAir Ambulance ervice Trust. It i regarded as the ultimate testimony to the value or the air ambulance that the people of Cornwall have sustained their total commitment and generous upport.

The Cornwall project started with an MBB Bolkow 105 operating daylight hour five day a week and after two years of operation extended to seven day ' a week.

At the four year point the 105 was replaced by the I 05DBS, making Cornwall the fir t ambulance service in the country to introduce this improved aircraft type.

Scotland

Two years after the introduction of Cornwall's air ambulance, the Scottish Ambulance Service introduced an identical aircraft based on the same concept, initially based at Dundee and, following a trial in early 1990, at Raigmore Hospital, Inverness. Here the helicopter has proved so valuable in transporting patients from outlying areas to the hospital that it is now being formally funded by the Scottish Health Service.

Bob Johnston, Assistant Chief Ambulance Officer, explains that whereas it would

The Om campaign already has a character called 10hn the Ambulance'...now Poulton-Le-Fylde Division, in the form of David Hulme and Lora Coalville, offers us the cautionary saga of...

the Ambulance

ta\.-e over 5 hours for a patient to be tra r ported by road from the farthest point the mainland, the helicopter can do t same journey in ju t I hour and five m utes, resulting in rar greater patient c, and comfort.

Oth e r

Other ambulance ser ices in the K elude the Wiltshire police craft v"hich jointly run b) the police and ambulan service; Kent \ helicopter ambulance v. h i'i wholly baded b publi subscripu c and the We',! Midland.., mbulance er ice.

The fiN inten..,i\e care helicopter Britain. an 355 v" as cu..,tom built for Bartholomew's Ho..,pi tal in Lond! , areflight', a unique Bnll..,h operatll which in .,econdaf") pallent trJr rer v"orlo. (the transferring or pallenI'> b tv. een hospitals) ha.., recently campi audited re..,ults which demonstrate a :C reduction in predicted mortal it) in the r tients it has compared with comentiol tran..,fer s) ..,tems.

Medical DirectorofCarefllght. Doc ubrey Bristov.,a on..,ultant nae..,thel at l. Bartholom \0\"" Ho.,pital Lond e commented thaI the re.,ults were not unt pected and are with other typ of helicopter ambulance operations Ole seas. He went on to say that such operal1o in this country are frequently frustrated a shonage of fund from a medical adnll tstration which refuse., to accept the I and the tinancial benetits availabi

Harry wa an ambulance and he wa very happy. He had a coat of shiny, white paint and two blue lights on his roof. He also had a twotone hom; he liked thi be t of all because it made a loud noi e and people would look all over and ay "Here come Harry".

Harry was a very lucky ambulance. He was well looked after by people who loved him. He wa always kept clean and shiny. His big black tyres were pumped up and inside he had everything you could pas ibly need for a FirstAid Emergency. But. Harry wasn't just an ordinary ambulance, he belonged to the St John Ambulance Brigade. The summer months were hi favourite time of year, he would be very busy going to Gala , Fetes, Proces ion , in fact any place where people were gelling together you could find Harry. He would help all sort of people from babie to grannies with any injury from a cut finger to a heart attac\.-, ow Harry wasn't cheap to loo\.- after. Petrol, tyres and servicing all cost money and then there was all hi expensive equipment and First Aid supplie to be replaced when u ed, The people who organised the events Harry went to didn't always give any money for him to be loo\.-ed after and one day nobody came to see him anymore. Harry couldn't understand what had happened, after all he had done 10 help people 0 he sat alone and cried, rfonly people had realised how much it would cost to run Harry, maybe they would have given more to help him

itOne night when it wa dark some people found Harr). He \\a pleased some bod) S' had come toee him again, butthey weren't friendl) at all. his around the floor till it rna hed and threv" stone at the remalntng light on hiS root. "Ow", cried Harry as the tone hit him and knocked lumps off him. They even threw a big tone light through hi windscreen and then ran off laughing. Harr) couldn't under tand why anyone would do thi to him and big ambulance tears ran down hi.., :b cheek.

When Harry' friends came back they couldn't believe what had happened to him. "What hall we do?" they aid.

They took him to a garage to see ifhe could be fi \ed. Harry pretended to be asleep but he heard one of the O'araO'e men a "r it worth fixing? It will cost a lot of mone) "

'Oh no,' HalTY '] could old and end up as mobile burger hop. AliI ever want to be is an ambulance.'

But he was very lucky. Hi friends managed to rai e enough money to get him repaired and although people didn't have Illuch money to give, every little bit helped. Even orne of the local tirnl.' gave money to get him repaired.

He had a new coat of paint and bright stripes down hi side. On his roof there was a long ,' trip of blue lights - much brighter than his old ones. He even had four new big, black tyres; he couldn't wait for everybody to see him.

H i friend were very pleased to see him back to hi , old s If again and decided to have a big ce leb ra ti on in his honour. Everybody WH there: the County Commi , ioner, the local vicar (who performed a DED ICAT ION CEREMO Y and al l the peoplc who had he lp d with donation.

Harry c lied, but not with sadness; he was 0 happy to be well again and ready to help people.

When all the ce lebrations were over, Harry wa put in his nice new warnl garage to \.-eep him safe. He went contentedly to sleep dreaming of all the adventures he would have in years to come

hn W or ld 15

DIS

Steve Tainton SEN of th e Glou ce ster St Georgi Ambulance

Division recalls his ' off-road' training da )

"Overland to you John"

On a Monday aftemoon in Augu ,t Bligade memberAndrew Cumming and my elf left G louce ter in ear-ch of Zeal Monachorum. An unu ual ounding place for what wa ' going to prove a mo ,t unu ual e perience, we were about to embark upon an off road driving cour e with the DiVI Ion landrover ambulance (ca ll ignGDI02).

Early the follov. ing moming we arrived at David Bow) er's Overlander Centre to commence our training. We were welcomed by David and Keith Han, hi'> chief in tructor, and then introduced to the other cour'>e member'>.

The da} commenced with coffee and a ninety minute cia ' sroom session in which the follov"ing items were di cussed: vehicle preparation the choice of t)res and their presures the impol1ance of surveying your route on foot driving on soft ground and rough trad.s climbing and descending slopes crossing ditches and ridges driving gullies wading still and running water traversing , lopes, The emphasis was very much on techniques to be employed to ensure safe off road driving.

The lecture over it was time to practise the techniques discussed. We first prepared our vehicles by removing any very low items so as not to cause damage, and waterproofed the electrics with silicon grease. We also adjusted our tyre pressures for off road driving.

Andy and I were then esconed on the 12 acre driving circuit by our instructor for the duration, Keith Han. The circuit which has around 45 obstacles has been cons ruc ted so as to give participants the opportuni ty to put all techniques into practice in safety and without damaging their vehicles.

Keith sat in with both Andy and myself )6 S t J o hn W o rld January 1992

and took us around the circuit indi\ J(.Iuall), ..,topping at each ob..,tacle and refrl! hing: out memory <1 to thl! technique.., to be employed to tackle it. Thl! route you tal-.e basicall} involve a ..,eries of a..,cenh and de..,cenh increlNng: in both i/c and dilTicult), these are ..,eperated by chicane , nih - sleeper.., laid into the ground, v.ater and mud holes.

To tackle a climb it is imponant to approach the hill"'quare on, select the highest low ratio gear and go for it. It i \ ery important as well to mal-.e ..,ure ) ou what is at the top, no good getting there to find a sheer drop on the other ..,ide ,

If you ..,hould fail to make it to the top the recovery procedure is as follows

1 DON'T PAN I C!!!

2 Place your feet immediately on both the clutch and the brake.

3 Engage rever..,e gear.

4 Remove both feet together from the clutch and brake, rever"e engine bral-.ing will carry you safely back down the hill.

For steep descents also tackle it "quare on, stop about eight feet from the top and look at the hill for obstacle" (bumps and pot-holes) which may dramatically change your angle of descent. Engage your lowest gear (low ratio I st gear), go over the edge and take your feet off everything tucl-.ing

them hacl-. under) our '>eal, the engine 0' run \\ ill 10\\ you lilm n LInd bring afcl) to the bOllom Touching the brake clutch ped 11 v. III almo t cenallll) rc ul t dl a'>tcJ"\\ IIh) ou plunging out ofcontro peed dO\\ n the Iope and may be rolll \our \ chicle - \cr) Imponant point to bear in mi i.., to drive \\ ithoUl your thumb" tid li through the '>teering wht:el a'> \\ hen going get'> rough it i \er) fora rod rut to violentl) '>pin the v. heel and bre either one or both or them (Ouch!).

DUring our fir'>t Circuit of the COLI Keith '>pelt out the rea,>on,> \\ hy) ou hOL not (irat all pm..,ible) travel along the of a fairly teep hill.· · L1ch foolishne'>s" "aid " could re..,ult in your vehicle rollt head over wheels dov. n to the bottom, \\ the crunching of both metal and lk,>h"

Having that however. v. e then d cussed the'- precaution.., to undertal-.c ir ll unavoidable:

I Checl-. the terrain ror ,>udden deprt sions or hi II oc I-. " that Illay greatl) your angle or tilt.

2 Checl-. the ground i'> firm and "Iippcry as you possibly slide 01'1' 1 "lope

3 Ensure any load in the rear of l vehicle is secured as low as possible in (l I/III/II (' d

for Front Line, Single and Double Cot Ambulancestailor made to individual requirements. Atlas Trafic ambulances are available in front wheel drive and 4x4 versions, providing strength, comfort and reliability. All models are highly manoeuvreable and offer the lowest rear loading and the highest interior measurement of any vehicle in their class. Holders of the prestigious BS5750 award for quality Atlas is an officially approved Renault UK converter.

Buy with confidence - Buy an Atlas Renault Ambulance.

COllrilllledjrol7l pgl6 vehicle as udd en movement in the rear may re ult in the vehicle overtuming.

Bealing the above point in mind we then experienced the traver ing of a lopewhat an experience that wa Following a very filling lunchat the local ho telry we retumed to the circuit to tackle the 45 degree lope (or cliff), the ditch, the gully and finally dliving through water.

You may think you have driven down a 45 degree lope, I wonder however if you really have, it i both terrifying and exhilarating at the ame time (e pecially with your feet tucked under your eat!!).

One moment you are looking at and admiringa 10 ely view, the next your windcreen i filled with a view of the rapidly approaching ground. Going up i of cour e the oppo ite - you are looking fir t at a eemingly in unnountable wall of earth the nextata beautiful blue sky a you climb or "fair' there i a great feel ing of relief and elation.

Ditche are approached from an angle so that only one wheel at a time i off the ground, and you hould drive a gully with your wheels on either side 0 a to ride above the gully and not in it.

The final driving for day one wa to experience wading through water, we tackled water ob tacle of increasing depth, culminating in water around twofootdeep. The technique to be employed i to keep your momemtum and produce a bow wave which efffectively lower the water level around your vehicle. Day one was completed by watching a serie of video film on driving techniques.

Day two wa devoted to elf recovery techniques and following a lecture we practi ed u ing the high lift jack, and had a demonstration of the u e of an electric winch. This was followed with more driving practice and finally cleaning the by now dirty vehicles and the presentation of certificates.

Both Andy and I found the course very relevant and enjoyable. We a lso took the opportunity to place our elves on the tretcher and experience the course from a patient' point of view, what an eye opener that wa .

Driving off road i greatly different to drivingon road and we would both strongly recommend that it should only be undertaken after tuition, a good grounding in your vehicle's capabilities, and the opportunity to practise techniques. We wou ld like to take this opportunity to also recommend the Overlander Centre and thank both David Bowyer and Keith Hart for their patience and excellent tuition.

18

Our Ambulance feature concludes on a round-up of manufacturers who feel they have something to tell (and to sell!) St Joh l

Sell Mates

ATLAS CONVE RSIONS - Builders of fully-equipped line, single and double cot ambulances tocustomers' requirements, Atlas holds the BS5750 and QAS quality awa and is an officially approved Renault UK converter. The Atlas four wheel drive Trafic and 4x4 Master have powerful engines, easy manoeuverability and the rear-loading height of any vehIcle In theIr class; the Tralic a load platfonn height of just 45cm - gIving casy access al generous il1lcmal head room. All conversIOns guarantee excellent sound insulationl safety features that Include : anti-slip noonng, fire reta materials and spcclally strengthened frame, side<; ancl Other optIOnal features include power as<,lsted <;teenng. conditioning. electric wlndo\.\. '> ami lowenng rear "u'>pel1.\ for easy access.

DAV IS GA R AGE - Davi" pecialises in the con erslon of the Renault Tral'ic and a ten for the transponation of wheelchair-bound pa""enger..,. "ing the ncv Trafic T I 100 wheelbase. high-roof version the company ha" dcveloped a unit \.\ hich I.., light and airy. [t 01 an intemal headroom of 6'3" with high rear doors \.\ hlch reduce the ri"k of bangcd head.., b} attendant. The ten-to-twelveeater van" can be easd) adapted to accomotiatc .3 \.\ heelchalr\ seated attendants. ince the noor is barely 18" ofr the ground __ - __..-----.-------,-. there is no need for a tail-lift hoi t; a Rolac tv,o-rold ramp provide both emergency exit and eas) ramp aecc'>". The Trafic use. a Renault 1721 ce petrol engll1c \\ IIh five "peed gearbox and over 200 units have becn sold to both \ olunta!) and professional bodies.

The Renault Master T35 unit is a long wheelba"e van using a two litre petrol engine (although diesel engIne" are available for both it and the Traf'ic). The Master ha., over 6' or headroom and can accomodate five wheelchaIrs with ea-.;e Both vehicle feature non-slip tloor and rece"sed anchor point for U Wl patent clamps. Ide and roof are carpet lined and the Interior lighting is complcmented b) a ramp potlight for night time use.

Optional extras include folding luggage racb that can act as a blanket store and a lined shelf over the drivcr's compartment which can even store a folded wheelchair. cce..,., is ei ther through rear door.., or the wide., ide eIll rance om pleted vehicle can be delivered anywhere in the UK.

CCSi - Specialists in Contll1ental. left -hand drive ambulances and ma in agenh lor Bernard C SA ambulance body builders in onnand y. CC I olTe rday trips to "cc thc 100+ modeh 0 11 at the CV Ambulanc e Refurbi hment entre ncar Arg e ntan for onl) £ +0.00 per car and people Typical examples of current models that have been rcfurbi hcd to confoml to Frt regulations include :

Citroen BX - - 1.9 RD Diesel (From [9 895); Citroen CX - 1989 - 2.2 Pctrol, 10\.\ rn (from £ ,950); Peugeot 505 - 1987 - 2 0 DIesel (from £ I 0,..+25) ; Renault Espacc - 1988 - 2 0 T Diesel (from £ 12.5(0) All of the c modeh arc fully -quipped 'hlgh tops' requirin g on I) IIi alterations to oxygen valves to meet UK regulatIons Examples of low co"t model s in c! Volvo 240 - 1984 - 2 1 Turbo Dies e l Top' (from £5.500) ; Citroen CX - 1984 Diesel - Collet A n

olthc \ chicle. additional hcadroo111 and st orage space and ,;J lci1l1g ..,ide load door 1'01 ea"ler acces.., \\ hcn \\ orh:Il1g In cramrcd U)t1dltIOlh

LW VASS - Vass boast a large changing stock of Land Roverambulances. Bedford and other4\.+ vehicles A long-e tablished company, it has '>pecialised in MOD vehicle" '>Ince 1945 for both home and export sales Of special interest to SJA Divisioo<' are a election of Land t\\O .---- -----------, stretcher 4x.+ ambulances purchased direct from MOD surplus ources.

These vehicles are ideal for spOrllng evcnt<, cross-country. steeple chase etc The) have '>11111lar mechanical spccificatlon,> to civilian \ chicles with 2286cc 4cylindcrpctrol engines and anti - roll bars Prices I'Cmge from n,ooo to £4.000

Also available arc Leyland herpa 13 "cater minibuse (from £2.500) together with Emcrgenc) Rescue items : hydraulic jack...,. c n)\', bar shovels. axe and slcdge hammer" to name but a fe\.\. Stoch: price li'>ts are avatlablc and vi<'llor'> (6 mileseastofthe M Ampthill By-pa,>'>)are \\elcome

W A DHAM STRING E R - Wadham Stringer look forward to 1992 wi t h ne\\ modeh and the prospect of winning order from the newly established Ambulance e[\ ice H Trusts Two ne\\

G R P bodie are being introduced uitable for both the FWD cha"sl" in the mark.et (the Peu geot

Ta l bot Expres A1Ko and the Renault Master van noor ) plu'> a sl iding side door for all G R P bodie in the range (Tranit, Iveco I F ord, Ley and O af and Mercedes Benz). Bo t h ne\.\. vehicles can prov id e a wider fomla body ( MI A B(W) avai able in rcmountable o r fi xed fo rm

T he wide r fO ma all ows a more generou layout of stretcher s and equipment, with the primary stretcher placed alongside t he rearwheelbox or in front of it (ratherthan over it) This means the space over the wheelbox can be used for a suite of equipment locker with, above hem, sockets, lighting. pipcd gas - even a fo d dow n tab e wi t h fiddle rail. All this equipment is controlled by a Paramedic on a iding and swivelling seat. Th e compa ny continue to make Samaritan van conversions

fo r c us o m er th a prefer a pane van base. According to sales

m an age r Bri an B row n th e acce era ti ng pace of c hange in the HS wi ll have a spi n -off in more - modem ambulance designs

w hi ch w ill in t um affec t the SOl1 of vehic es opera ed by St John.

WHI TAC R E - Builders and convertors of ambulance,> and whcelchair acces,>iblc minibuse ror over 45 years, Whitacre has considerable experience of per,>onnel carrying vehiclc" and one-off specials. The company statement, "Spccial Needs Need Special Vehicles" is borne out by a profe 's ional approach carefully designed to establish the correct specification for the client. All sa es are t ransacted a Direc t or level and competitive pricc" are submitted in writing so any group/ socie y/brigade knows exactly the costs invo ved.

To ensure Car-Tax and V AT exemption, Whitacres can supply the complete 'ambulance' ane.! arrange all documents as part of the scrvice. Conversions arc available for any make of vchicle to BS5750Quaiity Standard (with particularatlenlion paid to the Construction and U,>e, Scat Belt and The Can'iage of Persons in Wheelchair Regulations). Please contact us for brochures or a visitwe usually have between twenty and thirty units in production.

20 St John World January 1992

Vehic es Division is ab e to provid e stop' design, build and supply facilit y Discovery. including equiping vehl customer's specifications. This mean chaser docs not have to co-ordinate an Will/acres ha1'1' of special ist suppl iers Land Rover ca /7l'C1l/UllldIllS d ' . f d I alld COllvcr/lII" !nun nvers In 0 - roa tec lnlque T L 'f Tdi direc t injection turbo -c harged die gine available on the Discovery is both ac[('ssllile to run and produces I07bhp and 18, 1II1I1IbIlSl's[or torque for exceptional on and off ovcr45ycars formances

MMB-B u)lnga'+ ''+<lmbulancc? om thc<,e li\e P0111h: a ) I "pc or el'CIII.\ 10 he ((}I'('I'er/ lIeU' II(/r.\' groulld cle(/r(/ilce Lo\.\. 1100r-ltne.+\4 ,>uch a,> thc Ren TralTic, arc Idcal for gra'>'> and lo\" '>110\\ an acceptable loadll1g hCIght but 'boll ea,>ily In toughercnndltlon<, The Land R. Dclendcr rangc. DI'>co\cI,). Toy ola. \

L Miv l. LInd lcrLedc'> Wagon arc all able altcrnal1\ e,> but h,I\C high loa hCIght'>. b ) LOW/III!': helt:hl 011£1 lIkely 1I11111h, penCl/llle/

Il1lnimum 01'3. prelcr,lbl) .+ pl.:1'\o I" required lor lo,ldlng ,>tretcller<,.The 1- \V A35r\ ea-,y-Ioad "tretL hCI h,I" J 31 "k In \\ heel helg.ht. but tim onl) aprlie

"mooth, Ilml ground

c ) {)m'lIlt: I/d//I uI'(/illiNe ellld Il'i/,

11(,1.\ {(llnllll Wc '>trongl) rccommend ,m'olrthel dm Il1g ,>choul cour"\.' 1 hc) are not

'>I\C and Lan be round 111 "peLlal 111aga/lne,> d ) 011(// ell/pO.I(' lIflfJl/( (/1[01/.1 ClIIIIlIl" Irelllll1(1l {([(fOil o,ILh built ambulancc" \\ III acco111odatc t\\ () tmlle)" mo"t con\' (C\ccptlng thc Rcnault) Ltlrl) ..,trltcher ane.! OnC! Iimltcd "pace. e) COSI( (/11 l'lillli/lrm/lf) O" " range fro111 L 16.000 to OOJ 1I1tcrc'>t1l1g nc\\ am\ ah arc the Ponu, built UMM and the au\hall Fronten. 111 0'> l popular purcha'>c I'> the Land R Del'lndcr range.

• Ve h icles fr o m any manufac tu rer

• Anch o rage f o r wheelchairs

• Choice of in t erior lay o u t s

• Choice of interior t rim

Passenger lifts

Telepholle now for nfl illforlllnl disCllssioll 011 (0782) 281365

County and Divisional News

County and Divisional News

Letters Letters

A little respect

1. like million sofo th er at down to watch the Ru gby World Cup Final on tel evi ion and was proud to ee that the t John mbu lanc was once again on duty at uch an imponant even l.

Howeverthis fee lin g of pride turn ed toembarra ment and di g u t when, on the a lTival orHM the Queen, member of StJohn, includin g at leastt\ 0 officer, failed to show due respect by at lea..,t tanding when he walked past them to take her place in the s tand It was made more obvious as the Ball Boy who were on creen at the same time were standing to attention.

In m Division we tand and sa lute our Area and County talTwhen the y arrive: we ha e not been fortunate enough to attend a duty where Her Maje ty has been present. Is the tradiuonal method of howing re pect re tricted to Cadet'?

I reali e many feel that drill and ' aluting are outdated but to impl stand up straigh t and s till in th e pre ence of our Queen i surely not too much to ask.

adet gt Dean White Richmond (Lad y erena' O"n ) Di, i, ion Nth York,

Points of Order-1

Your footnote toMrPadgham' letter in ovember( Plaques to the H ol/,pg 2 7) sugge l. that readers may be able to contribute omething. I confess to no k.nowledge at all abou t th e Burne family, but the following information on chivalric titles might be of use.

Lady Burne would indeed have been a Lad) of Grace.

Until 1917 the feminine equivalent of Kni glll in a British Orderwa.., Lady In that year the Order of th e Briti h Empire wa created, and the need wa een to distingui h a woman admitted to II', higher grade on her own merit from one who was called Lad)' because her huc.,band had a tltk In th e new Order the equivalent of Kni ght became DOllie

Title in the Order of St John changed from Lady to Dal11e in 1926 and slIlce then Dante ha" been u ed by most British Orders they came to admit women for the fir"ttime ow only 111 the Ganer and the Thi tie i a woman appoin ed as a Lady of the Order.

// //;' GHG Tilling Gorebridge Midlothian

Points of Order - 2

WJ Padgham's letter intere ted me as an avidtudent of the Hi s tory of the Order of t John After studying the Royal Chaner of May 14th 18 8, am confident that the designation' Lady of Grace of th e Order of St John in re spec t of th e Lady Agnes Charlotte Burn e i'> correct.

I a lso found it interesting to note the changes made in the Grades of the Order, pre umably, in Kin g Edward VIII' Royal Chaner of 1936, in which, according to ir Hannib a l P cic luna 's book 'The OrderafSI john and placesoJinterest in Malta anuCo:o', th e Grades of the Order were reorganized.

An ex tract from: The Charter of QlIeen Viuoria l";'lh May IR 88. The Schedule

I. The Grand Pri ory of England i<; the Head of the sixth or English Lan g ua ge of the Venerable Order of th e Hospital of St John of Jeru sa lem, and shall be s tyl ed in all acts, proceeding.." and pleading s by the name of the Grand Priory of England of the Venerabl e Ord er of the Hospital of St J ohn of Jerusa lem

2, Her Majesty the Queen is the Sovereign Head and Patron of the Grand Priory TheGrand Prio ry (he reafter ca ll ed the Order) s hall con i t of th e following g rade s of members: Members: A Lord Pri or; A Sub Pri or; Grand Bailiff; Bailiffs; Commanders; Honorary Commanders; Kni gh s of Justice; Ladie s of Ju s tice; Chap lains; Kni gh ts of Grace; Ladie s of Grace; E quire; Serving Broth ers and Sis ters - with whom there may be associated (bu t not as Members) : Hon orary A sociates; Associates ; Donats or subscriber.

Tho . H Hollingworth PRO Newark Ambulance Divi , ion

Kosher Kath y Mickey Mouse Rides Again

n reply [0 the

practical item of uniform - panicularly so on w:ardolls duties as I advo ca ted in my initial letter.

I cenai nly do not sa nction th e wearing ofbaseball cap, for 'normal' duty, not do I turn a blind

1101 an excuse not to wear' proper uniform '. With regard to being recognised, we happen to wear fluorecent ou ter-garments stating th at ve are t John personnel, 0 ifBlyth wish to purchase a 'Fir t Aid Here' nag I'm sure it would go veil with our Mickey Mou e Ears!

Toummarise, i n ' it about time a lot of Division moved with the times and removed the old, taid image? Looking 'n little trendy' could actually entice people to come along and join St John nd it saves money o boot.

Yes, I am all fordiscipline in moderation; yes, f'm agreat believer in ifyou look the pan, you'll ct the part '; but I'm also a believer in improving th e St John image by both deed and action. How flany Divi sions have old ambulance and equipmen t? How many Divisions cannot afford nifonns or are existing on 'hand-me-down'>'? How many Divi sions have a high percentage of I.dult s over 55 years old (and please note, it ,> not th e age I'm criticising, but th e percentage)? How 1any 18 to 30 year olds do they have'? How many Divi ions are losing members? The answer to vcr the past month" all Ian'. 01 Radl GII the above is probably a hell of a lot.

AI'cllel's have been u\\ arc 01 Kath) Perk , We need to improve our image by looking forward, not back! catIon to her member"hlp 01 t John A The wearing of uniform is part and parcel of any organi a tion and we (myself included) are Ian e 1 am '.ure that t John member roud to wear it. I think it was somewha t impeninent of Mr Walker to imply that I tum a blind eye appreciated the publlclt) gl\ en to ourorgar) my members going on duty only 'hal f-dressed' or even encourage thi habit. 1 am alo a little lIon urpri ed you printed Mr Walker's letter which I read as a s lur on my elf and on my Di i ion La"tweek.l\\a"ondut)atourlocalth C t' ht '.

eve ar w ng lor a perlonnance 01 The mbndge Pag\ DIS tafford Q Di vi ion \\ hlch I" a tounng "tage production by IT bt:r,> of the ca'>t 01 the rcher"

I nOllced a t John badge pnnted or programme along'.ldc a cOll1ll1erLlal logu then I began to \\ onder \\ hether OLII Headq, ter,> are "pon,>onng the rcher" or \ ICC I,

Dunng the \\ hole 01 the "econt! hali D production 111 \\hlch the audience t<lkcs or rok or the people 01 Il1bndgc. Kathl lI11maculate t John Il1bulance Ul1lrOml ry Ing a nur"lng I11ember'" bl,lc" FIN Aid "It'> In the back. ro\\ 01 the audience until called on "tage to treat a c,bualt) bchln ,>cene'>

The ob\ IOU'> thoughts that \\ ent thrt

26 St John World J anuary 1992

Regis tion

The letter page i an open forum a nd reade r enter it at th e ir own peril! If it 's a n y con olation to Mr Ca rtwright , the Editor' own sa rtorial habit (ee left ) have earned him the nickname amongst HQ s taff of 'T he Unmade Bed ',.. 0 I'm not without s) mpath y - Ed.

The CAP doesn't fit

... m) I11lnd were - doe" '>he hold all her FiN certificate,> and \\ ould ,>he, In'>tead or gOIr stage at her cue, treat a genuine ca"uaity If audience i I' there were no other t John per nel on dut) Ithough "he lhd not ha\ e the f It! lla"h on her unllonl1, onl: Illu'>t a,,-.Ul11t

a'> he \\ a on duty unaccompanied b) am 11:1 writing in response toJudith Morris' letter ( Put a C.A P on it, October pg 22). I ha e attempted member, he does have her F Y Cas u' Implement the Action Pa ck ince it publication, but having no enior Cadet. with their Grand Handlll1 g and OIllIl1Unlt) First Id eer ior badge at that and no officers to help , found it a trug gle. I had to abandon the many cates 111 addition to any certificate \\hleh tempts r made to Impl eme nt th e ,>cheme a ' it was designed to be u ed. milled her to enrol In our organisatIon Over the past few month, two recently-awarded Grand Prior Cadets have been oiven the have, on other occa seen aCLOPsponsibility of teac hin g the Ac t ion Pack. to ex- Badger s and new Cadets. Their m has stage dressed in t John unifon11, but rekind led and th e two hav e responded well to the 'challenge'. witnessed th em si ttin g for a lon g time III Howev e r, a p:oblem which no one so far seems to hav e men t ioned i lack of pace. Our audience in a place n0n11ally occupied co nsi s ts of one main room - with toilet s, a mall tore room and a tiny kitchen all off John members on duty e area. The one room i imply not large enough to accomodate two courses ali factorily, Have any other members been on both have practical clements. Even during 'theory' ses ion , each instructor their local th ea tre ""hen thl.., production \ l,lwllllll g ly disturbs th e other. Under the se condi tion I would be emban-a sed to invite an out ide their town ') If so, I wondcr II' anyone h,s tructor to tcach.a course. c han cc to talk to Kathy' and ask. her My only solution eems to be put the P 'on hold' when out ide peak.cr are teaching , involv eme nt with t John (b) hav e th e AP on a separate night - both of which defeat the objectives of the ction Pa ck.. Mr s Madeleine r e i no space to x tend our buildings ou tward, and th e wall would not withstand an J) I Rickman swo rth & horley" lpstUir'. At the moment we are managing, but I cannot envisage u succe fully continuing lik.e Di" i,IS all year.

Watch thi s pace, Madeleine! I'm pr Any s ugges tion s?? ure that HQ' indefatigable Director 01 will have all the answers for yo u b y th e issue - Ed

Bari otheran Bredbury & Romile) Q Divi ion Greater Manche ter

Hackney Division of London Di'>trict recentl} received and dedicated its new replacement ambulance. On duty at Hackney Marshes. where there are 120 football pitche., (the large':>t area of amateur pitche In Europe), it wa called to three separate accidents on Sunday Morning. To the surpri e of our elves and the Homerton Hospital taff. each ca ualty',> fir t name wa.., Alan. Our driver' first name - yes, Ian Thee were the first patients treated and carried by our ne\\ ehicle. I it an omen? Perhaps our Divi ional campaign .,Iogan hould be 'Over To You Alan'! gt Iren e Hender so n Hackne) Dh i ion

Rhyming

Ralph

Our Cadets carry out duties at a local ur ing Home' Mother Redcap' e\er) unda} during term-time, plu weekday,> during chool holiday (thi i in addition to all the Di\ i..,ion's other La t unda) one of the re ident.. Ralph. presentedCadetsJenn) Luk.eand i k.) Quigle) ""ith the attached poem Whilst "ecure in the k.no"" ledge that the Cadets' presence is appreciated b) the Hom e, we \\ere alltrul) touched to receive thi unsolicited tribute The poem i being printed in the Di\ ision '" own magazine, The Trial/gIl' , and if it could alo be publihed in 1.101111 \\ orIel thi \\ould be appreciated.

A Tribute to Walla e) Ca det Di\'i ion

We \\ ould lik. e to thank. you for your help and The pleasure your young ladie.., ha\ e brought to u nd the) all de ene a real' +'. The) are ah\ ay there \\ hen the) are needed nd each reque , I i promptl) heeded

We ha e found them most patient and k.ind. nd a better lot \\ e'll never lind nd we \\ould lik.e to thank. them for allthe\ do, nd these young ladies, a credit to youDI S Sue Ru el Wallase) Ca d e t Di\ i ion \I e r e) ide January 1992 St John World 27

The

St John Way of Caring

by Bruce Coltman, AI8a QQ. ,.....

Surpri

Cartilages

Antibio

•

Sample

of drug (8).

Main variation on membrane enveloping the foetus (6).

Plexus upplying nerves to upper limb (8)

Group of organs working together to perform a phy iological function (6).

Completed the dre sing as the musicians grew older (8).

ot in a complete group at the beginning (6)

odium has use with a feeling of (6).

Human death (6)

Mallet bone provides corrosion-resistant material: gold for example (5,5)

ot a psychotic di!:.order of the nervou ystem (8).

Unusual

Sends

(8).

locanons A conf;denc and and ex temal cardiac comeffective communlcaror, you should have the abtlity to make a real conrribunon to dlC ervice Ire ion 6 "taKe a deep breath"

To apply, please write with fUll c areer d e tails to Mr J. W aite, London T r an sport Central Pers onn e l , 9th Floor, 55 Broadway, London SW1H OBD , quoting reference CDV 92551E. T h e closing date Eor r eceipt oEapplica tion s i s 17th January 1992 emova l to hospital.

High ly loxic 8 arbon monIxide 9 Sen ations tha tt hc ca L1Ity fee l and desc ribe, to you lO t emove the obstruc t ion and retore nomla l breathing. Arrange

Solution to Crossword 12 (91).

Ac r oss : I Hysteria; Disorder; 9 eop la m; 1 I Doctor; 12 Left; 13 car; 15 cratch; 17 Tale; 20 21 Par; 22 Ether: 23 Exam; 25 Parotid; 27 Rash: 29 Mime: 30 Frolic; 32 Odonloid: 34 Vitamin 0; 35 Sphenoid. Do wn: 1Henle's Loop: 2 Tap: 3 Reagent: 4 Admit; 5 Used; 6 Trochanter: 7 Heroic; 10 Ofra; 14 Radio Inar; 15 Sera; 16 Hard-headed; 18 Aped: 19 Lax; 24 Mammoth; 26 Aortic; 28 A lto; 29 Mood ' ; I hin; 32 Tan.

SUBSCRIPTION

Ann ual R ate

Individual ub cription (£ 15.00 Kif 17 500\ rsea )

ix or more copie to one address (£ 12.00 for each order)

Cadet /Fello\v hip member (£7 .50 Kif .50 ovel" ea )

o o o

TRAIN

" Yes. I think it will enable me to lead with apurpose , ratherthan going on achieving very little.

A s a Doctor, I felt that I had the knowledge but I had d ifficulty putting it across at the right level. This course has helped me to be able to do this ."

" I arrived on the Friday, wary and sceptical. I left on the Sunday, eager , keen and full of energy to put the learned into action

Course

"The course gave r insight into how to m i more effectively an a efficiently."

STJOHN

I feel a lot confident as a res t of the course Th has had quite ! impact on a numb of aspects of my li fE

" It was interesting and stimulating and certainly made me more aware of OMMUNITY what is required in leadership ."

You can't afford to hang about!

Last year the St John tutor training programme was extended to enable Special Centre to catch up with requirements .

Tutors are special people. The y ma y be ex pected to plan and implement a trainers ' programme . They need to be firm , y et supportive and be able to tackle head on decisions about the selection, qualification and requalification of trainer. Above all the y ne ed considerable organi ation skill

County Directors and Special Centre Chairmen should now be forwarding nomina ted tutors for pre-course assessments. There are onl y 16 vacancie on each of the course s listed below and thes e are fillin g rapidly.

Qualification

For more information on this year's Tutor Training Programme please contact John Newman at NHQ on 071-235 5231.

COMING TO LONDON?

The gate and Jerusalem Exhibiting Care

Amanda Devonshire writes - The removal of John Shop to 27 St John's Square left the with a new display space and the carol Decembcrsaw theopcningofa ncwexhib British Ophthalmic Hospital. Don't be put off as you enter by the vivid photographs of eye diseases that are treated Hospital - they arc all curable. Catching them the key. and the exhibition explains how the tars Outreach programme make this poss

A massive panoramic viev. of Jeru vides the backdrop for the exhibition. traces the history of the Hospital. Text. and paintings conjur up the story which Jerusalem at the end of the 11th Century

Passing through a c1oi tered display - very lar ith t:oundation and histof) '1eQuemse StJohn Ambulance first OphthalmiC Hospllal on the Bethlehem dRY h'b't' d I 1 escue ex I I Ion stage ast can be discovered. Photographs. model and I' t f h ar lea unng equlpmem or t e lOgs hov. ho the ork of the, Hospital ha abl d a th b e W' s e Igges ever seen ued desplle v. ars. dl and era the Channel tempora,? accomodatlonpnorlomO\ lOgtothep Over 70 exhibitors travelled location 10 1960 A model shov. s the lay-out Guem ey to display Item demodem complex. gned to make I lie easier forthose The exhibition looks even better than it re ho have - and for print - so v. h) not come and see it for yoursel ose who look after them. On lOW were spectally adapted cars.

This paillfillg o/,The old OphThalmic HospiTal was commissioned hy The Orderfrom Dal'id Bomherg in 1927 IT hangs in The HospiTallers Office aT Gr{):)I'eIlO}" CreSC£'I/f L..-----------------·otor scooters. orthopaediC beds r---------------------------- --. 11d bathroom accessones.

A Slice of the Action

Arthur Weston and unidentified friend cut into the icing on Concorde's port wing during the buffet which marked the 21st Anniversary of the St John Civil Aviation Centre in Feltham. Middx Arthur, then an Air Attendant and experienced Instructor, formed the Special Centre for Civil Aviation back in 1970. It was subsequently incorporated in the new St J ohn HQ built in 1984.

As an Air Attendant Arthur Weston has escorted patients to Singapore, ew York. Vancouver, Kuwait and Europe and on behalf of the Centre has trained cabin staff in Bahrain and Somalia. On his retirement from the MOD in 1981 he carried on his Civil Aviation Centre activities from his own home until his retirement as the Centre's Secretary last year.

The exhibitIOn was opened by The JO 101OII1g people were IInmer{ III the \.CW tcor<; HOI/OIl

L e s an s leutenant- ovemor 1992 for work wltll t /01111 mblllnllCL' Iwd I1SS0CII1 ted act r Michael Wtlkl11s who was pre1\.1BE \Ir LA Webb (London Dhtmt ) ntedwithasurpnsegiftmadeby

BE 1 1r JH 1\.111rnbv (I111I11Dcrslde) affOfficerJohn Marshall. Makg the presentation wa" 17 years

The followil1gwere nlso Ii ter{ for work 0111 ide t /ohll \mlJ/d Laura Wanng, who was paraOBE Mr PJ 1vLIll11 ( mbulancc ef\ ICC. Vv III hire and \\l sed in a motor accident and is

BEM Mr DR Kelrk (London Tran-.pon) )\0\ confined to a wheelchair. aura. Incidentally, wa" fir'>! by the A&R service \o\ho

St John performs transplant!

Ibsequently arranged her flight orO'cthe UK for further treatm, ent. The event was organised by e Home Care Equipment centre. special retail outlet run by the 'ofessional Ambulance & ResJe Service. Thi" is attached to lhe

The annual Carol Service organised by London (Prince of \If John Ambulance station and District at St Mary ',> Church, Marylebonc. had been arrangedv)tonly.handle major items uch u,>ual efficiency when a major problem OCCLlred only a fc\\ ,electncwheelchairsandstairlifts before the service was to commence - no organi.,t! Jt al 0 hires out crutches and Deputy Commander Frank Birch "terped into lhe breach.de ems tothosewhoare temporarily not having played for 30 years.

"Londonalwayspriclesitselfthatthereisnosuchthingasar' ,The IS on the paonly a solution" said London's Commander. Derek Fenton wnt. s rather than surpassed himself, few in the congregation were aware that roflt-makmg," explained Chief replaced the regular organi,>t." mbulance Officer, eil Tucker.

Frank is set to take over as Commander in April 1992 \0\ he l he success of the Centre deFenton retires He was, up to 18 months ago. Town Clerk very much on the caring Executive of the London Borough of roy(lon. tllude of the specialist starr'.

"Now we need your support" says the poster and, as you can see from the side-view, it certainly does. Congratulations to Charles Harrold who spotted the disabled' Adshel' (as the advertising trade calls them) in Castle Meadow, Norwich. "Possibly," he muses "an over-enthusiastic Bus Driver attempting to find a collecting box?"

The last thing that 18 years old Saleh Ibrahim ever saw. or ever will see, was the stone that he had thrown ailing towards the armed Israeli troops in Jerusalem on September. 1990. His next consciou.· memory. several days later. was of St John Ophthalmic Hospital to where he had been tran 'ferred from the Intensive Care unit of Maquassed General Hospital.

Remarkably. the bullet that entered in front of his left ear had failed to kill him but had exited through his right orbit. taking his eye with it. In the operating Theatre. exploration of the wound showed the tragic truth that the bullet. by some freaki h chance. had severed the optic nerve of his other eye. Not only irretrievably blind. he was severely disfigured by the terrible wound to the right side of his face. Several operations have much improved him cosmetically. but he requires still further procedures in order to retain and wear an artificial eye.

His father. no longer a young man. has had his life totally disrupted in having to act as guide. nurse. reader and feeder to his previously normal

BRAVE BADGER

6

Favouring the Brave

liThe Brave Badger Award may be granted by the Commissioner-il1-Chief to a Badger who has been recommended as a result of an incident showi1lg a commendable act of courage, initiative or 1111I/sual aplomb in a real life situation" (BGR 16-6)

Three Brave Badger award were made la t year and they make for in piring reading. Sf John World hope to keep infonned of future award and 0 as to bring u up to date, we've included details of the previou two Bra e Badger ' The given relate to the badger' age at the time of the incidents.

Gareth Jones , Herts ( 10 years old )

30th May 1989 - When father had a fit whilst they were mOl Ing house, Gareth knew to pu t him into the recovery position. Even though everal adult were present they turned to Gareth for First id kno'" ledge. Thi was the fir t such allack rather had had and Gareth alo helped comfort his mother until ambulance help arrived

Rachel Grindrod, Lancashire ( 10 y ear s old )

9th Jan 1990 - When a door blew .,hut on her mother's toe, Rachel relea ed the roo!' sat her mother down quickly and treated her for bleeding. She also had to paCify her who had become hy stencal on ' eeing the blood. Rachel then gave her mother a pain relie\ IIlg tablet and took her to ho pital.

Caroline Schrivener, Surre y (6 1/2 y ears old )

22nd April 1991 - When her mother collapsed on the kitchen noor Caroline stayed with her and placed her in the recovery position v.hile a neighbour who had been ran for help The neighbour returned and moved Schrivener into the next room v.here she collapsed again. Olicing that her mother wa" hot and s",eating, Caroline applied a cool flannel while supporting her head on her lap. She remained there until the ambulance arrived

Katy Tomkins, Bedfordshire (6 years old )

1OOctober 1991 - As she stood up rrom feeding their cat, Katy Tomkins ' mother banged her head severe ly on a cupboard and Katy placed her in the recovery position, put a cold on her head and rang the doc tor's emergency bUllon (which there for Katy's own sake, who has a severe lung disorder). The doctor did not respond, so Katy rang a neighbour to ask what to do next. She then cal led the ambulance, whi le the neighbour (a First Aider) tended the injured woman. Her mother knew nothing about tim until she recovered consciousness in hospital.

Kristina Burroughs, Gwent (6 years old)

12 th November 1991 - Fee ling unwe ll, Kristina's mother was taking her daughter home bu t as they s topped the car she became incapacitated. Kristina switched off the engine, opened up the house and helped her mother inside. She found the nebuliLer used by her Mother and attached it to her face - coaxing her to keep talking to keep her conscious. he then telephoned her grandmother for help and '>tayed with her mother unti lthe grandmother arrived some time later.

First of many Obituaries

from all corner., of Lanca..,hlre convened on Mount NI t eslie C harle Bamber S RN.1924 - 27th August 1991. Leslie Bamber Church In Fleetwood lor their First nnual arol ervlce lined St John in IIford in 1955 He transferred to Crawley as 0 0 with In allendance werc senior member of t John Ambulanc e an Ie Cadet Divl lon in 1963 , becoming Div. Supt. in 1967. He was made parents and friend.., Dunng the ,>erv Ice conductcd h) Rc\ Johr Serving Brother in May 1981 and rellred from Cadets in 1986 when he gill of tOyS v.a.., made to couter hn.., Creelman of thc 'Pe nasferred to the Sussex County Pool. A highly qualified nurse, Le lie Romania ppeal' The Badger'> also made a ca"h gift of£240r amber left Queen Vlctona Hospital to JOIll Langley London Ltd, the Blad.pool t John onference (sC'C' (Cpo/"{ 11t1l1\ \II£, rtl ) v.h rawley as a Per!->onnel Officer in charge oflhe First Aid department. In raised to {SOO b) thc t John Counlll 178 he was made redundant and returned to nursing at Horsham Bible readlllg!-> v. ere made by Count} Ol11ll1i""IOner Lione opital, retiring in 1990atthe age of66. During hiS life he helped many and Cadet 01 the ear Joanne tcck ot 1\10recambc 01\ I..,ion II the young people III Crav.ley and always had lime to advise them He Fleetwood chlldrcn,> ChOl1 condUlled by \nn (oo","on rend lJoyed camplllg and often went 'on holiday' wllh them. Seven of his <lIlthem Dunng the ..,erv ice Chamnan 01 CounciL Dr Pet t r adet'> are nowquaillied nur<;es atleastclghtjoined the police force, two pre"ented A t Olllllll loner Dr u 1Il HolroYd II IIh her nlt liremen and several Joined the force'; On behalf of all those that erv IIlg Ister 01 the OnJer The orgJlmt 1\ <I'> 1\1<llham Cmp eslle Bamber has helped during hI" life we Wish to thank. him May he '>t in peace (Dad 1l"i/wl/, DO COllnl\ Po o /J

Weight and see

The ledieal Departmelll of BP Chemical-. Ltd head ollice buildlllg at Belgra\"c House London cho,>en the t John Ophthalmi c Ho"'pltal. Jcru'>akmasll chariL\ for 1992 enlor Mctlical Officer Dal It! W""am e\plallled that mone\ I'> ral cd b\ thc eight Watcher'> :rollP who \\eek pay 20p for e\cr) pound the\ loo,>e and 40p for pound the)

g am

rs VAE Trebilcock, died 24th NOHmber 1991. Mrs Trebilcock ined the Bngade In 1954 as a member of Swarthmore Nursing vision, Plymouth and became the County upt. of the St John County E Cornwall and S W Devon In 1974 she became County Supt. of evon and remallled so until retirement III June 1983 Together with her sband. Mr R Trebilcock, "he served on the t John Council for a mber of year'> qUiet lady of great undeNandlllg and kindnes Mrs Ilcock always con'>ldered the underl} IIlg pre<;sures of lad} member ing out their Bngade dUlle" de"'plte family re"pon ibilities and ible problem'> he v. a diplomatiC at all times and especiall} when re -organisatlon or count Ie" brought W Devon Into the establi hed unly or East, outh and 011h Devon Her sympathetic approach t that there were fev. problem'> III the dovetalllllg of County and rea talTOrficers Into a happy v.orklllg unit. he "'as made a Dame of Order In Ma} 1983 ( 'viIS MD Lal ('r s , Dl'p Ct y C om W Del'OlI)

IIlce I\e begin the ne\\ charity year j u t helnre Ro Korda, died No, e mb e r 1991. It IS With deep regret that fal'>lIlg tend.., to gct onto a !lV'1I1g he aid have to report the sudden death ot Mrs Ro..,emary Korda, urslllg l\lone y I'" <IT,>o b} bnrrt)\\ er from the Dcpar upenntendent of Idmouth urslIlg DIVISion Rosemary came to lending library of boob, tape,> <lnd I Ideos I"hlch include "'0111 1: ldmouLh In 1958,1110\ IIlg from MlIlehead III She qUickly Aid from St John At thc end of the ye ar the fi nal "um i doubk dxame IIlvolved III cOmmUnll} work and eventually Joined St John as a Company under Ih Matched GI\ IIlg )chemc I)I"tcr member III 1966. She gave herel! the nickname of 'Twiggy' (as admllll'>ter,> the "cheme ,lIld commen7ed " Thi" h ,I \ en 1\ Ie was the exact opposlle of the famou'i Sixties model) and many will and we are all gOing. to work hard to upport it during -the ycar member her by It. he was promoted to Corporal and III recent years \\ould not. however. he per uaded to put a foot on thl' '>calc" " r 'ok on the challenge of DIVISional upenntendent. he went from Weight atcher wa.., not looklllg rength to ,>trength In tillS role de'>pite the deteriorallon of her health

Re:cycling

Idmouth Dlvl'>lon reLentl} gave oVt.:r II IIQ and facilltle" to the and ornwall pol ICC and Idmouth Road , alet y Llnit in a public exerChe a,> part of Cycle Safety Day Cycll'>h werc Inl lied to rough asthma othlllg '" too much trouble and she ne\ er said' no' any request; rather like the current advert , If she couldn't help you, she knev. somebody who could! he will be greatly missed both III gade and the community Ourdeepe<;tcondolence to daughter. (KB Mllckelf , Di l'! lip 1e/1II01lIh) - = ••

Back in the fold

t John HQ and hale their blkcs checked over and !.?llen a "ecur _ apparently mo..,t of the bikes pa"t scrutiny eaders LO know that Tandlsdale Medical of East Suscx arc Meanwhile Sld1l1outh· annual In'>pecllon la"t ovcmber \ )W ba ck the and marketing their 0'" n product range or Sussex prescntallon of long ,>ervlce awards to the follOWing : 0 1 lin! Resuscltallon equipment. There is no change In the structure of the Mitchclmorc (5th and 6th gold bar); 0/0 Vernon Youn g Hth and Arthur tells us he is still in control a\ ail able to DISupt KB Mudell (2nd oar); AIM Philip Cav.k y (2nd bar.l P With any We have had a very personal relationsh ip "'Ith Chmtopher Pinney (long service medal) pecfal ervlce hleld any John Bngades 111 the past and wish to continue doing 0 in th e to AIC KeVin Bowler ( 1,{)()Ohr..,); IC Samantha Johan'>on (500h l says " We have made an effort help?y C Kilty Johanson (200hr'», I Emma oilings (2()Ohr ) <Ino A " ardorourqualitypeIf01l11anceandsafet) TandlsdalelsaGMP Kay ( 1OOhrs) glstered company and can be contacted on 034 282 3271

If you're looking for a venue to hold a fa hion s how in aid of St John, then you could do much worse than the ancestral home of the Earl of Lichfield The pre en! Earl i Deputy Count) President of Stafford St John and not only donated his home for the recent event, but al 0 the evening' , champagne and the main raffle pri7e -a portrait ittin g to be ta\... en by him elf. The fa hi on , models and other prize" were donated b) Fa hion Hou es in the Stafford rea. Local St John supporter" \\ ho allended included th e Mayor and of tafford. repre"elllatl\C" from the Princ e of Wal es Trust, Ta1l11aC and GEe. mall additional detail. tatTord St John that it can't provide photographs of th e sho\ security restriction" a t hugborough rorbid camera presumably this mU'ot be rather incol1\'cniclll for the present incumbent as .\ell! Februar) 1992 , J o hn W or ld 7

"OVER TO YOU J@>HN'J

The National AppeaJ tor Sf John Ambulance

.Fellowship Column

Sheila Puckle \\ rites: 1111'> month I am pleased to report the lonnati, 01 the t.:le\ emh Chapter (Ie Branch) of the t John Fe 110\\ "hIp III una - and the firq In the Pro\ Ince of a"Lltchc\\ an: as"atoon hapter. ",,"atche\\ an. Canada ontact Mr" Ea"ter Bluett. I Rue G '-IoI1h. <)a""LlIoon. S "atchewan 7L:' 7. Canada. There arc no\\ 27 mersea" Branche regIstered "t I)t John'.., "lIea. I belIe\e -,c\eralmore Irom \\ hom \\ e have not heard The hre<I"dcmn ustr,IIIa. 3: Canada. I I. Ne\\ lealand 7 outh \fllea 2: ' JLln/Jllla TnnldJd.WJ. I. Lganda. I. IlmhLlh\\e Member.., vl"llIng in either dinxtlolll1luy ""e to contact the near Branch II ted In the Fell()\\ ,hlp Branlh \ddre,-,e LI"t. The;. \\i,; know. rccel\ e a gre,ll Weic,ll1le.

Recelltly lUi s Lillian Colderley. {[ member of Ihe Glr Manchesl er Brallch oflhe FellOlnhip. cell'lJra led her 90th Birthday Lady H e\lbury. Pres ide II I oflhe Fellvw,hip, .\£1111 her a special card. Hin (oldl'rlcy h(l\ allowed iO 10 publi \h h er fl'ply.

Th,l11"yOU \I:r) mUlh for your card and letter and than" to the peron \\ ho paInted uch a 10\ 1:1;. card. Herei"abncroutlinenfm y Lon nectlon \\ Ith t John mbulance: Joined up appro\. Il)2.3. paId lor b;. m;. employ l'r. a Cllt' manufacturer After threl: year + medallion \\ e \\ ere enUllll,l!!cd tLl Jl1 II r-...laJe ty ·' en icc mohlle \ AD I chu,e the R.o y ,t1 '\,1\ \ 1\1 to lour .1\ .II HO'>Plt,t1'> at three year Inten LII-, I e,lmed 111;' \[) SI Bar on completing 12 year, \\ ilh drill and the)1 John Al11bulance L en ICC \1cdal.

In 19 W was called up to the ROyal '\1,lr1ne lnfll1l1ar y al Deal. a \\ Ith one othcr memher from Bolton about lour I)t John Hnd thrce R ro<,s \t 0". a numher 01 SIC" Benh \ltendanh ,lI1d ,ome rcgu doltor and nur"e We belame '-10 I CI,u,llt) !carillg I)tallo11 Dun"-Ir!":. Q.cllin!! Ihe Ll\\ ful cordllt: burn etl Imm the bombed ,h rr Alter feli. De,11 became the front !tne allt! \\e \\ere evacuated llcsler. In tllne for the B,Htle of Britalll \ly ne\t 111m e. \\ Ith a doctor Ister and a small number 01 ,1\ <11 per\onncl. \\ a-, 10 II1\,1 S \t ulture Padslow. \\itll Ihc Fleet All Arm. Allcr II was buIlt up we \\cre bomr. and a large portIon or our SIC" Quarter" disappeared '>0 ,111other hO\pli wa" opencd ncar b)

A Iter some IlIlle there had an acc Ident ,Ind \\'a" tralhl'elTed Plymouth I trained 111 denIal "urger) ,Ind \\or"ed 111 a large C,lI11P mosll) French naval per"onnel. I no\\ lIead "-iur e Thl:n I \\,<1" for Intel'\lle\\ wllh Lad\ Loul" Mountbatten and Dame Ben I O!t"eO ""a" app01l1ted VAD COl11mandant at llM S We-.,[clIflc V\-hen the II wa over thl'> cstahiishmenl ""as translclTed to HMS Roseneath I II demobbed in 1947 arter 20 year.., <I" a aval VAD. 0\\ SF I \',cnl a nul"';c for X ycar III Indu'>lry and rellreciln 19()5

Now a fraIl old lady of 9{) year,> I "tIll tl) 10 help olher" I am prol 10 have crvcd my country and Idlow men and I al11 happy to havc h, the pnvilcgc ofJolnlllg Ihe <.;t John Fello\\shlp. l Our... IIKef( Lillian Colderh

If you suffer from arthritis, muscular dystrophy or sight problems, you may have difficulty operating your gas appliances.

So, to make our controls more controllable, we've produced a series of special adapters.

They range from easy grip handles to ones with braille markings which can be Simply fitted onto a great many of our cookers and some fires, free of charge.

Our specialist advisers, who can be contacted through any gas showroom, will tell you about the adapters and the other ways we're helping older or disabled people.

.0 Like the 'GasCare Register, which we use to improve our service to older or disabled customers by recording any important needs they may have.

If you'd like even more proof of gas' controllability, or our oc , cc , 'Commitment to our .0 .c fill in the coupon and send it to British Gas pic, FREEP05T, Box 61, London NW1 WH.

William \rtlllir I i.lIlsiord

la) hc\\

\!lark Jagg hl\\ IeI' \Iii IlS \tR(( ;I'IlRCOG

Pomro)

Serving Brother or Sister

The Early Days of the Air Wing

Article about the Air Wing in many magazine and publication have been hown to be incorrect in th detai l relating to the years 1971 to 1973 . Regrettably the e include official publication of the Order of St John, 'A CentUl) of Sen 'ice to Mankind' and 'The History of the Stlohn Ambulance Ai,. Wing'.

The en'or however do not dimini h in any way the tremendous contribution that the volunteer pilot and controller have made in their humanitarian endeavours.

The Ambulance and Nur ing Divi ion in Epping wa fOlmed on 15th September 1970 by Divi ional Superintendent RA Peedle formerly from London Di trict, at thereque stoftheCommi s ionerforE. , ex, the late Captain RJ Wen ley H e was

and a ', tance I' Mr J Martin , a fellow Policeln pector MrPeedl i ' notapilot, so hi s colleague" e pert advice as a c urrent pi lot and former jet pi lot wi th th e RAF was invaluable Jim Martin had become involved with t.John m mhers as para huti s for re cue mi sio ns Thi s id ea did not come to anything and was abandon ed.

A seco nd m ee tin g was ca ll ed on 0vember II th 1971 at which Mr Pe die wa.., a ked to take th e c hair H e presented a paper for discussion on th e fornlation fa new organi ation initially ca ll ed the t. John Air Auxiliary Service. Prior to thi" meeting, he had rece iv ed a reque from a taff Officer at Bri gade HQ to c h ange the name to th e t. John ir Ambulance Wing. It changed to it curre nt title ome three month later.

At that seco nd meeting the pilots present accepted Mr Pe ed l e's propo als and were

volved with occured on th e 8th May 19"

WhiL t the co ntrol r om, which open for bu in e in Febuary 197 2 to coinc h with th e start of th e Tissue Typing entre Bri stol , wa , being se t up by Mr Peed quadron Leader Pat Patti on, who came hi ef Pi lot -la ter ir Operation sC ordinator - and hi co li agues were WO ing hard to increase th e numbers of pill a ailab e to the scheme across the COUnt

This was a hi eved with grea t succe S, 4 soon group were spri nging up at aime all over th e country. Pil oh TonyGysel) n and Malcolm Maclaren from W ycom ir ParI<. flew th fir t Air Wing MiSSIOn De ember 1971 an epIc night later subject of the T programme. thl priorLotheoperationofthecontr I ),tt it had been arranged directly between London Il ospi tal and Mr Maclaren. It igni ficant that th ere had b: agreement wi th the Ti<; ueTypingC tre to have a 'dumm) , run, but 1 a isted by Mr W Borle y (then a Poli ce Con table at Waltham Abbey). Bill Borle y took on the job of finding

never came ahout because of the nl :, ber:-:. of real mi lon , the fir t organ through Mr Peedle at the - pping C accomodation for the new Di vi. ion.

Hi s seco nd call wa to Mr Pat Bowen , the Secretary of the St Marga ret 's Ho pital at Epping who agreed to suppl y a m ee tin g place, free of charge. In December 1970 Mr Bowen agreed to become Pre ident of the new Divi ion.

The merc y flight from Epping to Germany in September 1969, reported in Chapter One of the official hi tory of the Air Win g, had no direc t bearing on its formation. The fact the fli g ht had taken place wa of use to Mr Peedle in ga ining Bri ga de HQ authority to justify a mall li st of Air Attendant to be held by the Divi ion to supplement a local Air Ambulance facility at Staple ford Tawn ey airfield.

The London Ho spital called a meeting of Pilots in October 1971 by means of an advertisment placed in the Aeronautical pre ss. The idea was to involve private pilot s flying their own aircraft, to move kidney s required for tra sn splant in th e UK and Europe at times when ordinary commercial facilitie were not available.

The St. John involvement came about through Mr Peedle, who wa then a Police In spector at ew Scotland Yard 's Traffic Control. Amon gs t hi s dutie s on occasions he had to arrange for the pol ice tran sport of kidneys. Ignorant of the advertised me eting, he approached Profe , so r Blandy of the London Hospital independently with hi s own ideas to form a serv ic e to use private pilot s within St. John These idea s had be en formed with the encouragement, advice 12 S t Jo hn Wo rl d February 1992

enrolled a Auxiliaries to St. John atta hed to the Epping Di i..,ion. That date 20 ear ago ca n be considered the true birthday or th eAir Win g. The following month th e ir Win g was transferred, alon g w ith Mr Peed le to E sex County HQ , and ear l y in 1973 it was again mov ed, thi s tim e to Bri gade HQ , Mr Peed l e being appointed th e first and only Air Win g uperintendent, from w hi c h he resigned in Febuary 1973

Finance for the start of th e Air Win g was provided on th e 24 th January 19 71 by a perso nal loan of £500 from a banI<. in Epping, guaranteed by Mr Pee dl e and Mr Anderson, who became th e treasurer. This paid for the fir stAirWin g Flight which had taken plac e in December 1971 to ancy in Franc e, and for th e costs of se ttin g up th e first control room

At thi s ear ly stage, Mr Bow en, .., till Secretary of th e Ho spital , placed a sma ll room at the Air Win g's disposal for u sc as control. Aft er May 197 2, Mr Bowen became a member of th e Air Win g Committee to repr ese nt th e Ho spital , and later he became one of the very many volunteer controllers, working und er th e late Win g Commander Harry Drummond, rhen Chief Controller. Th e first mission he was in-

aircraft into London H ea throw co ll ec ted drug s from a Jumbo Jet ju st arrived from America that were urge ntly needed in Yorkshire, was not charged anything for th eir erv ices thank s to MrGill 's Th e other error di cove red in th e official hi story about the ea rl y day of th e Air Win g on pa ge I to 23 are minor, but tho se mentioned above si g nifi ca ntl y chan ge the record. "A Century of Service to Mankind", amongst other mistakes, wrongly credit Mr Bow en , Win g Commander Drummond and Mrs Bowm an as found er s of th e Air Win g. The only tru e founders were those pilots and m ed i ca l staff present with Mr Peed e and Squadron Leader Patti on at th e meeting at London Ilospita l on II th ovember 1971.

It is specu lation toconsiderwhat would have happened had Divi siona up eri ntendent Peed l e not co ntac ted th e London Ho pital when he did 20 years ago. 0 doubt an organia tion would have arisen, but not under the umbrella of the Order of St John.

The Northampton Moat Hou se Hotel was the venue for ome 90 St John Aeromedical doctors and nurse over the weekend of 22nd to 24th ovember.

trol on the 20th Febuar) 1972, ih pi h ing Pat Oalli on and Boh Paterson

Many people helped to achIeve the Wing\' initial ucce '" In th e fiN mO n!

Franci... pear, Managing Direct or pear\' Game 'Aa a olun eer pilot helped to ,>ct up the control room and "stem.... r BO'Acn In hi'>

H ospital e retary, arranged for a carp ter to a<; , isl.

The l. J hn mbulance Brigade g its seal of approval to th e heme on the D ecember 1971 at a meeting at Gros\ e/ Crescent attended by Mr Peed le and Commander of l. John for Esse ,\. icholb-Palmer. Thi,> 'Aas reinforce d th e 3rd October 1972 when the then missioner-in- hief, General ir Will Pik e made a fonnal visit to Epping to m the thre lead in g figure'

th e Air Win g at th tim e, Mr Peed l e, Officer, quadron Leader Patti so n, en Pilot, and Win g ommander Drum n ChierController. H e abo v si ted th e Divi sio n und er its th en uperintendent

Bill Borl ey and its Preside nt , Mr Pat Ball o-operation with th e armed seli li had been obtained throu g h th e good offi of quadron Brodi e of th e MOD enabl us to u se RA F, U A F and R bases free c harge. Similar arrangements were !TIl throu g h Mr Gill of th e ivil thorit y for use of major UK airfield for emergency ni g ht s. Francis pee r,on o occasion n yi n g hi s minut e si ng e engli

The Order of t John takes this opportunity to expres,> its regret to those who e names were omitted from th e various publications, wrongly attributed to part<; they did not play or w hose con tribution s were denegrated in writing. The Order al<;o wi she to highlight the in aluab l e ""orl<. incel971 of all those involved with the op ration and admini,>tration or the Air Wing, and expre s it. extreme gra titud e to the dedicated men and women bo th on the ground and in the air who have enab l ed the organi'>a ti on to achieve the sLlcce'>s that it has.

To date the ir Wing has undertal<.en 2,457 mi'>sions.

f,The St John Aeromedical service is always , ' on the lookout for suitable doctors and i" nurses who could be r to take part in its , repatriation service, which .• is r,u"n in conjunction with the A.utomobile Association ": through its Control Centre at : Sasingstoke. More informa, tion is available from Lt Commander John Hammond at St John Headquarters, Grosvenor Crescent, London SWl7EF

Amongst those attending were nine new doctor and ten new nurse recruit'> to the 'ervice, who joined in the inten ive training programme devised by Lt Commander John Hammond, the t John Aeromedical Controller and Dr Frank Preston the new Medical Director ( eromedical).

fter an talk by Dr Preston on the Saturday morning about the change<; 111 the StJohn MedIcal Scene, the student were broken up into t wo gro up ,>, th e new recrui t pending the morning wit h Dr Mike Glanfield, rhe Medical Director AA St John Alert on ba ic aviation medicine and phy iology, followed by H arry Garnett the Equipment Controller at Manche ter Airport on equipment requirements and airport procedure'>

The expenenced hand attended lecture,> from Mr Keith Giles, FRCS of the Li ter H ospital. tevenage and Dr Harry Baker, Medical Director ( R esources) on trauma and spinal injurie

Saturday afternoon wa pent on a talk by Dr Pre ton on "The Way Ahead". and there were outstanding presentations on "T he Medical A pect of Aerobatic Flying" b) Mr Jo hn F1I1h, FRC , who was himself a former member of the Briti h Aerobatic Team and i: an eminent neurosurgeon at the Queen' Medical Centre, ottingham.

G ulf log istics

The second by Air Commodore Colin MacLaren, RAF Director of naethe ia v. a on the "Medical Logi tic of the Gulf Campaign". Much di u ion followed on the medical equipment u ed in the Gulf Campaign and it pill-o er to po ible ue in aeromedical worL The evening v. as given 0 erto ocia li sing and aftera very nice reception and dinner, many danced until the wee ' mall hours.

Sunda morning began wit h a very good pre en tation by ara Read, the Medical Assi tance Co-Ordinator t Joh n Alert on a review offive hundred or o ca e: c eared though th scheme so far in 1991, together v. ith .-ome e ce ll ent slide , shov. ing among"t thing a compari on of the airlines handling our repatriation: - glad to Brit ish Irwa s came out tops a far as efficienc) i. concerned, \\ hi Ie others v. ere not so good ara was followed by three eromedi al rrendant. v. ho gave us the benefit ome of their experience in luding arion Minel ta dt and urgeon Lt Commander Marl<. mith of HM eptune" who rold us a halTowin g tale of a repatriation from 1 lamabad. w hen he and hi co ll eague anived in the middl of a hooting ""ar. H e also recalled th e airline Captain who go t down on hi s prayer mat and prayed befor en terin g th e co I-.pit prior to tal<. e-ofr. Dou gla Durbar rounded off the session with a dramati description of th e reco ery of a patient from La gos , igeria - he and the patient alTi ved to Ii nd th ei r plane overboo l<. ed b 160 pparently large amounts of ready ca:h - preferabl) dollar - are ne e sary to smooth one's pa age alld officia l palm

Dr P ter Emst a Chailman of the Equipment Worl<.ing Par) of t John eromedical. gave us an up - to -date report on their deliberation panicularl) abou t the iti ng of irpon Equipment tores, and th difficulties in reac hin g thes \\ ith th e e\ cr-increa ing den"lit) of road trarri ( th e M25 was d scrib d as the largest parl<.ing in Europe!). Thi"l can play havo c in catching aircraft at H ea throv. and Gatwick. Finally he demonstrated some interesting new monitoring equ ipm ent and sp lint s.

The final spea l<. er \ as absent due to intluenla, ne\ ert h ess th e tim e \\ a filled in \\ ith an op n forum on matters of eq uipm nr. II in all th e w ee l-. end \\ an c \trcm el) \ aluable ge l - to ge th er for both th e estab li hed ir tt endants and nel,.\ member. Fcbruar) 1!)!)2 t John \\ orld IJ

Barbara Rayner

Th e th e m e of thi year' Na ti o na l

Youth C o n fe re nce wa th e b ri n gi n g to ge th e r of th e Yo uth m e mb e r hip

Al as, th e b e t effo l1 of th e Cad e t

a nd Tra inin g D e p ar1m e nt co uld n o t

preve nt d e lega te h av in g to p read

th e ir acco mm o d a ti o n far and wide

ac r o th e C it y of No tt ing h am . A numbe r eve n co n pire d to h are a ho te l w ith Star Trek fan a t a L eo nar"d N im oy co nfe re nce

The way forward for B adger and Cade t forms part of a St rategic R eview being undertaken by National HQ. I t purpo e, according to the Director, Cadet and Training, Jim B ond, i "to develop a bu ine s plan for StJohn mbulance and to help and nform H Q in it thinking." E eClltive Director Tim Gauvain ub equently elaborated by sayi ng that the R eview aimed to addre wha t wa being achieved, what till needed to be achieved, how the organisation hould re l ate to outside agencies and how best to further the development of Equal Opportunities.

After the 'bu ine plan' came legal development - namely the Chile/rem Act designed to 'promote and safeguard the we l fare of child ren'. Thi contains new regu l ation on chi l d minding and day care and require leaders and premi e for groups with meetings l asting more than two hours to be regi teredo It ha obvious implication on core activities uch a outing and camp.

ext came the conference' special guest peake r, Jean Lockley from the SPCc. Sh e took up the theme of child pro ectio n by ooking at the ue of child abuse After r unn in g through the different types of abuse, t heir feat ures, ide n tification of pos ib e victims and al. 0 abusers, she t ressed the key role that trust and protection m ust play if abuse i to be brought to an end.

D el egates were t hen sp li into workshops to d scuss possib l e scenarios and t heir response to t hem. Particu l ar y thomy was a scena r io desig ned to raise the quest io n of w here discip li ne ends and abuse begins. T h is concemed a fat her who had bea ten his son for taking his camera o sc h oo and swapping it. T he other two 14 S I John World February 1992

cenario on emotional and e\ual abuse evoked a more clear-cut re , pon , e. The latter concemed a grandfather on probation for abu , ing hi ' three young granddaughter. One delegate recommended he be ca trated. nother wa reported to have 'aid he be 'put down', but ub. equently pointed out that he had actually aid 'sent

The question of how to proceed was an wered in the fonn of practical ad\ ice, , howing how to enlist the help of profesional in monitoring a possible victim of abu e.

Danger Within

t was a brave delegate indeed who voiced concem about the possibilit) of dangers from within youth organisation Jean Lockley confirmed that they need to be wary when recruiting nev" leader: "Pre iou abuser are likely to re-abu e and to get them elve ready acce to children via out-of-school activitie Your organisation might be one of them".

Fundraising was next on the agenda with a ta l k from Rick Hindley, Regional ManageroftheAluminium Can Recycling Association (ACR ). an recycling generate £2m a year for chari tie and similar organi ations so there seems a clear argument for not jus t rattling our tins but recyc ng them AC R A is to l aunch a competition to find the greenest Cadet Division and Badger Set, with over £ I ,000 worth of prize money and a' Magical MysteryTour' incentive.

The aftemoon session consisted of works hops on everything from how to be heard (,S tand up and Talk') to how to preven t everyone else being heard - a l east that was one assessment on t he rowdy workshop on 'Games'.

The new Cadet video was hown, depicting vo l unteers on duty at a Simple Minds conce rt , going on camp, and even working with the fire brigade. The message

bing that t John y uth gets b th seen d heard.

Jim Bond rounded the da ofCb), lot ing I' rward to the adet \ 70th Birtha • hallenge before initiating an evenm entertainment that in luded a de'>pem energetic Highland Fling. • unda) saw feed bad. from the F gi ns on \ arious tOpiCS. the mo t emm of them (a'> e er) being that of unifol'" Delegate were II1formeJ that Jrcs'> reg L tions v"er under re\ icw \\ ith the ain redll ing the number of badge w ithl dimini hing the recognition of achl e' menl. " 'm concemed about mcmber,er • Ing up li"e hristmas tree cried r delegate.

The hi I' Ho pltaller. Ir God l Milton Thompson. ga\c a much apprr ated presentation on the Ophthalmic H pital and commented that prolllOtll1g 111 1 est in the \l'Od of the Ilo'>pital v. a e\er) as important as fundrai..,ing for it. He \ followed by Jyoti minand and u an RI who reported on the aim'>, progre future of the allonal Youth ouncil. coffee break pro ided a chanc e atch' ews at Ele en' - a 'special ne broadcast' on the progres or the OT appeal- before the conference mo\ edor consideration of the arc in the oIII 11 nity programme.

I an Moody closed the conference re-asserting that both the adets and Bal ers were "ab olutely vital to t John lance". currently at fonl1ally integrating the Badger into Brigade and will be out a paper the Counries for their COlllments.

The conference was enonl1ously P () tive and the links between t he Badgers a the adets were clear y strengthen, through tackling is<,ues of common cc cern. As the delegates ert to go their sep rate ways there was no d ubt that. mel phorically at least, they struck OLit up their rou te very much together.

Putting money to work is our business and on e of our priorities is making a large contribution to the needs of the community, including the young , elderly and those who are disabled, disadvantaged or unemployed.

W e are one of the largest corporate contributors to the community and intend to remain so.

This year Barclays will again support a wideof community actIVItIes r a ngIng programme including charities and employment generating initi ative s - both fInancial and by way of secondm e nt of the Banks staff.

We a re proud to be an integral part of the community a nd to be able to play our part

In building for the future.

We prosper on community strength. We aim to ensure th at the community continues to prosper on ours.

According to Nursing Director David Nobbs there is a 'terrific hunger' amongst StJohnMembers to get involved with Care in the Community. But while a lot has been said about it, very little seems to have happened since the idea was first mooted over four years agostarvation, rather than hunger, seems to be setting in. In 1992, though, things are going to be different.

and HQ's new Community Care Project Manager, B ·

Let' tart with the Pro g r a mm e which, although it get blam e d for all the world' evils, i ac tuall) a n a tt e mpt to tackle the probl e m of recruitm e nt into t John Ambulance. The Ca r e in th e Co mmunit project eem to otTer an opportunity toenlarge the pool of\ o lunteer that the organi ation can dra" on.

We 're lookin g at a ditTerent kind of recruit. I that a fair int e rpretation ?

o -Y e'>. Membership is on thedecline, be it notdramatically, and 1thinl-. we hould be targetting a to tall y different kind ofper'>on - maybe young man-ied mother who have time on their hand,>, maybe retired people I believe too that thi'> i'> a wonderfu l opportunit y for Cadet - under '>upervision - t h ave a h ands on involvemenl wi th t John.

To o ofte n th e Cadet'> are not regularly used

I'm ure thi s w ill h ave a spi n -off in he lpin g U keep recruit · in th ose diffi cu lt year'> between 16 and 18 w hen th ey don't know w h eth er th ey're cock o r hen.

Man y Divi ion ,A rea and Countie a re tatTed by people who might ha e a problem with thi s The y perhap tend to think of likely recruitment area as being medical environment like the ambulance service, or ma y be even venue such a s football ground . I dou bt whether they would eethe pointofa recruitment drive in, shall we ay, a WI meeting.

o - I thlnl-. that I" one of our problem". There arc tJohn in var) ing position" '" ithln tht.: orgum tion [ might add, \\ ho arc \-el") hlln"'er The; "ee the"" orl-. of tJohn a., purely F id and \\ ill not he .,uPPOI11\ e to U proJect. a nur"c I fccl that nur"lIlg I' th e doldrum" in t John (\\-atch me gr rocl-.et for .,a; ing thi,,! ). Here I" a chance nur"in g to be dra\', n to the forefronl.lt·, Ior u" to man-) FiN it! aring - becau'>c I bcl e\ ci t \u// caring.1 not \\ here one .,tart'> and one are in rhe ollll11unit) '" III ("O/7/fJ lt '/J [h e worl-. of tJohn I [\ important to that \\c hme no in tcntion of changing' cour.,e of the organl.,a t ion.

That open up another, e \. e d que til Volunteer for ' are in th o mmu nl might object to learnin g a n unn ece a amount of Fir t Aid. At the arne ti n man. exi tin g St John m e mber aL 0 re ent there b e ing uniform e d mel ber s who are not full able to cope \I a wide ran ge fFir t Aid ituation H I do yo u ee the problem r e 01 in g it e

ON -I think it fits in wi th th e Ener Prog r amme, w hi c h docsn ' mal-.e rhe [r.h tion al F irst Aid courscs cOl11pubory. PI pie can do a ari ng for th e icl-. a B asic Life upport and th cn bclong to Jo hn mbulancc

There ' s a new dea on many un form items In 1992 , buy d rect from SI. John Suppl ies and save £'s.

Many uniform items w ll be discounted to ess than August 1991 prices and all prices will be fixed for the whole of 1992 so that you can budget for the year

All of the garments , and accessories will be of the some high qua li ty , there will be no reduct on in standards - only lower prices on many items and , of cou rse Privileged Customer Card Ho lders are entitled to free UK de ivery of thei r orders No minimum orders or hidden

We want you to be completely satisfied . ..

During 1992 we will be sending a simple easy to complete Survey Fonn with all sized unifonn items. Your replies and comments will help us continue to provide unifonn gannents to the highest possible standard and fit

We need to know if the gannent meets your expectation in cut, size and fit. The Survey will take only minutes to complete, just pop it in the envelope provided (no stamp needed) and send it back to us.

To thank you for taking the trouble , each month ONE Survey will be picked at random The lucky winner will be credited with the cost of the gannent on the completed questionnaire, e g. if you complete our questionnaire for an Ambulance Member s Jacket we will credit your Privileged Customer Account with the selling price shown on your invoice. We will publish the winners' names in Supplies News. Only one gannent per questionnaire will be eligible to be selected All we ask is that you complete the questionnaire within one month of purchase.

Your co-operation will be much appreciated and we look forward to your comments

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THREE FLASHLIGHTS

FORM

Yes. But there are, I'm sure you'll agree, members who find it an outrage that people can wear St John uniform without extensive First Aid knowledge the uniformed and the uninformed!

ON - People h(JI'f said that in SI John World about the Energy Programme. I don't hold to that point of view. 1 think we need to speciali e, but at the same time I think it's right that our members have a understanding of Li fe Support. Care In the ommunity requires people to do Caring for the Sick level I, when they will be able to work under supervision and level 2, when they will be able to work unsupervised. [n addition to that they also have to have Basic Life Support knowledge.

Perhaps we're putting the cart before the hor e. An awful lot of drum beating ha gone on about Care in the Community - but it seem to me that there i very littie specific information to be had. Other thanOot Gullher' admirable\\ork with the pilot Sarum Communit) Oivi ion the whole project eem to be a kind of chimaera. Where exactly i the Care in the Community programme now?

ON - Well. the pilot scheme that you\e mentioned continues, and we have made inroad'i into about eight Counties. We've done the 'seed-so\\ing' e ercise. We've tal"-ed to both profe""ional nur"e.., and members \\ithin the Brigade. [ have ju"t sent a lettertoeach County and in that letter there is ajob description for a ommunit y Care Officer (CCO) and a diagram to "hov. ho'v\ the) would fit Into the e\l"ting structure. We are in fact on the verge of appointing our first COin Berkshire. Our 'bu"ines plan' this year i.., to get into a minlmulll of twelve counties and we aim to get into every county v. ithin about tv. a years.

AMB -[ think it \ important to pint out that there is a lot of Care in the Communit) going on anyway. You only need to 100"th:ough the nev. spaper clippings to find thlIlgs like wheelchair exchanges, Oi\ ita"-ing people shopping at hristmas, bathlIlg service" and so on. It \ all v. hat "', would call Care in the Community. The thing is to get people to re ognise this and not .to be antagonistic. We're loo"-ing at havlIlg a video made and we're pUlling a training package for people v. ho will be dealing with volunteers. We al"o hope to run a couple of regional training days this year when we have o-ot some CCO\ in place. C

In sence then, Care in the Community UnIts at Oivisionallevel will work unde'r th d' e IrectlOn orcco atA.-ea and County level, who in turn will be able to call YOurselve at National HQ.

ON - The Care in the Community project is clear ly within a nursing directorate and will be managed by professional nurses. Administering the links with agencies and voluntary organisations can be very complex. The funding mechanisms are equally complex and we hope to provide guidelines forthem shortly. This is an area where people have to proceed cautiou Iy. There is a lot of education to be done and that is why we've now got a Community Care Project Manager at ational HQ, Ann Marie Barnard, who is a nurse herself.

Hmmm. No doubt you are aware that initiatives that emanate from Grosvenor Crescent are often re ented because they seem too much like directives

AMB - You can't tell people who are giving theirtime voluntarily what todo. We're here for them, not the other way around. What v. e' re working on at the moment i., an 'asse.,sment of needs' package, so that we can give people a .,et of guideline a..., to how to as e...,s the need., in their locality. We won 'tjust ..,ay 'geton with it'. There will be

''It is the current philosophy that people who are mentally ill should be in the local community, but the reality of life is that the community doesn't want these people. "

a framev.ork for them to tructure their initial re oearch around.

ON - The ea.,iest wa) to as , es. the requirement is basically to ...,urvey two group , of people : the profe , ...,sional..., - GP.." Community urses, Oi , trict ur e the Communit) Health Council: and the charitable groups - organisations uch a the Allheimer.., Oi"ea e 0 iet}, geConcern, Help the ged and "'0 on. ft r Counties have assessed their requirement \\e will then go /Jack ro them to a,' sist them in developing projects It's very important that the e are based on local needs. What is appropriate in Birmingham, almost certainl) v. ill not b appropriate in Cornv\ all.

And what happen when you meet - a you almo t certainl) will - the ommiioner 'w ho ay 'Thi i not happening in my county!''?

ON -I thin"- we've alI'cad met him! P 0pie arc oft n entrenched in a 'First id \\ <1) of thin"-ing' and it comes do\\ n to friendl) p rsuasion. We hm e to personal con-

tact and we have to try to sell it to people One of my main 'pitches'. if you like, ro people who are not too enamoured of what I have to say, i., 'can you afford to get left behind?'. There is a certain amount of competition between the Countie..., and if something is seen to be .,uccessful in one area, then other people are going to want to look at it.

AMB - It is the way forward. There i" an overwhelming need for voluntary organisation<, to get involved Community care i.., the present government etho'i for health care - the street., of London nov. are full of people who need to be in care and 'Who are not. 90O/C of Care in the Communit) i..,n·t provided by .,tatutory health care, it\ provided by family and friend'i and the burden on tho e people is huge I f people can't "ee the need for it, it's a very sad thing.

Alright, is it nece ssary? One hear a lot about people who are incapable of looking after themselve being 'thro\\ n onto the treet '. No doubt, though, there are many Telegraph reader who conte tthi view; \\ ho argue that it i a fal ehood put about b) people who want to pre ent the Torie a a party that doe n't care.

ON - Well. I'm a 'True Blue' otero \ ery actively involved in local politic, and [can tell you very definitel) that the problem exi ts. I am not happy v. ith health care at all. [t i..., the current philosoph) that people \\ ho are mental I) ill hould be in the local community. but the reality of life is that the community doe...,n 't \\-ant the e people. M) experience in the earl) day of rehabilitation i that there \\ ere a lot of people in p ychiatric ho pital...rhat hould ne\ erha\ e been there But the pendulum ha..., v\ ung from one extreme to the other and [ bel ie\ e no\\ the \\ hole i.,...,ue mone) -led. don'l belie\ e that qual it) of care i" in the forefront.

That open up another i ue. t John. de pite the pre ent drop in public donation to charitie acro the board, i relati, ely ucce ful in it fundrai ing endeavour. The public and corporate donor are c1earJ) \\ iIIing to be a ociated with an organi ation that doe a nece sary, non-political job at high profile event. " ill be a \\ illing to upport one that a ociate it elf \\ ith taboo ubject like mental iIIne and chronic ageing?

ON - [don't nece..,...,aril) agree \\ ith you. It would. though, be a mi...,ta"-e to thin"- purel) in tern1" of caring for the mental I) ill. For example. the late t polic) in hospital i\ to discharge patient..., carl). To "omeone around for a couple of da)" - c\ n if it".., onl) 10 get some food in - i" \ er) imponLlIlt. [n all hone..,t). ulIYlll/llt! could be cmered.

FebrUClI") I t)t):2 St .J oh n \\ orld 17

AMB - Ab olutely. Think abo ut th e carer th em elve On e in ix peo pl e in thi co untry are caring for omebody, be they a relative or whatever, and they are gett in g no re pite at all. Public awa r ene and y mp ath y for the e people very tron g.

The SaIUm Community Divi ion ha joined with th e loca l church to provid e a oup kitchen and advi ory erv ic e for th e hom eIe on Sund ay That' omething which could be reall y bi g in the inn er citie

Again, all of this is taking us into area that have many more political conotations than anything which Stjohn has been involved in before. In my limited experience, many St John members are perfectly happy to countenance discussions on sex, violence and death but become outraged at any mention of po Iitics. Can you keep the political overtones of Care in the Community out of your programme?

DN -I think we've got to. Our politi cal and reli gio u drive hould be eco nd ary. We have to pack our pro g ramme around St John' humanitarian philo ophy.

Of course, Community Care i not a 'simple' matter of providing immediate medical aid and then dropping omeone ofT at a hospital door. Presumably we are

looking at a long-term commitment here. There is an obvious danger that volunteers will find them elves sucked into a situation that draws on their time and emotion to a far greater degree than i good for them. How can you safeguard against such problem , and how realitic are your ambition ?

DN - Thi s where the profe ional , upervi ion comes in; not on y from the County CCO but from an Area CCO and hopefully even people at Divi ionallevel as well. It i the re pon ibility of the e upervi or, to make ure that we don't take on more than we can cope wit h ; t o monitor vo lunteer and to give them support. Each Care in the Community unit , hould have a 'Fir t Aid Kit built in - in other word a coup l e of member who don't have a ca, eload and who can tep in if a volunteer is ick. goes on holiday, or find them elve v, ith more than they can cope.lthink it' important to add here that we have no intentiom of trying to cut acro '- the work of the statutory ervice We don't have the re ource or the skills. We have to fill the gaps - and those gap do exist.

J u tto re-iterate, then. If omebod) reading thi article \-'ant to initiate orne form of community care within t John, what hould the y do?

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DN - They shou ld go throug h theirCoul Office, who h ave now received inforn ti on from u s and who within the co upl e of months should be l ooking appointing a CCO. That is th e firs t ster think we hould again say quite clearlytl it wo uld be potentially dangerous pie to go off and 'do their own thing'

What about the mem ber you have mt tioned who are already involved in certain amount of community cal hould they now be looking to formaf their activitie a a Community C2

DN - Again. they should approach County Office. I wou d be very iftn are not able to formalise their activit before the end year. At the sametlr both nn and I would welcome any back. We're k.een to hear from people II have genuine idea,> - or problem·, W t love to hear them nov,.. rather than thing'> go dnl'>llcall} v,.rong

AMB - I'd like to make a general appeal' people to wri te to me. I III collat ng a Ii sy'>tem of what people arc actually dO We'd lik.e to build Lip OUIll} prolilel that when we do get into each k.nov, v,.hat the c\i ting ,>ituallon i" th <dread)

It i hard to believe that 10 years have elap ed the fir t Di abled Holiday took place in 1982.

Amongst the many activities of St John lnelnbers around the country that are appropriate to 'Care in the COlnl1lunity'is the St John Disabled lloliday held by Berkshire and Hampshire each year at Avon Tyrrell. Glenys Duke reflects on the history of the event.

coulu '<1\1.' lour IlIl .Inu Ih.ll I' \\ III mdlllln' 01 r':'p"Il'lhk p.:"pl.: Ihroughllut th.: \\ llrlU, an: 1\ Ih.:,.: ,Ill rae 11 Il' and pracli.:;t! 11<:111' 01 j.:\\clkr) 0'> Tall,man n"l "nl\ 1.:11, \\h" IOU IT': anu \\ h.:rc.' \OU lin: hUI ,II,,, 'gl\':' I.:lepli"n.: numb.:r, III nlur 'n.:ar<:,1 anu ucarc,1 anu lanlll\ Dllclor ", Impllrtant 10 1lour lamill<:' pc ,lce "I mlnu ,>(J,> I all,man " unique, In a, l11uch ;I' II prm IU<:, till (ll \(lur 111 ;t! d'II 1 inciuulllg Hlll(lu (n"up Rcligl"n AII<:rgll!" \ kdicallon el.: Ihcll' I' e\cn 'pace In ,a\ \\ hether lal,c Icclh "r «)nl I(1 kn'c' .lrc \\ "rn \ nu remcmber \lHI ulln nel'd III hale .I I1lcdical prnbkm to \lcar SOS ah'man It milk.:, '':11'" Illr el cn llll!.' moton'I' p':llpk partlLipaling III 'p"n th.: \Ilung. Ihl' cluerl) - III lact .lmonc leautng an aLlI\!.' allu I1llrmal IiI.! 0 1.I11'l11all I, \"'111 cnher l'<:nu.llll Hr le':!.:1 (lr Watdl \ ll.ldIllKI\l (hr"l1le I'bl<:J I'btl·d

AMBULANCES

The original Idea for the holidu) v, a born in the Year of the DI,>abled III 19X I. I,.\.hen Lad} Elilaberh God,>ul oLir Chief Pre"ident and at thaI time omml ioner for Berbhire, decided to tak.c a group of phy<.,icall) handicapped) oungster" for a wee\.. \, holiday. With an equal number of IheBerkshireand O\ford Enterpri e group,>, and an age range or 16 to 25. the di,>abled were loo\..ed after on a one-to-one ba'>I It too\.. a) ear fonhe idea LOde\ elop and for the money to be rai ed. All the) oungstep; paid no per week and the re t or the approximatel} £70. v,.a,> rai cd b) donation'>. '>pon orship b) individual and local busine'>es and fund rai ing acti\ irie<;. The concept of the hollda) \\ 1\ to gi \ e the di abled youngster,> as near' nomlal' a teenage holiday a po "ible. The venue chosen wa Avon T} n eII , a large man,>ion near Christchurch in the ev, Fore !. The house i'i set in it'> ov,.n ground with a healed oLltdoor "wimming pool. a la\..e for and fi'>hing, a football pitch. tenIII court", a volle) -ball coun ancl an archeI) range. ear at hand i\ a riding stables and the.rearemany local beaut) p;b and place of IIlterest to yi,>it.

.Sixty-,>ix ) oungstcrs allen led the first holiday in ep tember 1982. The weather was peti ect and ever one had such a 'Tood time that a second hoi iday n co was proposed. Atthis stage Hampshire decided that they would lik. e join v, ith Bcrk.shire to make it a combined holiday and that is how it has been for the past nine years. Many or the original helpers and disa-

bled still enjoy each other's com pan} every year, so we have had to adju t the upper age limit to accomodate all those who still wish tocome on the holiday II holida) -mak.er<; become film friend and new helpers and di,>abled are welcomedju t as much as old friend.., Ever} hoi ida) ha'> left u v, ith pecial mcmorie.." but the highlightofthem all wa in 1986. when HRH The Prince Ro)al paid a \ i it. he ani\ed by helicopter. and pent the aftemoon chatting to e\eI)one and \.\.arching the di abled and ablebodied tak.ing part in a \\. ide range of acti\tie..,. We \\.ere er) proud and happ} to ho\\. her a different ide of St John v, ork.

Training Exercise

The hoi ida) a marvelloLh training e\erci,>e for the St John members. caring for a Ie able person for 2-+ hour ada). Diabilitie ofe\el) kind are coped \\.nh ) mpatheticall) and e\peI11) Feeding, bathing and nursing tho e v, ho need it. pro\ iding a helpful hand and a litening ear to the Ie" disabled. Walk.ingguidedog \\ ith the blind and pushing \\ heelchairs over une\ en ground. we di..,covered mu cl we didn't k.nov, e \ ist d t the end of the \\ee\.. ever) one r tum'> home happ) and e\hau ted. For me. it is the most \\ ortln\ hile and re\\. arding \\ eek. of the year.

o it \\ as \\. ith high hopes that we set off for on again on our 10th hoi ida)

The last three holidays had been "'pent at various Holiday Camps. but this) ear \\c decided to relUrn to the place \\ h re it all began and it v. as just lik.e coming home

The weather was sup rb and \\e \\ ere able to enjo) all the outdoor facilities ro the full. rcher) \0\ a,> a great fa\ ourire and '>0 \\ere

'It's a Knockout', swimming. canoeing. and crafts, riding and a \. it to a local Leiure Centre. We all enjoyed ..,eeing 'Budd) 'at the Pa\ ilion Theatre in Boumemouth and had a reall) great da) out at Paulton' Countr) Park and a i-;it to the local ov,. I Sanctuary

A great deal of preparation for the entertainment had been done b) Julian rmtrong-Smith and Jane and Tim Bradbur). E\e!) evening \O\e danced. enjo) ing a Bam Dance complete \0\ ith caller. a \ i it from RATS (Ro\ IIlg cti\ itie,> Team of the Hamp hire Bo)· Club) and man) game and toumament". On the la"te\ening the young ter'> produced an e\cellent Talent Sho\\.. \\ hich prO\ed \\.har a \ersatile crov, d t John member are Thank. are due to man) t John member v, ho ga\e u back.-up in tran porting e\ eryone to the holida) and lent u\ their mini-bu e\ to ferry folk. around Tran port i an e\pen i\e item and \\ e \\ ere fortunate inrai ingenoughmone) 1Il19c :topurcha\e our 0\\ n mini-bu

The hoi ida) uch a ' ucce ror: and look.ed forward to o much b) the di abled ) oungsters. that it has become rimll) e\tablished a an annual occa ion. 0\ er the year \\ e ha\ e \\ elcomed t John member\ from other countie\ and \\ ould lik.e to heLlI from an) one in the 16-25 age range \\ ho might like to join us in 19t)2

The 11 th di abled holida, "ill be at A, on Tyrrell from 5th to 12th September, enquirie hould be directed to Glen, Duke. Commissioner. SJ A Hamp hire. St John Hou e, \Vorth\ Lane. \Vinchester, Hump hire 0237AB. 1902 SI John \\ orld 19

Whatever the socio-economic conditions were for any Iraqi family before August 1990, the situation is far worse to-day for all of them.

The physical damage from war and internal unrest and the impact of the sanctions have created problems for the nation and the individual not known before by at least 46 ck of the population. These are the children under 14 years of age and of that group. three and a half million are under five. One million of the latter suffer varying degrees of undernourishment. some severely so.

Baghdad is a city of over four million people.aquarterofthe country's population.

Accustomed previously to full supermarkets and many varieties of fruit and vegetables. its people carefully calculate the costs before they select from the limited items now available. The purchase of meat and fish is beyond most families. I kg of meat represents ofaskilled labourer's monthly wage and a 2.Skg tin of milk powder represents 65% of that wage.

The incidence of diarrhoea in children during this year has been over four times that of last year due main ly to pollution of water. Undernourished children are not able to withstand the ravages of sickness. Families cope the best way they can but many have seen some of their children die. Orphanages particuarly find it impossible to give their children adequate food, both in quality and quantity. But those who care for the children in these orphanages give large doses of love and great tenderness. A visit to any of these places rewards one with the smi les of scores to hundreds of children. They know they are loved and display a capaci ty to look after each other and to share what is available. Regretably

Roy Skinner reflects on the aftennath of w ar in th e Gulf for ordinanJ Iraqis. A member of the Order of St John, Roy served nearly 20 y ears in the Middle East w ith th e United Nation s and is cu rrently a UN Volunt ee r w ith Uni cef a s th e As si s tant to tI, e Repres entative Iraq. H is w ife, Ma rgare t , is th e UN h e alth c o - ordin a to r for B aghdad CihJ .

Bran ,'mile , /; 01/1 (II/£' or Ihe (lIp/wI/age , iI/ ( il,"

that does not include fruit these days and eldom meat. In a city where hundreds of c hildren suffer from as yet untreated posttraumatic stress disorders caused by the war. a visit to a home of orphans renews one \ faith in the goodness of man toward his less fortunate neighbours The orphans of Baghdad who have the good fortune to be given a place in one of these homes are given a chance to survive. That chance will depend on the amount of food and medicines to be available during the coming months but the children will not lack for love.

The Human Di v is ion

The damages of war and internal unrest this year deprived the country of much of it-. electrical generating power. the capacity to provide safe drinking water and to operate the sewage treatment plants. Large stocks of vaccines and medicines were destroyed when power sources from both main and standby generators were destroyed or extensively damaged. Stocks of drugs. water treatment agents, spare parts. agricultural seeds. fertilizers and food were soon depleted. The sanctions from August 1990 caused massive unemployment. depletion of national funds and heavy increase in food costs. Previously. Iraq had imported 70% of its food requirements and most of its other needs except of course. oil.

Salem X is the former Baghdad manager of a large European trading company. He is now unemployed. But he is one of the relatively few fortunate persons. His wife is an engineer working in a Government Department and earns Iraqi Dinars (10) 170 per month following a recent small increase in salary. They live with theirthree school-age children in two rooms of his parents' home because they cou ld not afford to pay for the rent of their apartment.

One 2.Skg tin of milk powder which barel ) lasts the children one month co ts 1070 (41 S'C of his wife"" ... alar), 1: the price of a tray of 30 egg ro e in October by 107 to IOn and one kg of meat or fi h is 10 16.lf each family member (7) had IOOmg of meat twice a week. the cost \.H)uld repre· sent per month 52 Cfc of the family's income. Fruit abo i expensive: one orange or peach when available co t 102 to 103 each and even locally grown date cost 103 per kg. Salem told me that he rations the food varieties andlJuantitie very carefully but is concemed for the health of hi" children . Representing by far the large t number i Ha an Z who is a skilled labourer earn· inglOIIOpermonth Heandhiswifehave fourchildren A fifth child died of diarrhoea during the "ummer: they sought medical attention too late. The family eldom meat or fruit. They cannot afford to su pplement the ration with vcry much do not buy powdered milk In July 199( 1. wheat flour could be purchased at perkg. it now costs 103. Lentils were 100.4 but now cost 105.5 per kg Hassan\ total wage could buy only enough lentils for example for each member of his family to have II Ogm perday. His problem is greater than (hat of Salem and his fears arc greater particularly as the cold winter approache For both these and similiar famili there could never be sufficient i tional aid tomeetall their needs. But the programme in co -ordination with Govemmennt has ensured safe water for most people and limited suppl of essential drugs for the majority. Thi does not include those with heart. kidney and hernia problems nor those sufferin g from cancer or diabetes. Onl y Government funded programmes will be able to meet these costs after trading is resumed.

Call and Divisional New

3-wed old icole Sweeney with dad Adrian and photographed b) mum, Tracy, who both run the Hit c hin Badger Set. Trae) 's mother. brother. parents-in-law and grandfather-in-Iaw have all been St John member. Maybe it',> time to start a (wholly unofficial!) 011 Cet/I branch for members under I year old. We'lI call it the Gerbi Is

It wa 3 0' clock in the afte moon of 2S July 1991 when, after month of preparation and a frantic earTh for keys, our mini-bu left Che terfield on route for Gelman , via Hull.

We were again to vi it the Dann ' wdr unit of the Johanniter-Unfall - Hilfe, with whom we have been 'twinned' ince 1979

We arri ed at the Dann tadt unit' HQ (The Johanniterhau ) at 4,4spm the next day after a calm cro ing and a journey through Belgium Here we were greeted by the Di trict Manager. HelT Marthe , toaether with member, of the JUH and our host who provided a light buffet.

Underway

The next morning we etoffforSin heim, near Heidelberg, for a vi , it to the private mu eum in Europe, which i. famou for it s collection of Aircraft. Automobile and Military Vehicles We returned to Dannstadt via the River Neckar and spent some time in the beautiful old town of Hirschhorn.

We alTived back to a barbecue, arranged for one of our ho st' birthday and the wedding anniver ary of Clive and Chri tine, two of our party.

Sunday saw us in the old East Germany, where we visited the Wartburg Castle where Martin Luthertranslated the ew Te tament into Gennan. From there we walked through the woods to the nearby town of Eisenach, visiting the home s of Luther and J S Bach.

The visit to the East made u appreciate the work that has to be done there. We remember in particularthe road - or , hould I say the holes! The JUH are already helping in the East. D annstadt acting as Godparent' to a unit in Rudol stadt, south of Weimar, and is he lpin g with equipment and training.

On Monday morning we toured the D annstadt H eadquarters and saw the facilities for their training ; Meals -o n-wheels

24 St John World February 1992

Going Deutch

Denvent has developed close links with the Johannite r. Unfall-Hilfe in Darmstadt. Malcolm J Newell, Area Com· missioner, (seen on the left presenting District Manag er Rainer Matthes with an honorary members badge) reflects on a recent visit

and Warden service, and al. 0 the facilitie'l and vehicles available for the mbulanc e Di trict ur ' ing and ser ices.

The HQ is the training centr for th tate of He en, and has leepin g accommodation for course participants.

The JUH a foundation of the Prot e'>tantbranchorth GernltmOrderof tJohn and i responsible for Fir'>t id. mbulance and Caring for the ic\" training and pro ision s 'v\ ith such a.., the Red Cro or the mbulan e ervice.

TheDanntadtunital many other J H units, Meah-on-Wheeb. Di tricl ur ing, Ward en Ser ice and Tranpon for di sab led persons. The) are al 0 part of the Civil Defence and phe organi ation.

The manning of all the e sen ice.., i.., pro v ided by full:time staff, volunteer.., and conscripts. The con cript'> are young men who have decided to 'v\ or\.. 15 month<; in a Civilian service rather than their compulory 12 ice in the rmed forces.

Financing of the ervices comes from a number of sources, e.g.: contribution,> and donation, Medical Imurance chemes. tate Grants, the ational Government, Local Authoritie.., and alsocharges for,>ome service '

In the afternoon. we vi ited another JUH unitat and then proceeded, reluctantly of course, to the Johannitergut (St John Vineyard) in Bach. We had a very interesting tour and an exceptionally enjoyable time at the wine tasting. We all invested in the work of St John and purchased a few bottle s.

A visit to a pecial Dinosaur Exhibition at the State Museum in Dann tadt wa<; arranged for Tuesday morning. Who told them my age! After thi s, the re , t of the day was free.

Wedne day morning was a so free and in the afternoon we visited FrankfUJ1 for sightseeing and then a visit to the He sse n Broadca sting Station. On our return we visited "Vater Jahn 's" Restaurant with so me of our JUH friend s and enjoyed a very

Pier Group

Pleasure

Vic Allen reports on the Lancashire Annual Conference at the Claremont Hotel, Blackpoollast NOVeJ11ber.

plea'>antmeaL but \.. cp an cye on the tim we were all on duty the 1'0110\\ ing mo ning.

The men were on 1T1buiance duty frO! 6 ..J.5am and the ladle'> 'v\ IIh the Diqp nurses from 1 O.OOam. The latiIe,> accomr nied the Di..,tri t ur'>e'> on their \ I,>it'> Jr the men helped cre'v\ three of the umb lanc e'>. 10'>t ofollr'v\or\.. on thi'> hift the tran..,rer or patient'> bet\',een ho!"'pllJi home or clinic,> and one Journe) o\er 50 mile,> to the '>pa to"\ n 01 B Homburg. The "Klini\" "to '>a) the lea'>t impre '>i\ c.

RHIP

The crew on m) ambulance 'v\ere cc '>cripts and \\ ere traln cd to paramedic ..,tar ard. all th e ambulance,> being equipped thl'> ,>tandard or trainIng. The '>hlfh r i'>hed at \ary IIlg tim c'>, 3.00pm, 5 (XJr and 6.00pm .., RIIIP < I filll,>hed 3.00pm.

Evening brought u.., all together ag a for a g; th enng 'v\ our Jl rriend,>. Dr Land/cttci. th e Ordcr"" rer' ,>entative. made a ..,peech in good Engh· n behalf of the J H and we \\ere r' ..,ented with the \..ey to the Johannll erhil to ge ther with mcmentoe.., of our 1 11 was now that J reali..,ed that ifRI If?, it a has it handicaps I had to mak e m) '>peel , in GC1111un!

We gi fts to u Johanniter and to our host<;. We also u the occasion to award Honorary ship of St John Ambulance to th e Di st f Manager, Rainer Mallhe'>, for his \\ over the past twelve year'> in promotin gl link'> between our two

The evening went far too quic\"l y. week had gone much too ra st and 011 Fnc morning we set out for Rotterdam on O 24-hour journey homc, ex tremely har with our vi it, but sad to be leavin g frier

* For those who don't \..now - Rank Hal Privileges!

"All (h(' \1 OI'Id' (I \1CI!!,f, Alld a/l Ihe 11/(,11 (l1Ic! 11 011 ICII II/crely pluy('l'\; They h(1\'(' Ihell C'xlt\ alld lliell' elll/WI( ('\ ; Alid 011(,17101/ ill /IIS lime plm \ II/WI\, j)o,.,\. flis (fC(S /J(,lIlg \('\ ('n agC'\ Shakespeare's' "even age,>' I rom Jaq uc.., , ramou.., '>pecch in /'b -,,0" Id(' II \\('1'> the theme of L.mca..,hirc \ annual conference

The fact that the commIttee managed to find "'peaker.., ror all or the Bard'., categone \\ a te..,tamelllto the \\ idcn ng ,>cope of t John mbulanee\ acll\ Itle,> ( although the exact rcle\ ance 01 'the 10\ er. a fu III ace i.., '>lIll a lIttle unclear! ).

Two hundred and tw ent) delegate.., rnateriali,>ed ror the e\ent Includll1g pcople from Cumbria. tafTord,>hire and orthern Ireland. The London contin!:!elll (of \\ hlch I \\'a,> a pan) cOIl'>pired to the IllLlch lauded Cadet Band but \I ere in lime to hear the be.t speech or the \\ee\..cnd - namel\ The Inrant' - \\ hich got the proceedlng-'" off to a powerl ul ..,tart af'tcr \\ hich the\ barely faltered.or cour'>e th romlal pan or a conference is ani) halfofil'> real \ aille: the abilit\ socialise and di eu!",,, problem'> i'>.iu t ;'> Imponanl. Fonunateh Lanca'>trlan,> ..,eem to have little in talking to one ano th er.

T.he weekend began for thi.., dclgate on ente nn g the hotel to be ..,tcrnl) upbraid ed by a total stranger. lie tLirn ed OLit to be '.; omnipre "ent Commi,>"ionL:L Lionel Harri", whoeventuall) relented and let it be known that there were graver ,>in.., than walking past th e t John cl;u I1e,» tL\\i ?t the railway He then bu'>tled me Into the conference hali...

The Infant

W'IS'" I <. un In!:! account b) the Pendl r e or Romania Team Leader hris C.rcclman oCthe group \ third tri p to RomanIa last eptember.

a simple sob '>tory this, but a clear

expo,>ition ofho'v\. R omania really is - from the trees which are my teriously 'v\ hite'v\ up to three feet from the ground (e\en \\hen they're stood in the middle or a field). to the bureaucracy that can be bypa'>sed b) '>tamping a document 'v\. ith a polo mintthat ha.., been pre..,..,ed on an pad.

The reason why R omania ..,uch a problem 'v\ ith it'> orphanage,> that Ccauce.,cu decreed that Iwd to ha\ e li\ e children. H ence it not unu,>ual to find a ramil) ort\\eh e li\ ing in a hut I..J. feet '>quare. The pOint being that man) or the orphan'> are not ·un\\anted· Parental reeling.., are no Ie..,,> '>[rong in Romanian heart'>. The orphanage.., are the '» mptom'> or o\er\\ helmll1g povert).

Be,>ide,>d iI\ eling high-tech equipment ,>uch a.., -ray machine,> and onic canner'> to Buchare..,t H o'>pitul. the Pendle team ha,> concentrated on a \ i II age (Dio'> ti ) dnd a to\\ n ( rio\ a) 111 the outh of R omania. Creelman' i'> a robu t approach. For e\ample: " h c been a policeman ror 2':year.., and I \..no\\ that our '>taff'>teal thing..,. We ..,houldn 'tget high and might) \\ hen the ..,tarfin Romanian orphanages '>teal thing "

Or. much t the point \\ hen you rellect on the orphanage in Dio..,ti that budgelting on 5p ada):" lot or p ople thin\.. that nne\..a Ric e "'pent 11\ day '> there and then Romania \\ a,> cured "

There i,>n't ..,pace here to do JlI..,tlce to theetTecl'> \\ rought b) '>ome ortheca'>t-oIT of'ollro\\nal'nuent ' ociet) (ofho\\ ..,a). 15 bog-'>tandard hearin g aids hay meant that a'> man) children \\ ere abl to hear for the liN tim e in their li\ e,,): but it \\ the detail,> that made the ,>peech ,>uch an in'>plrng :-.rart to th e con r rence. utomLltic \\a hin g are L1'>eless gi fts ( there \ no \\ ater pressure to \\ ork them). tv, In tubs are best. There the plumber \\ ho put in eight toikt'> at an orpClnage in four days b) \\or\"in g I..J. hour shifts (" \ h) can't) au do that in EnglandT hri.., (1!"'\..ed him): and there \\ the

teacher who bUN into tear'> \\ hen the team gme her their road map of Romania" t la<;t I ha\ e omethlllg to ..,ho". m) pupil where the) come from"

The Schoolboy

Depri\ation of a different \\a,> proided in a joint peech b) V1r John Blac\"ledge. A,>..,i..,rant Spon Director at wnle) Park. and PE teacher Anthon) choob chool..,· argument \\ a.., that he ational Curriculum \\ a.., queuing ph) ical education out of chool acti\ itie )()C( or ,>chool ha\ e cut ..,\\ imming le.., on,>. had off ..,ome of their pia) ing Ileids and 55 c'c had '>aid that the le\ el or team ports had declined. " \ hat\thi..,gottodo\\ithFiN id.1 ,>hould li\..e to \"nO\\" omeone \\ hi pered. choob' ripo..,te \\ a... imple We are in danger of predl'>po ing the CUITent generation of chooichiidren toa life t) Ie that \\ Ii I encourage coronary di,>ea..,e later in Ille.

The Loyer

Florence utton mith. a Blackpool Relate oun..,ellor. \ olunteered ..,ome thought on our attitude.., to 10\ er'> .•md made eelr'> prick up b) mentioning Fowl \/In/( (/lii/ In the e\ enL though. '>he opted for e\cerpt from ha\..e!"'peare and the adet \\ ere allcm cd to '>ta) in the room. One mall ob..,en .Hion - all the lo\er '>he mentioned \\ ere men.

The Soldier

In a pecch thLI! , ol1l1irou I) came lIflCI lunch. Lt Colonel Jone,> RA \ 10 \') from 207 ( lanche ter) General Ho pit.ti proffered '>ome ..,1 Ide \\onh) oran' X' ccnlllcatc \\ ith the tomach-h.lrdcned enthu ia 1ll that onl) a lIrgeon eLIIl 11l1l ter. nl. Jon e'> I. an IIQ talTOfliccr for J \ 111 Wales and en ed l1n Operation Granb). \\'or\"in g \\ ith 205 General HlbPII,ti Lit Riad. Col. Jone reported on the 21l InJurie" the) encountered (01 \\ hidl onl) one \\ a'> a gun,>hol \\ oLind - ,In "\ man \\ Iw \\ a'> ..,hot in the ',>oll1e\\ here In IrLlq'

Lady esr/JlIn 011£1 Fiend

rlie 1('\'('1/ OJ'IIIOI/. difln '

and walked for three back to his Own ines).

Much of their work involved preparing wounds for subsequen treatment at Cy. or in the UK - for e ample before air fl ights (the altitude cause s limb toswell): orcarryingout fasciotomies (removing dead and allowing in· jured musc l s to expand by cutting open the skin - a particularly memorable slide, this one!).

Many injuries were by nel. One start ing ca e concerned a picture of an injured leg. nur e had died in,>tantl) when he threw on a land mine while diving for co cr, The hard bunedIn the leg had actuall) Iiced through her bod) before coming to req in her companIon The tragedy is that the aircraft they wert avoiding were allied

Again it was the detail that made thll 0 memorablc: \\ hether it \\ a" de · batin o the "hortcolllin2. of the MacYical\ table (dc,,;gned for parachute drop"') or the alarnling fact that the fUt \apour from the cuth \\a"'Ju"t a'> liabletl ..,et ofT the emor ala1l11.., a the ner\ e ga\t\ the) were de igneu to uetL:cl.

The Ju s tic e

Brenda \\cenc) of the Pre..,ton Jobcentr er\ Ices offered reflecLIon.., on rcuunuanl Thl" prQ\ Ided a tciling contra t to ..,pcare \ vI"'lon or a ..,mug and comfortab middle age and could not hLl\C oeen mo timeh. The headlIne.., 111 the local pre ' I TEAR A ' E r- LL to Ill jor lo ..,e.., at the ncaro} BnLI..,h Aen ,>pace \\ork.., (,>omething that had alfectl) man} In the auulence ..,ome of them dl recti) ).

But Brenda was i.l pain.., to point outth redundancy \\;Nl't ..,Impl) re..,trIcted t work: "Redundanc} a.., a parent leaH:" VOId of emptine There I.., redundanC) a carer. I kno\\ "'OIllcone who ha'l nUN their mother ror rive) car.., and no\\ that \h ha died feel not onl) berem ement butt lo s of her role There I.., e\en redUnO,1I1l In t John mbulancc, c\pericnced b people \\ ho ..,till f'cel III and able to COl tInue".

Brenda volunteered the c\ample ofh own hu band v. ho ucccssrull) rought ba after being made redundanl from an en f neering finn "To LaJ..e the theme of n conference: life is very much (/ \yollll1lfke

The Pantaloon

comes a member of the Fellow<.,hip. or should they l amcnt the fact. "I can assure you, partic ula rly the younger that you wi ll rnls It when you have to gIve up active service. You are all member in the service of mankind. Well - we older memare rnanJ..ind, too."

Th e final act

The Pan aloon concluded Saturday\ the seventh age ( " SO/1.\ EI eryIhin() being reserved for the on Sunday morning. The Claremont proved to be an excellent venue. The evening meal was faultle s (although the Iow hand clap which heralded the arrival of the high table wasa little alarnllng to out"ider !) and \\a'> followed by the obligator} di co. DI crelion forbid furthercommenl. although one feels that the adet'l might benefit from a lIttle bam danCIng practice.

Sunday was gi en oyer to a erIe or 'hands-on' <,es iom \\ h ich \\ cre cOlllmendabl) out of the ordInary. The Red ero",> demon'>trated co'>metic treatment lor people Ith faCIal dl ligureIllent. \\hIle other demon<,tratlon'> ca light on the pelluIlloral medical dl'lcipllne of refle\olog). acupunclLlre and Tal ChI. 110\\ long before these topic appear in the Energ) Programme?

There followed brief Llddn? ..,e.., I rom the \atlonalI IQcontlllgenl \\ ho \\ ere hopeIe \1; outnumbcred and lherefore appro -

priately cautious in their remark') - although I' vouch for the fact that the copious thank... for Lancashire's hospitality were utterly <,incere.

One of my colleague') commented of the weekend: "Thi') i<; St John Ambulance as it u ed to be and a it <;hould be - with no pompou'i hierarchies and no ''iide' on anyonc at all".

I'd go along with that.

Ju t one note ,>oured the proceeding<., and that wa<., not of St John's making On the Saturday evening a group of neanderthal<., ,>ma hed up a car out<.,ide the hotel with ba<,eball bat<., for no di':.cernible rea..,on other than the "heer plea<.,ure of it. MeanwhIle one of the St John delegate..,' car'> wa<., <.,tolen. Comparing the e event<., with the effort of the relief worker,> in Romania - or indeed the charitable work of I St John - wa" a di<,comfiting reminder of Ju t how odd a "'pecie<; human belflg are I IncldeIllally. the Pendle for Romania team planning a further trip in pril and hould an} reader feel inclined to help (\\Ith orler of medical o.,upplie clothlng e\'en money then Chn'> Creelman can be contacted at 8 Deer hace Fence. r. Burnie). Lanc') BB 12 9PH I hould mention that after hi o.,peech it \\ a" '>ponraneou l) agreed that the proceed from the e\ en1l1g raffle (and a bIt more be"'lde..,) hould be donated to the organl..,alIon Thilt"" Lanca for you

All ill-def7rh di ICI/I IIO!l Oil rhe lutesr isslle' of' Brigade Regulutio!ls (perlw!7.s.. )

The General Secretary of the Sheila Puck Ie, di appointed by notlUI11 ln up in and hahi speare \ script directs but quicJ..ly ,>et abll her audience: " I think you haven't qUit grasped in what the Fellowsh all about" she began.

The point being that anyone, of an age, who join.., St John automaticall) t<

Resuscitating the argument

We trongl::. agr e \\ ith Ihe letler "Hard \I ork IIl'\ '('/" killed llllyol/e" in De ember' i :u of .!I r. Gro \ enor Cre em made :1\ ef) big nllStak.e introduclOg Ihe Programme.

\\ e hn\e undergone a rigorous tr:lIl11ng pr gramme f r the last 1< monrhs to bring us in line as a 01\ i ion \\ ith the ailed Energ) Programme. It ould aptl) be named the \\' a te of Energy Programme'. The dutte: ha\ e Iill been 0\ ered. \\ hether the) be publI transfer or \\elfare, and \\e all \\ork. full time. The quesllon must be ask.ed. are we still

We also agree thaI the F.-\ \\' ourse i. a of time and \\ auld b delighted lOee it aboli hed and repla ed \\ ith a more :,uirable cour..,e geared around the type of \\ ark. \\ e are e\pe ted to do ' In repl) to the la t paragraph of the leller, \\ e a a Di \ ision do practl 'e re u citation at lea ' t t\\ i e a monrh both 111 the trail1lng hall and ut on the mo \ e. We think. that Area Re u citallon Offi er. \\ould be a great Idea W hat do Gro \ enor Crescent think. about thi All \\e ask. ofI\HQ i not to change [heir mll1d simply 111 an effon to update thing and to think out e\a tl) \\ hat the) are dOll1g and the on.equen e 11 ma) ha\e on the publI Remember too that t John exist purel;. b) member o\enng dUlle:,. not b::. a fe\\ people ..,eelng ho\\ man) ne\\ our e the) an dream up :\laxin e :\lit c he ll a nd :\lr ri p Lo \\ e t ort uffo lk

Glorious swan song

When, follo\\ 109 the meeting of ..,enlor offical ao lated \\ Ith London 01 !nct \\ IIh the C-In-C and taff at \'HQ. \ Ir GlllinQ. called for 2.reater eOmmllmeI1l to \ the Progral;me. I \\ a deterrnll1ed that \\ e at Ea tern \\ ou Id make It \\ork. 0 much \\ nllen about Energ) - ..,ome nOI \el) encouraging - but I feel quiell) proud of the faclthal dUring m) final year \\ e did JU t that: \\ e made it \\ ork. for u<., During 1991 \\e organised nine ..,eparale Fir I Aid Care and Brigade module. Se\en of each al our nev, Trall1l11g HQ. Rush Green Ho-,pllal : one at Walthamto\\ and one aI :-' l ile end.

One hundred and one ne\\ candidate. \\ ere trall1ed 111 ea h of the elemenr all achie\ ing a good standard 111 our a ..,e mem oTwo Fir..,1 Aid tudenL failed. one atl,,factorily re-..,at and the other. unfonunatel). \\ e 10 1. Oflhe 100. 4 enrolled 1I1l0 the Bngade. From record it \\ould appear at lea t I: of the e ha\e funher qualified 111 both FA \\ ' andCF I.AlltheFir tAidandStJohnelemenL arrangedatRu hGreen ,,,ere conducted b) my elf and by trained area rat! at the other t\\ a \enues. All of the Care Module were arranged and b) the Area ur inQ. Officer and her taff.

I that I peak. for everyone el'ie II1vohed in either the publIell) or the Trall1inQ. \\ hen sa\ [hat it i conidered that 11 \\ a an excllinQ. and wonhw hile ) Over year. ha\ e been peronall) 10\ 111 \ ef) man) Public FiLt Aid coure bUllhe ..,uccess rate ha.., ne\er been an) thing like the Energ) ucce adl) the impetu ' did 10\\ some\\ hat in 1992. A an HonoraT) rea Staff member I could and would be imoh ed. although no\\ that I am 70 [ hall no longer be allowed to conllnue w lIh eitherrraining orexamlOlng for the A ,>ociatio n Hopefull) I \\ ill be allov"ed to ominue ",ith the t John modules.

II now remain [a find or genera te In ot her the degree of enthuia m in Energy. [n the meantime. 4 enrolment was a nice \V"an song for me 28

The present series of 'Do You Know Your Manuals' concluded last month. But whilst the world awaits the ilnn1inent arrival of the Sixth Edition of the iFirst Aid Manual', Tony Chamberlain, Deputy County Training Officer, West Midlands, takes a backward glance.

The changing face of First Aid

Soap and reality

In repl: to lauelall1c Pe,m:c .., Ieller on The 4 rchcr.1 b t month. I do agree \\ Ith \ lr. Pear e' feelIng Ihallli "plendld that \\ e ha\ e .lmemw of [John Ambulan e 111 The \n hen.

Kath: Perk. {1I1reallIfeHedh"'l tJohn mbulaJ]( (lIlthe tor;. -li ne) 111 June 1990 It hau all laneu \\ Ilh Kalh;. g01l1g aid O lr.., Perk.lIl \\ ho hau a fall In the \ dlagc hurch the month betor, Kath) \\ a calm, rea unng and did .111 the nghl thll1g It \\ suggeteo to henhat..,he "houldjoln I John -\mbulal1 'e and "0 "he JOin under the "Energy" programme. and did a Fir t 10 Lour e. (Hedlt 31 dldJ tiNJldcour e"forreal"\\ Ilh tJohn \\ e"l \ lldland.., ) heallenlJ a number of "publI dUlle..," dunng the ..,ummer. InLludll1g a IrlU '" Ihe \ Illage Fete.

Kath) fHedII then made a real pub II Jppearan'e JI our 0\\ n Brig Conferen e al \ lah em he helped \\ Ith the PR pre..,el1lalll)1l \\ hen a ted the pJn of a t John I1kmber In J fir t alo room at a publIc e\ ho\\ Ing hl \\ not 10 .•Ind then ho\\ 10 "peak. 10 member )1' the pub "E,er: thll1g : ou ay and e\ er: thing: au do'" Then. of great rele\ 31 to \1adelall1e·.., leller. ..,he e\plained to Ihe \\ hole lonference hlm \\ the "real t John" needed to ha\ e unoer tJnoing Ih.ll I John ll1lht tor might not be JI" J.;' e\Jl tl) according 10 Bngaue Regulallon In pL. :lIld tone Jnd ""oap " J bit l)f lJeen 'l I ollen t,lk.en \\ lIh lin :-0 quahfi all on prOl1l01l0n and 0 on -\\-'o th,l[ \\ e \\ ould not be hLu. about her [J hn acti\ Ilte .111 the lime. 11 \\ould appear In thc tor:no\\ and JQ.aln ho\\ Ihlng ha\ e turned ut LI tener to rhe 4nlz \\illrememberho\\ K,lth: re"'lueuJdl\\'ol)!e: frl)flllhe \\Illlmingpu ilt Gre) Gable.., In eptember. -\ Ja k. \\ oole) "'Jld "thank: glodn

KJth\ hJd hJd her I John training"

\ladelall1e about our im oh elllel1l \\ ith Ihe -\rcher-\nnl\ er..,ar: Tour of the loUntl) \\ here the: pb: ed .tl theJtre r. to\\ n from eptelllber 10 OLlober 1.1 t: ear In Ihe pLI;' KJlh) I n hl' John um!' m1. and \ el) plenold he Il))! Her plJce Jt the b,IL' the theatre \\ 3 "PJrt ot the pia) " he \\ a " n UUI: "K.llh;. Perk.,··" then \\ a Lalleu to deal \\ Ith a a..,ualt:. -\ 10 the logo on programme that \I.\'-. .It "The Arlher ugge-..tlllll. ,llld <.lJu 110111,( that \\ e \\ ere pon onng Ihe produ lion. but Ju tto bnng OUI thJt I Jt (through Kath\) \\a Imolled \\e \\cre delI!!hteu 10 it there tour of thee umf\, leallel gl\en l)llt Il) Ihe pu h about the O\ ER Tu 'I OL JOH' app-eal. and KJlh: ;lade "urI.' that he" able to lell member.., ofthc publtL all about U"'. [he IInport,lllle ot\eam Fir t -\Id. and ho\\ ou C.an .10111 a Badger.., adet ,Ind adulr...

The ne\t phJ e 111 the t John -\reher IOf) line I'" lIk.el) to be L ..,el!lng up of a Badger el In -\mbnuge I Lilll't 11.'11 )ou more a ) appre late the-.,e thll1g are k.ept under \\fap" unlilthe) Jre broadL<

Let me a ..,ure ) au Ihat the rcher are a ..,plendid lot of peoplt' .• that the) ha\eumell1ber,hlp chemecalkd", rLhcr.., ddICI \\ouldllk.edetuil ofthi..,lhe) hould\\nteto"ArLher dOl h".POB [951, Mo..,ele;.. Blm1111gham B I 900 Good It tenll1g'

Letters to the editor are always welcome. directed otherwise we reserve the right to edit for reasons of space or tone. Views expressed a those of the writer and not representative of official John Ambulance policy Send letters to: 5t Joh , World , 1 Grosvenor Crescent , London SW1 X

FiN -\Id not..,tall When <In e lablt hed trealmenll.., changed the quc"tlon - "\Va, Ihe old trealmenl \\ rong. Ihen 1" - I'" often but rarel) cqullubl) JJ1 wered \ 1elhod of Ireatmenl e\o" e 111 lIne \\ Ilh Ihe technolo o of Fir 1 .\Idand ub equenl medlc,ll procedure Roben Bru e' preface Aid to Ihe InJureo" ba k. In Llober I. 7 rel"lln 11 rele\ ance toda\ "Th" IJnual" he \\ role"l lIlll;ndl.'!d to gl\ e ome plain ;u\e 10 nonprofe\\lonal per on .10 enable them 10 render Immediate aid In man) of the 3,e'" 01 J'cldent or udden dine \\hleh 0 cur 111 our dall\ life II I. not Inlended to ,uper..,ede the medlc,ll mJn. bUI 10 pOint Oul \\ hat bc done 10 Ihe pallen! betore hi am\ a!."T\\o \\ orld \\ar Lnl\cr,JI uffraucJndthedl..,co\ef\ of AnllblOll -. been among. tlhe profound c.ll,d: In hanglllg melh -d.., oftrcalmenl. Trallng Ihe e\ olutlon of Flrq. Id 1\ full 01 delIghtful urpn..,c.., and open a \lindo\\ on the rich fabn 01 life In time omellme.., 11 I no Ie ho\\ I.'nall1 treatment h.l\ e changeu Yel) lIllie Belo\\ Jre a le\\ alient pnll1t tJk.en from remedle \\ hlLh hJ\ e chan2.ed LOll Iderahl) 0\ er the: ear nl;. Iho..,e part 01 the Ireatmenr... \\ hieh e Ignill JIllI) changed are qUOteu Jlld (need 11 be added) Fir I Alder ,hould u..,e l)/ trealmentlju )!I:u In the (/iITel1f Fir I -\It! melnual'

Artifical Re piration

(Or:a lm o o f Dr ,'.\h e." r !)

I Dr he tcr·.., methl)J:.1 196: \ er Illn. e\Ceptlongue k.ept pro.lecIlllg b) el,l 1I hanJ, IJpe or "'Inn!! 0\ t:r lOngUe and underhill

1919 -I method: a.., linal \er Inn.

2 ! he ler' melhod: an.1 "'1 lant mu drJ\\ IOnl,lrd Ihe p,lllent'\ far J\ po Ible. A lie LlIp mJ) Ihe purp e 19:9 -I lhaler· method.

2 :he ter' melhod.J-.1414hlll\\ilh photographlL IIlu Iratlon 19:, -I Holger 0.lel en metlllJ 2 melhod.

:he ler' melhod(-\ppendl\) ifllo

J. "1"lanl. tum heat! a tar a pO"lhk 10 one "'Ide

4. E\c [(xk.lI1g mcthou ( -\ppenuI\ 1. .- Re,u\clIallon -\pparalu ( ppendi:\l: peCial lIl\lrU'lI n'> tor lI"e 1965 - I \ louth 10 moulh method. open .li r\\ <i! b: hand under ned•. pre..,,, head hack..

pre Ja\\ fOr\\J.rd. four tnllial tntllllOlh. e\lcmell chc..,1 compre"'''lon: coma pO\lllon

2 (mall1le\I): one Operator. \\ n t-.cro sed 0\ erlo\\ erche..,1

Other melhod nO! "I\tn

19,1_ co -I \louth 10 mouth melhod' dllaled pupd omilled. oma P<'1'.1l1011 renameJ a re mer: po 1I10n.

2 HOlg er '\ Iel en method. head lilted to Open L!I[\\ a\ 3. ) h Cter mcthod

19 7, I. rloulh to mouth melhod 1\\0 IIlllial Op'n al[\\J\ h\ Ilfllng hin.

pre s forehead btl J.... - -

1991 2. Holger lel"en melhod (-\ppendl\}. - \ loulh 10 moulh method '\ 0 olher melhod.

Heat burn and cald

( Or:Truthin o ld\\j\ e " t a le!)

I, 7 - E\ lude air b: dredging pan \\ ith !lour or 011

1919 - E\clude air \\ Ilh OlLon \\ 001. boraLl Oll1tmelll ma: be applied.

1939 - \ lude ,lir III \\ aler al b temperature. Bak.lIlg oua Ollltmenl or \\ aml. trong tea may be applIed

19)( - o\er \\ ilh df\ tenle dre"'..,lIlg. Do not appl;. an:

196: - [Illmer e pan III Lold \\ ,ller.

19,'2 - Illllller e mlllor bum III old \\ ater. e\ ere bum, COl ered \\ lIh dr: len Ie ure ..,Ing

19,'" - Immer e minor bum'> 111 \\aler. e\ere bum .11 0 ooled \\ lIh \\ ater.

Hy teria

( Or: qu a lit) at

III 7 - Be 111111. lell/l{ rthat if it ontll1ue \ ou mu t dren h her \\ Ilh Id \\ aler e\ t'l) one J\\ a:.

1919 - -\ \ Old ! mpath;.. threaten hel \\ Ilh cold \\ aler douche: prink.le \\ ith cold \\ Jter: apply mU..,laro leaf [0 ba k. of ne k.

1939 - A \ oio ! Lea\ e b! III nclf.

19: l'"' ot (0) lll11l'h ) mpath) or con 'em hould not bull;. r threalen. Ob er\ e untd ht' ha re mercd ontrol.

196.- - (P\\cho-neurollc fit) Rea.., ure oenth bUI -/111111). \\ hen reeo\ cred ht further medical ad\ I e

19 2 - ( '\ 0 genoe r 110 "') mpath) : gentl;. but fi11111) to qUlel place

19 '7 - -\ 19,'2. reflr" to "him or hcr"

Animal and nake bite

( Or B e \\ a r e th e h a nn e l Tunn e l! )

IL (' -, - Health;. alllmal - \\ a hed and drn"ed. animal - ligalure bel\\een \\ound and hean: \\ ell \\ a..,hed [hen burned \\ ith: trong a Id or red hOI Iron or gunp \\ der (' or 4 lime ) or fu ec he\eraltlme L Branu\ 10 be !2i\en If pallelll become rall1[ i l. 1919 - Rabid animal n,lk.e pOI'>oned \1 capon : lIgature bel\\ een \\ ound and hearl. encourage bleedll1g: cauten e a-.. I ','7. For rub pota lum perrnanganLHc InlO "cralched \\ound. 'on tncllOnbel\\een\\ounu and hean If on a 11mb: re I: dnnk.-, 0/ ..,Irong Loffee. lea or milk.: rea.., ure: \\ a h \\ Ilh \\ eak pcmlanganate olullnn. R<lbld animal - promole bleedlllg: (onInelle n bet\\ een \\ ound and trunk.: affected p.ln 10\\ : b.llhe \\ Ilh \\ eak. pcrIllJnganatc olullon: gl\ e alcohol: caulenze \\ound u IIlg cau IIC liljuid IC):, - nLlk.eblle(.-\ppendl\).l 1t.l..'t):lI1elllergen) uck. OUI POI on Dog bile (-\ppendl\) ,h 19..'9 bUI L'(1Il..,mCllon nOt reqUired. 196: - n.lk.eblle (-\ppendl\)' re t: Ilghtllgature: \\ a h \\ Ilh oap Jnd \\ Liter: ..,ten Ie dre IIlg: "'pllnl. cle\ ,It I.' DoghIlC(Appendl\) :\\,1 h\\llh"'lrt)ll!! olullonohoap\ \\,Iler: ..,lenkore "'rlllll: Do nOI :,lLIlen..,c. 19,'2 - nak.eblle (malllte\I): re 1. immobIlr...e and k.eep I()\,\: \\ ,hh \\ Ilh ..,oap,lIlu \\ ,lIer. -\nlillal bile.... uperflclal - \\ ehh \\ Ilh '>oap! \\ lter. enOll"'- ol1lrol blcedl\lg : ..,Ienle drn'>lng.

41 011'< /IIu{( Ii 1\ IlIi (/II ('.\{(,IlIi1'C' fll'lIl hcud (1/ flho.\/J!JU{C\" Febrllar;. 14l)2 ,' I J o hn \\ o rld 29

FOR SALE

AMBULANCE FOR SALE

Ford Tran it V Regi tration

Mileage 33,118 since new engine at 67,238. Fitted for piped oxygen and including two cot stretcher £1600ono

Two extra cot stretcher at £100 each Contact: Hungerford (0488) 683505 or 683541.

8 REA K

23 years of holidays and respite care for all With special needs children, adults indiViduals or groups

Expertenced staff , full care, attractive programme

\chtcle'? (3). A bad '>itp making "peeeh delcci H).

in <111 maett\e ,>tatc (7). 22 di"ea..,e eau,>ed by 19 Do\\n (7).

Pan of bratn controlling hC<ln-actlon. rc..,ptratlon. and 23 e\ acuated ,>urglcall) (7).

Brand new spacIous caravan swall()\\ ng (7) owned by the Fellxstowe Society for' Handicapped laffillated to the Spas 6 \\ rongl) '>teal the '>111<t1Ic'>t yU<lnttl) (5). Society) on site 400 yards rom FellxSI() 7 LtIltllg of utCnt" '>hcd at 1l1en'>trutltton ( I ). sea front and promenade Fullyadapt& 8 a lir't gl\ mg help to the InJurcd (:'i) wheelchair users MaX imum capaclt) 12 adults With 1 child Pnces are £90 per he tncture cau\ing dtlficult) tn ,>"allo\\ tng ( 11 ). In July and August and £80 per week for 15 One of the ,>kelctaltl,>.,ue,> (-t) rest of the season 18 Cereal 111\ ohed tn e\ el) eptdetll tC (.3).

25 1clanehol) (5).

26 Doctor and animal pro\ tding theatre coyer (:).

29 High-pitched \oice from panlal ton'>llIeetom) (-+). 32 Ju'-.t a

StJohnWorldNews

Ticket to ride

St

Sea King approval ;

Thoughts out of

Aspedal

A little overdue (for which SJW' apologie )

since the Queen Mother's good wi hes appl y throughoutthe year we thought you'd till wantto ee the letter above ent to the Superintendent in Chi ef.

A St John Tour of Jordan & The Holy Land

If you hi.l\e C\ CJ'\\ Hmetl to \ I"I the I John Ori1lhalllllc tlospilalthen nO\\ 1\ the 11Ille. Tim. eptcmherancle\en-da) tour organl\ed b\ t John \..!I\ e you the chancc to"\ 1\lt not onl\ thc ho\pllal bUI al o the <;ea oIG<;illee and Petra. the Ro\e Red It)' that Iseut out 01 roc!.. and date.., back. to 7978C.

FI) IIlg from HCLlthrO\\. the tour starts 111 III III an and conin JcrLl',alem. tak.1I1g 111 man) famous bibilcal and Imtorie Crusader "'lIes. Thc eoach Journc) Includes a boattnp aero..,\ thc ca of Galilee and the four hotel" u\ctl 011 the tour all hav e four \tar ratlll!!\ The tourco..,t of 099 includc\ and evening meal..,. all entrance fees dunng thc re!!lonal louring programme. h7Hdcr croSSing taxes and local '>UPCJ'\.Isionofall arrangement Insurance (an extra £20) is ..,trongl) recOIllmended and there i\ al\o a f 170 for those rcqumn!! smglc rooms

1 The tourtiates arc from I Jth tn Cptembcr I <,)92. All cnQLll1'lCS and hook.inos should be made to Mrs ylvi:1 Holme.... GrosvenorCresccnt , London WI 7EF (te!:071-235 5231 ).

passed by'?

t in th e east. The Order mal--.e" arra ngemen t for the presentatIon to be made locall}. Ro,>emal) Turlc \\ .Is Cadet urerintcndellt of the

Arthur \.\.e"ton. OBE. BE\1. eLl'etal) or thc John CI\ 11 \ latlon Centre. in the planning. buIlding and opel1lng 01 the John I IQ Fcltham Headquarter". Suddcnl) truc!" do" 11 0) "C\ erc v l uJlIpJc Sclcro I ROSClllar) i" toda) totall) IncapaclIated. Admillcd to Ordcr ,I Scn Ing SI"ter. The Order rcque"tctl Arthur. <I Knight 01 Gracc. to Ime"t Ro..,elllal)· \\ Ith thl' rrangcl11cnh \\cre made \\ Ith the "Lot \ ur..,mg Home \\here he p., bcing nur..,ed. for the [11\ c"tituJ'c to td!..e rlace rll1" \\ a done Oil 2nd Janu<lr) 1<)<)2.10110\\ ing the Clerk.ell\\ell Ceremony a clo el) ,\'. pll ",lhlc The \ hllron. ,h <I pcrsonal contribution. prm Itled refreshment... and a gla.., oj sherr). R(hCllILlI) rCLCl\ cd her medal. hut undcr uch hcan-rending Clrcum"tance" that there \\ as no \\ a) in \\ hlch she LOllid celebrate" s,lId \nhur \\ C..,lOn." hc did producc a "mile \\ hich made up for the \\ ord he could not uttcr We \\erc \\ itnc.., Ing )t John Icllo\\shlp atlh hc..,t

Lillic mal 11\ e III Jenin - almost a far 1I0nh in Ihe We..,t Bank. a.., one can go. cltbe 10 the border of na and Lebanon hl: IS a happ) four year old chlitl and \\ ib pia) mg \\ithher..,llghtl) 1991. Whll..,t hC\\a look.ing at him through a h') hole he ulllhin!..lIlgl) "truck. .I :-.cre\\dri,er throug.h it. It penctrated herc)e deepl). damaging the comea dnd disruptlllg the lells. cau"lng an ImmeJJ<I\l: cataract. Due to curfc\\" and road block. he \\ as unclblc to be tak.cn 11l1llledlillel) to the t John Ophthalmic ho"pital 70 mIle" a\\<I). Conscljuentl) it \\.1" ailllostt\\O da)" later beforc "hc ,IlTI\etl in thc c.buait) dcpartment. B) then an Infection had bccome c'>tJbll\hed. rendcnng a .,enous .,ituatlon alllllbt Cilia trophiC he \\ as luck.) The organi"ll1s lllfcctlllg the e) e rrO\ cd ..,enslti\ e to antibiotiC that \\-crc Injccted both around thc C) e and IntrJ\enoll"I) An cmcrgcnc) operation rClllo\cd the cataract <lIld much Infected maknal. and the \\ ound \\ a" rqxllrcd. Afrer a SlOll11) Ic\\ \\cek." thc e)c qUletencd dO\\ n Itno\\ not onl) appcar" nOllllal - I'm \\ hlch hcrparcnt" \\crc gratd'ul "Ince initial I) 11 had sceillcd ncce",s<ll) to rCIllO\ e It cntirel) - but "he I no\\ able to sec ljulle u efull) \\ lIh I\. wcanng ,I COlll<let len,> , Iarch 199 2 :t Jo h n " orld 5

StJohnWorldNews

One hundred ...

Fellowship

Sheila Plickle writes - There are t""o more ne\\ Branche" tim 111 ()Illh llJdle"brough Branch III k,eland. \\ ho e member" \\ III be '\e\com Ing. u.., all to the G 10n 19th la). and the Ilr t Fello\\ hlp Branch In Barbados. \\ here there .Ire man) retired 111<.:l11bn \\ ho \\ ant to keep Ir touch.

Obituaries

Mr I abella Wade, one of St John' , more senior is seen here being pre ented with flowers on her 1OOth binhda Mr Wade. who live in Boldon Colliery. wa formally visited by DIS WT Haram and Cadet Supt. Mrs White of St Hilda South Shield" Ambulance Division. Making the pre entation are Cadet Corporal Debbic Wibon and Badger Ali on Ogilvie.

Middlesbrough Branch, Cle\eland - Mrs HIlda Pattenden,4 5 tanhopc Grme. Ack.lam, Mlddle brough CIe\l:l.lnd T , ) 7 F Barbados Branch, \\-est Indies - 11 E Dal11el. Dm;ctor, SJA soctation, Ba) treel. Bndgetm\n. Barbados. v I In our Chaner. the tlllrd object 01 the t John Fello\\ hlp I 'to hel p foriller member" In need. e peclall) the hou..,cbound ,mt! thlbc III ho,pll al or re:--Identlal "ho \\ould apprecIate \ 1 lt and outll1g ·

SI John GuIld. We tcm Area, Hdllh hi.!\ e pnl\ cd \\ hat mutu al plca ure thiS can gl\ c. One of our \el") popular member Le"lk Le\\ II. has Motor ellrone and ha reached the !age \\ here he ha had to mo\e to a ur"lng Home. He ha an electric \\heelchalr \\ hich him ome II1dependence and becau"e he hi.!'" a pcech dlllicult) 110\\ ha a mean of typing nut 1l1e sages on tape lie h,I'" a clL'ar Illll1d and J grl'at en"e of humour.

o\'ember DIS Joan Melling went to an e\ening intenJeJ to celebrate the succes" of Spalding Nursing Division in the ational Competitions and ended up facing a 'This i Your Life' SeS\IOn, commcmorating her 50 years senice to St John Ambulance Alas S.H\. was not provided with any of the more embarras'>1I1g memories put together for her ordeal. but Joan Joined St John as a Cadet on 10th ovember 1941, was made Divisional Sup!. in May 1983 and became a Serving Officer in 1976.

La"t "eek. v,e celebrated 1m gOth Blnhda) V\ e delldcd to the meetlllg to hllll. \\ Ith hl'-o latron· ble"',lng \\J e .Ioll1ed him I'm tea and thoroughl) enjOy ed being \\ Ith hlln Le..,lle enJO) ed It too When member can no longer get to meeting the) need tl'e Fellov. hlp more than e\ er.

CCSi's Right!

C I, the continental ambulance brok.er lllel1l1ol1l!d 011 page Il-: ort hc Januar) is ue ha i.I k.ed u to L1an f) that .tllthe Ile\\ \ chicles it urr he to the K

Waller Baker - died January J 992, aged 92. Walter Bak.er wa" a "taIwan ofthc Channel Island" on behalf ofSt John. Described a" 'one of the smartest men cver to wear the uniform', he jomed the organl alion after the ,I's CivIl Defence was di banded by the Gemlans 111 1942 Over 33 of ervlcc he v. a'> eventually to become a grade two orficer; he was admiued to the Order in 1959, becom1l1g a erving Officer in 1979

He was also made an honorary memberof t John in W.l for his help 111 developing ItS unit. Perhap'> more than anything It IS work as a First Aid lay instructor and organl'>er of competitions which will remain a a testament. There can be little doubt that counties lives have be.:n saved through unstlntlllg elTons

Jo eph George Warner - died 29th December 1991. aged 88. Joe Warner JOllled the 0 I Harlesden and Wembley DIVISion In April 1927 and stayed v. ith the Wemble) 01\ I"on ""hen the two sub"equently separated. member of the Royal a\y AuxIliary Sick Berth Rexerve, he v.as recalh.:d from active <,cnlce In 1940 I' r of natIOnal importance

He became an n.:a talT OtlILer in 1953 and sa"" duty at many ceremonle includlllg the I" er Wedding thanbgl' lIlg el' Ice of KlIlg George \ and Queen 1ary. and the coronations of King George VI and Queen Elllabeth He devoted a great deal of hi'> time to encouraglllg First Aid trainll1g III the Bo) Brigade In both I\!Ilddle..,ex and - after mo\ 1I1g there 111 the t:venlles - on thc hie 01 Wight. "He look.ed 0 '>man III 1m unlfoml and alv.a)" \.\ore it \.\ith great pride" recalled hi \\,Ife. Della. survives him Hc wa made a er'vlllg Brother In 1967.

George Craft MBE - died 25th December, 1991. aged 89.

George Craft gallled hi... t John PrelImlnar) Flr t Aid Cendicate \\ hilst a membcr of the Bo) COUl'> \\ hen he "as ten years old. He \u talned an aC!lve as'>OClatlon \\ Ith t John Ambulance e\er after As aJoumali t he became edllor of' The F /1'\1 A,dJOIIIIIlll' in 1929 and subsequently editor of the 'Sf ./ohll Ca:e((c' (nO\1, Sf .101111 n orlcl) in 1940

He mallltall1ed an act I\(; role In Fir<.,t Id training \\ hlch re"ulted 111 hlln being appol11ted County Officer at Brigade Headquarters in 1946 and DSO to the Brigade urgeon - In - hlef anJ PrIncipal Medical Oflicer of the As\oclation In 1953. lie relll1qulshed the post in 1965

As a peclal COI1\table In the It) of London PolIce Force he the London' BIItl' and sa" aged a plcce of limber Irom the rool of the GuIldhall v. hen It \\<.\" de,>troyed b) enemy action He had It mounted as 'The GuIldhall plInt Troph) , for an annual First Aid compelltlon open to First Ider emplo) eJ \\ ithln 'the quare mIle'.

Speaker's Corner

Commons, Mr Bemard Weatherill, andh wife Lynn,joined with many St John colleague" at the Ladies the Hospitallcr's Club at London District Headquaners in December H I gave a wilty and interesting talk on hi" role in Parliament which II warmly received Mr Wcatherill is Vice-President or the Croyd Division.

After thc v. ar Gl:orge helped produce and featured in the fiN 35mm film on First Aid (produced by Pathe) He became a founder member ofthc St John HQ VI"ual itt... Committee v. hlch e'>tabll hed a lending library of IiIm ';trIpS and 16mm trall1ing film In 947 he helped in e<.;(ablIshlllg the t John A "Ocliltlon· pecial Industnal Centres' allned at encouraging Fir t Aid tandard" \\, IIhll1 the newly nationalI ed industries and variOUS CI\ II ornanlsation Hi '>lICId· · s e 111 1949 to his belllg gl\en the mandate to run n L'ulmina!Ing annual competition for men, namely the Grand Prior',> Troph) He v. as asked to organise a women' \ e ent the follow IIlg year. He remall1eJ for all aspects of the As oClation First Aid Competition Finals (including the Grand Prior's) until hi" retirement in December 1966.

For h'IS service to the foundations George was admllleJ to the Order In 1938 ad ' .' B n promoted Commander Brother 111 1957 HI" work. v. Ith the ngade earned him a Service Medal plus bar

by nur ' e on the Effccti\e Register come into effe t'?

t When should black. epauleltc lide,> mark.ed SJ 'or' t John ambulance' be wom'?

S. What were the names of the R ERS P in the Cadet of the Year competition?

6. Ste\\ards are required for th e Brigade Finals at the Fairfield Hall In Croydon but \\ hen are the) being held?

7. What i the subject of the 1992 uring Bur aries?

8. Ho\\ many Jispoable triangular bandage:--o ought to be included in the 15 ha\ersack.?

9. To compl) \\ ith the new Charities BIll. \\ hat should Divi ions no\\ be filling in meti cu lousl) '!

10 Te.eo has granteJ a ationaltl,.\o-day collection to ! John mbulance on Friday 27th and aturday 2 th March. 1992. Approache hould be made to Branch lanagers after 7th March ) our Division k.no\\ ( alright. you don't have to an"'"er thi one! J. March 1992 t John World 7

StJohnWorldNews

Fund Memories

A manda Devo n s hire writes - The "OverTo You John" campaign not the firt t ime tha t t John ha benefited from fundraising activie centred on a name. Although detail are carce. the "Mary'.., Fund" operated throughou t the World War and preumabl y in olved obtaining monev from lhose fonunate (or unfonunale) enough to be named Mary Po ibl) in pired by Queen Mar), the fund appear.., to have been <'lricll) limi ted to people of that name - rather than eA tended to any Tom, Did. or Harriet!

I have found nodirect reference to the Fund except forthe tantali , ing imaoe of the mobile ki tchen shown above The h.itchen was presented to thetoint W ar Commi tt ee of Red Cross and St John Ambulance from the Marys of the United Kingdom However the Joint War Commi tt ee received numerous gifts of money, both large and small and often collected by ingenious cheme , and wa not able to record them in detail.

I imagine that the fund wa a one-off\enture and the kitchen the end-product. The unit wa equipped With a boiler capable of boiling 25 gallons of \I. a ter. withpecial accomodation for the heating of soup , coffee or cocoa - not forgetting the stewing of meat'>. The cost of the vehicle was £600 - didn't the Marys of the nlled Kingdom do well! Ifa nyo ne (a Mary or o therwise) remembers any more about the fund we at the museum wo ul d be grateful for the informa tion. Please rack your memories

The Museum of the Order of St John is amongst thirteel/ London Museums to ha\'e he en inc/uded in a special promotionalleafleT- London's Muscums off/coltll and Medicine'

The leaflet sholild he ofparricular imerest to SJW readers al/d gil'esflll! details of opening times, Tral'el rollles and disahled access together with a hrief summary of each mllseum

Amongst other mllseums mentioncd are the British Dellla/ AssociaTio/l Museum, The British Optical Association FOUI/· dation Collection and (a fa\,ourite amongST the cognoscentI) the Old Operating Theatre, Museum and Herh Garret.

WINDSOR SAFARI PARK

Why not venture into deepest Africa with your club, families and friend to

erboat Ride and enjoy our famou eaworld how featuring ec11lon and bottle,no e dolphin.

Ev ryon I - invited to enjoy the 'African Ad enture' at a pecial all,inclu ive price of 4.95 for both adult and children. Normal admi ion will be £9.50 adult and £7.95 children. Thi pecial rate only applie on a pre'payment ba i for a minimum of twelve pe pie in one vehicle.

For more informati n plea e call the Party Bo king Office on (0753) 30 6.

Vehicular Excess - 2

The first fleet of Land Rover's 116" wheelbase Paramedic Discovcrys being handed over to Northumbria Ambulance Service. The extended wheelbase vehicles carry a fulllength trolley stretcher and full complement of paramedic equipment. They were deemed especially suitable for the off-road conditions that are frequently encountered in the region. The vehicles fall in line with the Service's ongoing standardisation of its fleet to diesel engines - saving an estimated £200.000 per year.

Taking t he hu mp

TheOprhalmic Hospital inJeru). lem already ha a roch.ing hoI' called Robin - 110W it i' to get 'careel11ng camel' called Colin J well. Robin and Colin v.ere bot' hand-carved by the start and In· mates of the pecinl Unit at Lin coin Prison and presented to Lin!" PR O Ceci l Jol land All Cecilh8 to do the n was to ge t the four-fOil bea ( to Jer usa

SAVE UP TO £4.55 EACH

An unusual duty

Liesl Flusser SRN SCM, Area Nursing Officer for South West Area, London District relates her experience of a repatriation case (and a long train journey).

(Simon and I ",ere travelling er) light) in the boat train. The train left at I 1.40 hr and arrived in Do\ er at 1300 hrs. On arrival at Dover we found tha t the ferry to 0 tend had been cancelled, bu t we ",ere to go on the Jetfoil in tead. Paula wa" ver) interes ted in every thing that wa going and talh.ed non- top. The was q u ite mooth (to my relief) and we arrived safely - and early - in Ostend. We sa t and ate our packed lunch/ upper e en per uading Paula t o have ome. although he aid he wasn't hungry. There wa too much for her to ee and wa ch.

Arriva l

The train [UTi ed in VlennaJu"t after 1100 hour,> and we were met by th e u\trian ocial Worh.er and Mr and Mr F y\ho ran the home at BAD auerbrunn '" here Paula y\ as going We had a lInnh. at the tatlon sal o goodbye to the ocial Worh.er and \.\ent off to B 0 auerbrunn PauL had la\l been 10 u'>tna about tcn) cars ago, ami h.epttellIng Imon an c m) self that ariou\ buildings \.\ cl-cn lIhere 10 year ago L ,1Iall) at somcthlllg that looh.ed hundreds of year old!!

We had IUIlch before gOin g to the home , and \\ ere greeted at th e hou by 1artlll (7). Tanya (5) and a vcr) tat dog 1arlln ImmedIately Paula to looh. around the garden, hill' ill10n and I \\ere ,ho\.\ n Paula room: there secmed to be only onc other rC'>lckIll Thc) ob\ IOLlsl) Inc a,> part orlhe ramil)

B 0 Saucrbrunn I'> near the Il ungarian border and not rar I rom th t \ "Iage '" here Paula", a., born

We sa'" Paula cttkd in and \\ere wa\.ed 01'1'\\ IIh Illh of "mIie,> \\ went bach. to V It:nna and booh.ed Into the hotel - \ ef') comfortable morning Ju t after breah.fcl,t did SOl1le "'Ight "eem , around Vienna - fell in lo\e '" IIh the It) and lllduiged In cofrc c and t) pica I Viennese cah.e and cream

We had a \er) "mooth fl ight bad al ter a \ ery CI1.10) allk '>con Out

The train left promptly at :W.30 hour. Paula tried launching herself upr he rep ,whichoncontinenraltrain are\erysteep.withther sultthat I had to do my only bit of Fir Aid. The carriage wa divided into si couc helle which are meant to pull out into beds The only problem \.\ as tha t imon and never found out how they worh.ed!! Pauln said "he Wa no going to go t o sleep as she might mi s something: but in fnct he slep quite a bit. Ever) now and again Paula would loudly iIlliulre "Where are we? I can't see an) thing". It was darh. out,>ide Fortunately we had th e carriage to es We had a ontinental breah.fa about OX30 hou!) - enjoyed by u all.

Serving sister

Anne Glyn of 420 Marble Arch Division spent noo weeks la s t y ear sampling nurs ing duties at the RN Hospital, Plymouth as part of the Nursing Opportunities sch eme .

I had bee n to th e RN hos pit al, Pl y mo uth befo re and no t as daunted by it a ll a I rememb er be in g the fir t time. In A&E I re ported to th e A ll oca tin g O ffice r, Mi Yo un g, a nd to Matron F ir st Week, A&E

T he cases I encoun tered inc uded:

A Pol cema n w ho had been bitten by a Pi t Bull and needed stitches

A m an w h o had been knifed by his gir friend in the arm. The wound was p ugged so it cou d hea from th e inside first, preve nt ing inrection.

A m an who had been 'jumped' in he s reet. had to clear up his face, w hi c h was brui ed and had su perficial cuts. H e stayed in ovemight ror o b ervation.

A p revious ca ua l ty was admitted who had had t hree p as ers. H e had removed th e as one h imselfa nd wondered why hi arm wa not healing.

A ma n wit h a bo il behind h is ear, which had to be bur t, cleared, plu gged and d r essed.

A 13 year o d boy w ho wa bro ug ht n by ambu l ance, very drunk. H e was k ept n ove rni g ht in ce th e e ld erl y gra nd m o th er he li ved wi h was un abl e o co pe w ith him i n suc h a s ate.

A thr ee yea r o ld g ir w h o had a broke n arm and needed t hree p as ters in three d ays, si nce th e d ress in gs kep s p ping off.

A sma ll boy w h o had acc den ta ll y sca ded hi geni ta l s wi th B r it ish

R a il ea. I h ad t o ho d h im d ow n w hil st he was trea ed.

10 St J o h n Wo rl d M ar c h 1992

Another boy had punctured hi eardrum bJ puttlllg a nail In and had to be ';ent 10 the E T doctor

Other notable case ", included a man With a broh.en tendon : the u\ual "CO of motorcyclist" With broh.en limb , and an uncon,l'lou'> patient "ho only means of Identificallon wa,> an unmarh.cd Health Board bu\ ptl\\ fonunatel) the "erial number proved ,>ulTicientto e.,tablI..,h who he II. Seco n d Week, Al (Male Surgical) Ward

I took the wcekend ofT before '>tanlng on the Male urgical Ward needecl it after A&E!

I learnt to clo urine te.,t" and fill out fluid chans My other dUll included a lot or bed baths , bt;d-making, preparing patients for surg er and carrying out ob<,ervatlon (,>omething the M A. , Paul , had laughtn t he previou week)

We had a large number of with cOlostOIllIC catheters ar drainage bags. These needed regular attention if ,>ollle messy aCClJ en' were to be avoided - and I confess t hat I hac! at ea'>t one. also near damaged my back he l ping to move a patient wi h no legs

On my day at thc we finally t ransferred a 94 year o pa ti ent back home. H e had spe nt a week With us for es s which eviden confirmed tha t there was l i ttl e more the doc ors cou d clo for mall comp ain s A ll he wanted t o clo was to go

ica experience is important.

A few wurst case scenarios!

"'I'

Eight 0 'cio k, Wedne day 2nd October, and a newly poli hed ambulance with it four envoy et off on a unny day for the Dover cro in g Nick, who had come trai g ht from night duty at the L.A S C ntr a l Ambulance ControL tookadvanta g of the ride to catch up on orn e le e p.

A f ter a m oo th cro , in g Sam too k th e

w h ee l. a he h ad h ad previo u ex peri ence of d r i v in g o n th e r g ht. Thank s to good r oa d (and ve r y few road work !) we ani \ ed at th e G eml an bo r de r b) 172 5hr w here

m et Frank Blum enth al. the Direc to r of th DUren M aire ( th e M al te er are the

R o m an C ath o li c b ra nc h of th e O r de r in

G erm an y). H e e co rted u to o u r ho tel. o rn e t wo mil es fro m hi hea d q uart er s.

O ve r dinn er th at eve nin g he and h i.., w fe o utlin ed th e p rogra mm e fo r th e next three d ay.

Th ll r sda\': a pu b li c ho i da) toce ebrate th e un ifica t ion of W est and Ea t German).

A n o pen day wa to be he d at th e Ma l tee r

HQ 0 t he p ub l ic co ul d in pec t vehicle and equipm en t. A demon t ratio n of hm"

th e em er ge ncy er v ces co ped w ith an RTA

wa pl ann ed , plu enterta inm ent fo r th e c hildren and vi itin g ba nd . F ra n k as h. ed u to d i pl ay o ur am bul ance a ongside th eir.., and to ake p art n th e RTA d emo nstr at ion.

F riday: i g ht ee in g, arra ngeme nt s had bee n m ad e for u o v t C o ogne.

Sa tll rday: a v it to th e m ain D Ur en f ire

tati o n and Di stri c t Fire Co nt ro l.

So it was th a o n Thur sd ay we p ar ked o ur ambul ance a o ngs id e th e G erm an vehicl e at th e M altese r HQ Dr Wilh e lm

Flo13d o rf, w ho i s in c har ge of th e DU re n branc h , d ecl ar ed th e d ayo pen Th ee n uin g

pee c he we r e all in G e rm an , but we d d pi c k up th e wo rd 'Eng li sc /7 o nce o rt w i ce!

Our ambul an ce pro ve d o be a g r ea t attra c ti o n ; th e c hildren l ove d tr y in g o ut

th eir En g li sh and thou g ht th e l ef - h and driv e om ethin g from outer - p ace!

a littl e E n gIi h - althou g h a lad y from York shire w h o had married a G erman , al so he lped a, an interpreter -and we met many inter es tin g people: doctor s; fir e m e n ( known as firework er s'); R ed Cro ss work er , and a prie st who had been int erned durin g th e war and rel ated hi g ratitud e to Briti sh oldiers who had shared their r ation s w hen 12 St John World M arc h 19 92

TIle Duren branch of the Malteser Hilfsdie1lst of Gennany recently invited a unit from S.EArea, London District to take part in its 30th Anniversary celebrations. An a1nbulal1ce from 305 Bro11lley Division was chosen, together with ASOs Ron Davis, Sa111 Donnelly and Brigade Members Tony S,nith and Nick Goh. Ron Davis reports on the occasion.

he was li be r ated.

W e ea rnt th at th e Fire B rigade rcce i veda ll E m erge ncy Ca ll ..,; ifana m b ul ance was r eq uired th e ir ow n ve h ic e wa<., ..,cn t fiN and was ma nn ed by para m edics (who are al 0 trai ned f re-rig ht ers). I f hi.., \\a.., no t avai ab e th en th e ca ll \\as relayed to th e M altese r s or Red C r oss by tum.

T he gove rn me nt he lp s o fund th e Red C r oss and M altese r ve hi c es b ut th e work i<., d o ne vo luntaril y. Th e fire wo rk er s, too, we r e m o , tl y vo lunt ee r s and we d etec ted n o anim os it y bet wee n th em and th e pa id staff.

D oc tors attend m os t em erge ncy ca ll s to admini ter dru g and d ec i de w he th er ho<,pit ali za ti o n i s ca ll ed ror. Th e M altese r s and R ed Cross m an spec i all y eq uipp ed ambuance ca r s w hi c h in cl ud e intub ati o n and infu s o n equipm ent w hose m ain fun c ti o n to f err y d oc to r s fr o m h os pit al. to th e sce ne o f an em erge ncy. H e co pter s, ow ned by pri va teco mp ani es,a r e use d quit e ex tensiv e y and ar e equipp ed Lo co n vey o ne tretc her pat ent and a ways h ave a d oc to r o n boa r d.

Th e RT d em o n " tr ati o n bega n with t wo ca r s be in g ram Ill ed toge th er at con si d era b le spee d d UIll m y \\a" p l aced in o ne - ., uppo<,ed l y trapped wit h .,evere inju. ies - \\ h i l e a yo un g tee nage gir l \\ th 'ann and leg r r acturet.;' W<.h p aced n t he othe r.

T h is 'rea l ca..,ua lt ) wa.., th e o nc we had to dea l \" th

The lire ap pl ia nces were the flr..,t (0 arr ive and th e Fire h ier a.,se.,st.:d the i(u at io n li e ca ll ed n th c Ma lt eser.,. closel ) fo ll owed by our own ambu l ance. A dn p \\<.\.., sc t up on th e dUIllIll) b) the 1alte er, \\ hile a fireman too " the rool olT the carll enable the patient to he rem{)\ed 1ean· \\ hlle. Ton) and IC" attended to the otht casua lt y. admini..,terlng Entono and 1111· Illob rll "ing the fracture" belore rel11o\al. A fireman had been detailed lO Tony and ic " and \\ henl ony indicat eL that he \\ anted the car door opened he \\ renched It bac" \\ IIh hrute force an d nearl) "heareu It olT II.., hrngc,,! \ large cro\\ d too" plent) or photo and \ Illco\ 01 the "ccne anu \\ e relurned to our hotellili er a \\ hrle hut e\h<lu lIllg da)

On Frrda) \\C l"ltet! 'ologne .l prollll"ed. beginning \\ Ith thc CJ' thedral \" hlch llliruculou.,l) e"caped th al l ied hombing that de"tro)cd LJ)C( 01 th CI l ). We were too lale lor a hoat trip on Rhine. but had plent) of tlillC to adm ir \\ ha t "eem to be the Illaln Genllan pa\ (· t ime - eating!

The e\ening pn)\ Itled e\ en more or portu ni ty for he latter and at the MaitN H Q we \\ ere "cr\ eu up \\ t h "Ol11e or tht l arges t "ausage., \1, e had c\ cr een - .1 1 accompanied b) the u..,ual beer. \\ hlch lI ll Tonyand ic" had no problem con.., uIII IIl g ide.., were "ho\\n 0 1 the Maltc,ef\ vi..,i t to Lo ndon a<., May \\hlch had bee n ar ra nged by D r o l in Daw..,on. the Bngade Sen i or M ed ica l Advi..,er for outh London

T hey ro un d our Troopi ng oC th e olouranu

Bi gg in Ilill A i r Fai r es pec all y i ntere'>ting

A pparentl ya ll i r Fai r " in Germ any wef ., to pp ed eve r tI yea r s ago a ft er a seriou' cras h R on D avi.., pr esen t ed Fran

Blum enth a w ith an eng r aved t Joh ca rri age c l oc k to co mm emo r ate th e \ iSlt

W e d o nn ed u n ifo nll', again 1'01' a[U f' d ay and th e to th e m ain D Uren Fi ft tati o n and Di stri c t o ntro l. T he ambu, l ance was aga in a ce ntre o r attr ac ion pa l1i c ularl y w hen T o n y c hose to demon·

str a e th e e f fec ts o f E nt o nox o n th e human

voca c ho rd s! Saturd ay was th e mill l cl ea nin g d ay at th e stati o n amI all the

\ehicle \\cre "'potle..,s. Ont: Llllloulance had been compktel) "trrpped 01 equipmcnl and even thc \\all" amI cCllings \\ere being enthu<.,la<.,tlcall) ..,crubbed

Illong..,t the \\a.., one akin to tho,>c th.lt dell\ er klp'" In the L K Thl coule! accolllodate an) of e\cral container, \\ IIh "pecldli..,cd equipment, ic one I or tJckling chemical firc". one for peclal re cue ,lilt! "'0 on

The DI..,trrct Control \\ a.., ahout three mile rrom the Fire tallon. I t \\ <.h completel) cOlllputeri ed and "et up to deal \\lth 'lome hundreu call ada) (rno<.,t or the \,olunteer" being contacted b\ radio bleeper.,). bout '-nrl) trainee \ o-Iunteer.., were attending on the da) \\C \ 1..,lted, \\ ith an <1\ erage age or )

We oon leamt that lhe Fire hler had an exercise p anned that artel1100n and as soon a we got \\ ind o rt he loca ion. \\ e .,et off \\ i th our Gcmlan guide to ob en e. I t tLi med out to be at a rarlll in the countryside, accc..,.,ed b) a n<.llT()\\ t ract.. The scenario \\u.., t hat <.I bam had cauoht alight. C1ot.;e b) were .,orne oil while the ramler, who had tried to tac"le

L eft : (I -I') Frallk Btum el/fhat, Dil'!.. Burioll alld ClIido I/ (I (, .\'£'II pose lI'illi ROil DCII is. ick Coh, Tom Smil/7 and MI's Btlln/ e mliat Right: A lI'e/lf/'([\'e/l(!d ([mhlltalle e ,uk e s a hr eoJ...

the flame..,. had been o\ercome bJ the "moke in the barn.

The firev,or"er<, at once ..,urrounded the bam with hOt.;e" \\ hile oille of their colleague.., \\ llh hreathin g apparatu entered the building - emergin g in due cour e \\ ith the ·uncon clou · fanner. He \" a hancled 0\ er to Ton) and IC" \\ ho placed him on

, at the Malteser HQ we were served up with sonte of the largest sausages we had ever seen'

a "tretcher in the re 0\ er) po..,ition

Foam \\ a.., laid around the oi I drum and we I arnt later t ha l. in e the farm had no mains \ \ aler ..,uppl) ho e,> had been run to a hou"e half a mile <1\\ <1) \\ hi h had a \\ imming pool.

E\ entuall) the Fire Chief declared the exerci 0\ er and ill\ ited u<., bac" to the .,tatioll \ v here t here \\ ould be "plent) beer.

THE NATIONAL TRUST

plent) ,>ausage"! The firemen in isted that our ambulance be parked on the forecourt

The Fire Chief \\ as evidently atified as there had been a gap of only fifteen minute bet\veen the initial call and \\ater being prayed on the bam. fter a) ing our farewell to the firemen \\e \\earil) returned to the hotel and prepared to meet our ho t. for yet another meal- thi time at a Yugo 1m ian re taurant. On our return am. f ick and Ton) met the Burgoma ter of D Uren in the bar \\ ho welomed them to hi to\\ n and bought them drink H e \\ a \er) intereted in the \\ ork of t John and it link \\ ith the t\l alte..,er for \\ hom he had a high regard.

The ne\t da) Frank took u to the Malte er HQ to ollect our ambulan e. we left DUren a tlre\" or k er ambulance (or "rankell\\ agen' if) ou prefer!) dro \ e b) u<., - the re\\ practicall) fell ou of their cab \ \ a\'ing goodb) e. fter another "moorh ro ing. we all agreed it had been a thoroughl) \\ ol1h\\ hile trip Our GenTmn ho t auld not ha\ e made u more welcome. John a great famil) all 0 \ er the \\orld.

Trouble • In Paradise

Mont en'at i a Briti h Colon y in th e Caribbean , ne arAnti g ua It i only about 39 quare mile and ha a populati on of ome 12 ,000 Before ani vin g th ere I had little infom1 ation and did not kn ow what to expect. The electiv e had b en an'anged throu gh Dr Lewi ., Princip a l Surgeon for St John Ambul ance on Mont sen·at.

Thro ugh SI John [ had been gi\ en an inlroduc t ion to J oe and Doroth) Greenv. a): Joe )" a Irainer and lecturer for SI John. Dorolh) I" Ihe Montemll President. J had been laid thJt Ihe) 'Wou ld arrange form) sla) 'W ith a MOllherratian fami ly and nol to \\ orr) about the detaIl

I an'ived al the all-POrl and found Ihal. Jue to various crossed \\ ire no-one "as there to collect me and no-one I--nev. v. here [ hould seemed to he acc:epted J matter-of-cour e b) the airport per'>onnel and. from Ill) "ub"equent e.\perience of Monherra1. \\ as probabl) not an unu..,ual ,>tate 01 allalr". I phoned the hospital to find that Dr Lev. I.., \\ a.., not on the island. J phoned the Greell\\ a) and wa re lie\"ed to here that the) \I 'C /"(' expectll1g me Sr). I am\ ed at Ihelr house. a crul1lpleJ heap of .let lag. to a wann welcome.

The next rnollllng I v. ent to Glendon Ho..,pita!. the one 60-bed general hosrita! on 1ontserrat. I met Dr Le\\ is \\ ho Imlllediatel) took me along fOI hi"'llloming \\ aId round. The ho..,pital v. as aboui t\\ o-thlld ot the bed were filled and if \\ a not ver) hu,,).

\\ hat imrre sed me that first morning \\ as the number of ralIenl'> \\ ith fOOl 111 reel Ion.." v. hether due to poor blood uppl) or to diabetes. Three of these pallenI'> \\ ere dov. n fOI surger; to remove dead tissue and one young diabetic was to have hiS toe amrutatec1.

D iabete mellitus IS a major problem on the island and. although patients are gl\ en dictaI') advice and sho\-\n how to use ll1sulll1 or oral hy poglycaemlcs, man) have \ ery poor control of th eir b lood sugar. This i not he ped by the fact t hat b lood glucose levels can not rractica ll y be measu red by th e patients at home only at c lini CS eve ry t\-\o or three months, and pati e n b rely o n unne glucose leve l testing.

Hy pe rt ension is ano th e r very comlllon

14 St Jo h n World Marc h 1992

hypertension and f oot infections were amongst the No ttingham Univ ers ity stu dent Rache l Ja m es found in Montserr at on herfiveweek medical elective, arranged through HQ's Medi cal Branch.

Are you being served?

pro bl e m . a nd th e re have been campaign'> to nc rease publi c a v. are ne..,s of its im pl ication.., and th e need for trea tm e nt , toge ther v. Ith b lood pres s ure c linic.

nO lh er s lgnificJnt grour In the hospllal

\\ a.., th e long- tenn pa t Ient, ome of Ihese had nadequa te s u r r on al home to be dl..,charged: <;o m e had ve l') I..,ola ted home \\ Ith 1111nlmal

a nd ot her were not fit for dl"charge main I) because of..,e \ ere anaemia -the ho",pltal IS on ly able to gIve hlood Iran ruslon" If patients' relatl\e" \\ III gl\ e blood

Later 111 Ihat fi r'ol \\ eel-- .1..,,,I..,led in the operating theatre. Ithough eenaln thIng" "'Ul h a old-fa hioned "crubbing-up \\ Ilh "oap. \\ ere different. In near I) e\er) \\<1) thc theatre \\a" lI"e a Illodern [3nll"h operating theatre 1 he

" thi s I1lay b e Si 111p l y a r ef lectio n of th e l'e,)' 'laidbac k ' attit ude and way of life uf lI llll ly A1oll1serr lialls"

drug.., and IllonitOl" fOI anae"the"lu \\ ere tandardk , a u ed In Ill) teaching IHhpital. Dr I ,e\\ i \\ a killed in a \\ Ide range or operatlom. \\ IdeI' through lll'ee" it) than mall! general surgeon In 131 italn \\ mIl ( allemrt In additIon tn helllg on \\ard round" ,1I1d al cliniC'" in the hospital I hecul11e im ol\'ed in pnmuI') health care. I kalth education alld preventi\ 'e nH:diclIle are large parh orthe primary health work,and are reaching lalge number of tilL population. « hilt! i1l11ll1I1l1..,atloll..,. i'OI in"tance. ha\e included the J\1 (lllea..,Ie.." mumrs and ruhella \ accine) for longer than tillS has been available in Britain, and I DOC;( of the lhildren recei\ C immuni"atlon,>, In man) 'Wa)\ I round the primary health care more intere'-ling a\ therl were greatel dil'fcrence<, from the 131'111<,h health "ystem there than in thc ho..,pltal. D I Johnstonc. an Engl l..,h doctor work ing for the OversLa" Development Age ncy ,encouraged Ille todoa "tud) on asthma in c h ildre n on Montserrat. Although in th e relatively "hor t t ime I wa

I could no t arrange a Iull- calc "crcellln( rroJecl. dId a pIlot tud) and dl..,cu"scd tht rrac tlcahIlIl} of \ anou" arrro,ILlle.., \\ 1Ih 1M,· II1g and medIcal "tan on the 1"IJnd fter tf) mg to alTal1ge J rrelI 111 In<lr) ..,necl1lng "tud) III thl' \\ a). I v. a able to Iea \ e ",ugge"tlon Jnc l11a tenal.., such a.., que tl onn<lIre ..,heet-.. and hn pl tal raetkltnc 1ll0rb ldldt y data. \0 that rUIUre \\ ork in t11l" area could "tart lurther 011 I al" collected "ome dat.1 on InLlI1t \\caning .1" pan of ,I 1,lrger '\olllnghall1 ..,Iud) By "ta) II1g \\ Ith the ,reen\\ a).., I \\ ,1\ ahl to diml nul abollt \ 11 \lonhena!. I\l pre the Brigade ll1emblhhlp IS undl'l I()(). ali" there i a need lor an incre.I"c 111 nUlllher". Thl includl'" the \lont"'l'l! at polke IOIl:e.:I'" the) JI 11<1\ I.' to do ,I Ilr"'l \It! lour"e. "'onll' In militar) and doelor Jnd nur"l'.., OUhide the"'l' group people are Iduct,lIll to c\l!lIlllit thelll"ehe 10 lla""'l' and l' ,1111 thi m,l) hc'oill1pl) :llellcl,tiullUI the\L1) '1,1,d h.tlk· altitude and \\;t\ or 111L uf manl \lont erratian I he Ir) IIlg til t;lrgl't t' slhool popuIaII()Il, inltl,t1I) tl'acher thell.llh e al Iea"t one tcal her In l',ll h cholll I tl ailll'J teach lir"t aid. pupil :IS \\ II Due In it "'ll1allllll'll1her"hip.tlll' \ lUl1tsL'ITJ ).1 ha" a raid) Im\ ·kl') role I\IIl"t of Ille )lW In JUlle there I ,I St Johll \\'eek III \\hich Ihclt i" puhlicll). ,lIld such a thl' .Ire il1\ oh ed. For the ()UCl'II hlrthdd) there i a lerelllllnl,d parade .11 \\ Illdl S.I hoth repre..,cnted and !!i\ c.., !-ir..,1 t\ III ullcr Dllllng the )eal SJt\ i rL'j)J'e"l'llll'd atl'H'nl il1\ oh illg the 1l11'dll:al..,er\ IlL's,lhl polIce lorl, .\I1d churche..,. and al o prm Ide.., I IN AId al "pecilic C\l'llh ..,uch <1" national and "t1wo '-porh, Tile J\1olll\enat i" trylllg to ra l" rumb to ()\ ercomc thl illl1ll,ttinn ..,ud1 a' nol Ila\ in/:! a Ileadquartl'r.., or Its ()\\ nand nol hal iog a \ chicle, but in the ml'ahntlllle 11".., arrang r ment" \\ Itll other organl atlon\ on tile 1,lalld \\. hlcl1minlmise the"c problelll.., The time I spent 111 M(lI11sl'rrat \\.lS I eI' en.lo)ahlL. 111 addItIon to 11<1\ In/:! h.ld "UCh;1I and \ arled clinical e\IJL'IIL'IlC C hope I WU\ ahle to lOl1tnhutc in a small ill the hea lt h care there. I \\ ould like to 5, John Ambulance ror helpIng lIIe and 111 par tlcular. Joe and Dortlth) Greel1\\ a) Dr Lel\I' a11d the o ther people \-\ Ith \\ hOI11 I \,olled an J made friendship" on M011t"en,1l

St John Su p p li es h as b ec om e awatch7v ordfor quality not just amo ngs tth e Brig ad e but in th e cOl n ln erc i a l ma rk e t as we ll. Th a t's not to sa y th a t they d Oll't ge t cOlnplaiHts

We PH t B rian Ro ck e ll, t h e Di rec t or of Supp l ies, Oil th e rack!

C li st o lli ers CO lllln e ll !

"f'/I£'Y' 1'('([/11'0."\ /r;elld/., Ulld «(1111'/(,(111.\. Hi."rc jll\( ,\II1PI'I.\('t/ IlIu( i(\'oll \\"(//1/ hulf... orden (!O() 01 r IICIII\ (hclI you h({1 e {o II·a;r. }{I/I' cI (' \fJ('l'( lIIl orglllll \(I/;(II1Iif...c SIIf'fJltCS ((I \((lcf... 1I/(l1'C' d('I'(II."

"Thcy hlll'e ({ I'unge U'IJIctiica I f11'1Je/iI( (\ ([lid II wllg£'. H Ii.' (ltc IUllcr? /s//'I (h([1 f'l'o/ir he/orC'lmIlClf1ul /"

" \/I (Ire/ere //(/\'(' /1('('11 £1('([11 1\ 1111 (IIII( kly alld (t/icicJ1l/.' lIlId .\·Iu/rar(' ray !/('In/i"".

'''heSfJC'('(l/illC' dcli\'('n' I I'cry good, hllr \'(111 ho\'c 10 IJ(/).Ior It."

"r I'e hcard {hal peoplC' {old aFC' ollr 0/ \foe/.... II'hell o(ltn peop/e II'ho arc .)pccdlillc CII\/O/l/('J'.\ (WI \rill orc/er rhelll."

" H e jind IIial II'C' ('(III gC{ llic 17/('(/tcul slIfJplie,\ .If I/' Icss ('lsC'1I'lte!'e ES/JC'ciullv lhe c \fJclldahlc 1f('I/IS like hOlldur,,:c ({lid elal/oIJ/lIsrs. "

Whate er about Bricffi Rockel!. St John Supplie \.\ ould be hard put to find a more qualified D irector. A South BuckinghamCadet "ince the age of 12. Brian remain an active member of the Brigade and cUlTentl y the County Transport Officer for Berk hire. When you combin thi , with profes ional background in retailing and marke t ing, ou end up wit h an ideal candida t , upplle.., "un e).., il'> customer regularl) and. Brian Rocl."ell ini"h. a \er) posiu\e reedbacl.". It al"o gel'> complainl'>. bur anyone \\ ho \\ ant to d\\ ell on ha to ilccount for the rapid gro\\ th that the organisation ha" enjOyed in recent year - it mU t be doing '('Ill not "d\ Ill!! that things don t gO \\ rong. " sa\ Brian Rodell. " I f you re ending out a thousand \\ eel.... it \\ ill But 'St John t quite unu"ual. People do lil....e lO nipe at headquarter a a \\ hoI On top the rule ofretailingapplie!:>. namely that \\ hlle It tal."e.., ages ro build up a good reputation. it onl) tal."e one mistal."e to ruin it. " One hould add too that upplie.., are at the harp end of man) made b) \ ariou,> COlllllllttee in t John. It\ not upplie' fault. for e \ Jmple. that the Dre..,.., Reaulation" hel\ e not been re-\\ ritten \ et: a Brian notes \\ ith the frustration of a chained \\ oil' In a rield full of "uicidal gee..,e : " Right no\\ there are -+00 eparate \\ ho are ju"t to get their Dre .., Regulation,,! " t John uppite i 109 year old tll1',) ear: it a wall) outdate the Brigade. Originall) se t up to cater for the Illa t rial neeo" of the A,,\ociation. it ha "pent m "t of it life v orl."ing from t John Gate in lerl."ell\\ ell. In 1959 it tllo\ed acro " the road in to P rior) H ouse but onl) in the earl) did it begin to capitalise on it'> marl."eting potential b) seriously aoore\slng the need.., or the public and indu'>tr).

Fort) - t\\O people no\\ \\ or l." in the organisatton \\ hich ha.., 5.000-;q ft of \\ arehou,>ing, tl'>customer.., it no\\ boast mo"t of the larg indu trie,>, police force ambulance ..,en and other \ oluntilr\ organi ation" , Thi ..,ucce..,\ has \\ it a certain aillount of emula t ion. but remain pre - eminent in it" lield al;d. as Brian argue,>. a le\\ competitor" no bad thing. "We didn t reall) ha \ e competi t ion a couple of year.., ago: but it\ good and health) \ o\ e can a t lea"t sho\\ that \ve can compete - if you re a monopol) it\; hard to actuall) pro\e hat you ' re doi ng ) Oll r job."

Hi" olTice i tid). but not and in a con\ er'>ation that ranged Illan' topic.., he \\ a'> able (0 pull out kallel'> and record.., \\ ith telling erticienC) He i". in a \\oro. canny , nd \\ hen you con ider tha t uppllc" no\\ ha.., a multi - million pound tllmo\ cr. that's probabl) no bad thing.

\ larch I L)L),2 S t J o hn \\ o rl d 15

Let's begin by con idering the ethos of St John Supplies. The fact that you now operate in the commercial market might lay you open to the charge of not sen ing St John in the \\ ay that you were original!) intended to.

BR - Our first role in life i to 'en e St John Ambulance: to offer them products at an economic price to suit their needs. That doesn't mean buying the cheapest because that might not be up to the task. Whi Ie you con go do'A n to your local Boots store and buy a triangular bandage. there are many other products in our runge that are designed specifically for St John - our job is to offer an overall best deal.

Fair enough, but ) OU do make a surplus. Where doe it go to'?

BR - We mak.e a major contribution to the running costs of St John Ambulance. That benefits St John members here.

Let's highlight this idea of' erving St John'.

Defibrillator are an item which pre ent many unit "ith a difficult purchasing decision and it's clear from our catalogue that ou' \ e taken a lot of rou ble OHr them.

BR - First Aid equipment is becoming more sophisticated and that does require more technical input. All of the defibrillator., \.\ere e'\amined b) the St John ledlcal Branch and we worked c1osel) \\0 ith them. We en"ured that the model we stocked had the right k.lI1d of back.up and we then offered an extra package. called Totalcare, to insure equipment being lost or brok.en. If a Division has a contractual commitment to pro\ idc a defibrillator at a certain eyent it is vital that. .,hould anything happen to the equipment. it is speedil) repaired or replaced - e\. en at \\ eekend'l.

do you offer both a Laerdal and a Physio Control defibrillator'?

BR - Customer., shou ld have a choice wherever possible. There are preferences for manufacturers, especially if the training has been offered by the Ambulance Services and an aninity has developed for a specific model. It'.., worth adding that many of these pieces of equipment are not used every day and it\ important that they get serviced. We now have a programme that even remind., people to change the settings on defibrillators when the clocks go forward

.that is free for the first five years. We'\e read the leaflet, you know! Actually, suspect that the catalogues you issue themselves serve as an unacknowledged source of education for many Divisions.

BR - I think the catalogues we now produce have contributed to our success in recent years. St John members are busy people and don't have the time to consult a plethora of articles. We aim to bring them all the information they need to makeselection and ordering as 'itraightforward as possible. [He disappears illfO afil16 St John World March 1992

IIIg cahillC'r ollll ('merges lI'irli (/11 1I/lOppco/illg -,,('flo\\' hookler/iil/ 0/1'('/('1'('1/('(' I//III/hers/. This \Vas the Unirorm Cataloguc ten years ago, and it doesn't tell anybody anything. The 1992 version is rull of hims and tip on care

Ab olutely - encouraging people to buy even more thing like cap covers!

BR - Of course. we thinh. members welcome a selection.

You now have a huge range of goods for sale - 0\ er 2,500 items. It has been ugge ted that might be putting profit before principal. Why, for e"ample, do ) ou oller a range of non-regulation medicine '?

BR - the conccrn. but all tho e mediclIlcs were c'\amlned b) the Medical Branch and we are careful to ,>tate that the) are not suitable I'OJ un..,upen I"cd St John Ambulance lI..,e. It \ \.Cr) ddTicult becau"e the order,> we get Irom public bodie<; contain tile mo..,t CUrlOU'" Ii"t of medicamcnh that probably are iliad\. i.,ed. We'rc not gOll1g to enter tile mar"et ror powdered rhino horn. but we \\ ant to be as complete ,h pos"ible.

You offer training models, uniform items, First \id material., gift item. and St John Ylanuals are of areas not selling a. \\ell a'i )OU might e'\pect, and do )OU ha\e an) explanation for it'?

BR - Not really. all area.., ha\e grown rapidly. The grm\ th In the gift area ha.., been \ 'er, .,uccc..,sfui. not only the standard range but al..,o item" ror speCial OCC<l\IOI1\ like Cadet Blrthday s. the Centenary Range or the OTYJ range. The core or our activitie,> will alway,> be First Aid related, for example we've ju"t introduced a range oftnllnlng manual,> that are not publi"hed b) St John. The"e will appeal to OLlt..,Ide purchaser." but al'>o to Bngade member,> learn a

little bit more about certain subjects

We're now talking about the thorny issueor price. A lot of macho-talk goes on about ho\\ some Divisions purchase goods from other supplier and save themseh es 1\0 doubt your counter-argument,) would in. c1ude a) the suggestion that they are bein g fooled by loss-leaders; b) they al'e not COn. sidering the need for and c) the) are overlooking the time in"oh ed in negotiatin g sources. Does that pre-empt you, or \\ould ) ou like to add anything else'!

BR - All those points could be true. bLit then:: others which arc never r<ll'>ed III conver..,allon For e,\umple we olTer member Ulll(o., or mea\-

We also ofTer an unmatched return policy If an item is in any way unsuitable and an unconditional guarantee. There arc few organi'>atiom that will give such total commitment to their customers. The best deal i" not.lu.,t about price ,

BI? - Yc<., indeed. It\ vcry valuable, provided the information i., not just anecdotal. It's not much usc to us un Ie"., they can providc a copy of the price li"t or maybe an invoice.,o that we can make a proper evaluallon.

Well let's touch on a specific area. Mo<;l of the members \\ e '>poke to seemed to feel that the price of our e'\pendable medical 'iUpplies (bandages and so forth) could readil." be bettered. Are you 3\\ arc of this'? Do ) ou monitor competitor's prices'?

Sf? - We do mOllltor competltor\ pnce,> \ery close I) Indeed We u"uall) lind we're \ocr)

"Supplies? Never use them. We sm'ed year by buying from Medi·clzeap "

Presumably the ideal situation for Brigade member "ould be to subsidise the equipment they buyout of the profits made from the sales to industry.

BR - That, in fact, ha., already happened. The sales from our Fir'>t Aid range have directly enabled u., to launch Discount 1992 -lowenng the cost of many items of unifonn and fixing prices for the whole of th e year. For the first time we have priced the catalogue; there is no separate price list. I'd like to think we can sustain this and that enough people will take advantage of the scheme so that it becomes '>el f-perpet uat ing.

L1rc which arc appropriate to their needs, so most items are available "lIlgl). lOU don't hale to buy a cac.;e. a gross or a thousand Iten,." You don't have the problem" of findll1g space to "tore them or have to wony about them deterlo' rating ifthey arc in any 'A ay penshable. Equn\l) important the fact that our price.., are all· inclusive to St John Ambulance Privileged Customer Card holders. There are no no VAT on top , no delivery charge yoU want special delivery). no driving around to pick things up or arranging for deliverie..,. Peo· pie orten fail to consider the bottolll-line price

compctiti\c 011 pricc I ack.nov\ ledge that people will 'Aant to hll\ round the comer' 1'01' instant con\cniencc. 'b ut I \vould '>tre"" that they get a one-o.,top shop at upplie" and that all the orthat ..,hopping come through to St John. That Illust be in the \\ ider intere\ts of the organi\ation a., a whole. In an, e\ent we offer a 10wC\t-pricc promise on a largc range of products. including bandage.,.

Do you welcome people pointing out to you cheaper SOurce of goods'?

A fe\\ people \\Oe "poke to suggested that your prices ha"e actually improved and referred to a time when Supplie ' prices were 'outrageous'. Was that the case? Do you think you are in any sense labouring to recapture certain Brigade members "'tho have a preconcei\ ed notion of you?

BR - [ couldn't agrec that we were ever outrageou"l) expemi\.e. Certainly. a, groWJl in Slle 'A e \ e been able to olTer more henclih to mcmber.,. We say. quite .,Imply. check. OLit \\'hat\ on orfcr now BLit It\ not ju'>t ahout pnces in catalogues it\ about the benefits and <.,av ings that \\e\c hrought 10 t John. We C,lIl1p,ugned for year" to have YAT relllovcd rrom ambulance..,. "ervICing. radios and tralllll1g mode'"

The relief on the lalter "aved St John o','cr no.ooo last) eilr. There .Ire "a\ ing., on cellular radiO'" and pager,>. benefit'> pa,,"ed direct to St John LI III t-.. Onl) ,Ill II1temal orgalll",lllon \\,ill de\ote the tll11e nele,"",U) to achieve the..,c ",1\ IIlg\ I'm 01\ 1\1011..,.

The cost of uniform'> is a regular beef. It' ea to see - gi\ en the cut-throat natureofthegarment indu'>tr) - that )ou'll a", a.\ <, be ,ulnerable to price cutting here.

BN - Someone \\ ill ring me up and "il). 1\ e .lu'>t seen a hLlck. JUlllper <It the .,treet Illilrk.ct dol' 11 the road that I., live pound L heitper than \\ hilt do )OU '>(1) to that 1'. \1) immedIate n:JLlIUIlI'>. 'Gn out and bu) it nO\\! L nfortull<ltel) Il's nut going to be therc ne\t \\ eek.. \Ve can't bu) from the end of trader\ IlIle" becau\e unlfonn requirement" call for a precl"(, "pecillcatlon. \\ Ithacolllinult) ofquality and "L1ppl). A fc\\ )e.u\ ago unifonl,\ \\ere '>llllpli bed. The old UlllrOnnS \\ ere \\ ool-based: \ ery fine material. but c,\pen..,l\ e and hardl) \\ <hh-and-go fealUrc.., \\ ere remo\ ed- "uch a" nile cur", on the ..,Iee\e" - that harh.ed bach. to the FiN World Wilr. When) ou "Imphf) all) clothing Itcm II becomes cheaper. Sometlmc,> people I' ill cOl11e across a "hirt that I.., a pound chcaper thall our.,. but then) ou find that it doesn't hay c a ..,houldcr ..,trap for rank. mark.Ings

Someone \\ e poke to pecificall) pointed out that )our nuore cent jacket. although ,er) good qualit) , are much moree'pen h e than the) are read) to pa).

BR - There's a careful balance to stnk.e bet\\ een price and qual it) The re\ ersible coat i Ll unilCN11I) accepted item The cheaper \erSIOlh around arc not the t) pe or gannent that

I would want to u'>e - and [ uc.,ed one throughout the Ambulance Dispute. They don t have heatretaining liner'l. Fine. if you're a secunty guard driving around in a warm van all day. but If you're ,>\Ood around a football field Without a Iiner you'll 'loon '>tart to regret it. Tho"e coats are optional. and thou"and<; have been sold. There are a lot of sati"fied cu'>tomer'> out there.

The main complaint from my stra" poll came under the category of stock control and distribution. Members complained that yo u either didn't have enough of some items or that you took too long to get them.

BR - O\er 98o/c of our range IS 111 .tod at any one time From tlIne to time there he "upply difficulties but we'd rather reject a \\ hole deliVery if it"., not up to standard. instead of "uppl,Ing something un'><ltisfactory Each year these problem" hm,e been less and deliverie., have been faster. Most mJi I-order companies tjuote 2H day,> for .,tock. Ilem'>. \ve\e alway" been lasler than that - lar more "0 \\ith stock. Ilem

Let's con ider a fe\\ specific points, rna) be could reHal \\hether there's truth in the rurnour that peedline Gold customers get a pri\ ileged acces to our s tocks'?

BR - I've ne\ er heard that one before! A dl\ Ided "ociet)! Both Speedline Silverand Gold en LIre that order" are picked ilnd paCKed on the .,ame day to meet our dell\ery promise. There i no priority on ..,election of tock. e'\cept that the) hme to be plded on the "ame da).

Ho\\ do.\ ou respond to the criticism that) ou seem to ha\ ea problem predicting the length of time that "ome item take to replace'?

BR - Our gr()\\ th ha been \ery rapid and our tem -\\hilc"tate-o!-theart eight ) ear ago - are no longer ablc to re"pond a.., qlllCkl) a.., \\ e I' ould \\ i"h. \\ e re Installing n('\\ ") "tem III 1992 and thl" \\ III bnng con\lderable imprO\

And no doubt) ou are going to that) ou a\ oid tacking e'\pen he item uch a Resu citation \lannikin '?

BR - Stock Ie\ eh dont relate to price but to the ..,iLe or the requirement for a particular Item

We are. In racl. JLI\l .lboUl to Illcrea e our \\ arehou"e "pace to cope \\ IIh the II1crca"ed dcmand \\e re c\periencillg o "here ne'\t'?

BR - \\ e arc cUITcntl) plannlllg to de\ elop our First Aid range and \\ e ha\ e appOinted a BU"Ine".., De\ elopmcnl to "pe,lrhead It'> gro\\ th o We are 100h.lI1g at e,\ ten lon to our Totalcare COy rage \cheme to offer the k.lnd of back.-up that t John lInih require. We \hall be IIltroducing more ne\\ produch and de\eloping the 111 fOnllat ion ..,upplied to CO\ er "en Icing need - but more of that anon. 1\\ oulun't want to help ollr too much!

larch 1992, t John World 17

Improved Design Rank Slides

First class books for First Aid training

Prc:-.entlllg oLlr nel\ c\'cltlng. range 01 trainIng bOll\.." manual" and

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Each hoo\..ls pac\..ed lull of In 1'011 nail on, I\eliiald OUI and rull of Illuminating rholo" ,1Ild Illll"lrallon Whether) ou'rc 10o\..lnglnrh.I"lc hr\t Aid Infonnatlon or hlghl) sreclalt..,cd trallling) ou'll rind "ol11ethlng 10 \ct your pul\e raclIlg

For more inrormall oll on thi\ Illlpnrlanl range 01 hoo\"" ..,end for our free coloul atalogue (code .l S I ) lod.I) Learn vital life saving skills with "The

of

Aid"

An emergency can sln\..e al .1Il) Illlle II It doc" a \..no\\ ledge 01 flrq aid cou ltlmean Ille tltllcrellce oeille? Itlc and death.

" 'I he BOI/( I o/EIIIC'tt,:l'I/( lid " 1\ ,1111111 aludhlc Iralm o. \i Ideo that wi II

I IdIC" I,', Shill (2 7 50 t.:-t,'iO l750 C25 L\.7'i .flll'i O lJ'i (725 n'i() lA25 (2 1)5 L2 .2-; 1I.1)-; .l24l)'i tll.lJ" (1l)-; II 11" lll):\ LI lh [I.O() 0 'i0 tl O() II 'if) II (XI 0 'iO LI (10 0"0 L I (I (,l) l O'i 0 '" (1 1'; II () l'i l' 'ill i'i.IlO l2 511 III 1175 0 I !) 2 0 I' Il 2, Il 1L' 'it) LI (" l-l l)" L4 1- [Ill I)" [22 )'i t: III I)' l'IIN LI'i!J<; Lolli 'II II qLolh '(I Lit) 9'; U 211 L\ Ill) hi 1I l}" (1l)l) [llII Ul ," L10 U I)" ll<;9, ll'):, ll.l}l) lIl'i I() lOll':; l" 77 ((ll)':; i'i llll) L2l) lll)l) [' l)'; It's celelwll' II " S h B' ,Ion<; a round J I'e St John B.ldLL'r\ arc ('nj()\ in!.! tlwi, ,t It'lhJa) 1\ hile their oldL'r Brntlwr and tllL' <: hal (' JUSI Ih'· , I l' c 11[1<.: (l "gL' 01 7() \\ e ILI COLlldll II .ICC UI\ in!.! that tn'lny hUIllI)' \I: I IIl\tL'ad II C 1\' cL'lehrallll!.! hoth "reL'I.1I oCl';t ion 1l1 t hl\full 11J II _'11 ,I el'lltlnoluoOUIC\.fwl1ll1llltlslonll" a Prtlll> ;:0::elllhiem. l( wtlll etlllel' 111L' Blnllda) Badgl'r 01 adet Birthday K 10017

Birtllda\ Hadgcl Blrthda) Blrthda) Ba<iQL'r RUllon I3Jdl!l'

"Only a few of the children could see, in a blurred, fuzzy way, the viezv fr01n their honle down to the 'Shepherd's Fields' where 2,000 years ago the angel appeared to the shepherds tending their flocks" 20

The Bethlehem Blind School

The little town of Bethlehem not only home to thl biblical , etting of the birth of the d mh of Rachl and the di ,'cove ry of David, the king of hrael, but it. al 0 home to the 40 Palestinian b y":' or the B lhlehell Blind School.

On a sunny September morning, the Outreach van from John Ophthalmic I [ospital 'let out ror Bethlehem, !'>i\ kilomel e ea")t of Jerusalem. The team con !'>ted of our driver kef. OUlreli sister Hiyam Kaibni. Dr Mark Elder and my'>clL who had con along to observe. Dr Elder'" objectives were Iwo-fold, review the children \.eye,> to ,>ee if there had been an} change their sight '>ince arrival at the blind school. and ..,ccondly 10 Ie whether any or the children \, education could be funherenhanc( by the use of ..,peciali..,ed optical equipment.

The Bethlehem Blind chool i.., a beautiful building bUi around 1935 and made of Jeru..,alem ..,tone with an impres)I' balustrade balcony and wrought iron stairca'>c. t fir'it, we lIe! amal.ed at the height or the '>taircase, which w a'> I fly reet In lengl and at an angle of 45 degree ,>. 'I-Iow on eanh' we thought. 'COli blind children navigate this ?'. We didn't have to wait long answer. A.., the Outreach van pulled up. the children wilh Ihe extraordi nary sense of hearing had heard the van arrive and start( pouring out of the door.

Arm in arm, the childrcn with better Vision leading the Ie' fortunate, they came down the stair'> - extcnded to the gUi rail while their feettentativcly reached out for the next stcp. Thl eyes were clouded and searching but, mo!'>t Imprcs,>ivcly. Ihe

were smiling face" everywhere. This really was an amaLing spectacle or the blind leading the blind.

As the Outreach team the stairs. carrying the ophthalmic equipment, hands and '>Illlic'> reached out to us - ,>ome to assist, others to greet u'> in Arabic, 'Marhaba' (hello), 'Sabah EI Khair' ((load morning) and' Ahlan Wa Sahlan' (welcome).

co Once we into the clinic room the children, one by one, came in. Hiyalll ..,creened them to their vision and update notes, while Dr Elder examined the children with slit lamp, ophthalmoscope tU1d retinoscope There was no nurse to help, so I had to as"isl. As a New Zealand Starf nurse I had done a little ophthalmics In the pa'>l. but notllluch! Dr Elderpatientlyexplained lOme \',hich drop s did what (potiellt/y, because I am his wire!) and I \et to \\.ork

My little \..no\\ ledge of rabic wa,> u'>ed to it'> full extent as I the children to look up, and placed the dtlaung drops in their eyes. Word,> like 'Qwayye,>' (good) and 'Ya habibti' (My darling) came in lI'>crUI. hut mo'>t impol1ant v\. as 'Khala,>' (finished!).

The chtldren were delightful. The school cater!'> ror blind (and partially sighted) bo},> between live and 16. they were all dressed neatl} and were clean and bright. The) found our frequent with their language particularl} hilarious After ,>evcral hours we had examined most or the children (a second vl,>it was planned) The results were heartening: 80o/e of those e\alllined Will be able to have their ision improved, either by low \ ision aids sLlch a'> magnirying spectacles or b) the most of ophthalmic treatment - corrective refraction

As an example, Ashraf, a seven year old boy had a ver rare congenital abnornlality or the cone!'> in rhe retina. This causes almost total blindne!'>s in the daytime but allows normal vision at night.A a result of the visit by St John he will soon be able to ha e special prescription spectacll:'> that will improve his da} vision to the point that he can '>tart learning to read and write.

As the Outreach team descended those tOl1uous steps to lea e we felt mixed emotions. The view rrom their home looked out on the village of Bethlehem and down to the 'Shepherds' fields' where 2,000 years ago the angel appeared to the sh pherds nding their flocks. Only a feworthechilcJren could sel:. in a blurred. fUllY way, this beautiful scene. Through th sadness we felt, there was a realisation that the children crowding down the step s to wave had been helped in a way that would change their lives tor ever - thank to the team from .J.O.H, Jeru alem.

Th.e Ware/ell of the Oplillw/lllic //ospilu/ Adds - or 40 blind chIldren examined on that day by Dr E ld er, 21 had parents who were COusins and 23 had a brother and sister simi larl affected. is a , trong Palestinian cu ltural tradition of marrying the family. I · it wonh '\..eeping the money in th family' Irthe result is a blind chi ld ?

NEW RADIO CHANNELS FOR ST JOHN

MORE VERSATILE. You may not know that following negotiations with the Licencing Authority extra channels are now available to St John Ambulance . As a leading supplier of ICOM equipment to St. John we are pleased to announce our retuning service to include these channels on your existing high-band radios . We offer this service for most makes so call our Hotline now on 071- 2 52 1849 for our latest information pack .

CHEAP TO RUN. ICOM 2-way radio has proved to be the most popular and cost-effective mobile system for St. John Ambulance. ICOM is used exclusively by London District to give excellent low cost communications and help make the most

of their budget. If you would like your division to save money get in touch with us today!

Call and Divisional New

Maggie Proctor from Lonaha thrcv. In the boo/e!

( Put me on the Ii. t for ne\t }ear - Ed )

Sotnething of a noncharter

sue you were kind enoug h to publi h a letter from me ( Poillts ojOrder - I). But may I expre the hope that you will not go on u ing the as ociated device of a n Ord er badge pendent by the wrong suspender from the wrong ribbon?! I ugge t th a t the badge on it own needs no new elabora ti on.

I hope Mr Holling wo rth will forgive me for mentioning that there isasmallmi sap prehen ioninhi le tt erin th esamei ue (Poillfs ojOrder - 2). The 1888 Royal Charter crea ted a ll but one of the member hip grades which Mr Hollingworth ha Ii ted The Charter did not create the grade of As ociare (a distinct from Honorary A ocia te). The mi unders tandin g usua ll y tems from The KnighTs oj St John in Ihe BriTish Realm a book publi hed by the Order in 1967 Appendix D in that book claim to reproduce the text of the 188 Charter but doe in fact reproduce a different document. The textual difference are few but the reference to As ociate i one of th em.

GHG Tilling Gorebridge Midlothian

Another string to the

bow

On the ball

Further to ladeleine Pearce's lett e r in January (Kosher KaThy ?) about Kathy Perks in Radio 4 's The Archers. A da, before the' mbridge Pageant' came to hrewsbury r had a telephone call from the General of the Hall ask.lng if I could help, sInce lI edII Ik.laus had forgotten her hat.

After getting penlllSsion from the ounty ommls'>loner I look a hat to the rehearsal , where I met all the cast and the que ti ons of HedII that Madeleine a b 0, ..,he doesn't have a certificate ( But see John Mill s' letter la t month - Ed) and her houlder nashes do not have a county. hc had pcnnission from Growenor Crescent to wear th e unIform, although in hrewsbul) member of the Divl.,ion wcre on dut, in thc audllonul11 and' Kath) appeared from a .,Ide door.

On the last evenIng I wa., on dut) \\ Ith m) 'ion ami \\ as presented with a beautiful boquet ,,"'th thc mcs'iagc, 'Thank. )OU ..,0 mu h. you sa\ed the show'. I was aho gl\ en a cop) of The -in hen' °111111 hll5 to rafne. For a few week." after the show pcopk k.cpt " k.ing U'> Ifv.e had been taught to tap dance! (Kathy doe<; a tap dance In her unl fonn dunng the Pageant). very good ..,hm". DIS C hristin e Oa \i e

I rcad v"lth concclll adet Sgt Dean White', letter In JanuHf) '., SJW ({\ lill/e II/ore u ' lpe( I) ahout membcr.., not ..,tandlllg to attentIon and pal ing due re"'pect to H 1 the Queen at the Rugb) World up final. II the more so. smce I was onc 01 th e Oflicer\ to bc clcarly ('ell 011 thc telev iSlon.

Myde Delight

Recently the Mumbles Dlvi..,ional ur"ing Officer found herself undergoing major surgery. just when should have been seclIlg the Dlvi<'lon ..,afely through thclr' aring for thc Sick' examinatIon. Hopefully she had taught them as much a., pos.,ibledunng the preccdlJ1g week'> and now had to Icave the examination night to thcm.

This delIghtful and canng pocm was written in the Gov"er vemacular b) PhilIppa Grove, President and actl\e member of the DIVI.,lon

We were..,o IInpres'.cd b, 11'> entlmcnts that we feltthcy should be hared with other,> -the real meaning of clir/ng for the 'oICk..

A Tidy Little Wish, Myde

I never thought 'tllvould bc ..,0 hard

To find a tIdy little card - Went Into town, and earched all round ° tIdy ver,e.., to be found!

But, comll1g back. to\\.ard.., Penmaen. (Aftcr huntIng 'hout In \all1).

A ..,uddcn thought came 111 my head

I'd IIvntt: a ft:w myself, Imtead!

o as I hUrrIed up our lane (A lid) ..,tcp , lIlIcI'>ketting rain!)

Poor people who be in di tress.

An' how give a lIttle treat

To they not fu<.,<;y ifthcy eat!)

The most Important thing, thee aid,

For tho e poor souls v"ho're bad in bed, 'Tis just to know that people care,

That when un's feeling lollv, th e) 'II hare

The rough, the smooth, each tear, each smileThey'll v"rite, or phone. or sit av"hile!

- So when u ca , n 't be around

time ago an article in SJW a ked what had happened to the We st Training Centre at Pen -y-Garreg, Wale , affccl1onatel, k.nOI\O as The Cottage'. I am pl eased to report now th at it is alive and well after major urgery. For tho se who have not yet heard abou t our Cottage let me explain. The 400 year old mtll was purchased by, what wal, then , th e County in 1963 At that time the

and a lounge/study room on the ground noor with a toiler block adjacent, and then four bedroom slceplng 24 upstaIr , Cooking is by ga on large oven and ix ring bUlllers, li ght by electricity (the paraffin lamps have been dIscarded). Atthe time of the query itwas still recuperatingaftera majorrebuilding programme Time and weather had begun to show (the roofwasaclUull) in imminent danger of collap e). The programme involved the removal and replacement of the roof, slates, rafter and part of th e wall of the upper storey 1 d - h below

The roof is now traight and the wa ll s no longer lean ou tward water no longer dnps through the cet II1g an you cannot t e room through gaps in the floor! , 01

The Cottage is open all the year round an d has been occupied by all age range from Badger to mem berl, All can someth.lng intere st. Imagine waking up to the so und of birds (a nd heep), to look out of the window on mountalnou,> terrall1 - IS nearby, after breakfa t, a walk in the hill s, or forest, or beach, or market town. In the evening can relax a hearty meal 111 f of real or maybe practi se so me First Aid, or hold a Divi sional or Area CommI tt ee meetll1g to dISCUS next year s programme - or evaluate la..,t year plan a fund rai si ng event, or. many others. her

The Cottage is run by a Mana gemen t Committee, including the Trustees, who prOVIde a Warden for each party attendIng. It I'> hIS or re s pon s ibility to look after the well-being of th e property and as i t the party a required. ,. h

Our Ce ntre offers anyone the freedom to organise their own programme and is ideal for members to me.e t s?c tally away fromlhe Stlo t Headquarters. Would you like to know more? Contact West Midlands County Office, 100 LIonel Street, BInTIlngham, B3 I DG They Will supP) you with the nece ssary bookin g fonns, leanet and cos ts. it co uldn 't be- simpler! Have a nice weekend.

Alan Grigg Area Commissioner Solihull and South Birmingham Area

I have r('-run the" Ideo of the game se\eral tImes to tr) and exam1l1c thc e\en'" a\ I \"a.., certain that I and tho..,c around me wcrc at attcllllOIl when II \11 the Quecn pa ed From thc \ Idco <lnd 111) knllv.ledgeortheground I \o\.ould make the fol\(m IIlgoh"cf\atiom : I. Bccau\c olthe cr(lwd and some conlu..,ion ovcr scat allocation h) the hook.1I1g on Ice the tunnel part) was not dral\ n up In a \1111 pic row IIk.c the hall bO\ 2. Whcn 11M thc pa..,..,ed onl) one member IS \ ISlhle anti he v" as WIth thc doctol '" part) on the front row ..,OI11C li\ e cat.., In from the ai le. It w3.., not [)O"..,Ible for him to ,>ec the ro) al pany untIl after It had pa\scd (an unfOrtunate camera angle).

3. Ican as..,urc you re..,t of us, at the tIme 11M the Qucen passed, were pal IIlg due re"peet. Furthcr,l have 0\ er the) cars allended a lar ge numberof dutIes where royalty have becn prc\cnt and it is, I as'ture you, nOnllal for member,> to pre..,ent thelll..,clvc., sn:artly at allent ion \\ hcn appropnate (the only exceptIonal cIrcUmstance being when attend Ing to the injured).

I do hope that thIS put.., Dean 's mind at rcst. Standards are not dropping and I hope th at he CO ntinu e to maintain th em.

0 1 Dave Davie Streatham and Norbury Div London

I started plannIng v" hat I' d <.,ay

To \"",h you well-the Gov"er wa,!

A know thee '.., Joume,ed far an v. Ide n art a real well - tra\elledm)de o doubt thee's tcen a thIng or tv" 0,

Re-.tored to health a lid, lev.!

Thce'\ helped poor dab for man) a year

An c1ried theIr c,c", and calmcd their fear-

But now tl.., Ih('(''.\ hll1 none too grand'TI.., Ihe£, that need" the ..,oothlllg hand!

A reck.on nov" 't'" our tUIll

For \\ e to .,ho\\ hO\\ qUIck u.., lealll - That tid) course on '110\\ to Care' Thee ..,howed \.Ie right, nov, let'" be fair!

.., al\'ve read thIs tw cl\.cmonth pa"t 'Ihe book. - knov,ed all the ljuestions ask.cd

In that e\am - u.., all dId well

0.., all thee taught v"e us did tell 'Bout need.., o· thc) as ca..,n't \\alk..

n ho\\ important 'tl'> to talk.

n k.eep our patIent leellng brIght

ot Ju t to gl\ e the tablets right,

An tid) \\ a) to wa..,h an c1ress

Thee shusn' t let' n get thee dow n

- Thee mu.., 'n think u du s 'n care

Because chance time u izz'n there!

Fair do' ,now mind \\.hat a do a, - U think. a lot 0' thee, fair pia,!

0\\ tid) rh) mes are hard to find

When filling \\ords don't spring to mind, n' to clo , e, ju'>t let a 'ia)

.., think. , 0' thee \\ ith love, each day. An hope thee'll soon be back. again, 1\ fit an well. an free of pain

Tak.e care - an hope to ee the e soon!

- Perhaps a'il call one aftemoon

An hale a tid, lIllie chat

About St John, an things lik.e that. Or holida) ,or ..,tud) chemes, Or art and crafts, or scene:.,

nd dog. and other th11lg'" beside, 0, till a come - k.eep smiling,

(P -that ud be ubmitted b) 0 0 Ann Park) n, Mumble Di, i ion, We t Glamorgan

Anyone for Launch?

0\ er the year:, as an ambulanceman \\ ith the Leicester Ambulance er\ ICC I ha\e collected of old and ncw and di.,played them on the statiom. Recent l) at the ational mbulance Rail) I noticed a launch used b) t John Ambulance but have been unable to acquire any infollllation or it. or where it i in use If any of your members could as i t me I hould be gra eful.

Ken Stafford c/o KR Goode 47 Ca'lton Street

Market Harborough

Leice ter hire LE16 9EP

Dr R.Price Williams, Divisional Surgeon of 3IBe RuisliplNorthwood Division provides an outline guide to the significance of drugs you might find on a casualty.

Keep taking care of the pills

Drug that you may find on or amongst the belongings of an uncon ciou a uaIty can b taken in a number or way ego chewed, ublingually, buccally, inhaled , or tran delmally. The patient may be carrying info1111ation cards ego S.O.S .. Medic-AleI1. Diab tic, St roid. HaemophiIiac, Anticoagulant etc.

" Over the counter"

Headache. General analgesics. Febrifuge" ego A"pirin preparation (Solimin. orne cold and flu 'powder" etc.) Paracetamol (eg. Hede\, Panadol. Pana<.,orb. Paracodol. Panalc\ e - the latter contain codeine). Migraine fOIll111Iation'>. \l1ch ,1'> Syndol. Migrale\e and urofen.

Glyceryl trinitrate. travel <;ickne..,:-. remedie..,. antihi,,tamines and decongestant are al,>o readily obtainable.

Cardiac Drug

There are a number of drug admini'>tered orally. mainly for angina. Sublingually there are two tablet:-. i/. G.T. a '>mall white tablet imi larto a <;accharine. bosorbide dinitrate-an equall) mall pale pink tablet. There are aho two trinitrate "ublingual sprays. (one puff equab one tablet). buccal fOlll1 of long acting trinitrate may be found tucked in the angle of the cheek and lhe gum. Trinitrate may alo be admini,tered through skin patche,> which are usually found on the anteriorche<;t wall. orocca"ionall, on the upper abdominal wall.

Respiratory Drugs

The e are mainly for a thmatic patient'>. or tho<.,e \-\ ith breathing difficultie due to bronchospasm. and are generally in the form of inhaled drugs. either from pressuri<;ed sprays or breath activated devices. Thecommonestpressurised foml i'> Ventolin/Salbutamol. fol owed by others such as Becotide Atrovent, Bricanyl. to name but a few (the e all depend on co-o rdination of the patient\' re piration and manual activation of the spray). There are also forms which are breath activated, here the device is re oted on the tongue and when an inhalation takes place a dose i<; automatically released. Finally you may find inhalation devices which are totally patient controlled, and usually involve the insertion of a powder filled capsule/tab l et into a small chamber from which the patient inh ales it, ego Int a R otha er, Ventodisk/Becodisk N.B. The e drugs can be given in a pressurised solution of normal sa lin e via a nebuli er.

Diabetics

Most diabetics carry readily available fOlms of <;ugar. generally glucose ego tablet. of glucose. sweets, sugar lamps. liquid glucose ( H ypostop). You may finda white syringe kit marked GLUCAGON on a n unconscious patient whom you of being h ypog l ycaemic - this isaspecific antidote- the enclosed instructions nllISI be fol owed to the l etter.

Occasionally you may find a diabetic wearing a slow release insulin syringe/pump, ei th er on the wrist or on the abdominal wall - these should not be interfered with, and medical help should be so u ght immediately.

28 St John World March 1992

/w<..:e/i-otll rhe le( ('111/\ /wh/llhec/ M 1\/) Colow Illdel II Illch shOll (11'('1 I-IIJ() 0/ rh(' 1I/0\1/wIJl!lar!\,pr('\( II/Jec/ ra/J/er\ alld UII)IIII£' Rose IJIII!... Illc/aur /)(//1 ('(/11 he 1('('11 Oil rhl' ho{{olll {\IIII(III'I fl,.f/MS ("(/1/ h(' COJ/f(/( (ed (/11 071-837 7977

Mi cellaneous

Oe<.,trogen patche<., may be round u\ually over th e or lowerabdominal wallin feJ1l lIc".comIl1only tho,>c of menopausal age, In ca<.,es of people 'With ·pa lpitation:-. '. all\iet, some· times severe migraine, ) ou may rind the heta blocker Propanol o - ei ther a ro,>e pink tablet or a cap<;ule. C0I11Il10nc'>t trade l1lune InderJI

Temlinally ill but mobile patients may wcar '>}ringe-drilerwhich deliver a regular dose of analgc<.,ic. u<.,ually in a CalT)lng pouch - again leave alone.

Though in no sense a drug it is importanl when you to note if the patient is wearing a pace - maler. Usually a card 1\ carriecl, but if not you "hould be able to reel a round or '>quare bol under the <;kin of the ches wall, the axilla, or occasionally lhe abdominal wall.

Patients on dialysi,> or lon g tem1 medicalion may have penna nent cannulae in variou:-. "ites - a Hickman line.

CrosslVord No 3-92 by WA Potter

CLUES ACROSS

May be in fevers i.Uld some C:U1xie Y ,>l,lIes (8).

5 Be present at en with a nOle (6)

9 A roinl for <lITC\t of arterial hlecding (H).

10 Bone eXlending from centre 10 circumference (6).

12 Painful skin lesion (4).

J3 Custom,> in famou eSlabllshment,> (4) Guide a beef rroduccl (5)

16 PrecIpitate a skin eruption (4).

17 ncus. ll1allcu,> , or stalpe s (7).

21 Seme organ In hean (J).

22 Ordinal of facial nerve (7).

23 Throws light on a pal1 of aorta orolfaclory nerve'? (4).

26 A railway rrom ca'>t coming hc 1ore the ,>chcduled lime (5).

28 Cunning ran or nona or fOOL (4).

29 Headllghl? (-f).

31 Urrcr ran of trunk (6).

32 Use cool shed to be educatcd (H).

33 Tis\ue Cllclo"lIlg muscle" tendons (6). cOlllrilcalion or ser>"I'" (8).

CLUES DOWN

I 2 3 Bring the cdgc:-, 01 a garing 'v\ound togelher (6). enow, membrane III 31 Across (6). Dlagno,>lic procedure (-f). Ho\\ the ,>lerno -c leldo - ma\told muscle makes one conceited,? (3.5.4).

6 Emotlonall) -s timulated ..,ccrclion (5).

7 Distinction of thenar muscles

8 [lines'> confUSion ( ).

11 Vilamlll r>ro\ Ided b) frc-,h frUit and green. ( ..+).

15 InsrlfUlion rroduced by boredom (4).

18 MlIlerallhat doe nOt quench ne's thlr l (4).

19 80S cats J111',ed sub tan ce causlIlg fibra I of lung

20 Tak an ex essive amount of a drug ( ).

24 Tool for finger produced b) ruplure of an e\len.,or tendon (6). (8).

25 SO about strange red crusts on lips of patient (6) 27 Fungu

ALS TRAINING CENTRE

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25 years of

On the scene of an outrage ]

Jack Duffin, Willie McManu ,Chri tie Dohert y, Pe ter Magee and Kennedy - four men and a choolboy - all died when lo ya li t gunmen indiscriminately prayed bullet into the Sean Graham betting shop on OffileauRd in Belfa ton ThuL day, February 6th. Th edeat h toll in Northelll Ireland ince the pre ent trouble began in 1969 now at 2,969. On th i, occa ion a St John Ambulance unit was on the scene moments after the hooting. The following i their report

"I didl leu/He what was happening. When I looked round the corner everybody was on the grollnd. J was the only persoll/eft standing. Atfirst J thought there had bee II a hold-up, thell I saw the blood everywhere. My best friends are dead 110W• • Comment by a survivor of the shooting quoted in the Belfast Telegrapl

"At appro Imatel) I no hour a I John Ambulan e vehIcle

en rou!e 10 a chool rugby dUly a! Plrrie ParI<.. The vehIcle wa., fro1l1 Forrh River OI\ I.,ion and the cre\" Oi\ i"ional Officer AIII'>tulr Fergu'>on as dnver Ith Bngade MembcrJal1lce

Asv,edro\ealong 'n l\er"ll)

treet III the directIon of !he Onneau Road a orthem Ireland Ambulance ervlce RRV :1me down the street hehincl u We allowed him to pas but ha\ ing travelled ani) a further tw en ty or thIrty yards \\e were ahle !o "e e the end of the street and it wa., ob\ iou that thi wa" \\ here the incident was, because there \\a" a lot of police aCl1\'it)'.

Shooting

Takes your breath away, doe n 't it! £ 180,000 is the target figure for the 1992 OTYJ raffle and the fir t prize (g lowing resp lendently above) i a Peugeot 205.

Tickets will be available from Monday 6th April and orders should be placed through the County Office. The marketing department at HQ has made a special plea for people 17(){ 10 OI'eJ-order ti cke ts If you find you need more , then supplementary orders will be speedily despa!ched to meet almost any deadline. If you have ordered too many , don t hide them under the stairs at home in embarrasmenl. send them back so they can be used by someone else!

Stub returns are due by Friday 23rd October bur, once agalll, It helps u tremendously if you can return them as soon as they are sold. Sorting through a mass of tubs at the last minute is no laughing matter

The Grand Rafne Co-ordinator is once again the estimable Paul Bumstead and any special queries should be directed to him at S t J o hn Ambul a nce HQ , 1 G r o ye nor C r esce nt Lo nd on SW I X 7EF. Te l 071 235 523 1 ex t 265.

There are more raffle surprises in 'itore, so watch this space

4 St John World April 1992

We tumed the corner on to the Omleau R oad and were faced by severa l ambu lancc and police vehic les. We slopped our vehic le. put on our renecl1\ e wais tcoats. 1001<.. th e emergency Firsl Aid kn and went to the bookmaker'., .,hop, which wa,> obvlou Iy the scene of the incident. At this stage we were unaware whether It wa., a shooting, an explosio n or any o th er type of incident. W e reported to th e NIAS incident officer.

One casua lt y was about to be broughr OUI when we arrived and we were told to prepare one of the ambu lance trolley,>, which were sitting on the pavement, for this casualty. We received the casualty who had severe leg injuries and lo aded him inro the ambulanc e.

W e then had 10 e nt er th e building for the next casualty. There were four people dead inside th e shop when we en rered; th e fifth later died in hospital. Our

llC\t ccl uait) aho had e\tcn li e leg InJune" A Irac-pac had ",' ready heen applIed ami O\ygc wa., helng admlnl tered We Cdl ned rhl'> casual!) out to one oflh t ,mtlllll1g trollcys ,1110 loaded hi m Into another ambulance.

Both of the ca ualllCs II hand led had 10 he e\ ae uilled bl carr) Il1g sheer hecau c of the .,hal of the Clllrance hall !O the buddll: Illheca-.ualtlc" from the melde were "ent to the Bella I el Hospital.

The second casualt) we \We ll1\ol\ed \\ Ith a the Iasl 10 b< rel11m cd from the prcmlses \\ then assl"'led to clear eqUlpml frOl11thc prCllll\Cs.lcil\ lI1g Ihe lou r corpse\ 10 be cenIfied -the officer had alread) ammgcd for a doctorto come to the cene todoll1l'

There \\ ere a number of dl-and I<..cd I'ricnds , rei,· tive and b) -'> ander to he de:: wah \\ hile we \.-\-ere at Ihe Hm lllg ascertaIned from th e Il1l dent officer Ihar \\c could be olnl further ass!. tance e left Ihe scen and proceeded toouroriglllal (AlIi talr FegLlson) ."

0 /0 Allistair Fergu on and B/M Janice Brown have been commended for their action by the Commissioner for Northern Ireland. who told them: "Your renderingofFirstAid tothe injured and compassion toward friends and relative were in the best traditions of the Bri gade. Thank you much".

Dear Reader,

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Logo change could cost St John "hundreds of thousands"

Senior personnel at Gro venor ere cent were reeling la t month at the revelation that the St John Ambulance logo could have to be changed after a writ for breach of copyright wa i ued by a orth African Fir t Aid organi arion, AI Rapi/, af

The \Hit follows c hange III the cO\cring heraldic motifs made at a convention of the Intemal10nal Heraldists & GeneConferen e In Beme lo,t Januol")

" Id e ntical "

AI Ropt/'oj IS "aid to bc broad I) comparabl e v.lth I John and cnjoys a membcr"hlp In Libya and TUlmiu The organisation's badge actuall) formed the baSIS of the heraldic cross that v. adopted b) the Knights of Malta and is almost identical to the Ordcr Cross, with the exception that the Order's lion and unicoms are replaced b) and star".

Lcgal advice sought by t John Indicates that, under the ne\\ rulmg, the wnt I) valtd if it I "hov.n Ihat AI ROIJl"f' was the heraldic deVice prior to The Order.

Staff at the St John Mus(;um have been called on to establish any historical defence.

"To be honest. we d never heard of AI Ropt"{' of before, " the Assistant Curator of the museum. Amanda Devon<;hire, told 1101111 v..orld. "It scem:'> to have been founded by thc Moors at some p.oll1t in the 10th Century Wc ve SInce COme a number of reFerences to it in Persian and Arabic even includino one in a preViously untranslated°Rllhairat orO mar Khayam\ 1 really think there\ much we can do."

St John lav. yer<; are cOlnderin g action in the European Court the Foundation of I icraldi,,[s & Genealogists - although an) case I. eak.ened since the British Govemment failed to attend the Beme conference, deSpltC being Invited , One source reported that it "simpl) hadn t realised how important it ""as",

G r e en or w h a t ?

Contingency plam ha\e been dra\', n up to change the Order logo from White to Green (a colour a,>soc iated v, ith paramedic servalthough the co,>t of implementlllg this could "fun into hundred." of thousands" accord1l1g (0 Grosvenor Cre,>cem.

The news comes onl) a fev. months after the British Red Cro s·s hea\ il) critlci<;ed decllon to force a change in the logo of (he emergenc) are organisation. Basics This has no\\ been changed from Red to Green after the Red Cross claimed it v. as an infringement of it COP) right. and \\ ill mean that all Ba IC vehicle v. ill need to have their liver) changed t the time of gOl11g to press. April 1st. it was ,' till unclear wh ther the animals in the order cross would also have to be changed A penguin (mimicing the blac" and white unifollll) and a pclican (symbol ofgullibilit)) were said to be lik.ely substitutcs for the lion and unicom

After recehing its December COP) ofSt]ohn World. the new Count) Training Centre for Bucks in Aylesbury sealed it in a vulcanised tube and buried it in the ground behind a wall of breeze blocks.

Far from being a ritualised expression of dissatisfaction about late delheries, the tube (hermetically sealed through the agent) of Safeway suppliers. Cam-ins of Milton Keynes) wa a time capsule which also included local newspapers and other records liable to be exhumed b} future archaeologists.

A large audience of Brigade Officer. member, local dignitarie and repre entathe from the builders. uneyors and architects bra\ed the cold weather and mudd} location to witness the e\ent. The Lord Prior congratulated the County on their work in building a magnificent. modern headquarters and training centre. Since the Centenar} Year. £450,000 has been raised by Buck toward it target figure of £5()(),000. Commander Bob Pa} ne e timate that another £80,000 is needed to finish the building properl} and to upport other Dhisions in the Count}

candinavian. 4S year old Dr Ingrid Peter en i a well known paediatricianinJeru alem. She wa finding her increa ingly poor ight eriou I di turbing her work among the deprived and often orphaned children of Ea t Jeru alem. con ultation a t St John OphthalmiC Ho pital dlagnoed cmara L in each eye at her relaIIvel) young age A. cataract operation \\ as carried out on each ye \\ Ith the insertion of lens implants during 1991 he no\\ claims that he ee the bottom lme of the chart. which pre\ iou I) she had ne\ er seen in her life \\ ithout gla se" Each da) is 110\\ filled seeing large numbers of the si c" children of Jerualem he is delighted that able to recommence her im aluable \\ ork. among tho .e unfortunat e patienh

pnl 1992 ' John \\ orld 5

Endorse111ent for Sea Legs

ea-Leg ,the traHI ickne remed} from Crooke' Healthcare, ha been officially endor. ed by John mbulance, enabling it to adopt the St John Ambulance logo. Graham Gilbert, Senior Product Manager for Crooke's Healthcar e, i een "ith Mr tewartRob er t, uperint nd e nt in C hief, folio" ing th pre ntation of a cheque for £5,000 in recognition of the endor ement.

Lines from the Museum of St John by Amanda Devonshire

A short lease of life from Queen Mary

By 2nd April 1557 Queen Mary was ready to revive the English Tongue of the Order of St John in England. Wales and Ireland. On that day he reinstated the title and granted the Order a seal (to be attached to all documents issued by the Order), but most importantly aimed to return all former Order properties back to lheir original owner. When Henry VIII had decreed the dL solution of the monasteries 20 years or so earlier, all the Order's properties had fallen into the hands of the Crown; some were subsequently old or rented out. Mary. unsurprisingly, had one or two problems convincing the new owners of the good cause they would be serving by returning these to St John!

The document drawn up to legalise Queen Mary' decision is on display in the Museum at the Gate. This 25 - page long' letter

Read er., mi g ht ha\ e spo tt ed the De ttol ab(He on their bu) ing round during th e ear l) I)art ofthi., \ ear. The pack banner r ad.,' Help Train 3,000 St.John ' adch' a nd eHr} bottle old" as accompanied b.\ a donation to t John from th e manufacturer, Reckitt & Co lman Product The compan.\ et aside £18,000 for th e promotion. ... and help fro111

patent' on vellum (animal membrane) is beautifully decorated along its edges with gold and colourful pigm e nt s. The top page ( hown above) even depicts King Ph i1ip and Queen Mary comfort· ably seated within the loop of the 'P', the tirst letter of the document. At some point in hi tory. the document has apparently been caught in a fire; it was only saved from a ,>orry end by a bucket or two of water! The burnt patch which has ince been restored, can still be seenjust below the royal portraits. Stains from the water are visible right across its surface.

The Order's good fonune. as witnessed by this document, was to vanish only a year later with Mary's death. The English Tongue wa finally surpressecl by oneofEliLabeth's first acts as Queen. and the Knights of St John took refuge in Malta where Engli'>h knights were to be received into the Order 1'01' centuries to come.

Rare honour for

Five doctor,> closely associated with St John Ambulance have been appointed as Queen's Honorelf)' Phy.,ician'> (Civilian).

London (Prince of Wales ') District welcomed the announcement and i sued a '>tatement which

St

John doctors

L o nd o n ( Prin ce of Wa le ') Di tri c t

ProfessorAJanJohn Camm BSc MD FRCP. Deputy District Surgeon

Dr Peter Bernard Hardwick MB BS FCAnaes Deputy Di'>trict urgeon

Dr Robert Stuart Simons MB ChB FFARACS FCAnae':>, Deputy District urgeon

Dr Thomas Robert Evam MB ChB FRCP District Surgeon reads. simply: "Thi,> i'>.a laras weare aware. the lir<,l occasion that such recognition ha':> been specifically given to Civilian doctors and we are proud that the appointments have been given in of '>peci fic t John Ambulance duties."

The doctor,> in quc tion - all closely involved In connection with pa'>t state vl .... its and Royal ceremonial e ents - are listed opposite. at io n a l H

Dr David Anthony Zideman BSc MB BS FCAnaes. '>st Surgeon in Chief

Canadian Comfort

FOI1l1er Hospltaller ir Stephen \tiller IS seen opposite belJlg presented \l.lth a cheque for £60.000 on a VI It last year to the Pnory of Canada The money , \\hlch II., to be supplemented by a further £25.000. II., to be ul.,ed to endow a bed in the name of the Priory. and the presentatIon v. a!) made by the Chancellor Dr Donald Rae

A plaque IS to be engraved above the bed in que'>tion with a maple leaf a!'> a S) mbol of thi!'> mot generou act. On hIS return. SIr tephen gratitude for the "warm and united " upport shown b) the Canadian Pnory to the ho pital. The commItment shov. n b) the Priory IS I.,uggested b) the example of it Ho pitaller. Dr Bryan Liddy. After failing to find u young urgeon tOJOIJl the Jerusalem stafftv.o years ago. he clo ed do\"n hI Own practice and pent three months there him elf v. ithout payment.

Looking after number one

A Personal Safety Day was recently held f?r girl Cadet. in Leicester. The Day was h.nked to the Accident Prevention proficiency ubject as an incentive and over 60 Cadets attended as a result. Various members of St John, together with asi tance from PC Paul Jancovic. Leice ter Constabulary Schools Liaison Officer and Mr John Irons. Leicester City Council and Lei ure Safety Officer. superVI ed the events. The e included topics related to per enal safety. road afety. home safety and fire prevention. AccordIng to A/S/O Cadets JC Morten it was "A day well spent. in good company with a Worthwhile theme". Hidden

SJW has been brought to book for neglecting to mention the Reserve Results at the Grand Prior Competition in Torquay la t year. Here they are. \N ith our apologie and promi e that we won't forget again.

Me n Re erve. Winner: Mr A Bruce. SJA Mark.ham Divi ion: 2nd: Mr D Morle). British RaiL Stanier Hou e. Wo me n Resene. Winner: Mr Tibbs. British Gas. Eastern: 2nd: Mrs M Boyd. JA. Glynneuth ursing.

Mr Charles Bird, who joined Walsham Di"ision in 1926, examine exhibits at the new North Walsham Q Division museum, which traces a history that span over 70 years.

The brainchild of George Well, SE\' DI S (retired), who was as isted by local historian and former cadet ;\eil Storey, the museum has hundred of photographs and exhibits which recall highlights from the past. The e include tales and items from the Second World War and also the East Coast flood of 1953.

The mu eu m was opened la t :'\oHmber b) County Commander Col C.E.Knight and i hou ed in a ro\\ of 18th Century Cottage next to the HQ, ""hich ha\e been reno\ated b) Di\i-

O p e n R ese r ve. W inn er: Mr R Madin. SJA, Bolsover Di ision: 2nd. Mr P McAlevey. Sth Glamorgan Fire ervices. A well-earned

"Would your daughter mind ha\ ing a look at my husband? He' not feeling very well." - 0 it was that one of the gue . L at the Derby Counci I Hou . e a\\ ard ceremony approached Cadet Lind a) Peck' mother. econd laterhecollapsed. Lind a). a Lord Lieutenant's Cadet. had ju t re eived her insignia of office Aided b) St John trainers for the High Peak Area. Sid Gill and Toni Fletcher. Lind ay re U cituted the man (\.\ ho had ju t received his BE 1). He subsequentl) recovered in ho pital. She was commended for her action by the Lord Lieutenant. Peter Hill.

Not an ad'ert for the manufacturers of fluore cent tripes, but a team of 12 cadets from Detmold Q Di, i ion in Germany" ho carried out a bed push recentl). The tandard ho pital bed (a lso pictured in the e,ening gloom) had to be pushed around an 800mm course. In groups of three, the Cadets 'Hree corted, a ted, bullied and cajoled b) adult member - orne team managing e, en lap s in total. The continuous rain on the da) \\ a ,aried onl) by hail and thunderstorms. The distance covered "as 1OOkm. raising According to W Ashton, DIS of th e Detmold Divi ion. the OTYJ banners have been raised in German) seve ral time - including once for a spon ored runner (Ohisional Trea urer. Nigel Bisgrove ) in the Berlin marathon and once by the local s cout s, "ho held a ponsored swim. The Dhision hope shortl) to put its fir tambulanceon the road.

Fe llo ws hip Column

Shellll

\\ r;/('\ - I am pleased to announce the fonnatlon of the nl\l Fcllo\\ship Branch In orthamptonshire: Kettering & DI.,trict Fe II 0\\ ShiP, orthclll Area. orthanh.

Co nt ac t:: MrT Flude, 11 Boddington Rd, Kett e rin g, No rth antl NN1560Z.

There are no\', onl) two English Counties \\hlch have not fOllll eU branche '" LInd one of these I on the way 9th FellowshipAGM

Brief Agenda for the 9th AGM of the t John Fellow,hlp, to be held k, the Marton Country Club. Middlc.,brough on Tuestlu). 19 1a) JI 2.15[1111.

1. Welcome b) the Challlllan. Major General PR Leuchars.

2 Apologies for ab,cnce.

3 Minutes of the th G 1to be appro\ed Mailers n,ing.

5 Adoption 01 the nnual Report lor I t)9 II:!

6 dopllon 01" the Ccntral CCOLInts for I t)l)

7 The entral OIllmlllce: as there arc no "acanCle, on the CCJ1lra Coml11itlee thi.., year. apprO\ al \\\11 be .,ought for c\I'>lIng membe r to eonllnue In their app0lntmt:nt

8 Mr Bl Ord. Chairman, t John ouneil. k\'eland

9 the Lord Pnol, the Lord e"te) DL

10 An) other hu<")ne,,"

COMING TO LONDON?

Then stay at the StJ ohn House Club andfeel at home whilst

tall--Ing about. John and the Bean.,tall-- I a "'ponl.,ored bean -grov. IIlg programme v.hich gives Badger eh, Cadet DI\I"lon" and Bngadt.: "v1cl11ber jet another wa) or ral,>ing money at local le\c I A" an II1ceJ1live the Horticultural Trade" A"",oclatlon ha orrered

£ I00 in ational Gift Garden 1 ol--en, to the Brigade Member 'Who flll'.e the most amounl of money from every centll1letn:: or thclr bt: an ta I" '" growth (Badger Sets and Cadet., have their o\'"n competition ) Competition enlry rOllll., and .,pon\or hlp 101111' are a\ailablc throughout the campaign, but If you ml.,,, the boat now you'll have to hu) your own bean'>. Enlry fonm l1lu'>t be relUl11cd by I (Jth ugu"t and the wll1ner, will be aJUlounced on Care/ell(,/"' \ orle/ on 11th September ILJ92

To get the ball rolling (or the bean running) we're offering FREE BEAN SEEDS· generously donated by Carters Tested Seeds· to the first 200 members to write in for competition folders.

Bean plantll1g stan (111) tllnc from I1lld-Apri I (undercloche ).,o write In to: Joanna Bean Room 50

St .John Ambiance 1 Gro , e nol' Crescent London SW I X 7EF

Anneka?

A 'Challenge' ha been is ued by St John and the Briti h Red Cra 's to the bui iding trade and other peciaiists in the South Easi to mark the inaugural HOllse, Home and Garde} i Show at Ardingly in June , Thc ho\'; is to be held at the South of England Shov.-groun \ which. as yet. lack a pennan enl medical centre - and therein he) the task

The Challenge to build a fiO' ished centre will be made on the opening day (J une 4th) oftheSo ll1h oj Eng/c"I" 11011" Donated male· rials, volunteer labour and cash sponsorship are all that is needed ' If all goes to plan the completed building will be handed over to the Director of the CeJ1lre on Ihe opening day of the HOllse. H0I1iI and Care/ell Show three later (June 26th). If you think YOll can help (or k.nowa person who can!) call Evenl Direclor Trevor Farncombe

NEW RADIO CHANNELS FOR ST JOHN

MORE VERSATILE . You may not know that following negotiations with the Licencing Authority extra channels are now available to St. John Ambulance.

As a leading supplier of ICOM equipment to St. John we are pleased to announce our retuning service to include these channels on your existing high-band radios.

We offer this service for most makes so call our Hotline now on 071-252 184 9 for our latest information pack .

Winged Fellowship

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of their budget. If you would like your divis ion to save money get in touch with us today!

St John Fellowship

The damne t run thing you'll ever ee? 12th April is AOT London Marathon da) , a ome 1100 member in London and the Home ountie will already be too well aware. But let' not forget the people actually doing the hard slog!

167 'John-a-thon' runner will be donning their kit for St John in an efTort to rai e 0\ er £250,000. elebrity runner include tuntman Eddie Kidd and the BB Nichola Witchellalthough to u , everyone of th em i a celebrity. Watch out too for a brand new Mobile Fir t Aid nit which will have been pre ented to London Oi trict by the London Marathon a part of it remit to generate money for charitable purpo e

term

leavers

Two ex-patriate doctors Dr Tim Lavy and Dr Joyce Mbekeani both recently completed their year's work at the St John Ophthalmic Hospital in Jerusalem and will be orely mis ed by the taff thereWrites Rae Elder.

Dr Mbekeani, who has returned to Malawi , made many friends in Jerusalem. Many a time she would arrive at our flat with miling face. brightly coloured headscarf and provide us with a meal of real pork chops! (Yes. even in Jeru alem ). A hard working doctor, she put a lot of effort into learning arabic to make that extra difference when treating her patients Her success can be gauged by the many times she would leave a clinic with gifts of chickens and home grown vegetables. Dr Lavy was a source of never-ending enthusiasm and helped organise teaching essions, research and cataloguing the library. Hi s gentle and caring approach s howed itself at its best when working with children The only car owner in the compound, he was very generous with the use of it and ended up donating it to the ex-patriate staff before he left. Before taking up hi s registrar job in Manchester , Tim gave a s lide show which caught thees enceofworking and livingat SJOH. He ended it with a 'letter home ' that had us all caught between laughter and tears. We wish them both well for the rest of their careers.

10 St John World April 1992 "OVER TO YOU

Derb ys hire Brigade Ca det entered

Australia International Ca mp held in Darwin in Fundraising started back in May 1991 and in all

adet rai ed over £15,000 toward s the trip and the OTY J campaign.

Eight Ca det, led b

2i s January.

A dinner, held in the state appartments of the Speaker of the House of Commons, Bernard Weatherill MP, on Monday, February 3rd marked the frrst function of the All-Party Order of St John Parliamentary Group.

Under the Chainnanship of Neil Thome MP the Group will ensure that issues that directly effect all St John members will have strong representation in Parliament.

These might include further backing for the Early Day Motion for more support for First Aid Teaching in Schools; assisting any move to give legal protection to 'Good Samaritan' First Aiders acting in good faith at the scene of an accident: lobbying for support for Stjohn to reduce the initial costs of enlarging its Community Care commitment. and influencing the implementation of legislation such as the Charities Bill or pertinent EC rulings.

Addressing the guests. amongst them some 20 MPs, The Lord Prior expressed his delight at the fonnation of the All Party Group and particular gratitude to the continuing work of Mr Speaker and Neil Thome on the Order's behalf. 12 St John World April 1992

IntrodUCing another Ambu ®original. This one is in silicone.

Credit for volunteers

and

Ambulance

and

Welsh youth award

Recent s urveys in Wales have suggested that whde adult<-, are

and booze. More detail., from Youth Life Wales, BruneI Hou e (8th Floor), 2 Fitzalan Rd, Cardiff, CF2 lEB.

Time Out

Reprieved, by the government last month, London Zoo i" to hold. children'., day (under 18 year!)) on aturda) May 16th peclul even and reduced rates for those booking In ad\ ance are a\adable. Telephone the Education Department on 071-722 3333, e:\.t 551 for more detail, The W inged Fellowship. which aim to provide holidays for dl', bled people and re' plte for carers, ha., launched a nev. serie'> ofDiscQ\er ) Holidays for th e more adventurous disabled people - including camplOl under canva The 1992 programme of one-wee\.. Includes the Lake District, Cornwall, Cotswolds. Centre Parcs and I;:ven Ii olland, \\Jlh pricestarting at £ 190 per week. One-to -o ne assistance by trUined stal! and volun teers (often St John members) is given, but the message fror spokesperson Pete Sturge s is "imply "We're always trying to pro\ people wrong who that disabled people can't do this or that. In OJ' experience if someone is detern1ined they just get on and do It". J ane Popplewell on 071-833 2594 for more detai Is.

Levy-tous words

Our subscriptions department here a tSt J ohll World hu!) asked us to polO out th al-much as we'd love to be ab le loafford it - wedon'l aClUall' se nd free copies to Divi sion. A number of recent enquirer hal l demanded to know where their free copies' were, on ly to di!>coverlh th ey had previously been paid for by Divi siona l or County fund andthl s ub

All

In

New

Power to the people

Contrarytowhatsomepeoplethink,defibrillatorswerenotinvented by Grosvenor Crescent just to annoy brigade members. Dr. Tom Evans FRCP FACC Consultant Cardiologist at the Royal Free Hospital explains why early defibrillation saves lives and, in his capacity as London District Surgeon London Prince of Wales's District, recounts the procedures that St John is following in London.

Wh en cardiac arre ' t curs i.e. the heart stop beating, it doe 0 in the context of one f thre el ctlical rhythm. The e rhythm, v ntricular fibrillation, a y tol and e lectromechanical di ociation, are illutrated oppo it (Fig I).

urvlval to ho . pital di..,charge from asy tole i'> of the order of 10k and from electromechanical dis'>o iation, unle:.., a remediable cause can b found and treated, about 3-40/(' at be t. In in the case of ventricular fibrillation or c ry rapid pul ventricular ta hycardia, urvi al rate can be relatively high. dep nding upon how quickly an electrical shock (defibril lati on) can be admini lereu to restore a cardiac rhythm.

Survival from cardiac arrest i oprimal When: 1 The event i. v, itnessed . 2 The rhythm is ventricular fibrillation. 3 A bystander commen e basic life SUP POrt 4 Def ibrill ation i ca rri d out as quickly as possible

Wh en ventricular fibrillation occurred in "a supervised en ironment" s uch as On a cardiac rehabilitation programme.

the 0 erall urvi",al rate ha been in the order of S %. On peciali ed unit · uch a coronary are. inren ive care. a cident and eme rgenc) and in the operating theatre, al rate are al 0 high and in the cae of pre -ho pital cardiac arre t, report from eattle in the United rate of merica u ing a tiered re pon e y tem. including paramedic. a read) urvi\al rate to ho pital of around 25(';( ha been demfor the la ' t 10-15 year. IneIe red group of patient \\ here the reponding unit , have ani ed v r) quickl).

35-40 % survival ha been recorded Tn the United Kingdom, general practitioner rudie have demon trated that when patient ha e a cardiac arrest in the pre ence of their general practitioner, v, ho i carr ling a defiblillator. at lea ' t half of the patients

Uf\ i e to hopital di charge.

During venrricular fibli lIarion, rhe ventricle are in a tate of ele tri al "chao ". They ha e been de cribed as '\\figgling like a bag of worm ,. and a the do thi , they rapidl burn up metabolite 0 that the electrical amplitude of the entli ular fibrillalion i reduced. th reb) gr atl}

10\.\,1 ring the chanc , of uc e ful d fibrillation. The coar r the ventricular

fibrillation, th e hi g he r th e chance is that an electric :-,hod. will res tore a spontaneous cardiac rhythm

For man y y ars we have tau g ht our members and the ge neral public basic life support tec hniqu es - mouth to mouth respiration and los ed c hes t cardiac co mpress ion The bitter truth is, that in th e ca , es of asystole and electromechan ica l d issoca tion, there are hardly any survivors. The maximum number of survivors ar produced when the heart i in ventricular fibrillation and a defibrillator y shock is admini:tered as early as po ss ibl e after th e onset of the ventricular fibrillation. The hea rt hardl y ever restart s it self unl e. e lec trically defibri lIated

Basi c life s upport provid es a c irc ul ation of oxygenated blood to the vital organs - probably about one third to one quarterof the nonnal flow - but thi low now is critical because it"bu ys time". Our American colleague hav e coined th e phra ' e - "i t keep the brain alive and the heart ready to be defibrillated ". Durin g a cardiac arrest there i no blood flow to the bra in a nd neurone tart to die by four minute s. AI. 0 by four minute ventricular fibrillation has "burnt out" because of the lack of blood flow to the hea rt mu scle. Ba ic life s upport prolong the c ritic a l time window during which defibrillation ca n be uc ce f ul by providin g so me blood fl ow to th e brain, reducing the lik e lihood of brain damage and also maintain ome coronary a rtery blood flow , prolon g in g the duration of th e ventricular fibrillation, which otherwise become s progre ss ively finer and eve ntually will tum into asystole or occa ionally electromechanical di soc iation

That is why by s tand er ba ic life ' upport is 0 important. Without itdefibri Il a ti o n

alone is rarely successful after four minute s of ventricular fibrillation. How eve r o ne ha s to re me mber that ira defibrillator y s hock is not admini s te red within e ig ht to te n minut es of a ca rdia c arrest, eve n with e ce ll e nt basic life s upport , s urviv a l is rare. By mid 199 2 eve ry s ta tutor y a mbul a nce in th e UK s hould carry a defibrillator. These concepts hav e led to th e co n ep t of th e "c hain of s urvival" (Fig. 2). The tim e from collapse to de fibrillation is th e s in g le

mo t importa nt d e te nninant of pa ti e nt s' urviv a l from v ntri c ular fibrillation. Th " Hea rt Start Sco tl a nd" programme s howed that u:i ng ea rl y defibrillation alone in th e s tatut ory Ambulance Service with automated ex te rn a l defibrillator , whic h will be described below, s urviv a l to hospital disc harge rose from about 2% to appro imately 14 % in th e fir s t yea r

If m edica l or paramedic interven ti n co uld be added to this, surviva l wou ld be expec ted to increa e, as many patient. who ha ve return of pontaneous ci rculation after defibrillation require sop hi .tica ted management of th eir airway a nd drug therapy to s tabili 'e th ei r ardiac rhythm. Hav in g said th a t, the " Heart tart " prog ra mme in co tl and indi ca tes the great pote nti a l th a t defibrillation a lo n has for improving urviv al from cardiac arres t.

Thi need for early defibrillation ha<, lon g been recogni ed but it ha been severely handicapped by the need for potential defi bri lI a tor operators not onl y to have the kill req uired to afe lyuseadefibri ll ator but a l 0 to be a bl e to interpret th e e lectroca rdio g ram in th e patient w ho has suffered a ca rdi ac a rrest.

Ov er th e la t few year a new type of defibrillator. th e au tomated ex ternal defibrillator, ha been developed. uto-

mated ex te rn a l defibrillator s ha ve a micro. processor c irc uit th a t automatically analy. ses th e e lec tro ca rdi ogram and divides rh y thm into tho se that are potentially ame. nable to an e lec tri c s hoc k. i.e. ven tri cular fibrillation a nd rapid ve ntri c ul ar tachycar dia, a nd th ose th a t are not such a asystole a nd e lec trom ec ha ni ca l dissociation.

II th e resc uer ha s to do is to recognise a cardiac an'e , t and a tta c h th e two adhesive defibrillator pads to th e c hes t and pre s the a nal yse button a nd proceed according to th e instructions on th e display screen.

The automa ted e ternal defibrillatori s in many people \ view much easier to u e th an most video recorder" and many do· mestic app liances. Therefor the concept of "intemledia te life support" has arisen lnt enned iat e life supp 11 in lu des life support plus th e abi lit y to use an auto · mated ex ternal defibrillator (A - D).

There are now several different make l of A 0 on the mark.et "",ith <, Iightly differ· en t features bu t th ey basically all perf01111 automated rhythm analysis and have a IIq · uid cry tal di play screen which give both wri tten instruction,> on an LOs reen and verbal instructions uch a'> ··check. patient" -t hi s in , tru ction nonnally been given If the patient goe: from a non -,>hock indl ' cated rh thm into a rhythm that requires a sh ck.. Theequipment can be ea'>ily camed o er the shoulder.

All ED') that are on the market con · taln a recording module. usually a solid <, tate chip, which can be remo ed for later analysis. Wh ent he EDiss\ itchedon ,the control module notes the time, c ntmu· ously records th e electrocardiogram, and documents all eleclIical '>h d admims· tered.ln<,omeofthem deltherel<,av olce rec rder facilit 0 that the 0 operator

Defibrillators and St John Supplies

If you're buying a defibrillator, remember that all Brigade purchases have to be vetted by the St John Medical Board. This is done for your casualty's safety, and for your member's legal security - it is not an attempt to restrict your purchasing options. Brigade members are trained to operate automatic advisory defibrillators. Manual defibrillators are designed for use by skilled paramedics and would be useless, even dangerous, in untrained hands.

Defibrillators that allow the user to switch between automatic and manual modes must be programmed so that the switch cannot be triggered accidentally. Typically this means programming a code word into the machine, and is best carried out by the supplier.

St John Supplies stocks two defibrillators, the Lifepak 300 Automatic Advisory Defibrillator from Physio Control and the Heartstart 3000 Defibrillator

from Laerdal. Both machines have been approved for Brigade use by the St John Medical board Both machines are available at guaranteed lowest prices and with free delivery and free insurance.

In addition, Supplies operate a major back-up scheme called Totalcare which has been specially tailored for St John Ambulance. This offers extra savings on bulk orders, an exclusive check system before goods are despatched and a complimentary automatic reminder service that reminds Divisions of servicing requirements and advises them of what to do (free for the first five years).

In addition, St John Supplies offers an Emergency Helpline which will find ways to replace your defibrillator quickly if your machine should fail or be damaged. This could be vital if you are contractu rally obliged to provide defibrillator cover at an event and - accordingly - the service operates at weekends.

The defibrillator helpline is on 071-253 2090.

Chain of Survival

has to give a running commentary on what happening. Thi is to facilitate medical control over non-medical rescuers and i') particularly importam in the ,both for teaching and training and medico-legal purpose

In 1975 St John Ambulance in London introduced advanced resuscitation unitscarrying a doc tor killed in advanced life support, a nuring orticer work.ing in a critical care area and a suitably trained level 3 ambulance cre\.\ familiar v. ith the procedures that might tak.e place in the vehicle and the equi pmem that wascamed. lteemed a logical step when automated external defibrillators ( ED,» became available for medical practitioners not trained in advanced life upport, registered and lay members of the Brigade to be trained in their u e.

Basedon the argument<, previou,>l y outlined, if one com,iders a maJ r duty in an area <,uch as London in chain of '>Ul'\ i al tenm, one has early access to the patient because the patient ""'ill collapse in full view of the crowd and help will be ummonedquickly, basic Ii fe supportsh uld be commenced by any Brigade member but defibrillation would be dela ed until the advan ed life support unit (cardiac unit) would arr ive some time having to fight it way through heavy traffic trategi ally dep loyed AED teams are the itallink. for ear ly defibrillation in those situLltioll'>.

On o th erd uti e where cardiac unit: can not be provided, one r m rc ED teams can be put on duty to provide earl defibrilla ti on. It i: my iew that the merican Heart sociation' " randard of Care whi ch include early clefibrillation using AEDs i abso lutely corr c t and we should have as many people trained to use ED on publi c duty as pos ible

Fortunately the overa ll numb er of cardiaC arrests on public duties is not g rea t but th ey are one of th e few occasio ns when one ca n be at)' olutely sure that one has sa ed S? mebocl y' life. To reiterate what has preVIOU Iy been said, basic life supp rt alone

Basic life support should never be interrupted for anything except defibrillation.

Mostpatientswhodiefromaheart attack, die outside of hospital. At least 80% of patients who die of a heart attack outside of hospital, die of a potentially treatable cardiac arrhythmia not of a massive heart attack. Basic life support keeps the brain alive and the heart ready to be defibrillated.

The critical determinant of survival is the time from collapse to defibrillation.

in the case of cardiac arrest, doe') not produce .· urvivors unle s defibrillation can be carried out within ten to twelve minutes.

After discu sion with Brigade HQ, it wa,> decided that Stjohn in London Ditrict should do a feasibility tud y of training bothBrigadenursingofficer and lay members in 1989 - 1990. Jt c learl y demon trated that both nursing officer and lay member when appropriatel) ,>elected had the ability to pa')s an AED cour e.

Training i carried out in two es ion

Personnel are not allowed tojoin the cour e unles the) are fully competent in ba ic life upport a a essecl on a recording re u citalion manikin. The fir t course take ' four on" training on defibrillation manikin.

Trainees are basically taught three kills:

1 How to operate the particular model of defibrillator ued

2 Hov. to ue ba ic life <,UPPOrt in conjun tion v. ith an ED

3 Ho\\ t run through \ ariou::. scenario foil vving the protocol - v. hich are ' et for rhe u e of an AED

The) relurn approximately one month later for a two hour refre her cour e and at the end f this refre her our e the) are examined by a do tor \.\.ho has not been im oh ed in th training programme. During the e\amination rhe) ha e to again demonstrate a vel) high le\ el of k.ill at basic life support, ha e to demonstrate that th e can <;afely operate an ED and that they an 1'011 w the p cified protocol.

Mo t failure oc urnotb cau,>eofinabili t) to use the ED but becau..,e of failure to follovv the exac t protocol. We ha\ e et high lanclard ' and ar in the pro e of training

In instru ror ' toreinfor ethes k. ill. of their colleague and to enab le u to ex tend ED skills to more London Bri gade member:. On e a membe r i rtitied as proficient in the u e of an E D, hi or her name i regi t I' d \ ith Brigad HQ according to national regulation ' The attend e \ ry nin t day s for a refr her course and if they fail to atte nd r do not demonstrate

proficiency, they will not be u ed as part of an AED team unti I the de . ignated defibri lIator controller (in the case of London, my elf) ha re-examined them and found their skill to be adequate. The protocol may be obtained from the author on reque r.

In St John at the pre ent time we do not pennit our member to attach an AED to a patient unle . cardiac arre t has been diagno ed in the conventional manner. The tatutory sel'\ ice allov. their per onnel to monitor rhe cardiac rhy thm using uch de\ ice but v.e believe that in the intere t. of afety and a the member are not taught to interpret electrocardiogram there i no point in allov. ing the ED to be attached if a pul e i pre ent.

Reader are referred to Brigade regulation vvhich are very pecific in tenn of ho\\ a defibrillation project hould be introduced into a County or a Di trict and if more information i required. they hould contact their enior count) medical officer \\.ho w ill be happy to uppl them v. ith uch infonnation.

In ummar), mo t patient: \\ ho die from a heaI1 attack.. die from \ enrricular fibrillation. not from a mai\ e heaI1 attack. Man) patient \\ ill die in the presence of potential recuer and it would be tragic if members of the public died in the pre<,ence of Brigade member,> \\ ho 0\ er the ne\.t fe\\ year: cou ld be trained to u e automa ted e\t mal defibrillators.

Hu\ ing ,>aid this. proper initial and refre her training i e ential and u h programme: mu.'t be properly controlled and e\ aluated. I believe that t John i mo\ ing in the right dire tion in the light of urrent m dical k.no\\ ledge and science.

Acknowledgement -I \\ ould like to thank 1 Gerald ine Walters B c RG and my 0 0 John I e\\ man. \\ irhout\\ hom the feasibilit) project. training and operati nal planning \\ ould have been imp ssible.

EMERGENCY MEDICAL EQUIPMENT

SALE

OF RECONDITIONED EMERGENCY MEDICAL EQUIPMENT

SOS PRODUCTS is .EIG HTY BOC ENTONOX UNITS complete and ready for use excluding cylinder and carrying case with warranty for just £110.00 EACH PLUS VAT

Each unit is for one year unconditionally with no charge for either parts or labour if a repair is required.

The:e is also a of and Manual Resuscitators and Oxygen Therapy Equipment available at fractIOn of ongmal cost. All reconditioned equipment carries a one year warranty as It has been completely overhauled and restored to its original standard

SABRE MULTIFLOW VALVES

at the address below, or call us on our Sabre Medical helpline on :

Is it real Iy seve n year ago that I decided to learn and practice more First Aid? At the time I was an FAW In structor and First Aider for my finn. However, due to my poition as an engIneer In the company, and company po li cy, I wa never u ed for treating patient s.

After much '>earching I track.ed dov.n my local "elusive" 1. John Ambulance Division and attended a meeting, ro /eal'll lIlId practice. In the event J v. as gree ed ith open arm - FAW had ju'>t been introduced to DiviSions and I v. as fully qual ilied. Overnight I became the In,>tru ctor, teaching the good folk. v. ho I expected to teach

Due to the'>e circum lance" J became a Di\lional Officer inside two year and was made up to uperintcndent in four. but la/ways fancied having three pip'> on each shoulder.

12 hour ordeal having provided four adults for cover, pro ided a fully equipped \ehicle. arranged that the cadets only do a six hour duty (becaue that j,> what regs '>tate) having to eat "fa t food" again because there v.a no bread at home for ,>andv. iche we are given adonation forthe duty. (£25 ifv.e·re lu k.),) v.hich hardl) covers petrol. let alone vehicle maintenance or depreciation - but I H allied to be a uperintendent. nd then there'" fund-rai ing - \ve' re always hortofmoney; Flag Week - we beg

and now the Stores have ent the wrong size hats. And [ wClJ71ed to be a Superintendent?

So let's ask our President and Vice-President for fund raising ideas. Asponsored walk or cycle ride or bed push - but we're all on dUly at weekend and no one' about in Winter. Have I reall) got to run the London Marathon again?, "but I can't book the hours". I uppose a sponsored snowball fight might be a idea. 'selling nov.ball at lOp each'. Or 'Cram an Ambulance' - hov. man) Cadets can be fitted into a tandard vehicle. v.ith the doors clo ed, and the vehicle dri\ en. And then I get told "You're doing too much. you learn to delegate, ue the officer ". But how man) officer can the Oi\ ision ha\ e? E\ en the nev. reg, "The regs we 've waited years for". still are not reall) clear e peciall) if yOU con ider Quadri lateral Divi ion. An) v. ho could I ugge t for promotion? Suitable applicant are fev. and far between and u uall) do not want the extra re pon ibilty. The) are often the v. rong ex. and I till cannot per uade ov" 1 find the phone alway ringing: eve!) e\ ening a ne\>, problem orchallenge t face. Sometimes it\ a dut to cover.

Store Items needed. transportation reque t ' request for Fir'>! Aid cour.,es or e\ ening lecture.,. ince I became a uperintendent we've seen the introduction of the Cadet action pack and now theAdult Energy Programme, and thee ha\ e to be implemented.

EvenJbody knows that Divisional Superintendents have a great time swanning around te llingpeop Ie what to dOl even if D IS Brian Anderson of Burnham-on-Crouch Quadrilateral Division has another point of view...

The Di\ isional Programme i" no longer a simple affair v.ith "0 much emphasi., on we seldom have fun r ocial evenings. omeonc alway., mi., es a critical learning 'iession and has to receive per anal tuition - even th ough th re"t of the Division need'i ourteaching skill - but we stil l only hene to attend twelve DiviSIOnal meetings a ear: and as it's \ oluntary, we canno t insist on total commitment. but th en III (III/Cel to be a You onvince some memb r s or the that th e twel e hour Hor e hm\ on Sunday is th e v. ay to spend th eir eisure time. You s rap over for th e duty, but who do you u se as a dri cr'? And who is the attendant? Wh o has th e are Le\el and Care L evel 2'1 And what's happened to the request for th e mbulanc rev. trainin g Programm e'? hould we really be on duty? And then at 7.30 on unday moming orthe eVe nt the y 'phone and cancel'. or after the

people to k.nock. on door. we onl) have e e\ening to co er our area although the Di i -ion meet on one of the e and (wO more can betaken up\',ith Fir t idcour e , not forgetting the mid-w ek Blood Doning "e ion and I forgot to cancel the You cannot have (\1'0 week.., becau e "Helpthe ged"or" aveaChild"\\a the pre\ ious \\ eek:. and no one \\ a a\ ai lable for Flag Day becau'le there' re t \\ 0 dutie ' to c ver and (h Di\ ional lev) is due. so th e MOT on th e vehicles. and we need a s cond oop tretcher: and l et" equip the mbulance \\ ith two York. r s instead of one York -t and one York 2: and the Cadets would lik. e a tlag lik.e the other Di\ i ion " th e) \e seen on adet Chur h Parade: and we need a new" nnie" becau ' e of all the Public First id cOUl" e we and the ladie need jumper and acl s b cause th e don't li k. the gre dre, ses: and th Di ision need ne\\ Hi gh Band Radio:

any of the men to undergo a ex change. "Ju t becau e the next promotion hould go to a lad) ". ever mind. dad. I might be able to \ it you in ' memberone And can 1 be reimbur edforhmingtohireadecorator to finish the kitchen becau e I'm on ome duty. meeting or lecture? And \\ hat about the re t of the hou e repair and

painting: the garden. car maintenance or even holiday. But then did walll to be a o \\h) do I do it?

ell I\e leamt a lot of Fir tid. I've taught a lot of people and the Di\ ion i we!1 re pected. '\'e in rea ed the Di\ i' ional [ember \\e'\eacquired two mbulance and are co \ ering more dutie Our cadeb are gro\\ ing in number due to promotion from Badger and they are doing more duty hour. The) are al 0 doing more proficiency ' ubjects. I'\e met a great bunch of people (the Brigade) \\ ho are alway willing to help. talk or Ii ten. and \\ do go to event \\ hi h normal I \\e \"ould ha\e had to pa) to see ometime \\e even get thank.ed. But all thi I could have a hie\ed a a Divisional member. \\ ithout an) ha Ie Of'\ orr). 0 \\ hy? \ ell I" e al\\ a) II al1fed to \\ear three pip on eac h shou lder - (llId he rhe DiI'isiollul /1-

pril1992 t John World 19

Do you know where to get hold of your nearest John Directory? Do you make sure it is • present atall events ?Do you make the most of signingsfor publicity purpose ?Are you using \ 1ll it as a fundraising initiative? If you don't, you'd better start, because now it's...

The John Directory

OOn 7th February w e marked the anniv e rsary of the launch of OTYJ by publicly announcing the St John que s t to e s tabli s h a record for the Large st Autogr a ph Book in the world. As you know, the John Directory began life a s a sixteen volume record , spon sored by Thomson Directories , of all those John, Tom , Dick and Harriet s who pledged support to the Appeal - a fundraiser 's m ailin g list made in heaven. So many famou s people s igned th e national volume of the John D irectory that it became clear we had a valuable asset in the making .. . On contacting the Guinness Bo ok a/Re co rds we discovered that there is no record for an autograph book and when we asked if we could attempt to e stabli sh a s izeable ' feat to beat they agreed to officially put our attempt on file.

On Friday 7th February pen s could be heard scribbling all over the country in huge Regional Volume - not to mention the loose leaf pages is s ued to Countie s so that the book could be in several hundred place s at once. Mayors , actors in their final pantomime performances, sports celebritie s and radio pre senters w e re ambushed by strange men and women in black and white uniforms threatening to hit them with dauntingly larg e leather bound books if they didn ' t sign their name for St John and pledge memorabilia for auction.

Famous signatories to date include the Princ ess Royal, Jason Donovan, the England Football and Rugby squads, Rick Astley and Hale and Pace Memorabilia is .piling up and Counties can make a bid for item s to auction at fundraising events - it will be fir st come fir st served though!

REMEMBER - they don't have to be famous to sign and they certainly don't have to be called John. They do have to make a donation or pledge however, and to pose for a photograph if they are a celebrity.

On Call

A brand £ 18.000 LandrO\ er ambu lance for Che ter replaces their 20-year-old model and also eam,> them £20 for \\ 1I1ning April's 'Pic o(rhe Momh' prize.

O/S Victor Bodger actuall) "ent three press pictures of the event one '>lOod oul. Pa) anenl1on, "vould be II1ner<'.to the th aI the ma) or and her husband (who made the preental1on) are epara red from the St John team in a way that leads the eye illlo the photograph. The touch th at really works. though. i, a,"ing Bri gade Member Peter Cross to rai,e his hal and 100" into the camera. A ,>imple 'tric"', but an effective one. "Two \cry rcmar"abk) oung <ilkI'> and \\ c Ire proud olthcll1 hoth" - "0 01 Bnan I lind" rerer" to Champion adet Leader athenne lI ard) and mind PnOJ 'W Innc r Cadct In"tructor Jonathon Oc\tcr, both 01 Coah tlk 01\ l"lon Thc) arc holdll1g aloft th eir In\ iWlIon" 10 LIn UudlclKe \\ nh the Pnncc"" Roy <II al Bue "lIlgham Palace la'>! Januar)

On Call and Divisional New

Unidentified objections

She's not a friend - my wife! With apologies to the old music hall joke. and to my wife.

The text under 'A Slice oflhe Acriol/' (s.m. Feh pg -) states' Arthur Weston and unidenti fied friend cut the cake'. Sir. that unidenti fied friend is my wife. She had the honour of cutting the cake, for without her there would have been no Civil Aviation Centre or indeed Anhur Weston.

A fOl1l1ermemberofthe Saltaire ursing Division and later an SR , Edna was my Pen Pal during the five year that I wa a POW in On my release I was found to be suffering from TB, for which there wa no known cure in 1945.

I was admilled to a anitorium, Edna had come South and joined the staff. When I was told I would never work again and to find something to occupy my mind. she offered to marry me and nur e me. hopefully back to health.

Later she sugge ted I join St John. Both the -eugge tion I agreed to and they have proved very successful - both for myself and St John.

A A W Weston Civ il Aviation Centre Fe lth am Middx.

Thanks a bunch

The Hadleigh and Benfleet Combined Division purchased it fir t ambulance in 1973. An old Bedford co ting £175 which was more money than we pos es ed. so we borrowed it.

During the intervening year we have gradually improved our vehicles by purchasing redundant ambulances from the E ex Ambulance Service and refurbishing them. We alway thought that one day, perhaps, we would have a brand new ambulance.

Three years ago we launched our Ambulance Appeal setting ourselves a target of £30,000. It seemed impossible. but we thought we would try. We fOl1l1ed a fundraisingcommittee which came forward with many ideas resulting in a magnificent £32,000. How can we ever thank all those who have supported our many. many events?

Mr and Mr Neave for allowing us the use of their lovely garden.

The fantastic customers of Safe way (Hadleigh) who have donated to every fundraising event that we have held at the store.

The Castle Point Joggers, Old Leigh Regatta, Ford Trust of Britain, Essex Hospital Fund, Mr Olive Tyndall and our good friend Councillor Peter Hum C there cannot be many councillor who would walk 50 miles in the blistering heat to raise money for their local St John Division!)

To everyone who has - attended our dances. quiz nights,jumble and boot sales: sponsored our walks and even a dog trot: eaten our home made cakes, jams and pickles or bought our plants; filled in squares on our ambulance appeal chan, supported our countless fundrai ing stall or bought our Chr istma cards.

We would wish to offer you all our incere gratitude.

DIS P at r icia Peck

H a dl e ig h a nd Be nn ee t Di v is io n

Contest won by a hoot!

With reference to 'WOII hy a Whisker' (51 John World ew \. Jallllwy pg oJ. I do not collect omamental cats - I collect owls. have 66 omamental onesthat doe notll1clude 'extra:-..' <;uch a a mother and chick together or groups (all counted a one) - neither doe it II1clude pictures and other nick-nacks uch as pens, rubbers. leiter opener. frtdge magnets, mug trays, book marks, brooches. books.etc l would like to mention that each one posesses a name.

I am not an atlurophilc l'm not sure what <;ort of 'phile' I am. Perhaps you could tell mc ) Joan Woodbridge Amersham Fello\\ hip Bucks.

The editor replie - M} cat ays you're jus t plain bonkers, Joan, but that' cat for you. The be t I can come u p with is 'Strigiphile' - I'll stand correction if anyone knows better.

Misplaced Forts

r./ohll 1992. Page H 'Calling Rhodes chololS v.e know that electricll) pylon) have grov n legs and arc walktng. bUI are castlc", dOing the same?

The t John mu,>cum advl e which i"correct. Rhodes or Kolossl'? We bcltcve the picture shov. n to be Kolo\\i COl tie In Cy prus. h Wife wa-. s<;ociallon and Brigade Organiser tn Cyprus tn the 1950''0 and I en· c\o'oe \ome photo:-.. of her taken there harle Harrold SprO\\ ton "'or\,ich

The editor gro\els - No need to call on the museum. No need to sho\\ the photo I 'll come clean. It wa a mi take. Wor ethan that, it was m) mistake.

Penpal sought

Young Fogey?

...And an Old Radical?

I resigned from the Brigade on 31 5t December 1991 for mainly personal and health reasons I had been a member <;lI1ce 1941 and Divisional Superintendent of a small country Di\j.,ion based in the Denb) Dale area near Hudderslield for Twenty Five years.

I find the continual griping letters about the necesslly for Brigade Members to hold StatulOIV Certificates (FA W). Action Pack for Cadeh and Energ) for adult,> ver) wOfl)ing. -

Walter Waganka of Ontario has recently contacted the S.rW office In search of a UK penpal. He is aged 30 and a superintendent of No 89 Combined Adult DiviSion, Kitchener-Waterloo. He is a Servll1g Brother in the Order, and is a CPR and Firt Aid Instructor. His full time occupation is Firefighter. Anyone interested should write direct to : Walter Waganka, 239 Westwood Drive, Kitchener, Ontario. N2M 2LR, Ca n a d a.

As a member of over 15 cars standing I find the altitude of the 'bods that be' very peculiar. Why are ing to make a ollllllalY organisation difficult to join and remain a member or? After all. one I"> not entenng Ol(ford or Cambndge to aLtam a doctorate or degree. Just dotng ,>omething usefullor the r realise that personnel ha\ e to be properl) trained but surely not to such a degree that basic Fir t Aid technique", Me lo\t between the page" of tn\tructlon manuals forresus un II', and dcfib machines; alter all had I wanted to be a professional ambulance attendant I would ha\ e JOll1cd the profe:-..'-, It)ll a I ambulance ser\ Ice and been paid for it!

I'm 4uite that m) comments v.. III have irritated of people but I. per:-..onall}. feel that it Isaboul time we realised hat our are and :-..top compctlllg wllh the paramcdlc"

How long I'> it gOlllg to before the 'pO\vers that be' li"tcn to their membcr:-..'! Maybe, when eachandevery DIVision the length and breadth of Britain has an average of five members. maybe then you'll pay attention

Oh and by the waY,Just before I am accused of beino another 'inflexible old fogey·.'::-, am 23 years old - and not alone!

S Pealling Knaphill Woking

I Wouldn't want toa lterthetenor l'ealIing's complaint, but II s only fai r to point out that learning about defibrillator i not compu lsory! _ Ed.

Of course there are problems, mainly of orgal1lsatlon. and massive difficulties in gettlllg as'>lstance from qualIfied people for 1ll5truction and examinallon. Con'>truCII\ecritlclsm ratherthan "Wh\ do 1,.\ e have to " comment like disgruntled children would be ueful. -

I would make the following ob ervations:

The, tatutory It \vould surel) seem peculiar to most people that uniformed member, of a natlOI1\\ ide (actually, of course. \vorld-wide) Fir. t Aid organisation should argue that the'! do not need to tralll rorand hold the First Aid qualification to be in la\\. by the HSE The Cenlficate at leasren\ure\ that people holding it have had to demol7sfrale to examiners that they can do the basic thing. I undep,tand from my grape\ ine that rhe HSE complallls that the level of competence demon\trated b) longserving St John personnel is often IOllerthan thar .,hov,n b) first time candidates from the Inten'>l\ e Industrial Course

The ccurse is certainly better than the traditional st) Ie I encountered before il wa IIltroduced - doctors reading the book to clae: Lay-instructor proud of the fact that the\ had fought \\ ith Florence ;\;iohtllloale III the Cnme.l (\V ho \"ere pre umably coun martial led for dOll1g i. Knot pin rook preced:nce ;\er why you v.ere doing things. Examiners chatted about their o\vn little bees-in-thelr-bonnet\ Energy. The JOll1ing \\, ith BaSIC Life Skills only and Welfare candidate ha\ ing to do no more Firt aid are the two most frequent complallll'>. ne\\ member. \\ hate\er his paperqualtfic';tlon .hould be bracket ted v. ith e\perienced per'>onnel until he has ome experien e, surely ?

nle s you are on PubliC as Medical Base or Ambulance Crew what I \ our First Aid to be '; /1/0\!cr!\ il1o({lIifY L1ntil specialised equipment and help arri\es'? Some long sen tng and high I) trained Fir\t Alder\ ne\ eem to ha\e leamed to kno\\ \\ hat IS needed and to do as Itule a po :-..ible until the) ha\e rhe bad-up intaff and equipment to do It.

have not mentioned Caring. The lotal failure on m) part to ger regular help to keep up thi oftrall1ing nearl) clo ed the DI\ do\\n and mareriall) contributed to decidtng to leave. What Encrg) did do \\ a force people who had been pia) ing \\ ith ambulances 10 leam ho\\ to use equipment. tncluding trolle) properl). One of our Di\ i ional a!!ed 16. \\:a on e tn tears because she could not persuade the St John crev. of an ambulance to put up the trolIe) :Ide before loadtng a trolle) Onto a vehicle Patient on a practice have been loaded onto a ehicle on a caIT) ing chair \\ ith no tmp feet tir l. and told to 'hold on to rhe trolle) Ambulance training 1,.\ a deperarel) needed.

Radio. These are 1111 rather a ering. but at lea:t the wor t CO\\ boy u are being quashed I hope nobody ele has to hear a St John officer of Di\ isional rank tell another unit asking for radio '>i knce or channel change to 'bog ofT. -

Action. v. ith Energ). if) Oll have one per\on II1g to run the unit a one group each evening you get nowhere fast. If YOLI cov r mOlot lhings in group /carou el - you can fir almost an) thtng 111. With about 16 of the Divi ion aged betv,een 16 and 25 and a fe\\ under r there i . qUlle ob\ a fair amount of movement in and out of the DI\'i Ion One ing feature of thl i the number of time I hear of little or no training equipment being a\ ailable (ne\er mind actuall) u ed) Going from a unit \,here 10/15 floor blankets and 20 \\ rap. pillo\\, splint blankets and 150 trIangular., are in regular u'>e the) tind onl) enou!!h of these items <l\ ailable forthedemonstratorto lise Member impl) :it andgeta numb bum. ThiS iSl/ot trainll;g. Energy. Action, FA Wand all should be kicking people out of the e ruts Wh, don't the\ scream and tear inlO the challenge instead of moaIllng it into the bottom?

John pringer Hudder field \\. York.

PS I am proud to ay I have been everel) reprimanded for propagating some of the \ i \\ c\pre "ed abo\ e

Caring Couplets

Mrs Dialla Ford. c/escrihed as a 'grole-

fit/Slue/ell" ,offered fhefof/owing I}()e/JI (() fraillers ill Budillgfwl1Ishire one ot" whom - Arthur Grigson - has jor-

Harded il fo s. m .

Th ey came to teac h us a ll First Aid;

We' re no t as good a. we thought , I' m afraid.

Ai rway. Breat h ing. Circulation -

We're practi ing resuscitation.

Th e pu lse hou ld be seve nty . I'm no t too sure.

Bu t if you're a baby. it 's quite a bit more

Yo u fi nd the caro ti d in th e neck.

If th ere's a ny do ubt do uble chec k

Si xtee n to eig htee n, t he brea th inghould be

In fan t at and may be th irty.

P ati e nt Iies upwards, he' s such a big bloke

[f we leave him li ke that he will certain ly choke.

W e tumed him over ju t li ke the) said -

Wh a t a g reat pi t) we banged 'is ead!

Art eries pu rt t he b lood is quire bright

If you lose too much you' ll tum whiter than white.

Vein bl ood i d a rker, some peop le say blue.

If no c lots a re form in g. here's what you mu t do.

El eva te, pres and bandage the site

No t loose ly, bu t firmly, and not too tight.

Do n th ift the pa t ielll, lift the truck;

On second th ought " don' t pu h your luc k.

Pre erve lIfe. preven t th ings getting war ·e.

Pro mote the healing and be a good nurse.

Work ha rd Firs t Aider at doing your best

T he Rescue Service will do the re l.

Smarten Up St John

O ve r to yo u J ohn. na tionwide we cry

W ith exce ll e nt pos te rs to catc h th e eye

We're a c hari ty. so we need you r donation

And why don' t yo u join us, we ask th e na t io

T

Th

St John Wordsearch

Dangle the Bangle

s a bracelet (where it could get caught LIp in the car work.-. .). The \\-Ith 111) Tali'>tnan give necklace COsh. something that can easily b) sccn \"hen the First Aider e\amlne" the casualty Even if the wearer has no treatmelll carcl. It i" L1seful to the police etc in a multiple car crash, \\-hen the name of the driv er and car re g! trallon might be difficult to a certain. M r s EM T ri ea ( r

Marks down under

The Ambulance Sen Ice In Guth Australia employ" approxlT11atel) 5(X1 taff in the Auelalde metropolitan area and In 16 "trLlteglc.alh placed country location

Operating a modem neet of 200 Ford the "en ICC In execs. of 13D.OOO patlenh in a )ear. PrLscntl) tLldent Ambulanlt Officers are stud)- I.lg over a three year penod to obtain an AdHInced Certificate in Ambulance tudlcs and on completion oeLOmc Qualilled Ambulance Officers attracllng S26.7HO p.a. plu, "hilt and \\eekcnd penalt) rates.

Recently the tate Superintendent of the outh u,tralian t Joh r Ambulance Sen ice. Mr Alf Gunther took the Inltatl\ e to build ar Insignia co ll ection forthi sen Ice to bc hou cd at our tatc Headquan m in Adelaide I \\ a-, "econded to take up the task as urator. 1 \\-ould like to appeal to) our readers to help u" ama " a tive "ample of past and present ambulance -,cn lcc 11l'>l gnlll'> from YOll part of the ambulance world to add to our col leu Ion. I can bc LOntact ed I at the addre.,., belo\\-.

Why not have a crack at this wordsearch, c07npiled by Mrs J Keeling of Saffron Walden Combined Cadet Divi ion. In the diagra m opposite there are 16 'w ords C011nected 'w ith Sf J07171 reading up, dow71, dia ona ll y, backwards and forward . Can you find theJn?

:\ TO S.JW READERS

While you are figuring out the Wordsearch! We apologi e for the of this issue "hich ha been cau ed problems in coordinating the special feature on defibrillation. The Editor \\()uld like to thank John man and :\eil William , \\ ithout \\ hose help matters would ha\e been a great deal worse.

JERUSALEMLODEWZVBKUIR LFGHRTYUJKCBNHFGNHOJO ICIMLAHTHPOJKOMCZXBRI OTYDFGNBEASDFGHJKLPOR NZXCVBNGQWERTYUINPASP ASDFGHDZXCVBNMKJIKWTD DSUPRESIDENTLKJHGFDHN EWQFLDFACFTYMNKJHOPGA XSIWGBSMFDSAGHJKTOPIR SDOLKAPBQAZXDRTHNJUEG HNJKIFOUKJOCSOFGHJKLP KASNHGILHGFOWERTUYHGF GFTLKJNAMHCDEYSDPOIUY CGHTRETNSDFEHJNBEMNBV MALTANSCBHGTUREWQRSTG JSKRTYHEUCHIVALRYSJAB

HOLIDAYS for the DISABLED

Flights from London, G lasgow , Birmingham & Manchester. A ccessible accommodation in A msterdam, Majorca , Costa Blanca , Ireland , Tenerife, Cote d Azur & Florida,

Al so tours to coincide with the Paralympics 1992 in B arcelona.

HOLIDAYS

COURSES

CrosslVord No 4-92 by WA Potter

(7).

13

14 What the fieldsman should do to acquire an infection (5).

16 Fine pan of meal (5).

17 R ash cau 'ed by an allergen (9).

21 urglcal procedure begun by a form of27 Down (9).

24 LiJ...e a "ma ll bed for a race meeting (5).

25 A strange dream maktng one prepared for baltic (5).

28 Unruplured amnion enveloptng head at binh (4).

29 Parched from break up of raid (4).

31 chteved by havtng one\ dines'> featured frequently tn 2 1 medical joumal ? (3-4)

32 H ar<.,hl y govem out-pallent media (7).

34 ho',,\tng no pathological changes (6).

35 Card havtng It I'> an tnnammatory condition Involvtng the hean (8).

CLUES DOWN

1 Int ramus ular injection (3).

2 ubdued colour of nabb y mu,>cles? (9).

3 Impregnated wllh colounng-malter (4).

4 Each cut an aSlrlngenl e\tract (7).

6 In Vigorating mediCine trom "pmt on Ice (5)

7 Tutor tor fish (5).

8 Pitiless - due to myocardial ealcJficalion'? (4-7).

9 all to stnke when the last ',,\ leket fall. (3.3).

12 An unlnsptring ',,\a) to die (II)

15 Wa.,te producl of protein metaboll m (4).

18 nendlng riOt In outh mcnca (3).

19 "In fi..,<;ure for a man (-f).

20 Bandage le\ cr, haemorrhage, nerve (9).

22 Had urge to ,>cratch (6).

23 Our name for a nerve tumour (7).

26 Tooth at the permanent dentition (5).

27 A mother follows do or In a theatrical an (5).

30 Potato and an ophthalmIC Instrument (4).

33 Dltre call (I.!.!.)

Heartstart®3

The new generation lightweight automated defibrillator The most " intelligent" choice for early defibrillation , Laerdal's advanced des gn includes:

Introducing another Ambu ®origina l.

This one is in silicone

.

New silicone model from the inventor of the first resuscitator

In 1956 Ambu developed and ntroduced the first manua l resusc itator in the world Since the first mode l the objective has been to produce lifesav ing products that are easy to use and of high qual ity The Ambu Silicone resusc itator fo ll ows thi s trad ition

Unique safety strap

Important featu re ensur ing a firm gr ip on the bag and prov iding un iform insu ff lations under all cond itions

Makes it easy to use the bag with one hand only

Transparent silicone

The bag is transparent and made of silicone The spec ial texture of the surface combined with the quality of the material makes the bag comfortab le to use .

Autoclavable and easy to clean

All parts of the Ambu Silicone resuscitator , except the oxygen reservo ir, are autoclavable up to 134° C

The bag is easy to disassemble and reassemble for cleaning

These are some of the many benefits of the Ambu Silicone resuscitator Ad ult version with autoclavable silicone mask is available now Version for infant/ch ild available April 1992

Please call us for more information and or a demonstration by one of our reps

Your survival is our business

Dear Read e r ,

FINANCE FACILITIES FOR MEMBERS OF THE ORDER OF ST. JOHN

We are a small privat e Co mpan y th a t specialises in providing loan facilitie to s I ctiv group of people.

Our interest rates are always competitive and we aim to provide you with a fa t , friendly and fficient postal service

Detailed below are examples of different sums repayable over differing p nods with and with ut our protected payment insurance We ook forward to receiving an application from you but mu t aution you to ensure that you can comfortably a ff or d the repayments over the period of your choic with a maximum of 36 months

1

24

If

Yours sincerely,

R

H M MITCHELL Director

Additional

Advertisement

Publi

A Chance to Sho'W Your Mettle

nvironm e nt a li t Jon a thon Porritt la un c h ed a n ew fundrai in g cheme r B a d ge r and Cadet thi ' month Alucan , th e Aluminium Can R cycl in g A ociation, ha joined force with St John HQ " " Ov e rTo Yo u J o hn " ap p ea l team to devi e a proje c t th a t will not only rai ' e fund but will contribute to the e nvironm e nt a , well.

For every aluminium can that Se t'> and DIviSIon collect from local canteens, outdoor e ents and friendly businesses, Alucan will e,change them at recyclll1g centres for p a can.

With an 3 billion aluminIum can'> each year in the K, that mean there is £2 OO,OOOliterall I) Ing around v. ailing to be pI kcd up

" thInk. it's a great Idea ,,. saId Jon athon, "and" ith 22,000 Badgers and 30,000 that 's a lot of can" and a lot of money. Every one can do theIr Olt to help the environment and every single contribution IS Import ant. I ""ill be takIng t John'., pledge to recycle cans to the Earth ummlt In RIO de Janeiro thIS summer a., part of Britain 's contribution to the g lobal effort."

All sets and Di iSlon .· have been <,ent a gU Id e to tak.l11 g part In the <,cheme and a always any money raised will be kept at a 10 allevel Ho\\ e\ er. plea"e let u'> knO\\ how much you make '>0 that we can put 11 toward,> the OTY J natIonal target.

Hepatitis B

- 6 out of 10 healthcare workers not protected.

The Viral Hepatitis Prevention Board, a new body formed to combat the occupational risk of hepatitis B, has reported that fewer than 400/c of health workers across Europe have not been vaccinated again t the disease.

Hepatitis B is a potentially fatal disease that cause chronic liver damage. The International Labour Organi ation has de cribed it as 'probably the most important work-related infectious disease'.

Anyone exposed to blood and orher infectious body fluids is at risk of infection. This clearly includes people in the medical profession and the Board has also expressed concern for those who work with drug abu er , mentally handicapped people and people from endemic regions. Legislation in France requires employers to offer Hepatitis B vaccinations to at-risk workers, although no comparable legislation exists in the UK.

4 St Jo h n Wor ld May 1992

Dr Rae, the Chancellor of the Priory of Canada (pictured right) was invited to the UK to formally unveil the St John Worldwide display stand before a gathering of policy board members and overseas visitors. The Director of Overseas Relations, is also pictured.

The display has been designed by Mr John Hamper of the Portsmouth Design Partnership. It features a world map highlighting forty Commonwealth countries which have St John organisations. The colour photographs and text panels are Velcro-

fixed so that they can be varied and rfo arranged.

Overseas Priories and Branches and l'K Counties can use this stand at prestigiOUS events, although it is expected that the costd despatch will be met jointly by interested parties and the Overseas Department' Grosvenor Crescent.

Anyone interested should contacllh! department direct, although please the event must be high profile and bear it mind that venue planning is scheduled 11 months in advance.

In the senior service of mankind?

On 1st July Nottinghamshire' · newly formed Waterwing will take to the waves. The aptly-named Crusader, an allsteel, 20 tonne river cruiser (47'x 10 6") will be launched by the Duke of Gloucester before an audience of StJohn dignitaries. The Waterwing an imaginative development of St John' Community Care InitiatIve, and aims to provide recreation for some 2,000 handicapped people a year - free of charge.

Crusader will ail every weekday from ColWich Marina (where safe loading facllitie for wheelchair u er exist) through Holme Lock and toke Bardolph Lock, past the Ferry Boat Inn to Gunthorpe where it will moor for lunch. The round trip begins at I O.OOhrs and concludes at IS.OOhIS.

Oil. County HQ has prepared a free information pack and booking form for anyone intere ted in the ervice Early booking recommended and afety regulations lImit the size of any party to a total of twelve. Un Ie s the Autumn i particularly mild the service will not run after the end of September each year.

ottingham hire' John Carter ha offered to help anyone intereted in eUing up a comparable service el ewhere in the country. He can be contacted on (0602) 412206.

picture that say a great deal about t John Volunteer. Thi youngster wa hurt after Cardiff City scored it econd goal in a 2-2 drawn match again t Hereford United on aturday, 22nd Februar , There was iolence both inside and out ide the ground, with 14 fan from ardiff and 11 from Hereford being arre ted. Corporal

ydney Kent i bearing the load , while Brigade Member Le lie Radnor radios detail of the injuries to the Fir t Aid post. Police blamed alcohol as the main cau ed of the violence.

ear the Egyptian border in the Gaza trip live Nawal

Abdullah , an attractive 3S year old Pale tinian woman with four children between 8 and 12 year old. Rather overweight and feckle in the treatment of her diabete , he wa not even unduly concerned when the ight of her left eye wa uddenly 10 t. Thi wa an act of God.

However, when it became difficult to ee with her other eye, he began to worry about looking after her family. She vi ited the St John Outreach clinic in R afah in July 1991 where urgent treatment for her advanced diabetic eye di ea e was advi ' ed.

Unfortuna tely, her blind eye wa be ond treatment but within two da he had undergone a rhre hour operation on her better eye in 01 ing removal of th e itreou jelly of th e eye and treatment of th e retina by la er.

Her urgeon confiden t th at he should now retain th e reasonable vi ion of her right eye which wou ld have inevitably become blind o th erwi e. he i also able to watch her children growing up and look. after th em and her hu band quite happily

April 1st - Safe AI Daen A'Karim, a ix year old boy, was hot in the left eye by I raeli oldier during di turbance in Gaza. Hi eye had to be utured along with a evere laceration of the lid. The ight has been 10 t and the eye will probabl hrink. afe wa een in the Gaza Eye Ho pital and referred to the St John Ophthalmic Ho pital. He wa refu ed attention and admi ion to two I raeli hospitals as hi family could not afford the fee.

Peter White earns Monmouth Division £20 with this captivating shot of two

'·The had to pass on a message to each other by whispering •• was able to zoom m t.he boys ".at m c:mera and 'click' - What. thought to be a wonderful shot. You could gl\'e It the caption

·it.e Whisper' or 'Don't look now, he's taking our photograph!'''. also said he was keen read:: oft hi s '"wonderful magaz ine" ••• proof positive that the editor can be bnbed by nattery. ( s true-e

C.I. results

The Channel Islands Inter-insular Competitions were held at Victo. ria College, Jersey on 22nd Febru· ary, witnessed by a contingent 01 judges from Grosvenor Crescent to ensure /I(f('/ Impartial ity. The resulh were a follows:-

Ad ul ts

Best First Aid Team (Buckrroul & Co. Shield): Guernsey (Mark Guilbert and John Le Cras).

Best Nursing Team (Jer e} To bacc() Co. Cup): Jerse} (Lind, Rolland and Mlcheala S\\.lfl 01 Mountbattcn DI\I"lon).

O\erall Winner (Carey/Coutanclr hield): Jerse}. Cadets

Best First Aid Team (Jl:rse) Am· bularlLe Cadet CUP) Jer\c) (John Ga\l:}. Donna Dehorah Gave}, Ian Humphn n of La Move Division)

Best Team (Gut!ms Fruit E'portcrsCo. hldd):Je r· se\ (Joanna Osmolll. All " Jennifer Hill. ar:· Rose of Sr Martin DI\ IstOnl OHrall Winner (Fo\/Hann Shield): Jerse} Best Indi\idual First Aider: 1.1 Humphric

Very tempting to make a crack about Torv cut to the NH. ervice but not. The Medical Mu eum Leanet mentioned in our March iue was launched with due ceremony. Can you pot the St John nur e? The lea net can be obtained fromthe tJohnMuseum, tJohn' Gate, tJohn 's Lane, London EC I M 4DA by ending a stamped, se lf addressed enve lop e.

The SJW Brigade Order tit ion in March evoked a respon e nice to know someM reads them! The ans\\.CPi were' follows: 1) Trousers and black sock,) Purple. 750 hours 3) 1st July 1iJ9l 4) Never! 5) Rachel ElksandMad Taylor 6) 4th July 1992 7) Card the Community 8) 8 9) Ne\\ c:S books 10) Any 'yes' was the preferred one. The winner was Liz Hare Ornleau Division, Belfast and cheque for £20 is beetling its II up the A5 as you read thl> Thd should be an for ac : too -. as LIZ pomts out. re gJ tng questIOn I(), there are no Te, in Northern Ireland - should bt extra prize, but isn't...

Love at first Byte

A computer ha been donared to the orth London region of St John by Thorn EMf Microrentals, the Fulham -based division of Thom EMf Computerald. The orth London region compri e four station with over 16 mobile units and 40 ambulances. Chri O· Beirne, recently appo 111 ted Area Communications Officer, i currently selling up a control room uSing the com purer. "r soon realised that the standard emergencycall sheet could be held on computer" He said. "The Computer Aided Dispatch sy tem instantly recalls an emergency call sheet, wh ich can then be filled out on the screen. We now hope to acquire a printer 0 that In the evening we will be able to print off the day's calls which can then be filed a hard copy. We are very appreciative of Computeraid \ help ."

Trumpeting voluntary work

Make a note in your diaries of the 1-7 June, which will be UK Volunteers WeeI-.. The 01unteer Centre K hU!> been gl\en a grant of £250,000 by the government to enhance the profile and perception of volunteering and ha promi ed "rhe blgge t ever multi-media campaign" seen on the topic

Yet another Challenge

Has your DIVision brought about " lasting to young people or '>enior ci tizens Orthose wllh special needs " ? If It has, hen it is eligible for thc Ro) al Anniversary Challenge Awards The Award have becn set up to mark the 40 th anniversary of the Queen·1., acce _ sion to the throne and entries are due b) the Autumn. More details from The Royal Anniversary Tru"t, Horsley TowEast Horsley , Surrey KT24 6D Te l: 04865 5268.

Coiled for action

Lines/rom the Museum 0/ SI f ohn by Amanda Devonshire

he Mu eum of the Order of St John is developing a series of infonnation sheet which will range over many topics of interest to Brigade members, from the eight-pointed cross to the Boer War.

The fir t concerns the Fir t Aid Re-examinarion Medallion. In the ummer of 1879 The St John Ambulance Association introduced a medallion to mark the successful re-examination of First Aid Cour e . Three examination had to be passed and the medallion could be i sued in gold. ilver, bronze orba e metal. the choice lay with the recipient becau e he (or he) had to foot the bill.

A label was alsoeamed by medallion holders for each sub equent re-examination, and chains of label could be collected by really zealou , tudent of up-to-the-minute fir t aid techniques. The record for [he highe t number of label in the Museum collection goe to W H Brown who earned a chain of 44. Do you know omeone who cou Id rattle around thecene of an accident with an even longer chain to prove his competence?

The second infonnation sheet currently in production talk about the illu trated triangular bandage of Dr F E march of Kiel University. He printed diagram onto imple triangular bandages so that people would know ho\\. to u e them properly in an emergency. Originally intended for soldier. the e bandage became popular for general fir t aid and the t John Ambulance As ociatlon produced and sold a variet of de ign until 1949.

Dome"tos IS in\ Itingentries for its Health Education \vards, \\. ith £4.500 on offer to rhe \\ inners. Prize are available for (/1/\ aspect of health education - mental. phY"lcal , "0 ial or em ironmental health Pa"t \\ have IIlcluded a Health loblle' fortravelling familie and a team of health \ isitors \\ ho et up a market tall offering health education Entfles from t John \\-Quld. we are told. be \el') welcome. Project since 19 8 are eligiblemore dctalh from Dome:tos Education wards. 14 Cromwell Rd. London W7 4E

The forth oming Charities Act \\ ill cau<.,e man) (although no doubt nece aJ) ) headache as Di\ i..,ions and Countie come to tenn \\ ith It \\ hen It i implemented next year. a\e your elf one headache 1/ 0 11 though. One of the lause ofrhe act \\ ill require all Brigade units ro pnnt the facr that the) are a chant) on all their document - including stationer), adverti"lIlg Ieaflers and chequt: If you are re-ordering cheque or notepaper at an) point III the ne'\[ year , be ure to add the \\ ord " Reoistered Chant\ "or "Registered harit) c 0 235Q79" so-me\\ on the document, if you do not alread) do '-.0

The quesftofl IS. whaf is if?!

Th e UK 's fi r t tr a um a ce ntre wa o pe ned in Stoke-o n-Tren t la t Febru ary Th e Ce ntre provi de co ur e on trauma m a nage men t k ills inclu d ing Advance d Cardiac life

S up port a nd Defib ri ll ati on More de tai l from the A l S T raining Ce ntre o n (0782) 7455 15

Meanw hil e, here s a re u cita tio n mo rt o fo r yo u fro m Ame ri ca" Rea l s ucce s is re turn to taxpayer s ta tu s" This was me nt io ned at th e Bri t is h Associa ti on for Immedi a eCa re' recen t co nfe re nce.

Obituary

M ic hae J Sayer - di ed 22 Feb ru a r y 1992. age d 54

Mike Sayer joined the Brigade in January 1954 WIth 175 Teddln glo,; Divi"ion and v. a\ promoted 10 Corporal In 1960 The year of 1972 sa', the amalgamation of the DiviSIon and further promotIon of Mik e crgeant. He was promoted to Staff ergeant. MIke \I one of the prllne mover'> In Teddmgton gelling its first ambulan ce.!' January 1979 he v.. as made up to Area ergeant Major for South We \ter Area of london District and served with dlstmctlon untIl hI" retlrem en in June 1991. He \.\as made a ervIng Brother In 197R Mike was just as actl\e within hi, local church organl"allon v.h er he was a lay preacher and secretary of the male voice chOIr. He 1\, renowned for having a rather mLchlevou<, sense of humour and a t\\ In k In hlseye He could always find amusement even in the wor.,t which made him an Ideal companIon (f){J\'e D(}fg)

Strapped in Notts

The orth ott., orp., of Drums i., looking for a sponsor - can an) o help? The Corps has a notable record of ement and dedlca llc la t year it tra elled to variou parts of the country on con ecu tl v.eekend , complellng a total ot 96 parade.., and 40 dl'>pla}'>them for charity purposes To cut dov..n travellIng COsb the It: bought its own coach through long hours of fund -rals1l1g and (Onll nU to mainta1l1 it WIth of Tombola." coffee rnom1l1g sPI 'ored walk etc Of the 34 member'>. 30 are adet., and Oc recruit are alway welcome and should be rn a to the Band Master. Mr T Bills on (0623 ) 861697 Anyone interest ed booking the band ..,hould contact Mr'> Jenn1l1gs on (0623) 8626 32

Towering achievement

Could you hitchhike from the Blackpool Tower to the Elffel Towe r Ie s than 22 hours'? Roy Bentley, DiVISIonal upenntendent ofBushb iJJ Divl ion, West Midlands has challenged any t John member 10 better after he and a fnend, Ken PItts, achieved just thIS They also ral s £1,500 in pon.,or..,hlp There', every likelIhood that better - the duo not onl} took a few hour" off 111 London ("enro m Cockney hospitality" the} 111'>1..,1) but 'II 0 were bnell} arrested b) Gendarmes Let JW know If you take up Ro) ..., challenge He's also us to pas on lhanks to Dover and Blackpool DiviSIon.., for thelr ho pllall

t , th e Kin gs W essex

Sc hool nea r Chedd a r.

Th e pri ce is £7 5 in c lu s ive.

More de ta il s from th e Cade t a nd

Trainin g De pt , at NHQ

8 S t J o hn Wo rld May 1992

Th ere it wa revea led th a t la t year th e UK 2,452 paramedics ca ri ed o ut 7,534 intub a tio n , 29,317 ca nnul at io ns, 7,700 in fu io ns a nd 8,2 0 I defi brill a ti o ns. An impress ive ac hi eve me nt , but sin ce a third of th e popul a ti o ndi eof AMI (hea rt att ac ks) th e Ch a nce ll o r wo uld no d o ubt s till w is h fo r an imp roveme nt !

St John in Devon has been helping out the local branch of CUe. u Cancer and leukaemia In Childhood Trust. The organi allan ha a CUC ambulance in the Plymouth Area Health Authonty area volunteers from t John have offered to man the vehicle Area Com nl sioner Ian Jane described the operation as "one of the most challengl tasks to come our way 111 a long time".

"Clearly," he said "it is importanlthat the children and their pa ren who have to be tran ported to hospital, are conveyed in safety and the support of someone capable of providing mature and sensitive h( at a time of great stress. Since this project started a small team ofSt M members have established very clo e relationships with not onl) Ir children and their parents. but also everyone in the hospital ream ."

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SUSSEX BAG RESUSCITATORS

Readers report on theiractivities around the countnj. Contributions are always welcome, send them to: 'Out and About', St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

25 INJURED IN KNIFE INCIDENT-

Well,notquite.John Weeks from StJohn

Ambulance, Hailsham reports on a dramatic training exercise organised by himself and Steve Thompson from Susse x Polic e

St John Ambulance in Hail ham recently took. paft in a Major Incident exerci e. The cenario involved a drunk. who had run amok in a football ground with a knife. After the ground had been evacuated over 25 casual tie were left needing allention.

Be ide the St John team from Hailsham. Eastboume and Rin gmer the exerci e involved Su sex Police Special Constables, the Red Cross and al 0 IMCAS (emergency volunteer doctors able to allend th e scenes of large acciden ts).

To make the si tuation more reali tic (or at least more dramatic) the flood light were witched off halfwa) throu gh. simulating a power cut. In all over 50 personnel took part in an exerci e la tingome two hour".

St John team ru shed the injured to ho pital in a fleet of eight vehicles and the police opened up an incident room and Caualty Bureau

The exerci e wa very ucces ful. The voluntary and emergency ervice in Hail ham have an excellent working relationship and hold regular organi 'e d e ions and meeting so that when we work together we are not tr angers!

LED By THE 'KNows'

Bridget Bro ckman of Ips 'w iclz Nursing Cadet Divisio ll

attended the County's first Cadet NCO Training Course - reluctantly at first but, as size relates , things got better

On the 21 st February 1992. 24 Cadets, 2 Cadets Leader and 5 Officer') went to Hengrave Hall in Suffolk for a CO Training Course

Before I even arrived at Hengrave, I wanted to go home I wa-,n't looking forward to going a I had heard how strict the cour e was, so at that time I wa lookin g for any rea on possible not to go.

A we all arrived, it was straight into full uniform The boys were all in one dormitory and the girls in another - and as each person arrived, the dormitories were still silent.

We began with the 'Icebreaker' ses ion, where we were told that all Officers were to be called 'Sir' or 'Ma'am' at all times. This made me think once again, ' I want to go home'.

It was only as the weekend progressed that I realised that mayl)£' I could enjoy my elf.

The evening flew pa t and Saturday morning started at 07.15 with a hort' run around the grounds followed by breakfast and Room!Unifonn inspection. Durin g the day we had a range of lessons like Drillinstruction, LeadershipfExercise , Programme planning with exercises and 'How to Run Games'.

The leadership exercise was my favourite because I felt that I really learnt a lot about Leadership Skills. Our group of four had to carry out an Assault Course - with three of us blindfolded, while th e other one could not speak. We had a few problems, but it was exciting and we all enjoyed our elves.

Sunday was 'D' day. Everything had to be perfect as our parents would be arriving to watch the parade at 3.30. The final room/uniform in spection wa done and the la s t lessons were instructed.

We all had to give a small presentation of the programme planning work, where we planned a Divi sion's lessons for three months. Most of the se worked well.

The Final Parad e also went well, and we all recei vee! a Certi ficate to 10 S t John World May 1992

prove that we had done the cour'ie, and got the chance to "how ollourdn l to our friend<; and fam11 ic!o.

I really enjoyed the weekend and would recommend the Il' anyone. [feel that everyone who went on it now a beller per,>on and III will now be very valuable members or our Divisions

I would like to say a big 'thankyou' on behalf or everyone wl1l atlendedthe course to Mrs Leek. , Assistant Commi'isioner Youth : Leek, Mrs BUlcher and Mr Loveys , Area Orricers adet..,: and 1i1 Sergeant Brown and the two adet Leaders ror all their help un o

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CHILDREN OF CHERNOBYL

- by S i a n Thoma s of th e

Ll an ed e yrnlLlanrumn ey Di v i s ion , S outh G lamorga n Co u nt y

December 1991 <;aw Lhc departure from ardiff of a mercy ml'>'>lon convoy to thc Ukraine. Thc Kiev -bound party left St David\ Hall with medical and prc'>cnt'> forchJldrcn <;uffering from the hcrnobyl nuclear dlsasLcr. A year of conccrts and oLher fund - rai sll1g events by South glamorgan chool and Youth Bands paid for the <;upplle,> and Ihey wcrc driven overland to Ki e v Via Berlin and War'>aw Thc party consi<;tcd of mcmbers of thc counLy Fires and Rc'>cue Service a" wcll as represcntatlvc,> ofLhe bra'>s bands who had raised thc money myself amongst Lhem

The convoy braved all sorts of weather from driving ralll and snow 10 fog and galc'>, and fa ced chao,> at border crossing ,> because of the upheaval in the former OVICt Union. II was all worth It - we arrived at Ihe hospiLal in Kiev to find the Wllldows full of children wavin g greetin gs 10 us.

The party returned from this cmotional experience on Christmas Eve, than!..s to the professionalism and good humour of the drivers of the convoy, the Fire ervice personnel.

GOOD CLEAN FUN? --

Le ices t e rs hire A mb u l a n ce In s p ec t i o n ,

The factol) aI TI Tubes Ltd , Desford had never seen anyth1l1g like It. Imagine it- the main car park full of ambulancc,>! Was It an e plosion in Ihe worb, or perhaps a roof had collapsed It wa\ none ofthoe. The day v.as undal' th March and it v.as time for the annual Inspection tor Lelcc'.tcrshlre'" neet of ambulance,> There were to be no excuses - all ambulanccs not actually on dutl' were to be present for ll1'>pection and tho..,c on dUly had already been 111 pectecithe week before.

There was ten ion in the air a.., trolle) ..,tretcher were remO\ ed and checked for clcanllne..,s and smooth worJ..lllg and all Ihe man) other essentials were subJecLed to a Similar scrutln) There v.as a of nvall) a" WCII since:.t trophy as to be prcscmecito the DiVISion With the best prepared and equipped vehicle It v.a\ not casy for the inspecting officcrs. but a chOice "as made Tlw.. year lhe trophy \'al., to go to the Holv.ell Wor"'" DI\lslon which turned out nOI only a v.ell prepared ambulance, but aho a '-,uperbly appollltcd mobile first aid unll. 01\ i-.lonal uperintendem e\ Ilic Jad,son reCCIved the trophy from ommander Brian Watt

BUSMAN'S HOLIDAY

Ray Whitl e y is Di v i s ional Presid ent of th e 89/ 1 (Jos eph Gr ave sto ck) Di v i s ion of th e London Tr a n s port Corps. Last y e ar h e and som e 7. vork coll e agu es we nt on a trip - to Romania. JOhl1 Pull en r eports 011 w hat th ey found.

Terrible driving condition made a mission of mer y 10 Romania a dangerous time for Chalk Farnl Garage General Manager Ray Whitley and hi companion from London Buses Ray, Hanwe ll Garage Drivcr Ro Carew-Jone and entreWest Inspector Bob Di on took a lorry - load of clothe ' , medical upplic,>, bedding and other e emial equipment to a Romanian orphanage.

Many London onhern taff gave generou ly to the appeal, donatIOgclothe ,Ioys and oLher good at collection POlllt manned b London T.ran pon atering taff. London Transport Unifonn tore: handed ver diScontinued c loth ing, much appreciated during the bitterly old winter. The lorry Lrave ll ed to Fran y by ally Line Ferry, than k to David M.ulvag h ofLT I n te rn a tiona l who teppcd in at the la Lminu Le when the po nso r of the cro si ng d ropped out. The journey co n tinued toug h Fra nce, Be lgium, Germany, Austria and H ungary. (d CO n.di t io n at the orphanage were be tt er than th e trio had expecLed ueen tl re ly Lo good broug ht by relieftr uc J.. ) b ut the hou ing and road by ord inary Ro ma ni an were dreadful. Po t hole, unliL bullock and orse cans, and roa d was hed away by torren Lia l rain made nig ht -

driving a real hazard for the team dri\ ing the 10IT)

"The main road through Romania \\a a ingle carriage\,a). about the size of our ba k treets, v. ithjust enough room for lorrie to pa " aid Ra).

He added thai people out ide the main to\\ n have littleorno running waler or anitation They build their own hou e , living on lhe ground

Ooor and toring harve led food and grain up tair "An) farm animal they have are put in the hou e for (he night!"

The high point of the (rip v. a eeing the children. Thank to the dedi aLion ofre lief\\orker:, the are nO\\ leaming to walk and tall- and feed them e lve It i not 0 long ago that rhey were J..epr in rheir b d all day and bO ll le-fed unti l the age of nine or ten.

'There i Lill a va t amo unt of work needed to ensure that both (he country and it inhabiLant ha e a secure fULure" according to Ra). "To lhi end, I wi ll be making anoLher trip in the pring".

Educa Liona l and ction To ' are needed urgentl).

0 are clothes, non-peri hable food, hou ehold equipment and much el e be ide , Con tac LR a on 07 1-4 5 _'257.

May 199_ John World 13

Four go on safari

WI,el1 a fa 111 ily oftlzreewas injured 011 holiday ill Nairobi G. E. RobinsoH, Assistant Area Nursing Officer ill Notts., was a1110ngst the AerOl1tedical teaHl selected to brillgthel11itoll1e.

Not so 11IUCIt a safari, as a lot of Izard planllillg and hard h-avellil1g...

Not long ago four intrepid St John air attendant found them elve eating giraffe in darke t Africa. No, thi wa not a urvival te t or a la t resort to fend off tarvation becau e HQ weren'tpayingourexpen e . It wa merely are ult of volunteering to fly to Kenya at hort notice to repatriate three Briti h citizen just before Christma .

On the 12th December a jeep carrying six people on a afari holiday wa. involved in a colli ion with a truck. The driver of the truck wa killed, as were a couple in their ixtie who were travelling in the jeepthey had won thi holiday in acompetition.

The other injured occupant of the jeep were a 43 year-old man, hi 36 year-old wife and 12 year-old daughter. The man had received neck injurie s and wa paralysed from the neck down. Hi wife had fracture to the lumbar pine and thedaughter had head and arm injurie After the accident they had been removed to the local ho pital and were later flown by the Kenya Flying Doctor Service to the Nairobi Ho pi tal.

At II am on the 19th December 1991 the duty medical as i tance officer in the control room of AA St John in Basingstoke started to find available doctors and nur e for a flight to return the injured home to Oswe try.

Thi was no easy ta k a a peciali t team was required and it was clo e to Christma Many nurses would be working and would be part of a rota to their own teams working in hospital over the holiday period.

The case had previousl y been followed by medical officer with AA St John Alert. Eventually a neurosurgeon, aclinical nurse specialist in intensive care, and a nurse with experience in tropical disease were found, a third nurse with intensive care experience from the head office of AA St 10hnAIertal so volunteered. This proved to be of great assistance as a good deal of I information regarding ticketing and negotiation of the repatriation could be con tinued by the same team who were planning the move.

Tickets were organised so that relati ve 14 St John World May 1992

could fly out to ee the injured family prior to the aeromedical repatriation. Thi includedfindinghotel <mde cortingth mto the ho pital a neces ary. Ticketing for the aeromedical teanl proved more difficult as it was the 21 st of December and flights were fully booked. They had to go out by KLM via Am terdam and retum by Briti h Airway.

The equipment required for the retum flightwa chosen by the , enior fl ight nurses, In agreement with the neuro-surgeon. It was collected by the night nurse living neare t to the equipment bases of SI John Aeromedical Service at Stansted and Gatwick airports.

The equipment controller were notIfied of the need to 'W ithdraw the equipment

Later we dined at the local Bar-b-cue, where giraffe was on the menu (it is reminiscent of lamb)

from the stores. This included emergency resuscitation, intubation and infusion as well as vacuum mattresses and scoop stretchers. The resuscitation equipment was needed because the vagu nerve can be stimulated at times with ' pinal injuries and pontaneou cardiac arrest can occur.

Eleven extra bags were booked into the hold of the aircraft: it was particularly important that the'ie bag ' should arrive at their destination. They were al 0 creened at the baggage check-in for airline security purposes and a good explanation had to be provided for the need for batteries for the portable electronic equipment. The baggage of the aeromedical taff was also checked in.

The total cost of the retum n i ncluding two stretcher. wh ich overstraddled six eats each, and for the relatives and medical staff, came to£ 17,000. There wa a s li gh t technical hitch when one of the flight nurse was checking in.

She reali ed that her passport had been carried through immigration by another nurse who had taken care of some of the

e cess baggage. It took a few anxi ou moment and hurried exp lanation ' to ge: th pa port back thr ugh immigrati on control, when the nurse could continuehcr journey.

The flight out was nothing watch ing the other pas<;enger<; create lems ror the very and courteou ere' ofa 747. The flight to msterdam hour'i long, with a tw hour wait for th final eight hour night to airobi .

On e through immigration control , airobi the baggage had to be colle cte from the conveyor belt. .., usual, our came off last. The medical kit also gl man ,>trange loob a,> it 'Was ,>een g OIn round the belt. But the cu'>tom'> recogni ed the famtiiareight-pointede m of the tJohn UllIfonll and waiveu thet eill '>tmighl through. The taxi ciriver'> mad e scramble to get to us and eH::ntuall) Ii were able 10 get t"" 0 to take u'> to our ho lt

The following moming we ""ent tot r hospital and met Ihe medical and nur\1n staff who had been looking after the tient'i 'iince their arm al in ;mobi Th '-.urgeon there wa'-. a Bnll'-.h cx - pat and h; worked in Oswe'>try ( alional Orthopa die well. The nur'-.es had btl trained 10 ally and were following patt ern of nur,>ing care '-.een in the K.

The patient'> ""ere glad to '>ee an ""ere keen to return home but were naIl rally very worried about tra elling agar especially as their la'>t expencnce ofK er yan road.., had been so tragic.

Arrangements were made with thed Cl tors and nur es to have the medical nOIr X-rays. CAT scans, drugs and letter\ referral ready and available for us to home. We also asked for two ambula nL< to be available at 20:30 hours ,>harp on U evening of departure. This proved a<, there was only one ambulance avail ilb in nirobi that night, but another was J1l J available to LIS. One cam from the Red ross, the other from airobi St M Ambulance Bligade.

After these arrangement. had bee made we relaxed a little. aturall) wanted to ee the sights of airobi andt(X a taxi to the park, not quite expecting II be the safari park and wondering

St John in Italy

Norman Famdon, the Director General of St John in Ital y, tells the story of its foundation and its current concerns.

The Order of St 10hn, Italy was conceived as a con equence of the earthquake in the North East region of the country on the 6th May 1976 The 10hanniter Unfall Hil fe (from Gennany)

se nt a rescue convoy of vehicle Thi included a small camp ho pital (12 bed ), five ambulances and per onnel (two doctors, two nur e and 12 auxiliarie ). The convoy arrived at the Brenner Pa where it was topped from entering Italy because of the lack of custom documents.

It was at this point that Sig Otto Betz, now the pre ident of the Soccorso Ordine di San Giovanni Italia (S.O.G.IT.) and a Knight of the Order, stepped in . Sig. Betz was the curator of the Lutheran Community in Trieste and at the request of the 10hanniter and with the help of the prefect of Udine, the convoy wa able to reach the most devastated area of Gemona and Artegna without further diffiCUlty and the mobile hospital was duly installed.

More help subsequently arrived from the 10hanniter and prefabricated house s were supplied for the victims , and it was in this spirit of international solidarity that S O.G.IT. was fonned on the 15th September 1977.

The organisation remained inactive, how ever, until a second earthquake in Southern Italy when not only thelohanniter, but StJohn in Britain also provided help for the victims. Once again the S O .G .IT. unit although small, was able to act as mediators

It wa at this time that the first motor vehicle arri ved - yet another gift from the 10hanniter -a personnel carrier with a rear elevator for wheelchairs. The wri ter -

aBritishex-policeinspectorlivinginTrie te - wa duly a ked to be driver/director for tran port

A contract wa obtained with the loca l authority and a ervice tarted for handicapped children and old people.

Two more vehicle were acquired in 1981 and in 1982 another four - all at low prices becau e of their high milage and age (reader are probably familiar with the problem! ). Volunteer became more numerou and more ervice were organi ed, with contract being won from both the Local Authority and Health Authority

In 1983 the fir t ambulance wa aC- 1 quired, again an old vehicle, but it was u ed as a support for the health a uthority who e services left much to be desired

Since 1983 the policy ha been to acquire new vehicle and crap the old one

The S.O.G.IT. at Trie te now ha 24 vehicle which include 9 ambu lanc e of the late tde ign; lOper onnelcarrier andone Land Rover ambulance.

S.O.G.IT. now includes in it ervice

First Aid cour e , ambulance ervice, ambulance for porting occa ion , tranport for rehabilitation , tran port for the handicapped and old people, civil defence (camp hospital with 20 bed ), Europ Ai tance and A sistance Ala.

Close cooperation with the Johanniter has been maintained and with St 10hn Ambulance in the UK. Indeed the er twhile Chief of Staff, Laurie Haw es, and Brigade Secretary Stuart Latham were guests at the 10th birthday celebration of S .O .G .IT. at Trie te in 1987.

The war in Yugo lavia has made a strong callan S.O.G.IT.'s recent activitie

The first effect of the war was on a co nvoy

of S.O.G.IT. vehicle tran porting a grou p of handicapped athlete to a port meeting in Hungary in lune 199 I. The convoy Wil5 unable to enter Hun gary from Au tria be· cause large number of refugee ha d blocked the road In the e nd it had to tum for home.

On Jun e 29th 1991 the Yugo lavian Federal Army commenced to figh t Siovenian Unit on the Trie te border. A S.O.G.IT.ambulancewasplacedon tandbl' a t the border to evacuate the wounded Bri ti h hal iday maker were evacuated by ea from Rij eka and Dubrovnik to Trie te, where a .O.G.IT. ambulance was on tandby every day of the evacuation to a i t the touri t

The .O.G.lT. at lhi time commenced collecting medicine , clothing and food for refugee a embling in the I tria region of Yugo lavia on th Trie te border. In July ten tonne of material were taken to Ljubljana and Zagreb.

In November a lorry load of material from the 10hanniter in Gennany and other upplie from S.O.G.IT. were en t to Rijeka, and 20 tonne of clothing was sent to the refugee centre at Cervignano, Italy.

Since November S.O.G.IT. ha made 81 journey, tran porting 360 refugee in eluding 250 children to variou centre In Italy. Thi work i till continuing.

S.O.G.IT. ha been fanned with the arne ideal and aim a St John Amb u· lance in the UK. It ha become re pected in Italy, particularly in Trie te.il will continue to grow

Person s carried from Jan 1980 to Dec 1990: 220,95

Kilometers Travelled: 2,187,386

S.O.G.IT. is now represented in:

• Este, Padova province (3 vehicles).

• Montagnana Padova province (1 vehicle).

Norman Farndon assures would-be visitors to S.O.G.IT. that they will be made most welcome. The organisation can be contacted at: S.O.G.IT., Via Besenghi 25, Trieste, Italy.

Tel: Trieste 304545 or 305798. Fax: Trieste 311466 )

16

• Aorence (1 vehicle).

• Noventa Vicentina, Vicenza province (3 vehicles).

• Grado , Friuli (\ vehicle).

St John World May 1992

On sta ndby during the evacuation of British tourists

S.O.G.IT. aid crossing the Trieste l Slovenian border

Ma 1992 t John World 17

needed and what wa going to be done about it. Anot her op tion would have been to audi t t he achievements in tead. The choice is your. , depending on whic h i mo t app ropria te for your standard and how easy it is to answer the question.

How you gather the data for your quetions is also up to you. Y; u could in tal an observer; you could a. k question of the member. on duty, or ask the casualties, or rely on any record . you have , depend ing on the type of information needed . How often should you ask your quetions, and when?

Once you have made up your mind, you can fonTI an action plan.

Perhaps the an wer to all your quetions will be 'yes'. If so, the standard ha been achieved. But if orne of the answer are negative you need an action plan. The group needs to loo\.. at the an . wers and work out why it fell short of the standard and how Lhi" can be rectified. This is what improving 4uality is all about.

Easy solutions

ometimes the "olution i.., eas). For Grandtown, if the optimum number of six chairs is not available. then the answer is to borrow or bu) ..,ome more. I lowever, if the divi..,ion can't pro\ ide four members in the tentat alltlJTIcs becau"e there men't enough pcoplea aiiable,thisisnotsoeasilysol ed. The di ision might need t change it" priorities on stalling level" on duty , or reas... ess the role" of member".

The standard hould al"o be audited at appropriate interval ... to a"se"s whether it i still being achie ed. et the dates for implementing and auditing thetandard when you write it. as these too should be agreed by the group.

o what next ? You can no\o\ go on to develop other standards. Why not "hare yourstandard withotherdivisionsorcounties? In this wa) e\el)one at all Ie eb can improve in t John and ma\..e it an organisation for the future

Further infollllation on sening tandards can be obtained by contacting A nit a Mc Bride B. H. (H o n ),M.A., R. G.N.,A r ea Nu rS in g O f fi cer, Ox fo rd hi re a t : 2 Fa ir view, Hea din gto n, Ox for d 0 X3 7EZ, te l: (0865) 63136.

Anita McBride is a regi tered 11111' e Clllc! was Research O'/ficer for the StalldardsofCare Project (I{ the Royal COllege of Nursing. he joined Sf 101111 as a Cadet alld is 110\\ a reearchn j(Jr the Wolf Oil Centre at Oxford Ul1il'ersiry ...

Revelations of St Paul's

The tour ofSt P aul' Ca- Joan Woodridge relates Modern Marty rs Chapel thedra ll asted two-a nd-a- contains a very differha lf hour , it should have a breathtaking outing ent version of the been one-and-a - half, but taken by the motherandchildtheme the guide are very dedi- - a modern piece by the caled. Our group entered Amersham Fellowship culptor Henry Moore. by the Ponico and South It i aid that it de ign Door only to be greeted by the quarter i ideal for the blind to enjoy through the chimeofStPauJ's famous clock. osooner en e of touch. had we taken this in than we were a ll owed The huge Dome i 365 feet above a great honour - to tand on the first few ground and I 12 feet in diameter. Some of tep of the piral stairca e which i now the paintings are by Thornhill , a name very fragile and no longer open to the much talked about in Arner ham a year or public Even cathedral taff are only al- 0 ago when orne of hi painting were lowed on it two at a time if they are climb- di covered, covered over, on the wall of ing it whole length. theoldcounciloffice ,Elmode hamHou e. In this quiet etting we were told that Once more we were permitted where the first cathedral date back to 607 A.D. the public are not - beyond the rope by the The prcent building i the fifth on thi A choir tep, up into the choir, pa t the site, having been refur - organ (with it 7,000 pipe ). pa t the bi ' hed by Wren after the Bi hop' throne and the Mayor' eat Great Fire of London in and right up to the High Altar. The 1669. Wrentookju tnine Altar i made of Sicilian day., to come up 'I marble and ha a With his ideas, but ' canopy of Engli h it took 35 year, oak with pillar cop(1675-1710) to ied from the de ign

build them. We Tem- returned to the pIe in Jeru alem. In main body of the fact there is a piece building and en- - of rna onry pretered the chapel - erved in the Catheof LMichael and __ It - dral that actual I) l. George, an- - • came from Soloother plac not open to the public. The carving on the tall are by Grinlin Gibbons and [he plaque in fronr of [he pe\\ commemorate decea ed member of the Order (motly diplomat etc).

Then b) the Great We , t Door \\ e :1\\ a plaque commemorating the t Paul' Watch 1939 --t.5. in memof) of tho e \0\ ho evef) night war hed for fire bombs In 19-t.0 the Cathedral miraculou ly un i\ ed a night of heavy b mbing: t Paul': had been urrounded by smok.e and one of our member \\ias actually in London at the time and \ itnessedthis ightv"henonl) the cross on top of the dome could be een.

We al ' o aw the beautiful Wellington monument - incredible <1 it mal .' em. 13,000 people attended hi funeral s rvice in a building which hould nornlall hold only 2.500. earby wa a memorial t General Gordon of Kha1101lm

Inone fth mailer chap Is i a mother and 'hild sculptur \0\ hich had originall) be n made for a ati it cene, only t be declared too good to b de ' tro ed. The

mon' Temple.

We ended our tour in the Cf) pt \\. hich e\.tend underthe \0\ hole ofrhe main building. We \\ ere all 0\\ ed to enter the O.B.E Chapel \1, here the familie of member of the Order rna) maIl') and al 0 bring their off pring to be Chri tened.

There are a \a t number of tomb and commemorati\ e plaque in the crypt. Of pecial interet \\ re the Wellington chapel and tomb and el on" tomb. The Cf) pt al 0 contains the Trea Uf) and we \\ ere honoured to see the Jubilee Cope and tole u edatKingGeorge " Jubilee. The eare ' till used for \ er)pecial 0 ca ions. The Cope i the handiv·, or\.. of ju:t on \\ oman and e\ ef) inch of this \ ast garment CO\ ered in herde ign of London churche The mo t beautiful craftmanship I hU\e e er seen.

Finall), \ i itor, to the Cathedral \\ ill note that there i no monum nt to Wren her. this reque:t there i ju t a plain ' tone with th \\ ord : " R eader, if you eel... hi monllmenl.look around 'au".

101) 1992 t John W o rld 19

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and Divisional New

sign"

Looking appropriately learned. Terry Kn ight, A 0 (Training) for Hereford ha graduated after si\ year from the Open \ersit)'s Facult) of Education. H e ha

Call and Divisional New

Stop rumbling and listen

On Saturday I received another of tho e telephone calls that make me happy and proud to be a member of St John.

My colleague and have been training the boy brigade in Fir t Aid and the call I received was from one of the e boy, Paul. He wa ery excited, telling me that while working at McDonald. hi Saturday job. someone had rushed in to ay that a man had had a hean attack When he got there the man was not breathing and hi heart had stopped. Paul res u ci tated him and got him breathing. He ha ince vi ited him in hospital.

This makes our work so worthwhile - no reward in life i greater. It also fade petty rumbles into ob curity.

Hope Paul pa se his exam on Thur day Mar ga r et Coo mb y Sed g ley Di vis io n West Mi dl a nd

Badge of disgrace?

always tum to the' Letters Page' as soon a my SJW arrives each month but until now I have not had the courage to write to you. At a Training Weekend a year or two back a talk was given on 'Publicity' and the Brigade' reluctance to get 'noticed'. There was criticism, in particular, of people that make their ambulances look as much a po sible like the full-time ambulance ervice and not to advertise St John Ambulance.

So as the Transport Officer for the Lewes Division in Sus ex I pu rchased from Supplies two 24" round S.1.A. badges and applied them to o ne of our Hanlon bodied Bedford cf's in the large area to the rear of the side doors (where it also covered up marks left by the removal of the C.AS Badge). I personally think that it improves the look of the vehicle and cannot be confused with any full-time service ambulance.

All was well until our Area Ambulance Training Officer happened to see the ambulance on a visit to Lewes and I was told to remove them

As is my way, I always ignore the first reque t for anything in Su sex, because if it's really wan ted a second request will be made and I shall not have do ne a lot of work for nothing.

Now, can anybody tell me why I can fit a 12" diameter badge in this posit ion on a S t Jo hn Ambulance, but not a 24" diameter one? I should be most interested to know. In all other respects our vehicle conform to the design issued some time ago and which has been reproduced in the relevant Supplies' catalogue regularly.

Darr e l F Bir c h 0 /0 (T ) L ewes Di vis io n ussex.

The editor replie s - Working on the Birch principl e of g norin g fir s t reque s t s', if Darrel send s in thi s e tt e r a ga in , I'll co n s id e r ge ttin g a n an s wer for him onl y joking. I'll tr y a nd ge t a n a nswe r in th e n ex t iss ue. An y one el se want to comment in th e m e antim e?

Inspirational Stuff

26 S t J o hn World

It all tarted when [ went to the Abbe Par" how There i alwa\ pre ent there a St John Ambulance tent and a dl play about St Joh n Ambulance, and <;ometime a First Aid demonstration.

But 1l wa not until Monday the 11th Februar} when I \\ 3 watching the launch of Over To You John on Bille Peter (With Cade member showing how to do Fir t Aid) that I deCided I must d omething about it.

The next day I went to the Lelce ter HQ In Regent Road an d made inquirie [\\a given [he names oft\\o 01\ iSlon and deCide to go for the Park Vale DIVision. Why. lOU ma) as\.. - I liked ht name! I wrote to them and wa InVited to their meeting on Wedne l day night.

I went on the 20th and v. aver) impre'>sed with \\ hat the) di

On the same night I wa<, given a boo"let called The 51 J oil Ambulance 8ngade, Leicester eel/tel/an' 1882-1982 enJo yt reading thiS 0 much, and one page stood out to me an extract fro m a speech made in 1933 by the Pnnce of Wale It conveyed important First Aid was then, and still I.

"It ha been aid that never before In World History hal f accident playeduch a devastating role in cutting hort human li f and the maiming of human bodie : a threat to health and efficienc almost comparable to the great plagues and epidemics of forme time. An era of invention has produced an age of peed on land. se, and air. and thiS we know ha increaed the tendency to phy ic mi chance until Fir t Aid ha become an indlspcl1'>uble adjuncl modern life.

The 10 to the nation in life and limb, on our highways, ha no reached uch a pitch that whatever agency mlnllnlse<; the effect 0 such accidents is rendering valuable service to thc tate, a "well as h the individual. Industry and commerce being the life blood of country, all 10 of life, efficiency and hour of work, impedes II circulation. Fir t Aid therefore becomes of vital importance preserving earning capacity, (with consequent security to the man and hi dependant), and in addition to treating accidents an udden illness, it teaches and applie the very important principles of safety fir t. I commend therefore to employer and employee ali\..e a! Ambulance Service that contribute to the reduction of econom l< loss."

This speech in itself was the rea on why I wanted to be a Fi r' Aider. So when I wa given a chance to go on a First Aid Cour e, wenton it, took the exam and passed first time my age is 40. Itg (( , to prove that you're never too old to learn First Aid.

Je n nifer Haze!

A Pa r k Vale membl

Elements on parade

I have been following the correspondence in St John World about the Energy Programme. JE Smith in Surrey certainly appears to have a good Idea.

All new members must complete the induction cour.,e and to run one on a different day to the normal meetlllg seems the obvious choice. We have had potential member., come along to the Divi ion and have had to try and Incorporate them into the traming programmc This can cause problems when you meet 111 one hall. It has been a struggle but we have managed it.

In my Area, many recruits come from the public course run by the A sociation - taught by trainers from the Brigade. This then remove necessity for the First Aid element of the Induction COUf. e.

It has been noted that each Division should be for their own Induction Cour e. This fine for our Division with two FA W Trainers and two Registered urses, as we can cover all apects of the Induction Course whenever we want. However there are a number of DiviSions 111 the Area \\ llhout qualified trainer and nurses, 0 ho\\ are they \upposed to run Induction Cour e ?

I have also been on duty with some members who JOIned last year. who are wearing Fir t Aid badge and belong to a Di" iSlon without a trainer. Through general converation I brought up the Caualty Handling and Commul11ty FiN Aid aspects and the members were not even aware that they had completed these elements

Another arca of dl cusslon from 1990 is the Identification of profes ional members of the Brigade (i e doctors and nur,cs) ow that the Energy Programme i getting establi hed, ho\\ about furrher simple identification of our ambulance crew",?

To 4uallfy for First Aid you have to complete the Statutory Certificate. Casualty Handling and Community FiN Aid supplemental) modules For Welfare you have to pa " Canng for the Sid. Level One and Two To enable member,> to cven get onto the Ambulance Cour"e they have to have completed evel) thing In the Fir t Aid and Welfare ecllon This then allo\-\-\ them to go on a 12 hour Level One cour e and be assessed Graduate, of Level One can then attempt a further 22 hour cour e and further a se<;sment for Level Two

Thl Ju<.,t .,hows ho\\ much more qualified holders of Level Two ambulance certificate are. Bearing thi In mtnd then. ho\\ about the Introduction of another strip badge Ambulance to replace the Fir t Aid badge on completion of Level T\\.o. s a further slInple step to recognise the paramedical skill of ' ome profeional ambulance personnel In t John , how about a strip badge Paramedic for those so qualified and licen ed. Incidentally PreSidents and Vice -Presidents already have their own Identification I don 'tlntend member to become badge seeJ...ers (one badge i enough under the County Fla h). but imple Identification of the chose branch of the Energy Programme is enough to mify the ne\\ member that the} hclollg

Can anyone give me '.ome help on how to attach three ran" stars on a grey slide for nur "es \\ tthout making It loo\.. ""e a bodge-up? Can upplles not arrange for them to be embroidered liJ...e the blac" lide? The full range may work out very e\.pcnsive so how about the popular rank onl) - Grade I to Grade 6 - a5 mo t nur efit into these grades

We are all awaiting the ne\.\. dress regulations and maybe the e sugge tion can be conidered before publication

Peter Gale RGN Di, i ional Officer Eccle a ll Combined Di,i ion Sheffie ld Area ! W Yorks.

Safety i<; combll1ed in all the work we do Trainll1g and preparation esential [0 get through Judging by the number of people that we aid Only in e treme ca e are we stopped from our cru ade. Helping anyone in distre or uffering from ill health ever with a ingle thought of filling our pocket \\ ith wealth

Armed Vv ith kno\'" ledge of the book of S[ John Memori ing the work e entlal to carT) on Sle ed with the trength that each battle mu be won Unbent read} to a i t the need of other Loyal to the caue of \.\ hich we hold 0 dear Alway prepared for any problem no matter ho\\ evere everto re ist a challenge of help in need

Capable of coping 0 that \\ e ')ucceed E peciall, when life i endangered. thi lour creed.

H aro ld Willmott King Norton Birming h am

Guiding

star

I read \\ ith interest the ani Ie in the March edition of 5t .Iohll H odd about upplies. and the Intervie\\ with the Director, Bnan Ro kell.

I fell that one point that wa omitted from the article v. a that of the shop at St John Gate l have regularly called at the shop and ays found the asistant Mrs tella Mulford to be helpful and polite at all time. he has become more of a friend [0 me and grl\ e me much support a year ago \\ hen r \\ as considenng etting up a nev" Cadet 01\ i - Lon.

Livlllg not [00 far (1\\ a) from the Gale I ha\ e ah\a) s preferred to \ i-;It to buy my supplie\ in rather than opel11ng an account. because I know that I will always be made \\ elcome b) tella and that nothing \\ ill be too much trouble for her.

May I through your column e\.tend 111) than" - to tella MD Hadaway C656 Thame mead

Book Reviews

The Orders of Saint John by

Guy Stair Sainty.

Review hy Sir Stephen Miller

Thi elegant volume of 171 quarto page and 50 illu trations provide an account of the hi tory, tructure, member hip and modem role of the five Ho pitallerOrder ofSt. John of Jerusalem. It i dedicated to tho e member of the Order who died confident of their Chri tian faith and honouring the chivalric ideal of the Hospitaller knight.

The fir t 60 page are concerned with the Catholic Order , its cru ader origin, it urvival following the Reformation and the French revolution and the e tabli hment of the Sovereign Military Order of Malta (SMOM ). Thi ancient Order i then subject to a review of it government, it nationalorgani ations, its relation ship to the New World , its members and decoration.

The tatu of the Grand Ma ste r of the SMOM a a sovereign head of tate i acknowledged by 52 tate with which it ha full, mutual diplomati c relation. Until recently the four great officers of the Order - Grand Ma ter, Grand Commander Ho pitaller and the Receiver of the Common Trea urer combined with the Grand Chancellor hip were held by professed knight of Justice Today this di tinction applies only to the two most senior officer

The day to day government of the Order is managed by th e Grand Ma ter and Sovereign Council but every five year a meeting of Chapter General is arranged which ha the re spon sibility of electing the four great officer and the members of the Sovereign council and Board of Auditors.

The four legitimate non-Catholic Orders are member of the " Alliance". Each was instituted, founded or confirmed, by the ruling Sovereign or a state wherein the ancient Order at one tim e functioned on its own

There are se parate c hapters on the Knights of St. John in Britain ; the Foundation of the Most Venerable Order; th e Knights ofSt. John in Germany ; in the Bailiwi ck of Brandenburg ; in the Netherland Johanniter Order and in the Swedish Joh anniter Order.

The final chapter discusses the Chivalric Alliance of the Orders of St. John - formed at the instigation of the Johanniter Orders in Germany, th e Netherlands and Sweden (The Mo s Venerable Order joi nin g in 1961)

There fol1ow appe ndi ces on Noble Proofs in the Orders of St. J ohn; Art and the Order of St. John ; The religious calendar of the SMOM ; and the Self-styled ' Ord ers'.

The author is to be congratu lated on a masterpiece of compression in outlining the hi story of the five orders from a massive literature covering a period of 900 years. To the average member of the Most Venerable Order and even more so to the thousands of willing assistants in carryi ng out its good works the Ord e r is commonly a mystery. This account provides accurate and up to date information on all aspects of each order.

There are two striking features concerning 28 St John World May 1992

The illu stration above s how h ow to elftreat a shoulder di location while fox-hunting. Rememberin g fir t (o f cour e) to remove one top hat , the pati e nt "gra ps the lowest bar he can reach, and allow the weight of hi body to hang on the other id e of the gate until b y th e press ur e of th e top bar the bone is forced into its socket with a nap".

If that doe s n ' t ound quite lik e the Fir t Aid Manual don't be urpri e d It i actually an extract from a Household Guide published in 1870. Thi i the ubj ect o f a mall booklet , The Crinoline Accident, wri tten b _ Caroline Thomas, Di is ional Superintendent of No 1 (C ity of London ) ombined Divi ion.

The book was handed down throu g h Caroline's famil y and pro vide man y s uch example of Victorian r e ourcefulne Ho w man y reader s would know what to do with a bullock 's gall bladder and a tained carpet?

For the price of £1.00 (5 0 % of th e profit go to St John ) and an AS SAE all will be revealed. C heque s made pa ya bl e to Thomas, 77 Fore Road , London E17 6HF

the Order which force them elve on the reader s attention. There is an underlying rei igiou and Chri tian fervour which moti ate the aim of all the Orders with a s tron g bia tow ard hospitallerwork Nodoubt thi s account forthe generou deci ion to publi h his book for the benefit of the St. John Ophthalmic Ho pita!.

The other is the ob es ion with he redit y: for example the requirement for admi ion to the first cia s of knight in the SMOM ( Honor and Devotion ) "varie from four to six teen quartering , i.e. that the fami lies of each of the postulant grandparent, or great-great grandparents were noble or, as an alternative, nobility in the paternal line for two to four hundred and fifty year ". With uch empha is on antecedents displayed in varying degree by all the Orders what chance of membership in any of them for Darwin, Faraday, Newton, Will ard Gibb s or Einstein to li st a few of the mo t richly endowed brain which have erved the human race? Surely the days have gone when Dean Inge of S1. Paul in London could proclaim withconfidencea hedidin 1927 : " It would be almost safe for a clas ical examiner to give a cholarship to a youth ca lled Sidgwick, Kennedy, or Butler without reading hi s papers".

Copies oj''The OrderofSt John" are available from: The Ho spi tal/e/" s Office, The Order ofSt John , J Grosvenor Crescenr, London SW J X 7EF. £3 J ( hardba ck) and £23 (softba ck.).

"You've Got Cancer Doctor" by

Michael A Weller

Rel'iew by Victor AI/ell

Dr Mi c hae l Weller was County Commission er and Commander in Essex The 200 pages ofh l\ book do not quite provide what the title sug gests.

This i n t a meditation on cancer in th ve1l1 of Dr Oliver Sachs , but a <; tr alghtfol\\ an autobiography of a GP'" <;on, born in who became a GP himself, set up a practi ce Essex , be arne 1I1volved with a number voluntary organtsatiom, and who was unlu ck enough to contract cancer tWice and sec hi wife contract it alo.

The boo\.. has two fa cinations. The firsl the catalogue of memorable Incidents and II' nesses that any active GP will be able to rec lL at the end of 40 years service (although ho many of them ould wnte 111 'iuch a clean an revealing pro ' e style l'i open to questIOn).

It is notable how Dr Weller's own cane, imply meld into this catalogue of case hi 10 ries - bearing out the notion that while, form () of us, we are our bodie'l, to a d ctor the bod ) a dl a ociated bject; rather Iik.e a car thai tl; mind ju t happel/S to drive around in

Which IS really the '.econd, and for m: deeper fa cination of the boo\.. Anybody ho has bared their soul (orlhe back ide, it amount · to the same th1l1g) lOa G' will have wondered what i really going behind those bed ide-manner eyes (with tl pOSSible exception of the GP spou e) We ll has not an wered that quetlon directly · wouldn't be a GP ifhe did But in re real1n gh life withuch care and preciSion he providel a LUte reader With enough reference pOlnll make a rea onable guess

There i al 0 a hitorical shift here too the ri k of making Dr Weller ound like dino aur-whichhei n't-thisi a record 01 life that must be een by the light of hi time a both' decent' and 'loyal'. Both wor are apt to change according to sociUl val u and both cau e mild embarras mentthe

If you're warped enough to ponder why th iS o (and whether it' a good or a bad thing )tb

"You'I'e Got Cancer Doctor" will give ) plenty to renect on.

The book i priced at the typical fee (£14 11' that publi her are obliged to put on mallru but it' a worthwhile investment. There are co ur se, many references to St John As Weller ob erve at one point : "A million and a quarter potential pal1 e' were under the care of St John Ambulanc e Es ex, and five thousand under th e care 0[ [ medical practice in Thaxted. For thi s rea 0 regarded my attendance at St John matlersa ' medical duty, as much as my attendance , urgery or at a patient's house "

"You'I 'e Go/ Cancer Doclor" is

CrosslVord No 5-92 by WA Potter

Make it possible to provide with power (6)

27 Inflammatory lung condition til which alveoli fill with secretion'> (9)

28 Shrewd part of vast utcru,> (6)

30 ACid fOlmed in exces" by patients with gout (4)

31 Small amounts of liquor for little children (4)

32 Obtained by unscrupulou,> means (3-3)

33 DistenSion of by ga" can be some ment (9)

CLUES DOWN

2 Small wave In bed de:-.igned to prvent pres, ure ores (6)

3 Allow slight change for unhealthy complexion (6)

4 Bra set re-modelled for a mammary gland (6)

5 It has ophlhalmlc, ma.xtllary and mandibular branches (10.5)

6 Act on a veiled suggeslion (4.1 A)

7 Walk lamely withoul stiffness (4)

8 Electronl de\' Icecontrollmgand regulaung the heart at(9)

15 nusual of anlst and sapper (4)

16 HOl111on e increa'>lIlg force and rate of the heart beat (9)

17 Pigmented layer of the eye (..J.)

18 A lotion I" used In techl1lque for nursing infectious patient s (9)

19 Part of foot haVing temperature on e xamlnallon (3)

20 A hospital bed available for a mall charge (3)

24 Contract tie t",.,ue (6)

25 PhYSICian 01 the highest degree (6)

26 Hernia of part oftomach through the diaphragm (6)

29 Ta.x charged to sound a bell (-+)

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The Ambu CPR PAL JOins Ambu Man to make class teaching more dynamic and Interesting by involving more students simultaneously

All members of the Ambu Family are equipped With the unique, patented hygienic system The

Plane Crazy

Iti ju tunder30Mile sfromDenham to Biggin Hill ; it 's probably a little longer ( but quicker ) if you go via th e M2S ; it' a heck of a lot lon ger (a nd s lower) if you go via Jeru aJem*.

This mOlllh' s front-cover show,> the routc chosen b) St. J ohn Ambulance's Executive Director, Tim Gauvain, and his Co-pilot David Hughes on a trip to Jerusalem that would make a wonderfult\ 0 month holiday - but IS, in fact, an incredibly arduous ten day flight.

The chosen method of transport i the faithful Piper aeroplane - G-OTYJ - that hopped, skipped and bumped around Britain lasl year with just a minute 10 spare; enabling Tim and David to walk off with the prestigiou.., Da\.\-n To Dus!.. Challenge Award. The) al..,o. you'll recall netted major TV radio ancl pre\\ coverage for the "OVER TO YOU JOH Campaign.

This year (12Ih-21 '>t June) it i'> still OTYJ. but the mone) raised is '>peclficall) intended for the St. John Ophthalmic Hospital. The focus of the niQht comes on the 15th June v. hen the tr ip fr;m Genoa to Jerusalem has 10 be made in daylight hours

"If the wind iii behind Uli it will take u'> *...at least 6,000 miles longer by our reckoning.

sixteen and a halfhour\. bUI II mU-,ln'l take us an) longer than 17 hour,> As \\.Ith IJ..,I )- ear'-, trip. we've only gO I half-an-hour III hanJ. We\ e just gOI to pray to the \\ealher-god" ,>a)' TIIl1 Gauvain eheenl).

The organlSLllIon In\ 0" ed In a I1lghl aero\s \0 man) coun tne,> reljull'lng regular re fuelling top' i awe,>ome. There have been heellL negotiallons v. ith Inlcrc"led parties and Ihe Bntish Emba'>sles anJ on"ul,> on the !'Oule have been dul) be'>elged.

"The fun thiS year I.., \\Ith the Greek and Italian Air Trafric people. The tnch. v\. III be gelling them tounder"tand Ihal we're In a hurr)

"It \\ill be a challenge. buta lot 01 lun" 11'

conclude". In the al11e lOne of (lile that) ou or I \\ ould ",I) a dou ble chee\eburgcr and chlp\"

The GellO;l/Jcru\alcl11 route 1\. or cnUN the one lolillwed hy the pllgnm'> In the 121h Cenlur\. Thn Ira\elled h\ hor e. pre\ul11abl) h.\\<.' ,\\k.ed lll hOITO\\ one (lilhe R \f: '\ \urplu"'Jet\) I mean, hll\\ long \\lluldu tak.e In a LI!!htnln!! ? ''In.1 Lightning !" quem· \11 C;"lI\<l1n "I can tell) nu t: \.ILlI) Ill)\\ long It \\ nuld t,lke llllh Illld-l1lght refuelling It \\(luld he rOlli-and,. hall' hOLlr'>."

Ah, right. mind) ou. I've ta!..ell rour-an a-h,tlf hmlr'> to get to Denham before 11(}\1

Saving a sister 's life

Emma Briggs was eating her breakfast, when he aw her nine-year old iter, Kristina, choke on her comflake and start to tum blue.

First-Aider Emma remembered her training and delIvered four macks between the shoulder blades. This did the trick and the cornflakes parted company from Kristina. Emma went back to her breakfast as if nothing had happened.

When Emma's mum came downstairs to see who was doing all the coughing Emma calmly announced, "Emma wa choking, but I've sorted it out and he's alright now".

Three weeks prior to this event, Emma won one of the 150 Child of Achievement Awards for her work with St. John and for working with o ld people.

She was given the award for the help and

understanding that '>he h:'h ,>ho\\n tov. arcb hr: "i"ter Kri"tll1a. Kristina v. as born '\Ith a rare disease that changes her ,>Iowl) from a nonna l child to a child that is menta II) and phYSical" disabled and expected to die at an carl) age Emma did a "tudy of Kristrna's disease an. presented it at an assembl) at school to ttl: amazement of her teachers, especiall) ahe was asked some personal and upsetting que tions that many adults would have shied from.

This tarted a chain of fund-raising event' within the chool which Emma helped with She ha al 0 managed over 175 hour service for St. John in a nursing home and disabled children with her Dlvi ion at vanO U events. When a ked about the choking incident she replied, "I neverthought I wa saving aitfe - I just carried out my training".

Emma i looking to the future and hopt'· fully a career in medicine a a phy iotherapist

4

Fenton Farewell

After 57 years' vo lun tary service and nin e as Commande r in Lon d on ( P rince of Wa les 's) Dis tr ict De rel.. Fenton has re ired. A parade III Ba tt ersea park was held in hiS honour.on March 29th at which more than 60 ambulances drove past the saluting base.

Derekjoined St. John In 1935 and has served - surely uniquely - in every rank. Corncidentally. in hi.,

1963) and the Asians e\ acuated from Eat Africa in 1972.

He had overall for he 500 St. John personnel a t the State Funeral of Sir WIl1<,ton Churchill and Earl Mountbatten. the weddings of Prince Charle and Anne. HM The Queen's J ubi lee in 1977 and many other State occa ions These dutIes are aside from London's annua l ca lendar of eve nt s from the Marathon to otting Hill Carnival.

Following the Bradford football club fire rn May 1985 in which man) live v. ere lost , Derd has campaigned for - and become v. idel) kno\.\- n - for hI knowledge of crowd safety a t sporting venues and concert. In retirement he v. III continue to be the national foo tball ad\ iserto St.John Ambulance and has jus been appointed as Deputy Lieutenant for Greater London.

He i ucceeded a Commander by Mr. Frank Birch, who ha been Deput) Commander since he retired from hi po t of Town Cle rk and C h ief Executive for the Lo ndon Borough of Croydon nea rl y two year ago.

On a Saturday afternoon late la t ummer

Hi ham Ayyioub Munnan, 38, wa hopping with two of hi children and hi older brother in the Old City of Jeru alem They heard that there wa trouble in Dama cu Gate (the main entrance to the old city) and 0 decided to return by another route There were oldier everywhere and the group did their be t to keep out of their way, but whilst deciding what to do next, Hi ham was uddenly truck in the eye by a rubber bullet.

He wa tran ferred to Makas ed Ho pita], a general ho pital on the Mout of Olive Examination howed that he had aImo t certainly 10 t hi eye, and X-ray howed the bulletto till be pre entintheorbit,closetothemaxilliarybone.

A ha become u ual in uch ca es , the patient wa then sent to St. John Ophthalmic Ho pitat where he underwent exploratory surgery to locate and remove the bullet. Dr. Ziad Ja 'opuni and Dr. Gha anAbu San1aha found that the eye wa irretrievably damaged and an artificial implant wa in erted to pre erve the shape of the ocket and prepare it for a cosmetically acceptable artificial eye at a later date.

It will take Hisham some time to adju t to a world without depth and distance, and this will of course affect hi work. It is almost certain that he will never receive any sort of compensation for his injury.

St John World Jun e 1992

"OVER TO YOU

Often Called JOHN "

i tt s o t 01 0nev d q:\."" Si ,,') i ll PC use d 0

New members, new branches, new inspiration ...

C h airm a n 's R eport,presented to th e St. J o h n Fellow. ship at the 9thAGM by Majo r Ge n era lP.R .Leuch ars,

The St. John Fellow hip continue to expand. Twelve new Branche were fonned during the year, ix in England and ix over ea

The) included the fir"t Branch to be fonned in orthant. , at Keltenm the ningth Branch in Ken! at Tonbridge , ( Kent ';till hold the record), and a econd Bran h in Cleveland, at Middle brough, \.\.ho member welcomed us to the AGM in May

Over ew Zealand'., total rose to ,even \.\. Ith the 10nnatlO ofthr first two branches in the orth bland at apler and Ha"tlllgs. In Canada

Barrie Chapter i the \Ixth in Ontario and tv.n more Pro\lllce hal v.elcomed the Fellow.,hip with the 1011l1ation of a h.atoon hapterlJl ash.atchewan and Winmpeg Chaptcrin M<U1i toha There are nov. J J hapte, spread acro.,.., Canada. Finall), v.e v. ere pleased to hear 01 the fomlallo of a Branch In Barhado.., "" here there are Illan) retIred l. J ohlllllembrf'

With 28 0\ e r e a.., Branche,> it \ i'> fell 10 he lI1appropnatc for hel Pud.le tocontinue 10 he called the allOnal c('fclar) o in October 1l)Q the Order approved the rcde..,lgnatlon or her appoIntment a Gener Secretary

In May 1991 the Annual General MeetIn g IOnh. place allhe VIctor Rooms, Bn..,tol. through the generou.., "'polbor..,hlp 01 • l. John 10 AIO It proved an Ideallocallon. e"'peclall) for the We or england Branch v. hose member., arc not often able to reach an AGM ea\II). The meelln1 wa.., memorablc for a talh. h) Dr. hella Ca\..,ld), Director oj t Ho pice Plymouth , \\ hleh led man) memher-.. to oller upport to thel' local Ho"'pice. )

There has been a notable IIlcrease III ountlC..,' appreCI,1l10n ofliY Fellowship as a positive a..,,,el. I attnbute thl<" pnmanly to the re<,pollSCl member mthe Gulf War effort. One early rc..,ult wa" an invllation frol1' London Di "trict to member'. to tah.e part In the London Marathon DUll

All six London Branche,> provlced who either recorde ca ualtie ontherouteorhelpedv.ithcateringat ountyHall.The) hal been invited again in 1992 to assi t in thIS arduous bUl popular publtc dur Many other examples of our members' contribution to the work St. John and to the welfare of their local are under Branch ActivitIes. Tam particularly pleased that ounties are nolo inviting Branches to County conferences and including Branch detalb most County Year Books. If th e Fellowship is to continue to pro per. must be known to eac h new generation in St. John Ambulance indeed, to everyone in the service of the Order of l. John. I a k all Branche s toensure that they are known, not only to th e Brigade Divi ioili in their area, but also the local population - for III every area there wtlllx retired members who e Sl. john Service was given in other pans ofthc country or perhap overseas All mu t be able to find their neares Fellowship Branch.

Finally, the Fellow hip has continued to support the St. John thalmic Ho pital in Jeru alem. I learnt from the Ho pi taller la st yearth3 the Ho pital e pecially needed six new beds, costing £600 each. It Wa) decided to make thi s OLlr project for 1992 I am proud to report lhat inlhi first two month s of thi s year, Branche worldwide donated £963 _orthi co t of one-and-a-half new bed Thi is a plendid tart I thank eve0 member whose hard work and dedication helped to achieve it.

Drawing out the agony

Veronica Nisbet and Emma Mieville were, without doubt, the most artistically talented of the 80 brave nur es who volunteered for 'The St. John Ambulance Brigade Hospital" in Etaples during the Fir t World War. Veronica, from Tyneide. sketched witty scene of her life hared with other nur e while Emma depicted, in a more seriou but romantic lOne, a peaceful-looking ward and view from the ho pital. The works of both mu t have been greatly enjoyed by the other taff. Imagine a group of nur es catching ighl of thi ketch (top righr) by Veronica in which she vividly interpret the Itkely (unspoken) word of the impatient bathers! The e cheefrul "impre ions" of life at the lime are a very preciou personal contributIon to the hi lOry of the ho pital in Etaples. The ho pitalnselfwa a very ucces ful venture. [n the course of four year, 35,000 wounded soldier were treated there and had the benefit of very modern facilities In fact. It wa\ eqUIpped with an X-RaJ machine, and was probably the first military ho pltalto have an electro-cardiograph. Dunng the course of the war the number of bed wa mcrea ed to 750 Bed , ward and staff were all funded by the Order of l. John, \.\.Ilh large financial contributions from individual Sl. John Ambulance and districts, as well a donations from the public and from the commercial ector. DonatIons were acknowledged b) metal plaques, '>een hung on the wall in Emma 's painting: also learly .,hov. n 10 the pallltlllg are patient \ blanket '-, decorated by the eight-pointed eros ..,et in a black circle.

The museum at SI. John's Gate has Illan) painting and ketches on the ';ubject mailer of John Ambulance ; but the'>e are parti c ularl y IOteresting having been actually paInted by nurse ·directly Illvolved Two of isbet 's most entenainingsketche areondi..,play now! th e rest can be viewed imply by gIving u<., a call. (Nishet's alhulJI and sketches are O il 10011 fa fhe Mllsellmji'om Mrs. Lamh ).

Training with the Royal Navy

Those Who wi h to apply for placement s at the Royal Naval hospital hould note that they are able to offer accommodation this year to St. members Applicant are therefore adto COntact the Superintendent - in -Chiefs epanment at Grosvenor Crescent for a suggested list of alternative accommodation

Lines from the Museum of Sf. John , by Assistant Curator Francesca Alden

You're Nicked!

At least one person thought it was Rov. an Atkinson - and let \. be honest, the photo was a grainy one. In fact the mystery star in April's John Director) feature was none other than john Itlllan, alias irk. Cotton in Eas{ellt/el'S. igned photographs are on thei r \\ ay to the winners, and there's even a feV\ to spare if anyone wants to try their luck at a begging letter to the editor!

Well,

o wh e re" - the new video to promote awarenes s of the St. John Ophthalmic Ho spital i now available. Get your free copy n o w from th e PR D epartm ent at Gro svenor Cre cent (071 - 2355231 ) and use

, Avon, has announ ce d intention to to cycle around Avon, callin g in on everyon e ofth eS) Divi ional Headquarter en route Thedi tancecovered omething in theorderof 150mil esan O Clifford hopes to compl ete the ride

A GREAT SCHEME FROM BANK OF SCOTLAND AVAILABLE TO YOU.

You can borrow from £100 to £15,000 at 1% below Bank of Scotland Scotloan rate.

Scotloan rate i currently 12 % flat t r term up to and including 5 years and 13 % flat fo r terms from 5 to 10

ye a r. With thi reduction the Annual Perc nta ge Rate (APR) for a loan taken ov r three year will be 21.40/0 a opp d to 23.30/0 charged under the tand a rd Bank of Scotland Scotloan.

If you're 18 rver, and hold a bank or building soci ty acc unt which ha a direct debit facility, you're eligible to apply for a loan.

You can choo e the repayment period that uits y u best and the interest rate i fixed at the time the loan is granted - and guaranteed n t to change.

If your loan application i succe ful - this is at the s Ie discretion f Bank of Scotland - you can b rrow betw en

£100 and £15,000 to pay for almost anything you like. A car, a holiday, a new kitchen - it's up to you!

You can get a special application form by telephoning Bank of Scotland free on 789.

We are drawing the availability of thi facility to your attention and are not involved in any way in arrangements made between the individual and Bank of Scotland.

For full detail and a written quotation, contact Bank of Scotland, FREEPOST, Central Banking Service , Department PL, 2 R bert on Avenue, Edinburgh EH110NR.

Readers report on their activities around the country. Contributions are always weicol1te, send them to : 'Out and About', St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

IN COMBAT WI1H THE AIR CADETS -

Perhsore Division, Hereford and Worcs. recalls a ca1nping weekend.

St. John Cadet Erin Smiths 0

TWIN PEAKS

17-year-old Stephen Furnell spent Christmas 5,000 miles away, preparing to climb Africa's two highest mountains for the o'IOVER TO YOU JOHN" campaign.

On De cember 17th I and ,>even o th er people se t off for Tan/ania from Airport to attempt an ascent of Mt Kilimanjaro and Mt. Kenya. We arrived at 4pm lo ca l time after a 12 hour flight with no sleep to be gree ted by a mountain of paperwork (6 forms each) just to clear

At 6am th e ne x t moming we were taken by Land Rover to the park ga tes of Mt. Kilimanjaro , S,OOOft above sea level. That left another 14,300ft to go. After abou t R hOUl· of walking through Tropical Alpine forest (humid and very wet due to the la te monsoons) we reached Machame (an open piece of ground for tenh at 9.SS0ft) All our equipmen t v" a, ,oa\..cd.

It all began when the t. John Cadets and the Air Cadets met at Pen hore Car Park. We set off for Great Camberton illage Hall, where we were to sleep, to leave our rucksacks and change into combat gear. We filled our pod.ets rull of food and equipment that we might need during the da).

The 1. John Cadets were driven to Bredon Hill, while the walked. Arter we alTived we alTanged ourselves into a staggered fomlation and walked up the hill to a forest. Here we made basher (temp rary ' helter,» and ate our lunch When \\e had fini hed , we made our way up to the tower, before heading back to the Village Hall ror a very wei ome dinner.

At 6 30pm we were organi ed into t'A 0 group, Defender and Attack e r '. Onl) the three older St. John adets were allowed to go on this night course. We were the and e an area which fenced off. The area had a pine forest all around it. and difficult to defend. The 'Attackers had to get into the fenced area, without us noticing. It was pitch blad. and very hard to see and. after u while. the' Attackers' won.

The younger Cadet pent the e\ ening se lling up an emergency hospital in the Village Hall

After breakfast the ne t mornin g we anned our el with packed lunche and other item not forgetting the Fir'>t Id \..It : we were going ab eiling.

When we arrived at the 70ft cliffwe stood for a few moments with our jaw hanging open; and then set to work by arguin g who should go first. Afterthe demon tration of how it was done, we all came to the same obod) wanted to go Whil e other brave ,,>oub went do\" n. we had J chance to polI"h UP () non-exi">tent marching. 'A hlch a fe\\. brave Ir auet" 'pceuJl) IO IUi eered to ')ho\\ Lun h came and went and ">adl). home - time \\ a' creeping upon We said goodbye to the Ir adet Every thll1 g ,eemt:u vcry 4ulet II Ilt 1 go t hom e, and I v"ould definltel) go again.

THAT FLOATING FEELING

-- Grays Division offer a nln down of evenjthiJlg ym wanted to know about floating stretchers, butwere afraid to ask

Grays Division in Es ex took delivery of a new Emergency mbulance. built by Wadham Stringer (Coachbuilders) Ltd In Januar y Il)l) I What set this vehicle apart from previous Vehicles that It had been fitted with a revolutionary Floating Stretcher.

The Bath In titute of Medical Engineering developed the floating s tretcher supension sy tern which wa manufactured by erva nt Transport Consultants Ltd Thi followed much re sea rch into ways of reducing vibra ti on to the patient whil t transported by road ambulance. They also looked at the ill-effects of travelling on rough and pot - holed roads.

The floating stretcher ystem consi ts of an independent suspension sy tem. a control box and a tandard York 4 Trolley Stretcher. Ba s ically, the patient is placed on the trolley tretcher, it is locked into po ition and then the whole unit elevate about four inches above the ambulance floor level.

The u pen ion ystem constantly adjusts to accommodate vibration, jolts and udden braking of the vehicle. At the completion of the joumey, the s tretcher is lowered at the touch of a button and unloaded in the normal way.

The system has been u ed most successfully for one year. Both long distance transfers and accident cases have been tran s ported It has been found of particular benefit to spinal injuries and long bone fractures , particularly when combined with a vacuum mattre s.

10

even t orpO\\ failure or unexpected relea se f the s tre tcher.

Da} tw o \.\0 a.., the ,arne. e\ceptthat ome of the team were begJl1ning to be affected b) the altitude (readers Illight find it u,efulto \..now that at 12,OOOft there I'> 20 Cfr les,> OX) gen In the air th an at sea level; at IS.OOOft there IS 3OCk- Ie.., : 19.000ft SW bs and at 29.000ft li.e 'VI!. Everestl there i" 75Cfr ics,»

Da y 3 was one of the harc\c,t day' of Illy lIfe. We wal\..ed for a total oftwclve and a halfhour,> and reached a height of 14,SOOf!. \.\0 here I began to feel the effects of altitude We went back down (to Barranco) 10 IlOOOIt to "Ieep and accllmalJ<,e.

Da) .+, and we were above the treeline no'A, \\ ith temperatures ju'>t abovCleroanda \\ indchIiI factorof -IOdegree We reached the evening site at spm \0\ Ith a temp era tur e of -8 degree and pitched our tents in a 40mph Wind

The clImb to the 'UJl1mlt staned at Iam. 'Ahich meant rISIng at 12am -a small sacrdlce forthe vlev" 01' the <,ummlt v" ith its ice cap glowing in the moonli ght. The clImb got harder as \ve scramb ed up th e roc\.. face , haVing to cut "tep'" 111 the ,nov" v" ith ice axes (very tire<,ome).

Afterreachll1g the summit ndge, we v"ul\..ed for jU<.,t under an hour before -a t9A5am and I93.+0ft - I placed a t. J ohn Ambulance 'ilJc\..er on the summit bo\ (placedth re on the fir'>t ascent b) a British Royal Engineer).

The de,cent \\ a-. \ la a toun t route - attempted b) mer 600 people a ,""ee\.. and by 6 JOpm were trealJng each other for frotbJle and glaC ier bum" at Horombo hUh

Wc retumedto th e hotel after a lon g slecp. flnall) lea\ II1g it at 5am on ChrIStmas Da) for .lJrobi and our second c limb We were gree ted there b) our gUide And) Blac\.. (a computer operator from Sheffield) II ho \\ u<., off to aro Moro at th e bottom of M t. Kenya. ThiS 1\ the econd hlghe t mountall1 in Africa and much harder to cilmb(as we <,oon found out ) It \\ch deCided that Dave Halton and myself

should ma\..e a short walk to the par\.. gate,> whd'>t the other,> rested at a lower altllude. Here we paid all our par\.. fees and deCided to carry all the climbing gear. our personal kit. plu food The pack weighed nearl) 60 pounds each

day later(day 3) the other had arrived and we pi it into t'AO groups, the fir t aiming o climb the mountain from the South ide. the econd (my group) from the onh Wet ridge. We v" ere amazed at the amount of lake we pas ed and the wal\.. more a climbing traver e in parts. There 'A as a lot of scree. which v"a not on ly tiring but dangerous. B) early evenJl1g we reached Kami. the bottom of the climb to the ummit at an altitude or 15 ,000ft.

The nextmomll1g 'A e left at 6 30am and b) .00am had reached the <;no\\- line \\ here our problem started The fre h sno\\ meant we had to dig our<,el\,e hand and foot hold. The temperature 'A a -12 degrees but the un wa bright and hot and most of u needed treatment for unbum e\ en v" ith a high factor un block. It is \ery frutrating being cold under a burning sun

We finall) reached the ummit at 12.37pm. I 'A a \ ery urpn ed not to be affected by the altitude of 17.1 OOft. We de cended quickl) to the other Ide where v"e found the other part)' eating. Sadl), the) ne\ er made it to the ummit ow II1g to the ice melting. Our de cent do\\ n \\'a \ery quic\" and we got to airobi in rime to celebrate Ne\\ Year Eve (\\ hat a part) ).

48 HOURS Hull Argyle Division go on a trip arollnd Britain, but most of you kne 'w about that, didn't you? Deputy County Commissioner D. M. Edlvards explains.

Hull Arg) Ie Dh ision thre\o\ their gaun tl e t do\\ nand categorIcall) tated that they would viit ever) OLlllt) Hea dquaner 111 England \1 Ilhin-lhours - from 6.00pm on the 10th prilto 6.00pm on the 12th April. Thompson of Hull \..inul) loaned a brand ne\ car for the journey. and the Argyle party of four - Andre'A cott (Corporal in Charge), teven Thompson, Denise Mumby and mham Hoff. et off from Humberside HQ at 6.00pm prompt on the 10th April. counted down and 'seen off by County Commi ioner Pe ter arver.

Prior to thi , I had written to all the ounty Commanders concemed and would like to record here my ov"n than\.. to them or their Deputies

Each County responded offering both penni ion and a wei meshould the Argyle vi it take pIa e in daylight hour

That i exactly what happened : warmth and friend hip all th way, Andrew SCOll repon" We colle ted quite a few 'County Fla he " , but S nomewhere along the route we al 0 picked up a ' St. John Au tralia ' aml ash!"

C A 9uiek visi t en route wa made to the meeting of the r. John Youth I oUneil in Newca tle-upon -Tyne where Argyle had the privia qUick " Hello " with Lady Elizabeth God al (Chief Pre ident) and 1m Bond (Director, Cadet and Training)

Argyle too\.. .+7 hour and 20 minute to vi it 3_ County HQ and travelled 1.560 6 mile

It wa all done under the"O ER TO YO JOH banner with. of cour e, local pon or hip which i till 'coming in'. Once again. \0\ ann thank o alf cOl1cemed for their warm welcome and keen intere t. June 199_ John World 11

•

back in 1979 ...

the SOS Nitronox Analgesic System was the first equipment using entonox gas to be introduced as an alternative to the then existing equipment which had enjoyed a monopoly for many years. Based on years of making diving equipment with demand valves that - underwater - just had to function efficiently , Nitronox, using the same failsafe principles , was manufactured to standards that rapidly achieved a reputation for reliability and durability. This proven performance made it the equipment by choice by the Channel Tunnel (T.M.L.) where it has been in service from beginning to breakthrough and is still in service today Nitronox , besides being designed specifically for the job it has to do , is manufactured in the U K and backed by a one year unconditional warranty. And , if list prices are anything to go by, Nitronox is still the least expensive analgesic apparatus in the world What more can we say??

St. John in the Front Line

M. G. Keake, Executive Director of st. John in Papua New Guinea paints a picture of how st. John's humanitarian mission is carried on in Bougainville, a region torn by civil strife.

The world' large t open cu t copper mine i (or rather, was) on Bougainville I land in our North Solomon Province.

Operated by a ub idiary of Conzinc RioTinto, everal yea r agosomeoflhe traditional landowners tarted pre in g for a greater hare of it profit s, and eventually demanded it. losure

Some became mililant and fom1ed the Bougainvill e Re 0lutionary Army (BR ) and tarted act.., f abotage again t the mine and Government property. Power p Ion were blown down (by explo ives), there were ca e of aron and everal in tan ce where empl yee were shot at and a number f k.illing s. s tron g ece ioni mo ement wa.., fonned.

The ( ational) Go ernment reacted by ending in soldier and police and the e were unfortunately ver hea y-handed. Many oldier police and BRA force were killed unti Ithe Government wa forced to withdraw and place a blockade around the Province ommunication were cut off, no food or medical or other upplie c uld get in or OUI. Mo t e patriate and Papua ew Guinean from other Provinces had already left by thi tage due to the fighting.

The Order of I. J hn had two Diviion, a I. John Centre and al 0 operated the Ambulance Service in the Pro ince.

[ vi ited th e Province last year before the blockade wa impo ed and advi ed our staff that they hould make a per onal deci ion whether to leave or not. [ am proud to report that they opted to tay to provide what ervice they cou ld for a long as they could.

The Superintendent went on leave to visit relative in other part of the country but when he tri ed to return the blockade had come into effect - he had left his wife and chi ldren there.

During my vi ittherewa acurfewand We could not move around in I. John or vehicle. At night we would VISit Our people on duty at the Ho pita!. They were not u ing the Ambulance Ba e because it was at the wrong end of the HOSpital ground - on a number of occa-

ion the police and oldier would fire into the hill behind the ho pita\' cau ing the reb e l to return fire. Since the ambulance ba e wa in between the tv..o faction, it made it difficult to hear the phone ringing with bullet flying around the office

We would frequently hear gunfire during the night. We hared the Me facilitie with the Government force and on the morning we were to lea e, I had breakfa t with ome of the Police officer that I knew. Later that morning I aw one of them in the mortuary after being hot b) the rebel

Lateron, we i ited a particular mining ite Thi wa eerie for me, ince I had been to the area for many year and the nonnally bu y road were empt). M companion wa on edge, a ' \\.e went pa t place v.. here he knew other had been ambu hed and killed The mining town it elf wa like a gho t town, the traffic light mon tonou Iy changing colour \ ith no traffic to heed them.

In that town (Panguna) there were a few heavily anned police offi er and everal tray dog, but all th hou e and office were empty and all it equipment till and ilent.

Fortunately both ide re pected I. John, the rebel go ernment' Healt h Miniter wa once a voluntary t. John Officer

Ne erthele , on one occa ion two of our ambulance were in a convoy takin g bodie of oldier to the airport for return to Port More by for a military funeral. The vehicle were attacked and our ambulance crew had to lie on the floor (w ith the bodie ) until the ituation cleared.

One night the rebel attacked and burned

down a prison situated outs ide the town area. The pri on wa in the proce of being closed and the s taff tran ferred, but mo s t of the Pri on Officer and so me remaining family member were killed. A number of pri oners were release d, but the attacker were pri ncipally after gun.

The next morning, word reached the ecurity force HQ and they headed for the area with attendant ambulance

The BRA v.. a waiting in ambu h. After the ambulance had pa ed, they fired on the police and ann) ehicle in the rear.

At the pri on, our crew found everal bodie till mouldering in the building and had to extingui h them with v..ater before putting them into bod bag.

Our Sr. John Committee, inevitably, ha collap ed and the SI. John Council ha now appointed me and my deputy to admini ter matter.

The ' iruation i nov.. ea ing and tentati e talk ha e begun. The International Red Cro ha been allowed in and medical upplie are getting through Our remaining laff ha e left the Province and received over one year' alary a we were not able to pa them during the blockade. They did their be t. but in the end could not operate their ambulance.

We tried to get petrol upplie to them during the blockade on humanitarian ground , but the Go emment would not allov.. it becau e the rebel \: ere taking an fuel and u ing orne of it, at lea t, for Moloto 0 ktai I

There were no electri it)' or \\ arer upplie ,and our people had to cook over a fire and \\a h in the nearby ri\er(mak.ing ure the w re in their home before dark).

Weare till v..atchingandv..aiting - and when p m1itted I will i it the area to the ituation. It remain difficult to get there, a the rebel are ery much in control, and 1 could onl travel with their appro al and under e cort.

The 10 ure of th e mine ha greatly affected the whole econom of the country ince it wa a major e porter, producer of foreign revenue, employer and taxation payer.

Jun e 1992 John World 15

The superstitiously inclined might fmd omething to tickle their fancies when they learn that, once again, the annual St. John Medical Conference had its programme thrown into mild disarray by ill heal th" If thi were a football squad, people might be asking questions abou t team training method !

Saturday morning' fixture, on ' Immediate Medical Care wa ably kicked-offby one of la s t year's unfortunate ab entee , Sir Dougla s Black , but what had promised to be an enlivening fir s t half exposition of BASICS by Dr. Judith Fi her had to be rescheduled following her recent eye- urgery. Called in from the ubs' bench , Dr. Barry Davis was a lively perfonner in partner hip with Edinburgh 's Dr. Keith Little, but the econd half (a e ion with the dauntingly broad -based title of' Medicine ') was cancelled due to an emergency tooth operation for the unlucky Dr. Howard Badennan.

At the risk of straining the footballing metaphor too far - against a strong oppo ition, the 'boys done good'.

Under the chainnanship of Andrew

16

M ar den FR S - Medical Director(Publica tion ) SL John - Dr Davis (curren tl )

Secretary of th e Briti h A ' so iation for Imm edia te Care) de cribed the fa BASICS doctor, drawing from his experience a one of the founder of the immediate care scheme in Kidd ermini ' ter. any en ibly cynical oberver might have imagined, the local BA I do tor i pennanently on call by local ambulance control centre to a ist in emerge ncies. i unpaid (notevenhise pen e arecovered)andthe whole y tem is entire ly funded by vol untarycontribution .A hewry lycommented " ]t 's hardly polite for a Minister of Health to proudly an nounc e that by 1992 every front lin e ambu lance in thi co untry wil l be eq uipped with a defibrillator and monitor, and manned by a paramedic, when virtually all tho se in trument were purcha ed with charity donation rai ed by unpaid volunteer ." Ye , quite!

Not quite a hobby

The Briti hA ssoc iation for Immediate Care represent over one hundred immediate care scheme in the U.K. involving over 2,000 doctor The work i n t glamorou , it isn't paid and while Dr. Davis definition of it a a 'hobby' might have been lightly tongue in cheek, ociety can count it elf fortunate that he and hi colleague have cho en it over fishing or golf.

Dr. Keith Little' es ion, on the man-

th a t make the most contribution to most people, mo t of the time." Above all, those fir. ton th e sce ne wou ld try to provide as much hi story as pos s ible. In a motor acciden t, details such a th e position of the patient when they were found, th e type of crash, whe th er they were conscious or not _ as Dr. Little added "Remember your priorities at chaotic scenes and remember to give us the history If you don't give u the hi stol Y, we wi II make a mistake at time ', "

Military experience

Ha tily re- cheduling th e morning' programme owing to the unfonunate ab ence of Dr. Baderman, Chairman Mr Andrew Marsden next handed over to Brigadier Ian Haywood, Commanding Officer, Queen Elizabeth Military Ho pita!. Woolwich, who described the Briti h Anlly Trauma

Life uppOl1 y tem - abbreviated a BATLAS (appropriately pronounced to rhyme with '), Developed from ,S, experience. butmodified to Briti h requirements, the BATL sy tem i perhap comparable to the ATL ytem of th e Royal College or Surgeon. but is more uited to theextremesofamilitaryen ironment. The importance of \\hat can be learned from mili-

agem nt of trauma in emergenc) medical situations. wa,> enli ened both by his dl') witandsom rathergraphic,>lide:-' - ln Iuding a notable e ample '>ho\\ ing an UJllbrella ",hlch had been 'playfull) . thro\\ n thr ugh a patient's lip! " oll,>ultant in ccident and Emergenc MediCine at th e Royal ln firmar) or Edll1burgh. Dr Little L in charge of a depar1ment which ,>ee" 90. patient per ye,u- (that's 3 per da) l.

One of the main th em s fthis practi a l e ' sion wa on the need for accurate patient hi tory. Illu strating thi Dr Lillie produced a s lid e showing a patient preented to hi unit. The man looked omewha t drow y, he was a little the wor. e for drink and uffered what app ared to be a mild cut to hi alp. On the face of it, not a particularly eriou case (and not uncommon in a major ci ty ho pital). Unfortunatel y, what the A&E department had nOI been told wa that omeone had walked up to the victim in a pub , pu hed a human e cattle killer again t hi head and pulled the tri gger. A omewhat more urgent cour e of treatment wa required than might have been immediately obviou !

A Dr Little explained, "Examination in medicine i Ie important than actual hi tory-taking and with many emergenq patients it very difficult to get the hi tory."

The importance of ba ic, imple First Aid was tre ed once again. " Remembe r the imple thing" Simple things are (h e

admis<;ion

criteria. Although, as he pointed out, th e scheme ha s no s tatutory authority, it is now recommended by many organisations as an en tr y to practi se in the field of immediate medical care.

The following session of que tion s and answers was perhap s the liveliest of any at the conference thi s year. with all the morning's speakers involved In evitably, one questioner asked whether the result of the high s tandard of inten ive, pressurised training being discussed meant that 'the ordinary division surgeon with hi brigade at the ordinary public event would have to be upgraded yet again?". A Andrew Mar den repl ied . what i under di cu ion hardly amount ' to high-tech tuff and a Brigadier Haywood pithily added , the principle of ATL i the tandard to which any regular medical practitioner i uppo ed to

Infirm ary) tackled the sensitive issue of 'wo rking with the impactofsudden death '.

Letting go

Describing hi approach a 'about preventative medicine', Mr. Wright di cused hi s work with both relative of the deceased and those who were ometime seriou Iy affected by having been pre ent at, perhap , the scene of an accident.

"It's not about me having any kind of formula which will help them ort thi s thing out, it' about people finding reources within them elve or around them and identifying re ource which will help them manage what ha happened to them."

Particular difficultie urrounding death by uicide, chi ldren who are suddenly bereaved and the udden death of infants weredi cu sed-e pecially with reference

((It's hardly polite for a Minister of Health to proudly announce that by 1992 every front line ambulance in this country will be equipped with a defibrillator and monitor, and manned by a paramedic, when virtually all those instruments were purchased with charity donations raised by unpaid volunteers."

taT) experien e i ho\\ n by the great improvements in casualty Uf\ ivai rate over the year Drawing from merican data on soldier"dyingoh\.ound in ho'>pital. World War I' figures of o/e had dropped to 1% b) the Vietnam war" and in the campaign. the field hospital ar ja'\ Ba) reponed an equivalent rate of O.So/c.

A Brigadier Ha) v. 0 d commented. annie have spenr coniderable effort in attempting to find Ollt exactl) what it i that cau e<; death Le t the c) nical counter that bulle t bombs and mi ' ile ' ha e no mall pamo play in that , it i \\ orth remembering that, as the Bri gadier pointed out, 'There i nothing panicularl military about thi Thi app li e to an) forn1 of trauma, \\ hether incurred on a battlefield or by being kno ked down by a bu in the high treet".

Bearing in mind that e en in uch a modem and highly profe ionally run campaign a De ert Storm , with the provi ion for the fir t time in the Briti h Army of dedicated helicopter ambulance upport, it wa till taking ome i to eight hour ca ualtie reached field ho pital ,it I clear that military e perience can teach a grea t deal.

FOllowing Brigadier Ha ywood,Andrew Ma r den u ed the remaining time to eplam the Diploma in Immediate Medical Ca:e of the Royal College of Surgeon of Edinburgh - by all account a deliberately tres [ul experience for tho e doctor takit underthe cheme' tricrly controlled

be able to perform. Moreo er, " If you are going to offer your elf to the public a omeone pre ent at event where injurie may occur. you have a duty to make ure you have a certain tandard. ot only that, once you have offered to care for people. you are legally bound to perform to a certain tandard. We live in a very litigiou age and there i al way a ri k that you can find our elf on the v. rong end of a confrontation with a barri ter if you do not perform to a certain tandard."

An attractive mess

On a lighter note. Dr Ro e Wadd y later [ole a few un cheduled minute to ho"'" the propo ed SI. John ladie me -dre A he pointed out. v, hile it' ea enough for a man to purcha e one dinner jacket and (middle-aged pread a ide) remain rea onably fa hionable for the re [ of hi life, women member are faced with the 'r can't wear thar old thing again' yndrome, coupled with the awful ambiguity of the ortof invitation which pecify "black tie' for men , and nothing at all for \ omen. urely not to be taken literally. one imagine? What is acceptable" ear for female St. John member at fonnal occa ion?

The committee which ha looked into thi matter i currently looking for comments from intere ted member.

Following an afternoon of work hop e ion, Mr. Bob Wright (Clinical Nur e I Speciali t - Cri i Care, Leed General

for the need experienced by the bereaved to' let go'. Sudden death. he explained. ha eriou capacity to leave a feeling of 'unfini hed bu ine 'in people's mind. with problem ometime urfa cingmanyyear later.Anarea of potential concern to St. John involve the effect of udden death on the carer them elve In Leed 'A&E

department. nighr taff frequently end their pell of duty having practi ed many hour of highly tre ed work and now employ mechani m "",hich he and hi colleague have de veloped to enable taff to 'di engage'.

The e in olve pecific e ion to demobili e the hift 0 that it ha a definite end. not leaving the medical raff with lingering feeling that they "might have done more", or might till. omehov\, be required. In addition to the vital \l,.ork of caring for the berea\ ed them elve Mr. Wrightempha i ed that "Cri i can impact on u too, and ifwedon 'tcare foreach other well. it ha a capacity to damage u ".

During the following que tion and an\.\ er e ion. Chairman Mr. David obb - ur ingDirector(CommunityCare)SJA - pointed out that thi i indeed. peciali t and highly killed \\ ork, and not omething which St. John member hould dabble in unle the know what they are doing. It wa clear from the number of que tion rai ed by variou peaker" howe er, that thi i an area of great intere t and one \vhich, perhap require further in e tigation b St. John. in line with the growing general recognition of the importance of p ychological factor both in client and among tho e aring for them

Saturday ' formal e ion clo ed \ ith Sir Godfrey Milton-Thomp on howing a ne" ideo on the work of The St. John Ophthalmic Ho pita!. Before that the audiencehadbeenintrodu edtotheHo pitaller

June 1992 St John World 17

by Dr. Bri a n Lew i (Surgeo n-in -C hi ef SJ A) who trea ted u to the hil ari o u Iy tra nge

ta le of th e Mo le m mi ce a nd th e ho p ita l'

To m C a t.

Sa tu rday n ig ht 's s he rry party and di nne rd a nce were fo ll owed by Sund ay mo rning' Div in e Se rvi ce, take n by th e Rev. Dr. Do ug la Davie, whi c h wa it e lffo ll owed by two f urth e r e io n , c haired by Sir Do ug la Bl ac k Th e fi r t of th ese, o n Ethni c Mino riti es was

g ro up Exa mpl e incl ude th e s Llrp ri in g fac t th a t o ne in te n A ia n who have e ttl ed i n th e UK uffe r from d ia be tes wi th in te n year of a rr iva l. We al 0 need m o re fe male d oc tor in inn e r city area, where re i ta nce o n th e part of fema le pa tient from o rn e c ul tur al bac kg ro un d to can ulti ng m a le G P ,re ult in poor hea lth care, part ic ul a rl y in preven ta tive medic in e. Stri ter

marked, "T he lega l righ t of a parent i a d w in d ling rig ht". T hi rai e th e fundame nt a l q ue tion of preci ely how we are to judge whe n a chi ld is capab le of taking an informed deci ion. Dr. Robert cited th e ca eofa IS- year-o ld girl whoc ho etotake her father to court after he al leged ly abu ed her. She wa LIb eqLlently ca ll ed on to te, t ify within feet of him, and ubjected to a harrowing interrogation w hich (in the 'accepted' manpr

by Dr. K a rim

Ad

inori-

"The chances of a successful outcome get less by the second. Don ' t waitfor the cardiac arrest team, use the modern technology, train everybody and let everybody defibrillate. That is my philosophy."

t ies by

Hea lth Services and - ge ntl y -a bo ut th e image of

ner of legal procedure) was intended - and ucceeded - in making her break down and di continue giving evidence Dr Dougla hamberlain' k.eynote addre coul d not have been more apt, compri ingasitdidofahi tory of cardiac re u, citation nh e re urreetion bu ine s"),and a St. Jo hn it e lf. Tra n -c ultu ra l me di c ine i a neg lec ted fie ld Dr Ad ma ni ugges ted, an d th e re ult of th a t neg lec t co uld be een in bo th wro ng d iag noses of patie nt from th e

3. 5 m ill io n peo ple in th e co untry among

th e ethni c m ino riti e an dre ul tingi ll -health. con tr ol are al 0 needed on the importation of un licen ed 'alternative' medicine u ed by ethnic minoritie Many of the e contain uch un avourie a heavy metal and ar e n ic, and few have any proven therapeutic effects.

Pe rh a p co nt rove rs ia ll y, Dr Admani feel s th at th e re i a se ri o us need fo r hard data on th e racia l and e thn ic bac kg ro un d of indi vi du a ls, pa rti c ul ar ly in th e lig ht of pec if ic hea lth

bl e m co mmo n to

Asfara St.John it elfwa concerned, Dr. Adman i fe lt that greater effort are needed, not ju t by St. John but by other o rgani ation too, to recruit from the ethnic minoritie , who are poorly repre ented

within their rankeven among qualified medical and nur ing staff. The potential for St. J ohn i , of cour e, there - but a definite t rategy ha to be deve loped for it to be tapped. In the end both the e th nic minoritie and St. John it elf can only benefit.

Th e final e ion bega n wit h Dr. R aine R o berts' peec h 'More Powe r to the Chi ld' T he topic of c h ildabu e i a de licate and erio u matter and it wo ul d be unwi e to g lo ove r m uc h of what she had to ay in th is re po rt In esse nce, Dr Ro be rt offe red a heart-fe lt examina tion of the impl icatio ns of th e Children '5 Act , 1989 , w hi c h pl aces inc reased e mph a is o n th e wi hes a nd fee lings of a c hild at th e ce ntre of a lega l di s pute. It was no t so lo ng ago th at a c hild was regard ed in th e la w as prop e rt y. T o d ay, as Lord D ennin g has re-

rell etion on the urrenttate of pia) re u citationi a urpriinglypoliti altopi c Dr. hamberlain began by revealing th at the technique of cardiac resu<.,citation (including electrical fibrillation) had be en outlined a long ago as 18 0 by a doct or from Aberdeen, called MacWilliam.lt it, not until 1947 [hat the fir'>t (intra -ope ra· tive) defibrillation wa<., achieved and indeed not until 1961 that th e element of Sa ic Life Support a we nOli know it had been gen rail appro ed Contro ver y

Dr Chamberlain went on to make a numbe r of remark that - taken out of conte the re - would only serve to create controver ) where none was intended Principally the e concerned the uperiority of automateO defibrillation over manual defibrillati on (ca ting doubt on the role of lignocaine In the proce ); and Dr. hamberlain' pe ronal beliefthatthe 'pre-cordia l thump '(as hown with great glee by actor in nume r· ou U.S. te levi ion programme) warran t' re-apprai a l in this country.

D r. C hamberlain' commitmentto al ing live i in piring and carrie with it healthy di regard for theoretical analy I' (if a health programme in Scotland av e 250 live a year it might not be tati tical ll ignificant, bu t it' high ly ignificantto th e people concerned! ). In practice the key to a ucce fu l re u citation li e no t in proce· dura l de tai ls, but in the peed of re pon e "The c hances of a ucce ful outCOme get Ie s by the second. Don't wait for the cardiac arrest team, u e the modem te cO' no logy, trai n everybody and le t everybod defibri ll ate. T hat is my phi lo ophy."

T he co nfe re nce e nded w it h a pres enta· tio n to Si r Do ug la Bl ack, who re tire Cha irm a n of th e Medi ca l Boa rd on St.Johr \ Day 1992. It is hard to be li eve he ha'

ENTONOX: Putting the mind at rest

Entono x is simple, re lati v ely safe and effec ti ve if administered correctly. Dr. Tom Duignam pro vide s us with the facts.

The Use of Oxygen and Entonox by SJA Personn el

1 The St. J ohn Ambulance Medical Bo ard has approved that St. John Ambula nce personnel have qual ified to adm nister Oxygen and / or Entonox to casualt ies when on public duty and during the transpo rt 01, casualties to and from hospital.

2 It is the respons bil ty of the Surgeon and the County Ambulance Advisory Committees to establish tra ning and reporting procedures in accorda nce with Sect ion 5 , Un ts 12 and 19 , of the National Health Service Tra ining Aut hor· ity Basic Training Manual , and to estab lish a system of monitoring the use of Oxyg en and Entonox , and the continued com pe· tence of the licensed users

Lei! The II.IC of (III 1/11\ case) Ullcl Emollo.\ ure /Wlit C(ll', erecl III I .lOftll hI' Ihe ICgll/UIIO/lS 011 Ihe lI'J,ftl

The u se of Entono x Entono x was f ir s t produ ce d comm e rcially b y the Briti h Oxy gen Compan y in 1961. In 1965 th e C e ntr a l Mid w i ve Board allow e d Midwiv es to admini ste r it to wom e n in labour, without direct m edi cal s upervi sion In 1971 , th e DHSS recomm e nded that Ambulan ce Per sonnel could use Enton ox before and durin g tran sfer of patients to ho spital.

The bas c requirem ents for admini tr at on of Entonox in v olv e a con sc iou s, cooperative pati ent with none of th e contraindication s to be di scu ss ed sh ortl y Th e patient will requi re an explan ation of th e equipment, the actual agent , and wh at i s expected of him/her in order to deriv e maximum benefit , as it mu st be emph a20 S J o hn Wo rld Jun e 199 2

i ed that unlik e ana ge c reg im es suc h as intrave nou or intra- mu c ul ar o pi ates, th e anal ge i c effec t of En to nox require ' ac ti e in v olvem ent on th e part o f th e pati ent. demon tr ation o f th e fac e m as k and m outh pi ece and th e d em and va ve m ay be in order.

Entono x bec om e effec ti ve wh en th e patient build s up an ad equate c on ce ntr ation of nitrou s oxi d e in th e alv eo li orte rminal air sac at th e low e r end of th e bron c hi a tree. The nitrou o x id e mu t th en diffu se into th e pulmonar y capill ari es, reac h an adequate con ce ntration in the b l ood , be carried in th e c irc ulation and fin ally c ro ss the b ood/brain barrier. A it happen s, nitrou ox ide diffu ses easi Iy and re ati ve l y in so ubl e in blood Non eth e ess, it s ve ry important to apprec iate th at the pati ent w ill need to breath Entono x, exclu iv e l y, for everal minutes, be fore it will alle v iat e pain or before an y painful proce dure c an be pe rform ed

Application s of E ntono x Entonox may be use d in (a nd ind ee d it s use ha s bee n do c um ent ed in ) bum s, ac ute ab -

a beit chi en y Am eri can , contain s ac c ount s of intentional abu se o f Enton ox , both am o ng medi c al , par am edi ca l and la y sec ti o ns o f th e populati o n a lth o ugh it i 'i not ph ys i ca ll y addi c ti ve

M o re rece ntl y, fin ancial con sid er ati on s ha ve com e to hav e a bea rin g on th e use o r Ento nox, and it has eve n bee n ,> ugges ted that itro u O xid e ma y be co mributin g to th e gree n hou 'ie effec t! (alth ough no t in th e small am ount'> use d in pre - ho spi tal trea tm ent ).

3 Personnel are to be reminded of the overriding importance of establishing ana maintaining an open airway do min al p ain , c he'> t IIlJun c,>. m yocardi al in fa r c t , a n g in a,

th erape uti c proce dur e suc h as manip ula· tion s, wo und dres sin gs and pack.in gs. bu m' dres in gs , oth er soft tis sue o pe rati o n cath· et e r in se rti o n'>, lumb a r pun c ture" nai l treph nin gs. in se rti on o periph e ral ve nou ca nnul a and so on II obvi o u,> that thi s '> by no means. compl ete li st. Furth emlore, Ento nox doe' not prec lud e u se o f o th e r age nt s. e.g opiat es, o n -s eroidal dru gs, B e nLodiaL e pin e ' , K e t ami ne

Droperidol and so on by a v ari ety ofroute

C ontra-indication of E nton ox

Certain catego ri e o f pati ent s hav e relativc or ab solut e co ntr a- indi cati o ns to u e 01

Ent o no x and ex ampl es arc g iv en on the pa ge oppo site.

It mu st al so be bo rn e in mind hai Ento nox (as it co ntain s a hi g h perce ntage o f oxyge n ) mu st no t b u '>e d i fth ere s o f fire.

It s w orth no tin g th at th e lit eraturt:

Contra-indications

• Patients with severe chronic obstructive airways disease , who have a high arterial level of carbon dioxide and who depend on hypoxia to stimulate them to breath Exposure to 50 % oxygen may dangerously lower their respiratory rate

• Patients w ho have alrea d y been exposed to central nervous system depressants , particularly alcohol or b arbiturates

• Patients with chest trauma w ho are at risk of pneumothorax N itrous oxi d e diffuses into any closed cavity , at least 30 times more rapidly than nitrogen diffuses out , and this has the potential of converting a small pneumothorax into a life threatening phenomenon

• Intestinal obstruction This is a slightly theoretical contra-indication , but the rationale above with regard to closed cavities applies

• Patients in the early stages of pregancy

• Severe head injuries and decreased conscious level.

• Compression sickness (also known as the ' bends or ' caisson disease '. on eth e ess, th ere I '> no doubt th at Ent o nox remain a cry ve r\ ulil e, con ve nie nt re ati e Y'iale anal ges ic. w ith a multitud e or ro e both in prehosp ital and in -ho'i plt a mana gc ment or pati ent '>.

• Psychiatnc illness or mental retar d ation These patients may not understand what is expected of them , especially if Entonox is being admin stered via a black anti-static rubber mask , and may become frightened or violent.

• Pat i ents who are actively vomiting or who have facio-maxillary injunes The potent ial for depress ion of protect ive a i rway reflexes puts these categories of patients at risk of aspiration

Entonox: the background

Entonox i a commercially prepared and marketed analgesic preparation made upof eq ual proportion of oxy gen and nitrous oxide. lt is administered Via relative y simple, portab le and l igh t weight equipment. It can be by tho e requirmg ana gesia, with the minlmulll of Intructions and ha::. relatively fe\.\. side effects or contra - indication

Historical Perspective

itrous oxide wa prepared by Jo'>eph towards the end of the I Rth C ntury. al though oxygen was so named b Lavoisier The analgesic properti e-, of nitrow, oxide were first uggc'>ted by ir Humphrey Davy, but it 'Was not wiuely used therapeutical I) until the middle orthe last century when it wa-, used in dental anaesthesia.

A Note on Physics

oxide, ( 20 ), is a sweet sm \ling, colourless gas It is the only Inorga nic gas in common use, which posboth anaes t hetic and ana gesic propen les I n facl, t i a good analgesic and a pOor anaest het ic A concentration of at 60 %, i e hig her th an t he concen t ratio n n En tonox, is required to produce a state of Ull cO nsciollsne , s I Ni t r?us oxide is prepared by hea t ing n tra te in an iron retort to 24()< C. Igher OXides of nitrogen arc produced a Poten tially dangerous and must

be remo ed. a must water vapour.

It is postulated that the analge ic effect of nitrou ' oxide i at lea t partly cau ed by re ease in the cen t ral nervou sy tem of endorph i n and encephalin , i.e naturally occurring molecu e that are tructurally similar o morphine After admini tration has cea ed. nitrou _ oxide is ub equentl} excreted unchanged through the lungs and anae thetic and analgeic effect. rapid l y rever. e.

The Equipment Invo lved

The mixtu re i compre sed into c linder. con taining gas at a pres ure of2,000 Ib/in 2 (137 bar) The nitrous oxide does not liquef). becau e the t\\O ga es "eli solve" in each othcr at high pre ure. Cooling of a cylinder to a temperature belmv -7" C results in separation of iquid nitrou mide.

Use of such a cy inder re ults in oxygenric h gas being initially emitted, followed sub ' equent l y b) hypoxic nitrous o x ide rich gas. ccordingly it recommended that v hen it is suspected hat an Entonox cylinder may have been expo ed to ow temperatures. it sho ul d be stored hori70ntally for a period, not les than 24 hOUL. at a t mperature of 5"C or more, and ' hollid be inverted severa time ' before us Or immerse in wa ter at 52 "C and i n v rt three times, or keep in a room at a temperature of lO" C for two hours.

Entonox cylinder are blue in colour, with V\ hite neck (there being a

trict colour coding y tern for cylinder containing all medical gases). and norma ly contain 500 litre

A wit h other med ca l ga cy inde r , Entonox cy inder u e a pin index y tern o that t i impo ib e to connect a cylinder to the wrong yoke or flow meter.

Apart from the cy l inder de cribed abo e. t he Entonox y tern al 0 im olve :-A ingle pin index con nection yo k. e -A con tent dia gauge

-A red ucing alve to contro cylinder pre ure

-A n exha ation valve -A demand \. alve -A flexible pipe face ma k or mouth piece

Care of Equi p ment

C) linder must be protec ted from extreme of tempera ure and tared in a well- entiared area away from combu tib le ma erial

Cylinder and val e mu t not be lubricated with oils or grea e a the high oxygen content can lead to an explo ion.

B efore fitting the therapy head to a cylinder. a hort b a t of ga: , holiid be relea ed to blo'W away du ' r. One hould check that the Bodek seal is ecurel seated to preve nt ga o lea k. ' \\ hen the yo k. e is att ac hed to the cy l inder.

I n ' ome centres. Entonox. is deli\ered in pipe ' from a central lIpply. ob \ [hi ' is irrele \ anr for the ituation

Jun e 199 2 , t Jo hn " orld 2 L

Call and Divisional New

Impre""l\c stuff: I 0 pupil-; recentl} recejved One and Two Cross Awards at Vllilers HIgh chool in Ea lin g : Headteacher hlrle}

Ambulance family are the Pegg from C oal v ille Oi i s ion.

Robert (13). Dougla (I I) Alan (9) and Graham (6) are pictured. "The total family I committed toSt.John and I think de erve a

April fall-out

Those of u who are intere ted in uch thing cannot thank you enough for reporting the proceeding , novel and until they get the feel for them unique, which have been tarted by Al Ropil 'of under recent legislation

It i a ad commentary on the o-called national pres that it make no reference to the e grave i sue while allocating acre of pace to arid di cu ion on whether a major i the wife of a baronet or whether he ha an independent life of hi own.

We are also deeply grateful to Mi s Devon hire for giving up her pare time to attend cla e in Arabic and Per ian - Court Per ian, we hope, not the kind u ed for addre ing rented crowd

Bubblegunt b eauty

Salaam Aleikum

It is typical of the imperialistic, belligerent modem knights of St. John to imply that we poor peace-loving and impecunious members of Al Ropil'ofcould be responsible for costing you hundreds of thousands It is your impetuous assumption of our sacred and ancient symbol which has caused this. Should you not retract your claim that we are responsible we will excommunicate your emissaries H.J. Shlam and T. Bathkite. Furthermore, having infiltrated your First and Noble County of A von we will proceed to Bedfordshire next.

B.T nul

Notso AI R o pil 'of

Being in my nice warm hospital bed, feeling orry that I wa not able to be on duty at a wet, cold stock car or scramble event, my April issue of St. John World wa sent in. I laughed so much at the item on Al Ropil'of (yet another anagram of April Fool) that I almost put my Heparin pump into reverse. am feeling much better now - uper spoof; one of the best I have seen yet. Regarding any replacement device using the penguin as a motif, beware:- Two penguins rampant regardant perplexed all proper over the words Pauls Pi/ton Penguins is the logo of the St. John Support team to the Medical Services of Glastonbury Festival of Performing Arts at Pilton - and will not begiven up without a fight (or at least a peck or two).

Thankyou for the joke. Really raised my spirits.

Paul Fry

D/S Wells Division Somerset

I very much hope you will do u the ervice of reporting on the legal proceeding a they dodder along. It will be of pecial intere t to di cover whether the turbulent chao of undi cip lin ed mi information in your fir t report reflect the thinking the pur uer , or their agent, or of a joumali t whoe future clearly lie behind him

You are, Sir, My Obedient Servant (at lea t that ought to be your ambition)

Henry Yilling Gorebridge Midlothian

P.S. Many thanks indeed for the fun of it.

Being unable to perform on the London Marathon thl year due to beyond m) control, watched the e ent on televi Ion and at limes dunng the coverage felt ashamed to belong to the Brigade Whtlst the majont) of the member on duty were a pnde to th e Bngade, there were <;everal cene. which made my blood boil There was one Adult male Bn · gade member who appeared on the creen in a Jumper weanng ungla se but no hat who eemed to be illing on a front garden \1311 of someone' hou e, and hots of other Brigade member, tanding around wllh no hats on. At a time when we are at· tempting to encourage the public to donate to "OVER TO YOL JOH "and a number of the run· ners wereupporting u I would have thought that a more pre ent· able image wa shown to the publi c in general and to the world Via the medium of television.

The editor hopes it is now clear that St. John is not about to change its logo (the penguin above seems to have been u ed already, anyway). I'd also like to pass on my heart-felt thanks to the writers above for getting me out of a hole by proving that some people, at least, recognise an April Fool when they see one!

Another cene howed a fe· male member chewing bubblegUnl who actually managed to bloW! bubble a the came ra caught her Generally, the members whO were on duty for thi event were well pre ented and performed an excellent ta k but please may we all consider our public image es· peciallyon uch an event.

M. D. Hada W9 )

Bexleyheath Kent

Heath en s ent

'v1edical onference delegates had ju t been addressed on the ubject of ethlllc mlnorilles and the observation had been made that the audience at the conference was not In Itself very representative of the British population and that minOrity group,> were markedly under-repre ented (actuall). there II ere one or two cots present)

Immedlatel) afterward,>. In the coffee-queue, a vigorou,> (and embarrassing) tltatnbc confu'>lIlg Ikhs (motor-cycle helmets and turbans) and Mo"lerm (Ill panlcular the' Ktll - alman Rushdle -fac tlon ') - wa being deltverl:U The follo\'\'lIlg remar\... wa.., finall) Issued : "St. John is il hnsttan organllatlon. We don't \,ant an) Mo,>lems. III \Ia<,n't a Chn..,tian I'd have Joined the Red Il11akc no coml1lent on the style ofChri..,tlanlty or the lad of factual \1 hich adorned the outburst. but I thin\... It beholcs Us all to pray for the Red ro..,,,. And) Handle) WolHrhampton

Downwards and upwards

What' in a name?

IS for super<,tar!'>, supenntendents , sergeants, and all are:

T. IS for treatment, trall1l11g and teaching from the eight-pointed star:

J IS for Jerusalem , jav. and JOll1ts - not for smoklllg:

o IS for ophthalmic, observation, operations treatment for the blind:

Hi s forhelp, heart, hypogl)caemia (diabetic emergencies to you and me)

"i for nurses, nerve and national appeal. O.T YJ i our plea!

A i for Association, Air-Wing and A B with live we leam to save;

Mis formedical, medicine and monetary the conrribution people gave:

BIS for Brigade , Badg er and bandages for treatment by the core: for uniforn1 unpaid and under taffed, a member we need more;

L for life , loyalty and longevity, life' pre ervation i our aim:

AI for aid, activity and action, for duty we're alway game:

N for N.C.O.' , notable and need for an extra large donation:

CIS for Cadet, care and ca ualties who need our attention;

E for emergency, examination and excellence for whi h we all do

stnve

(but that , at all co t, we keep the ca ualtyalive!).

DIS teve Cartwright tafford Q Division

Sixteen and never been kiss-of-lifed

Having recently been studying the rules for both Cadet and Adult competitions I am concemed about what understand to be the ruling on age.

As I read it with regard to the Cadet Competions, Cadets must not have pa ssed their 16th birthday on or after Ist January in the year of the final competitions. In the adult sectio n adults must have achieved their 16th birthday by I t January of the year in which the finals competitions take place.

From thi-s it would appear that a member is barred from competing at all during the year in which the 1-6th binhday is reached.

Am I correct in my assumption and if so what do other readers feel about this?

The Director of Cadet and Training replies- This anomaly has been pointed out b) eHral member and occured as a result of an error in re-drafting the regulation. The ruling tands for 1992 competition but \\ill be amended after the 1993 round. We aresorr} for the confusion and apparent disenfranchisement of a whole age group of members.

A ques t i o n of priority

With reference to Mrs Pealling' leller(ApriI92). [v.ant to pa m) own commenh. I .lgree that it is geningimilar to jOlOlOg the Ma on. \1 ith regard to recruitment.

Howe\ er our prioritie do lie w Ilh "preef\ ing life", up until fay 1991 I felt the same wa) a (he aforementioned lad). but a feeling of total inadequac) atseemgoneofm) patient lipa\',ayha - tumedm) altitude to defibrillation.

Mrs Pealling doe have a valid point, but we do need to ha\...e offan image relating to a totall) u eles group of 'infleXible old fogey' A I M L.J.Hoare 1"orthampton Diyision

The Editor add - 1'\ e al 0 come acro people who a ume that The Order of t. John i linked with the Ma on I had a friend once who learnt the ecret ign given to indicate a Ma on in di tress. He tood out ide the Ma onic Temple near Covent Garden ge ticulating madly in the hope that he would receive emergency aid in the form of fivers being thru t into his in ide pocket. It didn't work. But all that' by-the-by. Ms. Hoare ha a ked me to pa on her addre to any St. John or other ambulance ervice member 0 er ea - with a view to corre pondence and making friend If anybod. write to: M . L. Hoare, 11 Bi hop Drive, King thorpe, Northampton, Northampton hire, NN26QR, England.

M. Smailes Folkestone Kent

I went in with an open mind, not sure what to expect. The buildingis in therniddleoftheSowton Industrial Estate in Exeter, and on arrival, I thought "Where is it, this 'Turmel'?". Coffeeinhand, we sat in a pleasant lounge and waited for the course to start.

First came the lecture s: How to s hore up an opening to make it safe; how to recognise the different type s of building collapse. The importance of teamwork and communication, how to rotate the teams around to avoid the danger s of exhaustion. Above all, the me ssage was safety fir s t.

Our sce nario was a plane crash on a line of house s : all casualties were accounted for except fora family of poss ibly fourormore who were trapped Our job was to find them.

We split into two team s and went into a dark du sty space with just one weak light , surrounded by the sounds of rescuers, a crying baby, and the shouts of the survivors.

Team A went in first, and out came a

28 St John World June 1992

eemingly neve r- e ndin g tream of rubbl e a s a way wa cl eared into the buildin g.

Thirty minutes late r the tearn c han ged over - nowitwa ourtum.Iwasthirdalong the line to go in, and the rubbl e wa bein g pa ss ed by hand to the entrance where Tea m A were s tackin g it well clear of th e e ntrance

Wegotafairwaythen topped , houte d " Hello , is anyone there ?" and waited in the quiet for an an wer. It ' hard to top yourelf from hurrying, but you have to be patient. The rubble never eem to end and you pray that th e peopl e in th e re will be alright. Out come the fir tea ualty: is it the baby? No , it' the baby ' father and the c hild i sti ll crying.

We have just mea ured up for the fir t lot of timber shoring when it is time for u to come out and Team A to go back in. The s horing and wedges are pa sse d from hand to hand along the tunnel to where the rescuers are working . We can hear more s houts " Is anyone there? " and a tapping noi se in re s pon se. " Hold on , we're coming" is our answer.

Soon Team A's time is up and we go in again. More dust, rubble and even s moke to simulate thick dust. There is also rubble falling from above us and we have to shout

A participant's view of a day in a purpose-built practice facility, by Val

Clough

down th e lin e to '>end the prop,> up . By th e tim e we come ou t to nom1alit and dm light it' lunchtime On'with t he hOOlsan a overa ll " and bacl-- to the ordinar world fter our brea \... we g bad. in, ani) tl ge t an urgent ca ll from the R : high lIde i'> at 1600hr" and it I.., no\\ 1359. We hale to,>hout itdo\N1l the line th at we'\eonl) gO( t'v\O hour.., .

Out ome'> more rubble, Illore du,t. more noise . It \ B tcam"" tum agalll and lIe get pa..,t the sho ling. clear more rubble and find a gap. The baby i<., <" Ii II crying and nOI\ there's a \...n o king noise . I have to remin d m y e lf to be p atient and ta \... e it ..,tead).

We c lear more rubble and uncOler J fool. The ceiling has co llap cJ here so we send for a ja k to li ft it up . There i more thi ck du t , more kn c kin g, and 'v\ e ha\'e to hurry becau e th e tid e will be in soon. Team A goe in to more du I and nil i ibJll t)

The nex t ca ualt y co me o ut , <;0 hock ed he ca nnot p ak - where are th e medic s" We feel a tri c kl e of water a nd th e tide IS he re We have re c ue d a ll we ca n, everyone out.

Ba c k into rea lit y, to one more urpri e

The rea lly ni ce me n who filled th e tunne l with make and dropped th e rubbl e overUI have a pi ece de resi ronce. The tunn el IS filled to ov e rflowin g with mak e and eve· ryone goe in e lephant fa hion , no e to wil.

Unable to ee a thin g, with only your ense of touch and your tru t in your teamm ates to help you, you crawl throu g h mall bitso f rubble mixed with ri in g water to th e end where there are we lcoming hand to drag you through a afety hatch Dayli ght !

Finally once we are wa s hed and changed are told that all te n ton of rubble ha to be put back , a willin g hands help the organi er of the tunnel et it.uP ready for the next uck , orry, part lCI pants, by carrying all the rubble back tome tunnel entrances. Jtcertainly goe in qui cker than it came out. I

After all that, th ere' only can ay: When are we going to do It agaJO · • Complete

AMBULANCES

St John Fellowship

ical compo ition for a hy lerical flight from reality (5)

28 Mu cle externally rotating the thigh clo es an anatomi- 15 cal orifice (9)

29 Ju st one of the crowd 10 sex tran mutation (5)

31 Graceful ve el (5)

32 Principal mu cle of re piration (9)

CLUES DOWN I Pan of the fire ide for a goblin (3)

2 Result of uppuration requinng surgical treatment (7)

3 Relieved pain (5)

4 Presence of air in the ubcutaneous ti ue (9)

5 Claw part of lock (5)

6 [ncru tation on wound a dIsease of heep (4)

7 Food provided by male nit (7)

8 Colowful febrile neuritis of young children (4,7)

11 Exrraneous matter commonly in the eye (7,4)

J4 Therapeutic bl preparations contained in fal e rash (4) 31

16 I retum to a very small quanllty (4)

17 eltle rash (9)

20 Connective tissue formed from mi\ture of alt and ice (7)

22 Is IhlS meal beglnnlOg to purify? (4,3)

25 Before food a boy too\.. pan in a drama (5)

26 The SOfllissues (5)

27 Be in a \late of unxiou'i agitation (4)

30 Give weapon.'. for a limb (3)

• Are you making the mo t of you r magazine?

• Have you got uniform or equipment to ell or xchange? -Th en why not place a cIa ified adverti ement? Ring 4m on 0243

ROYAL DERBY

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IIlobile radio

Reader who hav e no already heard w ill be grieved to le arn of th e dea th of Audrey und erland , wife of the er twhile Commi s'> oner-inChief, John Sund erl and , in acar acc id ent on th e 29th Ma y.

Althou gh she neve r wore a uni foTTTl (" Sh e preferred to roll up her sleeve and ge t on w ith the job " as a c ose fri end put it ). Audrey Sunderland trav ell ed wid e y w ith her hu sband on both fOTTTl a and infoTTTlal v it!' to Co unti e,>. She exc ell ed in prac tic al matt er,> and was al '>o hu ge ly effecti ve at makin g conn ec ti ons on beh alf of St. John in th e communit y.

Repeat edl y desc rib ed a a v it al l ady, immensel y pra cti ca l and rea dy to gi ve herse lf to hard ph ys ica l ,""ork , she i <; a rea l loss o St. John nation all y and in her ow n Count y of W es t Midl ands

H er c ose in vo ve ment w ith th e Badge rs and readin ess o devo te spec i al att enti on to th e Cad ets will be es pec all y rem emb ered

S r j o hn W o rld s sure read ers w ill w sh to join us in pa ss in g on dee pes t commi sse rati ons to John Sund erland and hi s f amil y.

Th e fun eral was att end ed by th e Sup erintend ent -in -Chi ef and th e Bri ga de Sec re ar y, and th e Lord Pri or w as represe nted

St. John's new Chief Commande r

AirChiefMaL hal Sir David Parry-Evans GCB CBE has been appointeda the new Chi fCommander or St. John Ambulance. He takes up the poston 1 t July, carrying on from Dr. Tony Blowers, who has admirably carried OUI the Chief Commander s function along with his own role or Director General for th past year.

"I always promis d myself that when I retir d from the RAF I would do chality work" Sir David told SJW. "I've Ilot had specific before wilh St. John, although I have had links with the RAF Benevolent Fund and th e RoyaJ Air Force As cociation. My Father was a Ro al ir Force Doctor and at one time it was presumed that I hould follow him. Whilst I wa.., Chief of Defence Staff I worked with the t. John Hospitaller,· ir Milton Thom:on, who was then urgeon General for all the <., e rvic el)

''I'll be taking up my appointment on July I st, and member.., can be \ ure that 1']] be seeking to get cu-ound!"

( - -A; CHIEF MARSHAL PARRY - EVANS-;CB CB RA;-

Air Chief Marshal Sir DaVid Parry - Evans was born in July 1935 on ly son of the lale Group Captain John Parry-Evans of the RAF Medical Bran c h He wa s educate d a: Berkhamsted School and joined the Roya l A r Force In 1956

On completion of pilot training , the Air Marshal was posted to No 205 Squad ron Singapore flying Shackletons This was followed n 1961 by a three -year tour on the All Sea Warfare Development Unit at Royal Air Force Ballykelly Then came three years with two navies - an exchange tour with the Un ted States Navy on t he sta ff 01 Commander Fleet Air Whidbey , near Seattle , and n 1967 the Roya l Navy Staff Co llege Course at Greenw ich

In 1968 , Air Chief Marshal Parry - Evans returned to the marit i me patro l world as a Commander on No 206 Squadron Royal Air Force Ki n loss 1970 saw the start of two tours at Headquarters Strike Command , the first as a Squadron Leader n the Plansano Policy branch and the second on promot on as Personal Staff Officer to the late Marsha of the Royal Air Force Sir Andrew Humphrey , then Air Officer Command ing -m-Chle' Strike Command

Air Chief Marshal Parry-Evans next commanded No 214 Squadron (V ctor tankers ) 101 twelve months from July 1974 unt l July 1975 before be ng promoted to take comm anc of Royal Air Force Marham Two years later , he f lled a series of appo ntments at the Ministry of Defence in the Plans and Po icy areas In the rank of Group Capta in and A Commodore until April 1981 when he was posted to Bracknell as Air Off cer Comma nd ing and Commandant RAF Staff College He was appo inted A r Officer No 1 Group at RAF Bawtry , in December 1982

The Air Marshal became Air Officer Commanding No 38 Group at Upavon in September 1983 but re-assumed the appointment of Air Officer Commanding No 1 Group In November 1983 upon the merger of Nos 1 and 38 Groups He was appo inl 80 Commander -in -Chief Royal Air Force Germany and Commander Second AIII80 Tactical Air Force in July 1985 , and in May 1987 returned to the Ministry of Defenc eas Deputy Chief of Defence Staff (Programmes and Personnel ). Promo ted to his pres enl rank in July 1989 , the Air Marshal was appointed Air Member for Personnel n Octo ber that year He returned to the Central Staffs of the Ministry of Defence m Apr i 199 11c co-ordinate the work being undertaken in the aftermath of the Gulf War

Air Chief Marshal Sir David Parry - Evans was awarded the CBE in 1978 , the KCB lr l 1985 and the GCB in 1991 He and his w ife , Ann , have two sons both working in I He is a Freeman of the City of London and a Governor of the Royal Star and Ga e \ Home )

Durin g he r to De rb y<., hire o n 22 May 1992, He r Maj e..,t y Th e Qu ee n ho no ure d St. J o hn with a rev i 'v\ o f th e De rb ..,hire Bri ga d e. bel' S, nur ..,e <.." ca de tl., a nd a ran ne o f I.- c b ope rational and lrainin g ac tiviti es ga th e re d o ut l) id e th Derb) t. Jo hn Prin ce \<.., nn e Tr a inin g C e ntr , a ncl were jo in ed b) Co unt y a nd A rea t. Jo hn

Pre"id e nh

Bilihant I Ie! at the Trall1ing Cen re Pele! II IIton Lord Lieutenant ror DcrD\ ,>hlre and , t. John or oLlnLlI. prl ,>cllled '>cnlor t. John Her \ l a.lc'>t) 1\ ,I \\ekolllcd to h) Grour Captain Rlchan.l Batc,>. COml11l'>,roncr, and a of 1100\cr\ \\a,> pn.:\ellled b) Badgcr'> 1-ahel'lll Chauh,ln and L,lura Jone Hcr \l a.Jc'>t) then reIICIICd the a,,>elllblcd unli'> and '>poh.e to ambulance cre\\ '> rrom outh Arca aCleptlng a St. Johll \ mbulance Flr'>t - Id K it pre\ented by \1r ,> Pamela tnrer. Deput) Count) OI11IllI''>loner Her \l aic'>t\ lIent Oil to meetmemher'> ofthc Derhl '>hlre Bu\ton Tcam under their leader Rugel and kclmed that the team had onl) recentl) retul1led rrom operational du t \ In the Oerb\ '>hire? PCclh. \\ here the) had re'>cuelt a climber ,>ul:rcnn o I rom hl?a Ion - c Thc cr DII amhulance manned bl Rm \ 1cldlll and Ian Bl a" ele). II ho repre'>ent Derh) III thl" Fir'>tAid Competition. \\ ere ne\t 011 the Ro) al route bdorc the Queen met I1Ur\e, In a '>Imulated hO'>PIl,11 \\ ,m l. compkte 1\ ith bed ,Inti patlcnt under Count) \ ur'>lllg Ollicer. Llellienant Colonel Anne O·Goml,lI1 Cadet Helen Pnce anti her) llllng colleague,> \\ ho attended thc u,>Iralra Camp lead b) Valene \l ohan. dl,>pla)ed a Inulle tent \\ IIh a rUllllllell OI") or camping eLjulpllleill. Her t-. 1ale\l\ ,po"c o l he c,ldet'> alld rcmar"ed that It IllU\t haw been \ er\ h'ot Janu<ll") III D al"\\ In! Mr,> W inlired Il il ton. Dcrb\ "hll'e l. John- \ Illb llla ncc Co unt) Prc'>ldcn t, thcn pre'>cntet! ,cnlor ol the Co unt\ Fun d- Ral\lIlg COlllml tt ee. headed b\ '\1 1' An drel \ In"lclA, the Ro) ill Rc\ IC\\ dre\\ to a cio'>e. Group C'ap all1 Bate 111\ Ited Her Ma.le'-l) 10 accept the rlr'> t prnductll)1l COP) ora lilted edition Ro) ,II CrO I11l Derh) pOI"I:cl<lln Ira\ In Sl. John de\lgn. '> IICclalh COIllIllI"'Slonc d b) the Bngade to cO I;llllelllora te theThu s concluded a \ cr) peclal and pre-,llgloU'> \ l'>lt to l. John Am bu la nce. depart i ng, le r M a.le'> t) comillented on the dcdicaenormou" en thu"Ia"m or all B rigade membe r". r 1I or tho"e pili ri egc L! to tah. e par t \\ il long re membe r th e honour and c\ci elll el1l or Ih c lh I I I c) .t il eage r ) Ino " Inr\la rd to reliling a unique lKCI \ IOn tl ro ugh til" I I e I1l clll) p oto o rap 1" ami \ Idco,> a"ell to record the Irlpp \ eve nt<., 0 1 Ih lS vi "il. -

The 2-hh ational Industrial First Aid Finals \\ ere held at the Pavilion Gardens in Buxton on 19th May. 23 teams bent on improving their FA W skills and getting a front-page on their company newsleiter fought it out over willing vicrim from the Casualties A",>ociarion. The v. inners, v. ho go on to the Grand Prior's competition in ovember. were as follows.

Me n P a ir s: Champiollship Trophy, Royal Ordnance Birtley; RlIllners Up. ECC International: Third, BREL Ltd. Besf 0.1 MUll. T. Fenton (Royal Ordnance)/ Brooksha", (BREL). Besf No.2 Man. M. COllon (ECC International). Champion Resen e. C. Rogers (ECC International )/ J. Grinbergs (British Gypsum).

Wo m e n ' P a ir s : Champion-

'ihip Tl'Ophy Girobank: Be H No n oll/(l/I.A. Wethcrall (Girobank) Besf 0 .2 H o/llOn. P Dickc) (Girobank) Chomp ion Rc lc/"\'c. L. Forrc'iter <Royal Ordnance Radwa) Grecn).

O p e n Pa irs: Chulllpiolll/l/fl Trophy: lCI Hillholl<,e Rl/nnC'l £.:p : Brunner 10no. Tll/n/ H) dro Pol) mer'>. Bnl o I Opcn. Mr K (Ro) al Ordnance Birtley) Be \1 0 .2 Open. 1r" S Taylor (Girobank)/ Mr D Booth (BritishGypsum)/ Mr D (lCI Hillhouse) Chlll7lpion Re o. sen·e. Mr M. Gerrard (Brunner Mond).

Dr. AJ. Blowers presided at the ceremony and the troph) awards were pre'>enteo b) ouncillor Jame Boote. Ma)orofHigh Peak

The bank that said

or

A welcome waiting at Buxton

ming poo l. thi" will be a weel-..end to remember.

more aCCl:SS o e\ ents. ,Ind an 'AI/\' Ql/e.\liol1\· '>ession \\ III gl\ e you' the chance t o be heard \\ here it count, most. et amuJ"t 23 acre of parl-..land in the world famou, P,.1\ Ilion Gardens \\lith It<, Opera H ou"e. conserva t ory and indoor s\\ im-

For your Conference or that Special Occas i on An elegant town centre conference and banqueting complex set In 25 acres of landscaped gardens With first class facilities for many different types of large or small scale events. Adjacent to the Buxton Opera House

Ask for f ull deta ils from th e Gene ra Manager on 0298 23 11 4 Restaurant. Licensed Bars Cafe , Conservatory

11011 I/II/)()J'{UI/I II it ')

A COlllmon misconception I'> that publiC relation i.., an optional extra II hen It come to runnlnll an orgunl\atlon , [ t n't - c\en ganisution ha, a public and 11K itabl) ha rd.ltlOI1\ \\llh that publiC The option IS 1\ hether v\ e control the relatlon,>hip to the be'>t a(h antal'.c of ourselves and ththe \1 e e or Wor],. with A company ma) e\ en \qsh to control it., publicit) in o minimi.,e e'posure - that IS stil pub ic rela t ion,>

As an orl'.ani dedicated to WorJ..ing and for others and that relic,> on the ,upport of others, St.John is dependant upon

a posltl\ e relatlon,>hlp \\ Ilh our publiC. be the) COlllp,lllle,. the general public or local authontle,. \.\ e need to generate a\\ arene,>, in on.kr to encourage recruItment. attract donation,> ,Int.! promote training cour"e\ .Ind the u,c of Brigade member, for \oluntal') \\or],. ill the commUIlIl) ThiS cannot and \hould not rl:l) ,olel) on the efforts of a central HQ PR Department.

To promote) our Dl\ i'>lonal and Count) need'> and I1lc sage, there i\ a 111a,\ of mcan,> a\ aIiablc to ) ou from local free,>heeh and radiO ,tat Ion" to pn..,ter dl\plays and speLll-..er platfo11l1,> E\ en the mo t SUCct,>\rul PRO'" hO\\e\er require practical <l(h Ice. encouragelllent and updated training in utIiI'>lng t hese opport unities Thc PR Departl11l:nt am Training Department at at lonal lcadquLlrter, recognise th", need and \\'111 be running a PR Training day for 2-+ Count) and

Crusade down under

Hulton to carr; out an Ambulance Cru..,ade In the Midland". Hc embarl-..ed on a Second Cru'>ade to Nonhumberland and Durham III 1887. dUflng v hich he addre<,,>ed public meeLIngs 11l collier) tov.n'> and \ Ii Iage.'. c\plaining the rule" of the M11le<,' Regulation'> ct. He al"o tool-.. "teps to organise cla.,se<, at v.hlch the miner" could leam Fir'>! Ald. II1cluulng the use of ,>tretcher.., for tran'>pon.

The need lor thi.., wa clear a,> mining di"a'>ler" v. ere ver; commonplacc and there is nodoubtthatli\ e \\ere ,>a\ed a'l a re'>ult ofthl'> tra11l11lg. Frequentl), such dl"a\ler<, produced great act'> of heroi<,m. and \\ here IIfc-\a\ ing a\\ard, \\cre made b) the Order. the detail., are record1l1g in the nnual Repon,

The '" plea,ed to ha\e purchased recentl) a t. John Lllesa\ II1g mcdal (fir"t l'i\ue) awarded to William a m1l1ing engllleer. "for con.,plcUOU\ herOI m and self-de\ otlon \\ hen recuing, at imm11lent pcr,>onal danger.ome -+00 miner'> entombed in the Colllcl) ", outh Wale\. follov. ing an e,plo,>ion on 23rd December I -

" Well , gentlemen, we ve got a stunnmg new logo and a marvellous publiCity campaign ready We Just need to come up with a product"

Di \ ISlonal PRO', at thc illis ou",c training centrc, Derb) on aturda) 2-+th October. ceommodatlon 1\ a\ ailable roreach delegateoneltherthe Frida) or aturday night and a course fee 01'£ IS.OO \\ ill bl charged. Worl-.. hop, b) a prore ·;..,ional COn.,ullilnt on \\ hat I" a nl:\\ S., tor) , media \\ ritlng and Inten ie\\ ,I-..i l.., \ ill be 1'0 110\\ cd b) from a rat! and nl'\\ paper Journali,>t. forul11 \ \ III be chaired b) a Count) PRO on till problem, cncountered by thosl \\ orl-..ing to promote t. John at ground le\el

and H Q P R Department \\ ill aim to outline th PR objecti e, and structure or Ihe organisatIOn. The cOLlr e IS open to an) COLlnl: or Di\ L ional PR O \\ h \\ ould IIl-..e to leam nc\\ ..,I-..IlJ.., or bru , h up on c" ting I-..no\\ ledge <1nu 10 member.., \\ ho are aetlng PRO' In the ,Ib ence of a dedicated PlbthLllder. I f) OLI \\ould III-..c to attend thl ne\\ CDUI".,e please contact K ate Buc h anan. 1 (-; r o e n o r C r esce n London S W IX 7EF 0) the lnd of Ugll'l. Fir. t come fiN ened.

Jlll) 1992 ,' t John " o rld 9

Meeting Friends and Influential People

The Ninth Annual General Meeting of the St. John Fellow hip, held at Marton, C leveland on 19th May 1992.

Sheila PlIck/e II'rites - Some 300 members and g ues s of th e St. John "hip rcceived a grea t welcomc from St. John in Icveland when we alTi\ ed at the Manon Countl) Club for th e A.G.M. thi year. The facili t ie::-. \\ere excellent (although it took. time to get in the Snack Bar ) and the sun shone for u,> Ages ranged from ..j. to 96. The four-year old was agrandson from t. Alban Branch. He did not attend th e meeting but look.ed a lik.el) Bad ger soon. Members had travelled rrom Guem e). from omerset. from the ble of Wi gh t, and funher.. pecial applause greeted Mr D oro th y Toulmin, Secretary of Weiland Chapter. Ontario. \\ ho wa taying ""ith Mi",> OutheL of Scarborough Branch. Mrs. Toulmin brought over a lovely folding chair ith the St. Jo hn Cro made for me by her Chairman. Mr.

Sid Cro\\ I \\ ill trea\ure It. Opcning the procceding'>. our hall'111an. Gencral Lcuchar:-" welcomcd thc Lord Pnor or SI. John. Lord Ve:-,tc). \\ ho \\ a" pay Ing hi'> rir'>t \ i..,lt to thc Fcllo\\ hip and to levcland: Lhe Lord Lieutenant and Lady GI,>bOrollgh (Count) Pre..,ideill. C1e\cland): thc Ma) or and Ma) ore",., or Middlc\brough: the Chal1111<1n of I. John Council. b cland, Mr. B Ord. and Illan) other di'>tinglll\hcd gue,>t.,. Geneml thank.ed r Ord \\ u1111ly 1'01' hi'> generou.., ,>pollsor\hip or the C\ Cllt \\ hich Included free coach tra\ el 1'01 our member,> from (and back. to) York. the adoption of the nnLlal Rcpan hai1111an elllpha"l"ed thc nced to attrac ne\\ member, to thc I' It \HI.., to give pleasure to it'> and sen ice to l. John in the fu tu rc Thi" required PO\ltl\(, action both b) today'" member" and b) the actIve '>ide In Coulltie'>. He hoped that Fello\V,>hip member,> be hrought rull) Illto l. John acti Itie,> and Ihclr e'penellce and cllthu,>ia"m valued a an a,>sel. General Leuehar'> announced that Lhe Fellowship Worldhad ral\ed ±: 1.500 LO dak thi\ year in II, bid to bu) '>ix ne\\ ht:d,> ror the Ho"pilal In Jeru,>alelll Thl'> repre'>entcd t\\Oand-a-hal bethwell on larget a'> <It 19th Ma). Finall) he thank.ed all member" ror all they had done ror St. John thi year, farmore than could bc recorded In Ihe nnual rcpol1.

Seconding Ihe adoption of the Report, I said how proud was that the Fellowship rcmained wholly voluntary in it'> administration. We achieved thi'> by helpingeachother.

I then addcd Illy thank.s to Mr. Ord for enabl ing to come to C1cvcland where for my'>cl I', was able to mcet

who l

After the 1'01111<11 hU'>IIlC"" ""a'> completcd \\C had a IIV 'I) dl'>CU""IOI1 Oil a propo"al 1'10111 11' Jad BO\\ Icr. ecn:tal) Jnhn Juild Il ant'> to Illak.c OUI Annual Gcneral rv1cctln g llllO a three - da) e\ en\. I rOl1l a r- nda) e\ cnl11g ; uillb) ,lrteI11001l. held at a Ilnllda) LImp Thi,> V\ ould cnable mel1lbcr" to cn.l0) a re al rCU1l1on. \\ Ith time 1'01' ,>oclalilk ,I dinner and an outing III addltlolltothe G \1. Ihelr. Ik hrought a Pont lib Ilollda;.- amp Rqm?'>eIll a' tl\e \\Ith hllll. \\ho ga\ e Lh detail'> on their tra\eI"chc1l1e \\; hen ,lll.Ind I a.., tak.ell.there \",1" 0\ ef\.,}lcl111 IIlg ,>uppon for the Idea "0 \Ie 1\ dlllo\\ go Into Illunher Ir all i" \\ell \\e \\dl al111 at Il)l)..j. III the outh Gelleral Leuchar,> then Introduced th e LorJ Pnor Lord e'.te) 110\\ glad he \\.1' to Ith u . and thanked f.clIO\.\ ,hlp member, and thcman) I.John 1l1bulaIlCemember'pre\ent ror the '>el'\ ice the) gal e. It \\ tl" ,Ill \uch ellnrh \\ hlch ga\e I. John Ih reputation H e annoullcl:d the appollltmcnt 01 \ 11 Chief 1"r\l1 al Ir Da\ Id E\ an" a,> the ne\\ hId on mantler from SI. John ' ,> DLl) The Lord Pn m ..,aid hc had reLently \ 1,>lIed tht: Ilo..,pllal Ir jcru,>alcm \\ hlch continUed to 1,lce local condll1on.., It needed e\ CI) penn) \I could ral"e. He hoped to Illcetl11e1l1her'> III th eir Count Ie,> as the f.el\o\\ "hip conllnued t progre,>.., Lad) Wt:'>thur). our Pre"llknl. thank ed

The Lord Pnor for hi'> \\ord'> he '><lld \It' all wanted to congratulate him on the hll1h 01 J baby ILl'>L \\ eek. \1 hlch ,he \\ aml h did She added thai II ga\ e her "'peclal thl'> year to ha\e her mother \\ Ith her at tlit G M and 10 '>ee her ..,itling net to Mr'> Flo ra Dy'>on. r0n11er OLIIlt) upel'lntendclll. oI1t Riding. There \\a'> loud applau,>e ror Lad l crena J ame" and 1''> Dy'>on. \\ ho are mu ch lo\ed In the onh There being no runher bU'>lne'>". \\e proceeded to an e'(cellent Lea I III end b\ men · tionlllg that MI'>'" Wend) 0\ 51

Alban'> Branch. met Mr'> Dorothy Colbert

Secretary Pcterborough Branch in the York coach after a gap or2R year.., They lI"ed tome et annually at Bexhill Cadet Camp hn'tlhat "b at our Fellow,>hip i.., about'!

hella Pucklc add'> - We the twelfth Fellow,>hip Chapter III anada anu thc ..,econd In Alherta :Edmonton Chapter, A lb erta, Canada

Contact: O /S upt Mi ss K. Harapniuk, 9639 - 65 A enue Edmonton A lb erta T6E OKS Canada

Readers report on their activities around the country. Contributions are always welcome, send them to : 'Out and About', St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

BUILDING FOR THE FUTURE-

A.S.O. Bob Mann relates the whys and wherefores of the new South Essex Headquarters Building in Pitsea. DUring IlJH..j.the I. John Amhulance DivI,>ion\ in Pil'>ea, E.,..,ex wcre told to mo\e on u'> once agLlln Ihelr preml'>e'> \/verc 10 be dcmolr..,hed for I urlher dcvelopment. Thi,> i'> acommon ,Iluallollior those work.lIlg and IIvmg In iltie\ eloplllent a!,ca and give,> all opponunlt} to <.,tan Iitcrall} lrom ground lew and plan lor the need,> lor a SI. John Headl/uancr,> In the 21<.,t CellIUr)

et oul hel()Vv are dct ,lIh 01 \ ,.trIOU'> ,tage'> \/vcre achlcvcd Thl'> lila; \\ell he 01 mlere,>1 to othcr,> \Iv ho arc placed In a ..,Imilar po,>itlon Alter the nOllce to l/LlIt and ror the nc\t '>i\ year" mecling" and con\ultatlon,> \\ere held to develop plan'> and Idea'> It wa deCided to 1I1CO'l1orate the need , 01 the outh E.., e\ Area of l. John to g ether Ilh those 01 thc ItKal DI\I'>lon'> \\cre dra\\n up h} a IDeal archite c Im orporatlng allthe e need,> and III IlJX8 were appn)\ed b\ the Local AUlhorIt). -

A cenlral Ite In PIt'>ea oflcred b} the uthol'll) on a 25 year lea"le. Ihe \\ a'> an e)e\ore. helllg u'>cd Ll'> a local rubbl'.h dump l. Johll LannO\\ he ,>cento hL!\ e conlrIhuted to local em lI'Onlllenwll..,sue,>

The total co"t Ollhc huIldlng and contenl,> \\ a, e"tllllaLed at £ 115 000 Wilh upPOI1 by the laic harnnan oj' the outh E,>,>e\ ,'>OClalion and the Ed\\ Ina 1\1ountbatlcn Fund a huIldlng fund wa.., '>et up under the chalmlLln hlp 01 the Are.1 COlllflli",>ioner. 1r. Ocnni Parker. Onc orLhe major lunding proJech orlcred ..,upp0rlcr" the chance to purcha'ie a named or C0Il1111ClllOr,lll\e plaque to hc Il\ed to a hrid in Ihe entrance hall OYer ..j.()() plaquc,> \\ ere purchJ'>ed ( \('{' pic Ill/'{')

On Ihc 2lJth 1m emher Il)l)() 10110\\ mg nUlllcrou.., rele,> , auctions. competition,>. dl'co·,>. '>poIN)r,>hlp'> etc EIII'> Lad) Wltmorc D St.1 lilted the lir'>t turl and the building wa,> '>laned Some 12 fllonth,> latu the hUlldlng \\.1'> completed and on the Sth FebruaI) IlJl)2 The Grand PnOI.II.R H. The Duke orGlouce'>ter. opencd the nell huIldlng

From the rubble tlrthe old PIl'>ea IIQ ha,> dc\eloped a purposc-built ouIldlllg \\hleh prm Ide thc foIlO\\lng

An Area Headquarter,> \\ Ithll1 15 minutc,> reach of all the t John 01\ 1\lon,> \\ Ilhlll Quth E..,..,c\ , Prellli,>e\ approved 0) the H E 1'01 FIN Aid Tralnlll'1 /:"

• Ortice Accommodation for Area taff.

• Headquaner" ror The Pibea Ambulance. Cadet Di, I"ion" and Badgef'>. A large garagc ror an emergenc) ambulance.

• An emergenc) central radio base.

• \ ehlcle park.lng pace

• n enOnllOU'i roof space for torage and future de\'elopmenl. Ground ..,pace for a building e\Len,>ion.

• Le,>s - able acce,>., and facilities

• A large meellng hall for SI. John and Communit\ FuncLion'> A \ er"alrie k.itchen J'

• Oflice accommodation Ihe ideal building was a minor problem compared to those 0'. ocatlng a site. obLaLlling the nece,>,>al) planning pennision and ral'>lllg Ihe necc sal) tinance. In the proce..,,, of 0\ ercoming Lhe'ie problem.., the or t. John ha\ e all become \ el) 111 a prOject ofthl nature and are \\ illing to hare theire\perience \\ Ilh other memher,>

22 year,> or ICC 10 Ihe St John mbulancc III Addle LOne. their \\ a,> prcselllcd to the Bnll",h Illbulance Pre eJ'\ atlon ocict, on_l"tAprIlattheDI\hlonaI II Qh) theAreaPuhlicDut) nicer. Smuh The ambulance acceptcd h) BAP haim1an I lchael NCVvboid and \ccreLar) Roger Leonard and \\ III r01ll1 part nr the future nallonal amhulance I11U'>CUI11 \\ hlch B P hope to e'>tahli"h ill orrolk. B The lllbulance ,till retain", It'> onglllal hlack and \\ hite li\ el'\ ,Ind lAP ha" agrecd to relalnlng ddle'>LOne Oi\ !'>Ion',> naille on Ihc- "Ide I I \'\'1!lno\\ be attcndlllg \ image \ehlcle rLlllie.., throu!!houlthc coulltn. tlC 111''>1)1 1 ' 1 II Wi \0\ lill \\ 1 be the atloll,Il Ambulance Rail) at Whip"nade Id Anll11al Park. In , eptc1l1ber

011 a B chas..,I'> \\ Ilh a 2200cc englnc the \ ehlclc \\ a.., co,lchbuilt b) Wadhalll tringer Ltd at II" V\; LlterloO\ II Ie \\ ork" 111,1 \\ 1\ onc oj I ' I· " , B t 1e Type LD III .., 10 bc produced. and the 10 he rini..,hed III lack and While. k" Addle\tone i.., at prc:-,cnt fund - ral"lIlg ror a nt'\\ al11bulancc, but \\ere cen 10 IC , t I 11' t lep 11C 0 er 01 pre<,ervlllg Ihelr old one. rather than "et.: It Unled Into '1 b 'I I b D " W ,mo Ie OOt ar 1\ l"'IOlh 11'0111 herhe\. Woodhalll and eybl'1d n e '11'" I • caVe' I:' e cUllent) le plllg to prO\ Ide CO\ cr at c\cn!'> nOl111all\ led b) Addle..,tone •

\\ orld II

VINTAGE

NEW RADIO CHANNELS FORST JOHN

MORE VERSATILE. You may not know that following negot iat ions w ith the Licenc i ng Authority, extra channe ls a re now availab le to St. John Ambulance . lead ing suppl ier of ICOM equ ipment to St. John we are p leased to announce our retun i ng service to i nclude these channels on your ex i st i ng high-band radios

We offer this serv ice f or most makes so call our Hotl ine n o w on 071-252 1849 fo r ou r la test information pack

CHEAP TO RUN. ICOM 2 - way rad i o has proved to be the most popular and cost-effective mobile system for St John Ambulance . ICOM is used exclusively by London District to give excellent low cost communications and help make the most

of their budget . If you would .Iike your division to save money get In touch with us today!

S

Dev ot ees of th e m e tropoli s s hould not re ad thi s articl e

A\ we \Iepped tlm\ n lrom the lrain at Waterloo ,>lallon :> ou could Il1lmedlatel) teillhat you were in London: you could lell because lhere were men \\ ,II I-. IIlg ,Iround \\ Ilh bndCl.l"e" and mobile telephone hcGlu"e or the high n\e orflce" a" ) ou approached the "tat Ion and or Cllur"e. beGlu"e Ihere \1.1'> \\ ILl.' a-. much IIl1er a" rrom \0\ here I had come from. \\ e arc not II tterhu g'> a\ much as the people 111 and around London Thc plalform \1 en: rull 01 people and there \0\ <1" acid. chili) \\ ind around The actual "1.lllon It\ell full of ..,mall "hop'- ..,elllllg magaIlnC\. ,,\\eet and a lOUple or burret and rc'>taurant e\\.':1) bod) riled 10 go on to the e"calator 10 go do\o\ n to th e underground.4ullea Ie\\ people reel..,ld at the sightorthe angle at \\ hich you are tral e1l1ng. \\ hi Ie you hold on to Ihe handrail '>0 tighl becau..,e you arc pelnlied it )OU beglll In get an II1tense ..,mell or dead earth and a OlUr").IllO,>,» "mell. Putting them altogether derinltel) Ir1crease.., Ihe po "blill) or "'omeone belllg "ICI-. When) ou hal I.' galiled ) our leet agam ) Oll \\ all-. through .1 male of L'omuor \ce IIlg Irall1ps people busl-.ll1g and a nOlice abt)\ I.' them "a) ing there 1\ a £200 fine I' the) arc caught \\ hen doing '0o When )l u go out onto Ihe plmrOml ) ou can ee Ihe rail" lined \-1 ilh thlel-. blucl-. grea"e. enough to ma"e anyone \oll1il. irlhe) hadn'l alread).

Whde you land there. \\ ilting ror IhL ne'\llrain tube 10 alTi\ e il can often be 4ulte inlere"lIng : Ihe place seems 10 be a Ihm ing P0ll11 ror 1m er\ and mOlher,> the one" \\ Ilh the \'el) loud and annoy II1g \ nice ) The amounl of:> oung 100er" kls'-lI1g and mOL her" yelling i" a rnghllo an) one you or me \\ ho doe"n't reall) undcrSland the underground S) "Iem I'el) well.

You can tell \\ hen Ihe nc\1 lube I" eOlllll1g because Ihere I" a "uddLn gUsh or II ind and 1I laroe rllllie and Ihe deatl. earth\ "Illell ..,trengthens again. and a,> ifb) a lube is Ihere While salon-the lube. apa;t rrom around lil-.e a oad or 1110nl-.e)\.el cry bod) \0\ a, \(<ll'Ing alme. as il had done "omethlng \Hong In fact. they were staring al me bec:1u'>e I had m) l. John mbulance UlllrOrm on.

While 1\ e made our \\ <I) 10 thL l. John mbulance Headquarter" could smell the din). polluted air. Ithough II \\ <1" nice to be lip from the depths of Ihe ground It I\a"n't clean <III'

As We an;\ ed at' H eadquarter". the hole place 1\ as al"o L'ro\\ded people and pac I-. " or "Band id" pla..,ters It \\ as nice to ,>mell the ofrreshl) made collee. The \\ hole H eadquarter, \\'a 1'1111 of people. JUst li"e me. just a:- L'u1\iou" as me. and just a worried as \I lb. I\eeting Ihe Prinee:-s 'R oyal is not something I (io el eryda). Thanl-. heal ens!!

As \lie all proceeded into a great big conrerence room there it seemed as if we \\ere all pacl-.ed in in a can. The J'celing In the room al Ihal time wa one or rear bUI also e\citel11ent. ,,\I I.' boarded the

coaches the fear "eemed to have lefl u\. butlhe e\ci lem e m had imen 1lied. e'ven more

When we approached Bucl-.ingham Palac e m) slomach lumed ,>olller,ault and m) I-.nee into Jell). '> \\elo\o\l) up the red carpet It 1'1.' It a If) ou \\ ere \\ al I-.lIlg on ,>oft as \\ i th evel) tep ) ou tool-. .) ou ,>omeho\', "eemed to lose it 111 the thlcl-. soft pile. A you \\ all-.ed 111 to the Pala ce there \\ a no nOI\e to be heard. except for a vel) youngih1001-.111& bUller. \\ hose '>hoes were so polihed rhe) squeak.ed The main hall \0 e\ten..,l\e and magnificent.

There \\ere painlings hung all around and gold and \0\ hite colour paintl\orl-.. The ceiling \\a prett) and full or colour, gold. "iller and melallic colours. There was a large '>tairca,>e \\ ilh t\\O ides to it. II ilh a deep mahogany handrail cal'\.ed mo t beautifull) II nh tlower I ran up the tair'> \.\ ith "uch a broad smile on

breadcrtlmb-coat d scampi and other tast). tempting hand-food The ' ound ofhapp) acleh and Ihe cl in"-ing ofglases. made me reall) happ) 10 hear. The Prlnce'>s herself\.\ as vel) small. but an e\ceedingly nice person Her \oice was - \\1.'11

DOYAL NATIONAL HOTEL

Keeping the woodlice at

The Pre ident ' Conference took place at the Royal National Hotel, London on Wedne day 6th May 1992. One hundred and eventy County and Divi siona l President wen:' li ted on the delegates Ii t. The Conference la ted from 10.30 until 3.55 and incorporated 19 peaker.

No one spo ke for longer than twent y minute , and the overwhelming impre sion -let 's say it now, and di spe l any lingering impre ion that Pre idents are no more than beni g n but impractical observer of event was one of ingular efficiency and purpo se

The Chief Pres id en t , Lady Eli.wbeth God sa l , began by tellin g the delegates why they were th er e - "As a thankyou for all you have done, and to m ake yo u feel part of th e large family of St. John ". Accordingly, th e be s part of th e day was d evo ted to mappin g out exac tl y where St. John Ambul ance stand s toda y.

Making a Prophet

Dr. Pet er Galloway, Deputy Direc tor-General of th e St. John Ambulance As..,ociation, be ga n the proceedin gs by spurnin g 14 5 John World Jul y 1992

the role of chroniclcr or hi'>torian or thc A,;,;ociation \ IXI';t ("although an) national that hu,; been in c\istencc for IS year'; hu,; clearl; got ..,omethll1g right!") and opted instead for thc role of prophct.

The Health and afet) Rcgulation,;ctc 19 8 1 ha" fOl1l1ed the bad. bone of thc FiN id at Worl--. cour,;e olTered b) the ';"'OCIU tion, and 700,000 people ha\ e qualified in it since it.., inceptIon in 1982. But, counselled Dr. Gallov"a). "although it ha" been a great ..,ucce,;,;. v.e cannot regard It a,; etel1lal".

Materialll1thecour,;e ha,;dated .ed ucational techniques have changed. thc requirements of ..,tudenh have changed anc! (perhaps not lea..,t) the cour'>e ha.., been v.. idel) copied by competitor,;.

And ';0 to the future. In 1993 the ,>uccessor to the FA W cou r..,c will appca r. a modular cour<.,e compri..,ing of a bu..,ic lifc ..,upport module and 'add-on' clement.., to tailor each cour'ie to indi idual demand..,. [t s e n visaged that the cour..,e will be olTered throu gh countrywide Regional Bu siness Centre.., th at would be starled by a full time individual with a marketing background. A 'bold pricing wa.., promised to produce more fund.., for the and a pilot scheme had been ..,et up in Surrey and Su..,sex la..,t utumn.

"The market" Dr. Galloway pointed out, "is a predatory place We have the l arges t sta ll in th e market at present, and I assure you all we intend to I--.cep it th at way."

Myni Tilley was th e ncxt speaker and,

lhe life or a Illonl--..

I\s he remarked, the edict of lioll in the 16th entury left a gap in people\ understanding of what Illonl--..., actually do. Walter Scott novel... and a record entitled ' In a Mona..,tery Jarden rormed the ha,>i.., or \llO,;t people\ under..,tancling. with the rc..,ult that "people cOllldlll1agine angelic lllonb and diabolic monk.." but a monk who wa.., an ordinary human being never entered their he<1lb!"

Vic Allen reports 011 the Presidellts ' Conference held ;11 London last May.

a 1m \enor re'-ou:nt\,recelltiyappolllted PubllUHlon,> 1\ 1,I11.1ger. III h,I'> .Ibo heel' inlluenclng thc luturc. 011 her apptl Iltl1lCllt \\ ,1'-0 grectcd by "a gr,llld .lrr.I Y nl publIcatIon.., \\ Ith an cquall) ill1pn:..,..,I\c .Ina! or '>t\ Ie,,". A.., readcr" \\ ho h.l\ C "'CCIl Aid LCdllct or thc nc\\ FiN \Id il;thc -Jarden kallct \\ III 1--.110\\.thl\l1a' no\\ bccn ..,\ nthe..,i,>ecl Into d nc\\ t John \mhulancc' hOll'>c\l\ k ,I bmad '>tripc tl/ thc right or pub icat I;)n'> \\ th the logo ,It the top. Colour L'Otllng (plnl--. I'or thc \1cdI GI Depal1lllCIll. Jrc y I or thc Brigade Cll \\ hlch al\\ <1\" lamc un..,tllcl--. \\ hcn doL'u mcnt" \\ crc' photocoplcd 11<1.., aho hcen di,>pcn..,ed \\ ith chool.., ProJcct ianager. PIa utclilTe. ne\t carried home the elTcctl\ cnc..,.., tll I. John mhulance\ Threc 1'0'>'> r\\\ard cheme in the bc'>t po,>,>ihlc \\ LI) - h) hIghlIghting the achlc\ CIllCllt'; of three illtil\ icluab who helpcd ,>avc li\ e"'. ., l. John recogni..,e the illlponance 01 the by..,tander in an cmcrgcnC)." he COIlcluded. "Wc are doing our utlllmt toen\ure that the b) ..,tander ha.., alv. a).., been Fir,l Aid traincd in ..,chool..,."

eepin J the hlbit

At a merc twent) Illlnute..,. the 1'0110\\ ing "peech by the Rt. Rev. Father Leo 01 Buckl'ast Abbey, was thc longc"t 01 th.e onference. Father Leo i'> al<;o the Pre\/.dent or BucUastlcigh Divi..,ion and 01fered hoth an arr e'>tingly v..ell-inro rJ11ed hi<.,tory or l. John and the tradition, and an en tertaining insight Into

Thc BenedictIne Order ha.., hi..,torical tic.., v.. ith Thc Order or t. John. alth ough Father Leo bccame involved arter joining the ivil Ocl'ence Organi..,ation during World War 2. c\ entually .JoinIng the Buckra..,tlclgh Di\ i..,lon and hccomingArea CO\1l\1li..,,,ioner. lie bccamc Pre,;iclcnt arter becoming bbot or Bucl--.fa..,t Abbe}. v.. hen lhe dutie.., involved mcant he had to re,;ign Irlllll thc Brigade Thi" a" done Vv th more than a f'cv.. regreh, a,> he remarl--.ed: t. John r\mhulance ..,tlll ha" a great pal1 to pia) In a and ..,elll..,h '.\orld ·

The Chn tian mc..,,,agc al..,o e\ident in the nc\t "'pcech h) Peter Mar..,halL a retired ..,chool teachcr rrom ambridge, \\hoha,> Voorked tirele..,..,I) lorthe l.John Orhthalmic J o"'pital..,ince \ i..,llIngJcrilho ill Il)X2. Il crc it \\ a.., that hc camc acro'>.., a hlllld old man. I) ing in a ditch \\ ith no food and no \"atcl It could hd\e been the ..,tllne "'pot that 2.()()() ) car.., ago hri"l cured of hi., hllnunc,>., Peter Mar..,hall relatetl",ollle heart-..,topping talc.., to III u..,trate 1m argument that. in ei'i'ect.mi rac!c.., are ..,ti II being \\ orl--.cd at the 0rhthalmlc Ilo...rital a.., peorlc find their SIght re..,torcd to them in onl) a I'e" day '>. "'V e ..,hould bc \ cry proud or that building and that the Ilag I.., ..,lIlI 11) II1g therc It remind.., the Pale..,tllllan pcoplc thut the \\orld ha.., not lorgotten thcm and that hatred i" not the onl) \\ ay to change thing.., '

I (,"l( 'I g he " v The ne\t gue"t '>rcal--.cr \\ a,> Ilulllph rcy Walter'i. md of thc MA T Organi"ation. \\ho gme a highl) penincnt t: t11--. on the ljualltic.., 01 leader..,hlp. I-Ie perpercd thi.., \\ith a numhcr or anecdote..,. including the taleot'Bill Lear. v. ho..,ct upa pre..,.., recertion todemolNratc hov" thc cocl--.pit \\ indo\\ of the Lear Jet v. <.\.., de..,ll!ncd to v\ Ilh..,tand a bird ..,tril--.e during flight. To simulate the even t, a ..,upermarkct chicl--.cll l oaded into a cannon and fired at thc \\ indo" and to gre,lt con'itemation sllla..,hcd ,;t ra ght through the anc.! buried it"elr in back of the i'u<.,elage. It \\:.h di,>covered al'terv. arc'" that thc chicl--.cn hac.hti II been fro/en. Quite ho\\/ this related to leallc! ..,hip wasn't clcar - hut it a good SIOry!

Mr. W alt ers outlined thc kc) 01 a good leader. prcl acing hi.., rClllarl--.s Vrlth the "Ma l--. c no Illiqal--.e. pe.oPlc 1001--. up to you ror leader..,hip When thIS h'lp) I I en.., to u.., It I.., a wa) -. a ..,UI"pI'I"'c

AirVicc-Mar<.,hal A.F. llunt er, ommander Briti..,h Forces Cypru,;, gave the la ..,t "'peech of' the morning, devoted to the activities orthe ounty Branch of St. John Ambulance which i.., operated by the Briti..,h armed rorce" in Cypru..,. H erc the ta..,1--. of training in hr.,t Aid ha., alv. ay.., be en pur..,ued ardently - to an audience that has included tOllri'>ls, visiting ..,eamen ane! even emigree.., rrom Kuwait during the Gulf War. By contnl..,t publ ic duties have hi..,toricall) been Ie..,.., "ignificant, although the activitlc", or the Dhekelia Divi..,ion have begun to change that - la..,t ) ear it carried out 3,000 public duty hour.., and dealt with 250 ca..,ualtic..,. A ..,eeone! Divi..,ion ha.., nov. been rornled on the i..,land ore )pheteer'ng

Alter lunch Ian Moody. the ommis<.,ionerin -C hief'. pre..,e11l ed a picture of how St. John mbulance might look in the year 2()()O. a.., It coped v..ith a change In national demographic.., and the in Iluence of Europe. Thl.., v. a thoughtful ..,peech. co\ ering con tent I u.., i..,..,lIe ..,lIch a..,: Should t. John member.., be paid? (Ansv..er- "J believe that \\ e ..,hould be and will be predominantly a \olunteer bod) "): hould the need for an F W ce rtificate he reviewed? (An<,\\er"We mu'>t be prepared for the lil--.elihood that the Go\ernment mightmal--.e the FiN id ertificate mandatory for an) one undertak.ing Fir<.,t id"): nd. \\ hat could be done ahout the grov.. ing tendenC) to\\ ard litigation \\ here FiN id \\ a.., not I,ucce..,ful? ( n..,wer - "So long a.., we I--.no\\ v..hat we 're doing and we do it properl) there i.., ab..,olutel) no need for u ro v..OIT) .").

11'. iood) pre aged the growth of are in the Communit): "a closer and clo..,er dra\\ ing together between the ,>0ciation and the Brigade". and even ugge"ted that one da). "We MAY become the offiCIal to the profe..,..,ional ambulance ';ervicc,; ".

Thc E\ccutive Director, Tim Gau\ ain. ne\t outlined the plans for thc upcoming a\e a Lire' campaign. commencing \\ ith the c';timate that or the 100,000 case.., of card lac arrc..,h each) ear 30.00 ) Ii e \\er capableofbeing 10.c ) actuall) v. ere.

"We ha\ e a dut). or ohligation e\ en. to "'pread the \\ord that an) one can -.a\ e the life ora citi/en u..,ing rhe ..,I--.ill. that \\c can teach."

Thc a Life' campaign \\ill be launched 111 the carl) pan or larch ne\t year and t. John World \\ ill CarT) more detaib in an upcoming is'>ue.

t thi.., point delegate,> to allent ion II. R. 1-1. The Pri nce..,,, Margaret arri\cd. ha\ ing "pcnt th e moming at the Opcning or Parliament.

II' Ali"tair Grant. Chailll1an of the rg) II GrollI'. th e to \\ c1comc the Ro al Gue"t. and gave an \ ie\\ or thc t. John / are\\ a) I'ro m

the ·othenide'. A,; he pointed out. prollt i,; th e mea..,ure or any company '<, but there were other objecti I n the ca..,e of Safeway, the corporate mi..,..,ion ..,talement re4uired store" to participate in theircounties and to be recogni..,ed as good neighThi,> wa<., the basi.., of Safe\\a) \ involvement with t. John. and perhap.., the most telling achievement wa,> in the catalogue of monies rai..,ed l'or St. John than the fact that Safeway ..,taff had heen able to "ave lives them elve<., a'> a result or their involvement with Fir<,[ Aid. Reader,> will be familiar with the content of the next three County Liai..,on Oflicer, Barbara Ra) ner. headed up a lively pre..,entation of the achievements or the OTY J campaign; Cadet Development Officer. Susan Yau and Badger Development Officer, Alexandra Stricl--.. recorded the activitie<; of the St. John }oULh v..ing<;: v..hile the ur ing Director (Community Care), Om. id obb outlined the progre s made in the field of Care in the Community.

nother Te ' Arrival

The Lord Prior, Lord .gave acharacteri'>ticall) <,peech on the role of the Order of St. John - all the more impre'>'ii\e ..,ince his v. ife had pre ented him v..i[h a nev.. daughter on [he da} of the Conference. Lord e te) had alo ju t returned from the Ophthalmic Ho pital in Jerualem and told the tOl) of ho\\ la t Chritma oldier chaed a group often year old Pale..,tinian girb \\ ho had been thro\\ ing tone:, at them into the ho pital The) then lobbed a tear grenade into the ho pital it. elf. 0 \\.onderthat he added the remarl--.: "fund-rai,>ing b) Pre ident for the Ho..,pital especiall) helpful - in fact, it's \ iuli".

Dr. .J.Blo\\er.., in hi role Acting Chief Commander. ga\e a short peech on the that has been made in tightening linb bem 'ee n the and the Brigade and the "e\citemem and enthusiasm" thar prevail at H eadquaJ1er.., over thi de\elopmenL

Lady Elizabeth apped off a hugel) da) \\ ith a peech on the role r th Pre idem. The non-e\ecuti\e of a Pre ident often mans that their role Nood - are th interfeling bu<;) -bodie or the p t merely a ..,inecure?! s Lady EI i;aheth recounted the: are - hopefull) - neither. and ha\e an in\ aluahle role ill fund-rai..,ing. in de\eloping ne\\ ideLh. in arbitrating during di..,pute.., and ill day-to-da) morale. t one point Lad) Eli7abeth '>ugge'>ted that \\ ithout conrinued igilance t. John Halb up and do\\ n the countr: \\ollid come to be populated b) \\ oodlice! On the of both thc organi arion or thi'> particular onrerence and on the cOlllmitment ho\\ n by th the \\ oodlice hm en't got .1 chance July 1992 St .John" orld 15

Gary Cooper reviews the involvement of the St. John Ambulance Brigade with the U.K.'s theme parks

Picture: Sutcliffe Leisure estimate that this huge slid e wi ll take a flow throu gh of over 2,000 people an hOLIf.

We've come a lon g way from th e day when the word ' holiday' was fir t coined, In tho e time ' it meant just the Sabbath, the holy day when all work was usp nded under th e tenns of that original Social hapter ', the Fourth Commandment. Life wasn't all hard gr ind in the pa s t, of cour e, The proliferation of c untle ss Saints' Day s kept our agricultural forebear s more than amply provided with tim e to s pend in th e ir local ale

Contrary to received opinion, there were eve n under th e grim purit an sm of th e ear l y 19 th th e 'day out' was well e nou g h known in E n gl and for th e provision or spec a excursion train s to be common practice by as ear l y 1867! But serious' eis ure' is, su r el y, one or the g rea t 20 th Century inventions, and one

lon ger the cae..,e.

Do cs mean that S t. Joh n really has no role within the moclern theme park or leisure cen tre'? According to Derek Fenton, th e recently ret ired cOll1mander of' London (princc of' Walee.., \) Di'>trict, and now St. John"" national ror football gro unde.., Ih at i'> .iu"t about the ca'>c

"The problem with leI'>ure and thcme from St. John\ poin t ofvicw, i'> that what u ed to be a wcekend activity ha'> now become a e..,even-day-a-wcch. operation. Thi'> ha'> meant th at mo"t of the major park'> have tah.en on their own Fir.,t Aid - al-

though there i'> no mandator) comideration in rcnard to FiN Aid at theme

In th e ca"e or major theme park '>, ,>uch a'> probabl) the be'>l 10..110\\ 11 or them all - lIOn Tov. er" In StafTord"hirc, the pro\ iof Fir'>t lei i,>, how-

and we f'clt the y were placing more and more upon ue..,. Members f'elt that thie.., wasn't the way they wanted to e..,pend th eir free time.

"We felt lhat they wanted ue.., cloe..,eted away in a FiN Aid room. an undcrstairs ype job, and they wanted to bring people to uS,"O that ifsomeone had a fracture on the other "iele of the parh., for example, they preferred to put them in a security car and bring them to us , ratherthan to have ue.., '>een to go out and get them. They aho didn't want people to v. alk around in their uni-

requirement'> of th e I !ealth and Safet) at Work egi"lation. Whil.,t thi'> might not neces.,arily bc 'a bad thin g', it hae.., lO be bOllle in mind that thc'> e people have other job" to attend to. They are not fulltirne Fir.,t Aiders, and it I" reasonable to a.,,,ume Lhat they are not as experienced ae" for examp le, either a team ,>upplied by Sl. John , or a qualified nur"e. Obviously, any theme park or leisure centre. however '>mall, has to be I icene..,ed b) a local aUlhorit, and it is reasonable to a.,sume that the se bodie.., are going to Include questions about the provision of FiN Aid \\hen the)

16 t John Wor ld Jul y 1992

fo Ill' '> oUhide. I tv. a"n 't \\ hat our membere.., v.anted to do. t World or dventure though. \\e have a FiN ider v.ho is on their '>tafTduring the weeh., and \\e cover it \\ ith volunteers at rhe weekend, tv. 0 on aturda) and tv.o on unda) and \\e\e CO\ ered that ror many year.., - lhat ,>eem., to go along \\ ith ut any problem,,'"

On the qu 'Ition ofv"hether there really I'> a role for St. John at theme park in general. B )b reels there is - but v. ith ome ion'>.

which ha'l "pa\\ ned an indu"tr) to cater tor it. epitomi"t.:d b) the modern theme rark

While foreign holiday" are, ror the Illajori t) , the ma n breah. from' \\ age,> lene\} '. th e trend 'Iince Ihe I <J50" ror three, rOllranJ (for 'lome) even more v,ee\"'-" t\\\a) from work ha'l led to a population which no longer ha,> only an oCClI'lional weekend to '>pend at Margate or Morecamhe Lei"lIre is now a rull - time bu,>inc.,s.a take theircu tomar) twO \\eeh.siO pain and '>pend much or the re"t of theIr free time wandering th e country '>pendll1g a day here, a day there. Weeh.cnd,> arc the p ah. orcour'>e, but the changcll1 th e pattern or our hoi iday,> means Ihal wee h.da y,> are now bu,>ier than evercia ll y when the ,>hine".

WhathasthislOdowith

a l ot, a'> it happen'>, and it i.., lih.ely to mean evcn more as the pattern or national hoh and timc continue) to devclop. The ract is that we no\\ no onger tak e our holiday a the samc Traditionally , th c peak demand fOI 111 or First Aid cover a t events \lill at the weekend, when St. John volunteef\ were free t o This is increasingl) .110

"It was getting increasingly difficult to cover it every weekend throughout the season and we felt they were placing more and more restrictions upon llS. M enlbersfelt that this wasn't the way they wanted to spend their free time." are mah..ing their assesments. But there is. as yet. no nationall) agreed .,tandard it appears. The <;ubject does not come under the control of the H .S.E. and it is even pos<,ible Ihat there is no,>ingle bod) collecting and '>tud) ing the tati"tic !) for accident at thee..,e venue,>. ever. e\tcn,>i\e, Brian Ward, their Director or Securit) e\plallb. tour o\\n medical department here lIe han? threc doctor,> on lind qualifIed R J '> on dut), plu.., all the modelll e4uipll1cnt. Thcn \\.e ha\ e "omcthing like 120 mcmbcr,> of '>tafT. at Iea'>t. \\ ho are FiN .\Id qualiried. In additIon. wc u'>e t. John for '>pecIaI ('\cnt'> <I'> a backup - \\e're ha\ ing them herc ror one \\cekend thi'> l1lollthlocO\eraRadio nce\cnl.andthen for a Jame'> concen on 4th July We do al'>o usc. l. John a" a bach.uj1 011 a aturda) and SUlllia) , <1'> and \\<hen the) 're rrce." or cour,>e, Alton Tower" i'> \ ery much ,1\ Ihe leading edge or the theme parh. bu inc,>" III the K., but thc role lhere ror t. John. Ll" an ancillar) to a major \enue\ 0\\\1 hr"l id prO\ i,>ion. i'> ccrti-lInl) logIcal ,1Ild point'> the directIon ror the ruture. It would be a Illi'>tah.e, hoV\e\er. t o a\S1ll11e that all "uch relation,>hip'> bel\\cen t. John theme park" arc 0 u,>erull) s)lllbiOlic. Bob Hulton ount dminitratorror t.John In un'ey, ha'>e\perience of t\\O ill\ 01 vement'> - one oood at Ches'>ington World or (1\ one le'>s \0. at Tho'l)e Park

"Theme par\"'-" arc a difTicult area because Ihey're not co ered by the health and safe ty legislation - th ere"" no '>tatuto!'\ obligation for them to pro ide Fir"t id although thele i a moral obligation because of the amount or people th e) gct loge th er a a time and the amoun t of things Ihe) have in l elllls of 1ll0\ ing 'Aater or v. ild and \-\ hatever.

"We pro ided th e cover ror ThOll1e and ror hes ington Worlel orAdvenIllre. Thorpe Parh. we've covered it opened until thi s year. when \- c \\ ithdrew. !t Was gelting increasingly di rf'icultlo cover 1\ every weekend th roughou t the season

"There'" ob\ iou.,l) a role for ')omcone and it 'IUlh the,, __ people to perhaps h,]\e '>omeone paid during the \\eeh. and have '>omeone else doing it ar weekend. nd it cenainl) prO\ ide'> an intere ting \ ariet) of \\orh. rorollrmember'>, but Lhe) hme got to be treated right. The of people we attract into the organisation no\\ are repeople \\ ho enjo) quite a nice standard of living and they want to be treated like human being. The) are gi\ ing up their time and, \\ hile the organie..,arion i recei\ ing a donation. the member n't getling that, and the) \\ ant to be treated right."

Quite \\ hether th general public i::.. <-\\\are or the lega requirements for theme parI-..... to provide Fir"rA id COWl' - or. rather, th e apparent lack thereof - is anOlh r questi on altogether, and one \\ hich bears ::..ome con,>id ration. gi \ en, Bob Hutton ha pointed out. the inherently ri::.. k ) nature or sOllle or the ac ti\ ities undenaken at lllan) or the,>e place::.. Ind eed. one small th m park in the West oun try, which I con tac ted in th e proces::.. or writing thi::.. article. relies ent irely 011 th e "ervice,> or stafl members \\ ho have undergone '>ome Fin id train ingpresumabl) primLlri l yd 'signed t o rulfilthe

Whil t this not an is'>ue for St. John directl). it is one \\.hich. particularl) in the light of a groV\ ing general aVo arene'>s of the impor1ance of immediate medical care in emergencies, anyone might rea'>onabl) a _ k v. hether it is time for a hole to be plugged. It ma) be afe to as ume that man) local authoririe v.atch o\erthis area rea onabl), ie.., it safe to a sume the) all do'? 1eanv. hile. a _ far a Sr. John concerned. the organi<;ation' roleeem likel) to be further confined to the pro\ i"ion of Firt id CO\ er an addition to e\i ting full-time service

s Derek Fenton "Year ago. we \\ ere able to cover the Fe ti\ al of Britain in Baner. ea Par\...., becau e in thoe da) e.., we had plenty of \ olunteer and the thing ould be CO\ ered seven day s a \\ eek, 36':- da) '> a ) ear, but no\\ ada) in theme park and the like, the co\er i from people who ar employ d a Fin ider Thi really an area for t. John. \: hilt in the past it rna) have been canied out b) t. John, ommercialisation no\\ mean::.. the) are open e\ el) day and it': \ er) big bu. inc s. it ha,> no\\ had to be handed o\er to full time FiN Aider ." \\ ith theme park, such a 1. John undertake at lton To\\ er::.. and Chessington W orld of dventure. progressi\ely mo\ ing more to\\ ard .' providing e.\tended CO \ rat weekend and for pial eyenrs seem to be \ er) much the \\ a) forward - panicularl) \\ ith the changing nature of the .K. population's lei"ure acti\'iti s. But. bearing in mind Bob Hutt on's comment , it'sa \\ e!l t o be a\ are that it need to be a t\\O-\\<1) proces,, _ GaryCooper is a/reelallce jOllmalisl alld reglliarwriler/or SI.JoII" World.

July John \\ orld 17

Pullin the nwses

...

Antle Marie Barnard reports 011 a successfIlI recrnittnent drive at the Royal College of Nursing Congress ill Blackpoollast April.

It was a wet and windy week in Blackpool and, sadl y, the famou lights were not in action. Nonetheless the intrepid team from M e di ca l Department , National Headqu arte r , andthehardie tofLanca hire m e mber braved all to s pread the St. John me ss age at the Royal Colle ge of Nur ing 's annual Congre at th e Winter Garden s.

It was September 1991 when the idea of having a r ecr uitm en t stand at the bigge st nursi n g uni o n confe r ence was fir')t mooted

It wa decided that if St. John Ambu ance ne ed s R egiste r ed nur e. (w hi c h it does) then we sho uld boldly go o th at place where th e hi g hest co nce ntrati o n of the targe t gro up were t o be fo und. The origina l initiati ve ca m e firmly und er the new Community Ca re " umbre ll a" but r apid y !'. pread to includ e th e r o e of th e Uf ' in g Officer th e First Aid ur':>e and the Aeromedical att end ant

A new design of stand and promotional materi a was r equired to attrac t the registered nurse and for thi s we needed th e advic e of th e expe rt s - thu s th e Publi c Relation s d e part m ent became in vo l ved. A v ide o was co mmi ss i o ned from stud en t s a th e Po l y tec hni c of Ce ntra London M ed i a d e partm e nt - thi s co uld be made c heap y 18 St John World July 1992 and quick.I).

o n lInday morning!

Drivin g a Discovcr) vchicle load ed wi th l eallets. v id eos. and Ambu Lire key, \ e ..,e t oil to Congre..,..,. Thc Winter Jarden'> v. ere in c ha o'>.,\ tholl'>and workmen were hammerin g. mile, of blue carpet wcrc being unrolled (not red? th e) 0[-)\ iou..,l) hadn't bcen told \\ e wcre coming!) ha'>til) a,>I.,elllbled '>tand, werc being g iven coah 01 w hit e paint. It \\1.1.., an eye opener to thi'> nur..,e!

ll aving becn to the ongre..,,> heron? and having alv. ay.., admired hovy ..,111<.111 the c\hlbition roOIll vya.., I couldn't hclic\ c the uproar. lI thi'> \\a.., Spm on Sum"I) it coult.ln"t bc rcad) for Monda) could it? \\ (' \\ere not in c hao,> hO'v\c\ er. Our '>tand \\a<., ai, rC<.ld) '>ct up in gleaming to thc of our (.Ic'>lgn and production team. Wc unloaded !callct.., ..,et up thc \ Ideo admircd and photographed our home ror the nc\t k\\ day" and trooped 01"1. and hungry to our hotcl.

\Jonda) da\\ned.t\nothel blu'>tcr) <.1I1d brec/) day. Old \\ C carc. ot at all. The Ilr..,t 01 thc cnthu..,iLhtic and cncrgetic \01· untecr membcr.., from \ ariou,> Lanccl..,llIre Di\ ' i'>lon'> arri\ ed to help v.lth "manning the '>tand". I had bcen !"cIt. mo'>t throughoutthc rlanning ,>tagc.., that the bt'\t ad\crLl,>cll1cntror.l.Johnha,>tobethc" John -cr.., "them..,ehe". thl" rW\ cd 10 be thL ca..,c. The) "et to v.llh a \ Lnge,\I1Ce

A eatlet,> v. ere to be produccd to attract th e nur"e wc decided to idcn our recruitment even further and produce one to attract doctor,> too.

Many lon g an d arduou,> meeting.., \\ ere held, at which th e brighte"t and be t (and the rest! ) rac k ed their brain,> todecidc upon the magical ronmda v. hich 'Nould attract that busiest or creature the nur,> e. tl) '>pare '>ome of her precious l e i sure time

ing lIr"c and DOLlor !calleh into their bold" halkngc" eO\ er,>.

Wc v.erc e\cl ted. Thl" \\ a'> It. The frUItion 01 month" 01 rli.lnnlng anti \\ mi-- 0\\ it v. a,> to be put to thc tc"l. i'>ltor,> bcganto tri li--k into thec\hlbllion. Wc ,>et the \ Itlco Into glonoll..,. IllU\1 call) accompanlcd aCllon and clutching our leallet,> ,>et out to alTo'>t thc quarry he rCLlctlon

o upport St. John Wh ydopcoplejoin St. John'? It \., hard v.ork, it take,> over your life. you browbeat your friend,> and family into joining, you can never agree on the uni form e tc., etc Why, oh why. do peoplejoin St.J o hn ? "The challenge now awaits the Divisions, Areas and Counties to welcome these

lienee ofthme Ill<.lnni ng th e tand Overthe next 3 da y,> wc "'>ig ncd up " 150 nur'>c'>and di..,tributed ovcr 4()()O Ica kt,>.

Many cxi'> tin g S\. John Mcmher.., vi,>iled thc ,>land 10 '>a) how plea cd th ey werc to ,>ce thc organi'>ation rcprc'>cntcc.l and that tt \\a'> "abouttimc!"

We were al'>o vi'>itcd by pm'>lbly the \110-,t ralllou ,> '>pcaker at thc Congrc'> thi'> year (S(lt pIJo/ngrop/iJ v. ho, allractcd hy that fine fi gure of a man. Mr. D. obh.." "'pent a plca..,ant rcw mOlllcnh in conver.., llion The day" IX1,>,>ed. the ..,uppl) olleallets dv, imllctl. wc dreamed to the accompanimellt olthe \ Ideo ,>oundtraci-- and our fect c\er} e\ cn i ng, It \\ a'> allllladc \\ orth\\ h tic h) t hc grov. Il1g pi Ie 01 " 1 am II1tcrNcd" ,>llp", and thc '>Ight 01 '"Challengc" leallet,> clutchcd to each delegate"-, chc,>\. hnall}, on edllc,>da) e\clling tl v. a" time todl..,mantle the "tanc! (lhani--I ng hel\H'n once again lor thc ..,ight of <I beaming Gill ,1I1d (ieoll Streater) rc\\ Inti the \ ideo lor one la'ot tlille and \\ ,1\ e goodb) e to thc unim Iling mth Sea. [ he long Journe) hack to London awaited 1I" hut \\ chad onl) happy recollcclion.., 01 the I riend,> \\ c had met. hoth current Illcmber.., and (llOpdully) memher,>to-be. and the ,>utl..,ltlctlon or a job \\ell clone.

It I" no\\ mCI to you! rhc challenge 110\\ <1\\ ,11 h the 01 \ 1'>1011'>, [ \rc,I'> and CountiC'" to \\eicol11e the..,c IIl'\\ rccruI t'>. to uttll..,e their rmk "Ional I-.nO\\ ledge and c'pcrtl"e l(l further the \\ ork 01 l. John. be it in folr'>t \Id in thc comlllunlt) or III \C rtll1l cd Ica I.

Busi

Casting aspersions to the wind, VicAllen reports on the C0111missioner's Symposium held near Derby at the end of April.

PS \ huge thank. \OU IllLht gO I rom e\ enone 111\ t;" ed .It "'atlonal Ileadqudl1er,> io tht' rolhm Ing Illembcr,,: \lr". Catherine Blackedne \lr Bcn Bnuholl'>e \11'>" i\1a; garetBlIcl-. \Ir-,. Katherinc larl-.'>on \Ir, Dickln..,on \Ir'>. Ma\ Chandl \Ir.." Ma; garc t Golder \Ir. MIChael Ilu ohe.., \lr. Graham d-Brandnck \11.., .., ina Mar'>t, 1acLennan

Ir Anile MUl11hy

Mr\. Ka) C\\ ton

Mr\. Janet Pratt

Mr-,. Katherine RobilN1n

Mr\. andrn Ron..,on

I t I.., putt Ing JIl ' job on the Ime. but I enture to ,>uggc'>t that the Director of Cadet and Training ah\,IY'" did look a lillie III-.e the cat thaL got Illore lream than \\"h good for Iland the olllmi'>"loner'>' ) mpo"iulll Jim Bond re",cl1lbled nothing "'0 much a.., the cat thtll Inherited a The Olllflli'>'>loner.., of three vear'> ago. apparentl). \ oted unanimoll I) a-gam'>t The idea of their Conference tretching mer a \\ edend: no\\ Iwre the) \\cre t:6 deleg lte ,reprc cntlll,:! \ , countie,» at a \JJ/pm/1I1l1 that ,>tretched mer a \\ eekend. Hardl) ,>urpn..,lllg that \lr Bond \\elcomed 1m guc,>t'> \\ ith th eonlldent i.llh Ice to '"Think Po..,ltl\el).thllll-. openl) abollt..,oluLion.., Put all the lu ggage aboll \\ h) thing.., go \\fong to one ,>ide".

find )our..,elf in 'Yello\\ Group' (the one that goe.., rock climbing): 'Red Group' (the one that do\\ n to the off-licence tor mineral \\ater). or 'Blue Group' (the olle that ha::. to recite the Lord" Pra\er back\\ ard.., \\ hi Ie eati ng a packet cracker'> \\ ithout drinking an) thing) -de{J£,lldlllt! Oil lI'hi£h \011 choose r ah\ a) '> get the cream rader<;: hence Ill) paranoia.

B y F rid ay 24 Apri a ll was ready and prepared. Whi c h wa,> ju'> t a<., we ll as thc

St. John hac.! an Aeromcdical crviec lor example, th e re was a ot of intcrc'>t in thi,!

01 our profc,"Ional audience \\a.., o\er\\helnl ing. There \\<.\\ a huge amount 01 Illtere,>l. enthu,i a..,m. and aIII a/c· ment about the range 01 Ull dertal-.en by l. John m ember" Thc..,e re gil., ter ed nur'>c'>. ,>ome \,ith man\ car.., ofe'new recruits, to utilise their professional knowledge and expertise to further the work of St. John, be it in Fir tAid, in the community or in " ltoffers <lchal- Aeromedical. " len ge ,. - the voice of the dedicated membercut through th e discussion " You dothin g'> you wou ldn t n orma ll y do ", " It '> tr c tche'> you", " It \.,.!ill7". Challenge - th at was th e word we dec id ed on. That wa<; the th eme or th e ,>Land: A Challenge 10 a ll R egi \lered Nllrses.

ndrea Whittal-.cr \1r\, Tracy William"

Long h our,> were c haltin g to the audience about th c range and depth (11 activitie,> that cou ld be performed b) 1

John m e mber.., Wc werc oftcn the mO SI crowded ,>wnd in our area and th i.., \\<11 large l y to do with the vivacity and ellul-

M ed i ca Department convoy wa.., leavin g in the health care lielt!. had no idea th;lt

pp , I f your co unt) \\ ould like a COP\ 01" the "Cha ll enge" vi deo produced for "thi.., eve nt, and ..,UPPOI1 ing lealkts. pbl"e conA ll en at at ionalll eadquarters.

you ,\I e Int crc.., tcd III bOITO\\ Illg the Chaenge 't'l I I I ,11( ", or ale. InQ recrultmcnt at a hrg 'e Ollll ) event a so con tact Linda t\lI en to negotiate thi '> facili t y.

ll'> apo..,ta,,). orcour"e. but I am deepl) "u'>piciou"ofam thingorgani"ed b\ th , T.' depanmc-nt. a gl;od oldra..,hioncd t. John ba h. \\ here un-'>elrI cOlbciou.., pa'>'>lOn and boredom tlo\\ freeh throughout the da\ - idealh to the accon{01'\\ a door I banging in the di.'>tance, and a bal1l1<.111 \\ ho (although he al\\ tt) '> '>eem'> to be on the point of doing ..,0) ne\'erquile ShUh the bar. Thi,> 1\ (111) a natural point of \ ie\\ from ajoumali..,t \\ho b lie\e.'> life ..,holiid be entcrtaining. rather than in'>truclional.

The & T. booklet th ll accompanied the ) Illpo.'>ium \\as soaCCUfate in it'> prognostication:-. that itllli g ht ha\ e been \\ n tl en in con..,ultatioll \\ ith o'>tradamu..,. Which is \\ here Illy problem \\ ith' ' .T. 'Iies - I am al\\ a) '> looking fort he hidden agcnda·. When) ou '>it dO\\ 11 for lunch at:1' & T.' bash. there"-, e\ cry chance th at you \\ ill

The '>} mpo ium \\a:-. ilUated in the near-id) lIic \enue of Hou..,e (a parddi..,e of kempt foliage. 10\\ -alcohol dnnk. comf) chair.., and up-to-date ne\\ paper l. Bu inc'> began \\ ith a debate on' I. John and the Future'. chaired b\ Dame udre\ Emcl1 n. and primed b) 0 eh of er" \\ ho \\ere delegated the' li"''>lonarie and the' <.1\ age,>'.

Ph) lIida te\\ an- R oben..,. the uperintendent in Chief. \\a,> the fiN 'mi ioni.lr\· (a "oft -option. felt: it \\ ould hme been more original to ,>ee te\\ al1-Robel1:-. Injecting her hOI1i.Hor) talent. into the role ofde\ il·:-. <llhocate).

\ e I\e the cO Illlllllnit\ That i.., our charitable mi..,,,ion. Ware" an nablino organi:-.ation, \ e enable people to helped." he began, but then caIlle the t\\i:-.r. \ e al.o enable people to fulfil a pot ntial \\ hich th ) probabl) didn't kllo\\ \\ as there There i'> in en:fy b d) a deep \\ ell of comp,b'>IOIl that b comes a \\ Ned a se t r not unleashed We'\ e got to recogni e the..,e hidden resource,> and relea"e them into hard \\ orl-.."

'>ound plea for th retention of l. John \, \ oluntar) taw that fOllnd ..,uppOI1 from rello\\ mi " slonar) Itfford Illith .lui) 191.)2 John \\ odd 19

(\\ho.onb ingasl-..edlOstandtodcli erhis speech. made an unrepeatabl e comment about the position n011l1all y adopted b) mis , s ClitTord pointed out, though: " We're nor just discussing the role of the olunteeragainst th salaried \ ork.er, but \ hether we ca n maintain s tand a rds".

Volunt ee rs do wal'l-.. better \\ ith salaried, administrative help, but th e re are problems where money and subsidies come into play, for example: "Where th e re i a salaried ambulance ser ice \\ orl-..ing 'against" t. John mbulance. th e n th e f0l111er fe e l that St. John is unde11l1ining their position.

re we. in fact , How many ambulance are there in yo ur co unty ,?

Hov, man y miles dothe ydoa year'? Is it not criminal to pa) £30,000 for an ambulance that only clock up 500 mile ' per year?"

Thoughtless Captains

Beware, the audience wa wamed. of th e 'Captain' cabin y ndrom e '. "We mi g ht not like to think it, but we are movin g awa) from what our member think.. Who is th e poke men for the volunteer in Chapter General ? One goe down the commercial route at the expen e of th e volunteer".

Jill Scan from orfolk ki c ked off for the 'Savage ' with an apology: 'Tve been a ked to be provocati ve, but as Sl. Jo hn people it i difficult to tra y outside our lives and belief ".

Inevitably what followed did not include a plea for all St. John me mber to become alaried! In s tead Jill queried th e proliferation of role now und e rtaken by St. John and called for it to "concentrate on what we do be t - immediate care" (odd how people who are 'agi n Care in th e Community will in i t on calling it b y the derogatory term of 'Welfare ').

"If we don t meet tandard , houldn't we be changing ome of our lon g- he ld attitude ? Weare woolly with leader (, Oh he alright really ') a nd bad at attracting people from out ide who are expert. We need to heighten tne level of trainin g we give our members "

A point of view calculated not to up et Jim Bond, although the next Savage'Avon's Stuart Hadler - did take a s hot at th e Cadets

"Many of our present difficultie arise

from a failure to interpret the s tatute The role of the Brigade is not clear to day: uneertaintie exi t about our tatu s l'is a "is the .H.S.; are the Cadets a youth organisation oraFir tAidorgani sa tion for youth?

Over the last 30 years we have go ne from being a very focused organi sa tion to one that i cOflfused." And Mr. Hadler cited th e R. .L.l. as a model that St. John mi ghtcare to emulate.

up th e pa ce th e nc\ t mornin g b dcmonstrating the value of sa lari ed workand giv in g th e bes t s pe ec h I ha ve sec n him deliv 1' on th e progre:-..., or HQ \ tr ategic Re iew.

mi g ht accuse th e trate g ic Reiev, of bein g a do cu me nt of c er-c han ging about l. John mbulun ce: a do cu men t that will onl) ever f01l11the basis for Illal-..in g d ecision.., and ne er provide simple answers about th e organisation \ de \ e loplllenl. SupPol1er.., of the tr ategic Re iev, would agree \\ ith them

"We are s hoo tin g at a m oving ca nvas.

The Reviev, is not an action plan and not th e an..,wcr to all o ur prayers. It i.., a rcvie\\ of s trat eg ic options based on a ·snap .., hot' of where we a r nov,: but it is grounded o n hard fact.., and informcd opi ni on.., - not decisions o n a finger in the \\ ind."

Gathel; ng hard facts and in fonned opinion.., be n th e ta..,1-.. of the Patter..,on Wor l-..in g Pa11 , \-\, hi c h ha" ..,pe nt a minimum ofa full day in each cOlln t) , a..,l-..ing the I-..ind of \\ hich th e pre\ iou.., e\cning'o., debate had cen t red around.

The p llt er..,on report ha:-. ,>ub..,cquentl) hi gh li g ht ed a number of 'Critical ucce..,.., Factors' - ..,ome ofv"hich (and he rein ih va lu e , rath er than are contradictor). For in stance, the \oluntar) ..,tatu.., of t. J o hn is a s tr engt h when it come" to fund-rai in g - but a percei cd '" '" he n it to ..,I-..i li s and training.

Tim Gau a in' s own wea l-..n e..,,, i<; for jargon, but he also ha s a tale nt for 'mi \ ing it' {hat i e nj oyab le to observe, if not to e ndur e.

" hould we co nt emplatc - the Territori a l Army do e.., - a small ("(mire of prore..,ion a l ?": and, o h , incidentally, the ade t probably are /lor a 'Fir.., t id organisa ti on for yo uth' "the tatute" favour educa ti on a ci ti zen ": he al<;o fired a fe\\ tracer bull e t · down th e lin e of th e nev,.. Charitie<;' Actregarding 'money-under-the-mattrcs..,' co unti e

"We a ll know th ere are Countie.., that are elf-sufficient and hardly bother to fundraise. whil e theirneighbour.., "cratch around for mon ey. The Charities Act commi<;s io ners will take a dim view of o rga ni "ation" that it on mon ey a nd ask for more. HQ di hed out £200.000 to Counties las t year. We will be taking a c los e lo ok a t individual Counties' re ources before we donate

The debate did exactly what it was supposed to do ; it fired up the audience and left them buzzing for the rest of the weekend. The Executive Direc tor, Tim Gau va in money in th e future."

The Srrategic Review i.., worthy of an a rticl e in it se lr. but a lready it seems as i I' th e point of it has bee n mis ed by so me member s. How is HQ go in g to impose any plan aris in g from the Review?' came th e first qu es tion from th e noor (o ne of the major functions of th e Rev iew wa" to re mo ve any que stion of 'imposing' plans b y so undin g out opinion first!).

Barbara Rayner , County Liai so n Officer and und iscove red actress, nex t led he r te a m of 'b road cas te rs' in a 'TV update of

th e OTYJ ca mpai g n that we ll performed and equa ll y we ll received.

The Director of Public John Milb , was c ut olT in h is primc w hihtlll akinga va lid point abo ut PR ln a reviewnf t. John co unti e.., ri e we re u..,ing public rela· ti on'> age nc ies, cleve n we re fortunate to ha ve tr ai ned public re lati ons ..,ta lTtb volunteer.." ten con tinu cd to u..,e their OUllt) ecretarie<;. while the re..,t (,>oIllething like hall) :-. tru gglcd on in cu,>lomary hi gglcdy. pigg\cu) ra"hion.

John v, a.., actua ll ) more diplomatic, he :-.aid. ::t he remainder doing a good Job. but..

Breaking the Iceberg

The nc\t -;e<;..,ion v"a.., perha[1'" the Illmt Important of the "'y mpo<;ium 0 I'l l pa,\ 0\ er It. The dult LeadcrTraining Schcme '" ill be launched properl) In eptclllher and a brief of ..,olllcthing that 1\ v, mIld wi II ha\ e a grea ter impact on the running of l. John than lInything In the Energ) Programmc hardl) doc.., itJus. ti ce pril'o., ..,e..,..,iol1 "'<.\.., a '"oI tClllllg up' e\crci"e and it \,\a.., camed out \\ ith IC uggit"" cu..,tomar) adroi tn e... .., Perhap.., onc ob..,en <1 ti on ..,hould be mack for the record. major feature (lIthe ..,cheme i.., the u..,e of 'Pcr"onal TraIning d\ i<;OI<. ) et the que"t ion.., J"Omthe noor that follo\\ ed the <;cheme \ pre'>entatlon 4 uic l-.. l) di..,covered th at there \\ a" not - a' yet - an adequa te training programme (ora dclinetl recruitment p )\tC») forthe..,e PTA, I1'1 v" i.\<; on the Ti lallie. I'd be ..,melllllg Ice Lunch \\ <1'> followed b) a chnicc 01"1\ worK<;hop'>. lt v, <.l'> pointed out to mc that the \\ork."hop on the hildren ct \\3\ irtually entire l) ..,ub<;cribcd to by female .,. ah ''veil. It \ prohabl) unrea..,onable to e\pect l. John to gIve up <;c\ i..,m before th e medical prorc..,..,ion doc nother da) \ v, onh orthe ) mposiuIll remained, v"i th the' anaging Change' <;cminar on unda) morning being c pe· cia ll y remarl-..ed upon - but b) then thiS reporter had been ca ll ed to an parade in London LO ee ir he could still recogni..,c hi s family. In conc lu ion. the

de<;cl"\ ed a much better re' view than thi.., o ne It wa thou ghtful. struc' tured a nd genuine l) provocative. It was VCI) near! the fir'>t g limp se of devolution I ha ve see n si nce I began \\I"lt· ing about Sl. Jo hn: YOll fe lt for a JllOJ1lenl th at if the Commi<;sioner<; were to deIlland (by a f0l111ally recognised democratic proc· c'>s , naturnlly) Tim auvain \., head on platter, then a matching axe and piece 01 si Iverwa re wou ld hav e been m ade aVilil· able from uppli es. Bur on ly fora m omenl. L1rely'C.&1. we re too cu nnin g for thi s to happ en. The vo te wo uld be declared invalid. Probab l) because one of th e om mi ssioncrs had ea tc n th e w ro ng pudding at lun c h

Forward march! Member" or Roy ton Cadet and Badeer DiviSions Inspected by DiVIsional Superintendent R and DIVISional Oficer 0 Cottington before the) marched theIr ",a) to the local church for a '>ervice being held as part of the DIvision',> 60th year celebrallons

A sermon in celebration

Oil iJeholf(lthe Sllperilllendel1l I WI/ a COl)\' Oreal/Oil Terence Sampsoll's serll/on gil'ell at 011/' Sen icC' held Oil 'he ,-Ifh May {() commemorate 60 Y{,({IS (!f .lohll A II/hl/lo II ce Bri gade ill WorJ.:.ington The se/Tice \\ '(/,\ organisedbyretired BngadeMel7lherMi,\sTeresa H ea rn e.

Th e sermon was particularly illl/Jres ,\ i\'(:, to many present and we tliought you may he int e r es ted in priming 'his in S, .loh" \Vorld. \ e don't hear /77I1C/7 a/Jollt the Order's religiolls side, do Kaf hlyn Wilson R Workingtoll Cumbria

" I-hm elseca n youaccountforthee\i,tencein}Othcentur) Eng andol"The Mo st Venerable Orclerofthc of I. John oI'kru..,alelll". I f) ou v\ant a bigger one It I' ..,urel) the C\,istence or th e Order in W o r"in g t on!

It s a farcn from the \\ orld of the ru-;ade, far a\\ a) in the oly Lalld to all Indu..,tnal on the edge or "he La"e District in orthern England, [h aY; round the hi..,tor) orthe Orderquile ra" 'Ina llng I \\ollderho\\ man) member" arc awarc or th e st OI") or the Ordcr':

Ir you want to be "lilt! to the Order (1110,t here \\ ill \\ant that) you \\ i11..,a) that nghtlrol1lthe beginning it been an organ 17at ion or con tr a..,h, I 1') OU \\ to be un"lIld ) ou \\ ould ,a) that it \\ ,b rull or cOlllradic ti olh

HO\\ cou ld you co mbin e th e holy \ 0\\.., or pm crt) .c ha,tlt) and obedience \\ Ith a co mmltll1 Cnt t o a \\ arrior·.., ideah') aring for the ..,IC". poor and \\ Ith ,I commltmellt to tI militant Christianit\ battlilll! \\ ith all the \\caponr) of the time agall1"tl11i1ltant 1"lam h rather 11" 1' tr) IIlg to th e Ladle,> or rcenham Common and thc 'Ill onc oigalli/ation undel olle rooP

You could um It up a.., a "oclet) ror the ern,,>. the "\\oro and a bandage , Commiued to pmcrt) it became one or the 1\ ealthle,t orgalll,atlon.., III Chll"tenullill

COlllmittcd to obedience It defied KlI1g.., and BI..,hop"

Beglllnlllg in thc ..,en ICl: 01 Pilgnnh to th e H oi) Land it became one ofthL' 111,lIn prop.., to bobter up th e Chn" tl an Kin gdom 01 Jcru\alem LO"lng II'. looling thelc. II'. appare ntl) imp0,>,lble or rullilment. it might !la\ e died. Other order'> did But \\ hate\ er ehe thl co mpany or people ha.., been 0\\:1' th e ccnturle.., It het.., beell adapt,lbl,l:. 1m II1g tll Rhode, ami bClng thro\\ n out of th ere, ing to 1alta Bell1g ,>uppre..,..,ed at the RdolllMtlOIl \ .., the "en a,llt III the Pope yet bell1!:! re\ 1\ ed In England. In a pre-ecull1cnlcal age \\ Ith .1l11 Ie", t!ldn tile <;upremc Governor of the hurch of England a.., It" Jrand Pllnr \ n order 01 Chl\,lIl) In OUI .I!,!L' \\ hell chi \ alr) i., ..,uppo..,ed to be An organllallon \\ Ith ..,plentlld unllol11b ,\I1d lor KlIl g' and Queen" and Ou"e.., and "Ladle, or Grace" yet \\ or"lIlg \\ Ith the cOl11l11nne..,t III L'llllllllOnlllal on a racton 1100r. Yc.., - mlnIcle" do happen! Gl\cllthat ,ldaptabillt). It I.., Illtere"tlllg to ..,peculate on \\ hat mi"ght hm e happencd Gi\cn it'> IlllttalCOllcern I()! pilgrim" thl.., Orliel Illight htl\ L' becol1le a tr avel agenc) long berore th e da), olThoma" ook. GI\ en 1«; ahillt) to huild ca"tiL', It I11lght become a BuIlding Soclet\ before at ion" ide let alone the We,t ulllhnan Buildlll g SOLICt)

But it did not and it i" Wh) '.>

The ans\\er lie" ..,ureh In the Order ', mo tt o.., \\ hlch helle\ e not onl) gl\ c the "C) to the nlll,t. Venerable Order'.., '" orld \\ ide but the red "on I or our heing here to celcbratl: 60 ) car'll! oood work. here in Wor"ington tonight. Tho'>c mottoe,> ,Ire olcour"e "Pro r ItiC" 'Iorthe I:llth :nd " Pro Utililate - '1;1' the ..,enlce of man"lI1d' "thc "ong "''')'' of 'Lon' Jnd

Marriaoe' - "You can· t ha\e one \\ Ithout the othcr!"

God ha.., to come lir t and onight we celebrate the annl\cr"ar) or an a""'Ol'latlon \\hllh I

Chri tian but not denominational. It I" to HlIl that \\C gl\e honour anti pral"e In thl,a,t ncl ill'> becau'>e the \\orld and It" people are H I'" creation that \\e ,Ire motl\atedto offe r th em love and '>ervice The care that t. John Ambu ance bC"I\)\\.., I" "open ended". The lo\c bestowed and th e wa) it i" gi \ en has changed out orall recognition III the :I\t) year" oilim branch and still more in th e hundred.., of) car ..,Ince the Order. and the ba..,e 01 the er 01 our Pnn,h Church were founded.

I have been ama ed to dl..,cover th e e\tent 01 t. John mbulance ,..,octatlon·.., \\ ork today It teaching \\or" 111 IIldu,t!') for example the a) III \\ the I" III implement the H ealth and Safet) at Wor" regulation..,. It I'" \',onderlul that a \olunt.lr) organization should tr all1 70 Fir t Aidcr" a t " I ggc.,und" (one localllrm) alolle "

We li ve in a world when medical standard., and people'" e\pectatlon.., 01 the I !ealth III are con<., a ntl y ri<,in g. The high "tandard., .,c t by t. John are part and parcci of th (he which th e commun It y for th e mo'>t part w"e.., for grantetl.

The familiar unifol1l1 it sce ln'> (for th e ladi c" atl ea"t) i.., going o change. l3ut tim I"JU,t one more bit of updating and adaptino We are familiar \\-i th mbulance cc tl on., and Nur\lng to I', J I bul'ince Sections, M any have becn proud to bc Cadet.., over th e yeal',. M) \\ e a t. Oln III "\I'e Cadet and it led her into nur'>lng ow. sin ce 1991 we have "Badger - young one, hoh. caug ht a o limp'>e of ,>omething good and worth while and want to ,>hare it.

Thts an organ i'> <l ti on meeting need,> a'> dtverse as belllg on hand at R o\\-rah Go K art WdIUIll. to Ru gby Matches or even th e W or"ingto n Pl aygoer..,. ports. ) mkhana V1ar athons - at TI '''I'''lole,ll Publi c evc nt - th e amiliar figurc wi th th c Maltc'>c crm" I.., t1 crc Waltlllg.1O lel t.: '", · II l I t G) I for III thlN pa st -a nin credib e hi " toryandmuc ht obc th ank LI or on g1 t\\- cglvc tl<ln" ,> 0 u '. , ., I tl " t:.() ,.' 0LI I)I"IY" I t')nl llhtl\ th,lt who h avcgiven Hlmand ourco mmunlt y,sc v cc(un ng 1eseo yed '>. t:' what h as been done so faithfully in th e service of Go d anc.lm an kind .may be COlltlnued. dC\cIOIP d I 'd love on \\ It] and grow in th e future to meet people's need.., at th e e n 0 1 t 11 '> ce ntury an a.., we n th e next. Ma y miracles co ntinu e to happen! "

A Lesson that won't be Forgotten

Thefo/loll'illg lett e r was rece il 'edJrom a Callelidate 011 a recent First Aid at Work Course held at olirCoullty lI eadquarters, You might wish to publish it in yo ur lIex! oJSt. 10hn World.

Dear Sir. E M Clo sso p County Director , Del'oll

I have ju" t completed the four day FIN Aid 111 the Workplace Cour,>c. I ",ould li"c to congratulate I. J ohn Ambulance on the exccllent tu ion and trainll1g r was given. Our in.,tructors. Annc anti rthur, taught u, \er) \\.ellindeed and preparcd us \cry wcll for the exam,>. A d teaeher I havc hecn on Illan) training cour"c..,. and none of them hm'e matched thi.., cour'te lor Intere,t. content and pace. \.\ III recommend thl.., cour,e to allm) colleagues In the future. Man) than"'-.

y, onne Justin SSC '\1 I HE Ebford, E\.eter, Oe\on.

The Cross of St. John

Submitted by L F SlIIith of Southampton. Mr mith a Lay In structor wa made a eTl'illg Brolh er aft e r.J() yean \eTl'ice at th e Inl 'eH itllre r eJe rred to all page 28 oJthis i s ue.

Surel) the good Kni ght., 01 John Would be more than proud to ,ee. ,-\lIthc dedlCdted faLe.., In thl as"embkd COlllpi.lIl)

Whether our eniflLatc

Be the flr or for mall\ ,I \Cdr. Let u, "ee \\ hat Inuc; , Are reqlllred from u" elll here,

The em" II cight-polllteti.

A requirement fo r each one, And II' b\ thelll \\e do abide

Then battlc h1l bee n

Ob"el\c \\ ith all our sen e , The eausc and sign, 01" Injury.

If \\e keep our eyes wide open

The) '11 be pia III for u o ,ec ,

Tac tful \\ ith our ljuc"tIOIl\. About symp t om,> and hi..,wl").

So the casualt) \\ ill tnl"t u"

And no trouble \\ill th ere be

ReSourceful - in th e u,e or thin !! , That are readily at hane!.

The First id bo \ ain't a1\\ 3\ there.

A" We Well understand

Dex trous - in Our handling. ",ho III pain

Iton a .sac " 01 coal goes dgaliN the graill.

E\.pIiL It - in \\ hat we '>el).

G \ I' lIl\truct Ion.., cn..,p and clear.

o all \\ ill "no\\ \\ IthoLit a doubt.

That there is no\\ t to fear.

Oi crimin ate - so we can ,on out.

What pri Orlt Ie.., to treal.

Comm on .,en..,e It i., the \\ <ltch\\ ord, Then all emergencle.., \\e'lI meet.

Per..,e\ ere - though all "eems 10"1.

Let our c fron.., ne\er nag

G et " Ill breathin', top em bleedin' nd we·U have it in th e bag.

• mpathy - above all I., the one.

That rea lly count the mo.,t. "D on't \\OIT), me old darl illg. You 're 111 good hand,," we boa"t.

"We ll ..,oon ha\c )OU better.

Set your milld at re"t.

W e arc t. John"., Flr Aider". nd we ha\e pas..,ed our te\l,, urel) then all th,lI \\ e nt:ed.

To do our Job real \\ ell, I o "eep to all these pnncipal 'Co" or all thing'> the) do tell

Long li\ I' thc "I'll'll of t. John o th at in all hone t) \ e can help oLir kllo\\ men. That' \\ hat Ii rc· .., all about. you "ce.

Caring in Cornwall

ill to bed and give blan"et baths. Such patienh tend to suffer from multiple sclero.,i.., and St. John nur e hal. e learned to use hoi h and other equipment. \\hlch means Ie s effon for the nur.,e and Ie di.,comfort for the patient.

Meetings bet\\een l. John personnel and H ealth Care Trust Manager ha\ e ta"en place. and all managers have been given the name of each 01\ l'>lonal Superintendent. Like\.\ i,e. all upenntcndenh ha\ e been gi\en the name of the manager for their area. t. John carer" are all \\ illing to help \\hene\er the need ame and \\ hen il I., humanl) pos..,ible - III 0 t member \\ or". ha\ e rami I ie,> and are already commi tt ed to I.John\\or".

The liaison hould be bet\\ een the manager.., and the supenntendent of the 01\ I,ion concerned, and rrom the,> meeting \\ e \\ ould t!') our bet to fulfil an) need, But no-one can ma"e a commitment for another per,on: ultImately onl) the IIldl Idual l. John carer can commit hi, or her 0\\ n time and energ) to such a ta,>".

W e \\ould \\ ish to help \\ hene\ er ptw,ible. "0 that II"e the t. John Kn ight.., of old. \\ e can contribute o Care in th e Communit) \\ ithlll the 1110ttoof I.John :" lnth e Jea n Grigg Coun ) :\'ur n g Officer for Corl1\\a L

INVESTITURE

e l) n )1'11 Illholl)

Allan Pi c kle" tuar! \11,,'-0 fa) o r \I edle

Patncl 1 Ma) \1 r" Jo n es John AIllJrc \\ R o herh o n orman Jo hn \li1 e" hn"lIne nil \1r K emp

Robcr! Hcnd l." r" o n \ttlcollll Pea rt

Ian Gc o lTre) Hcrhert

Jcnl1IlI."r Luc) Edith \11", Pa y ne

Derek John Bradley

Reginald Jamc" ad t h ek ath e rine. ;\Ir" Bar", I'-.e

FranCl', Wilham Hem) Se e r "

WIlIIaIll Anthon) Blollll e SR'

RO'-oemar) Joan. \11-" BurL he ll

Lconard Frank SlllIlh III \1

Gordon Hamer Il alll l H alen e ynthia. \1r\ Chlnn er

Trevor Victor Jan,,'.on Y HH1ne Mary '\11" DOllncr

John tcphen Tholllp" o n S) h 1<.1 E\en!. Mr" lilillllan

DaVid Gareth Jon e" 'II! Il( II D()b,IRI (J(, n gcla Le..,ley ,\11"" Recti "R'

Alan John Mayco c k

M,HjOne Annc \1r " caton

olin Sidn c) Palmerton

Jennder EII/abcth Mr'-. Sna"hall HI d

Lieutenant olonel KCllh John McIIH) IT- Warno c k

Dorothy Mr" Sy mOllLl" Thoma" Edward roll

HOLIDAYS

Classified RECRUITMENT

London Accident & Emergency Servi ce

Ambulance Control Room Assistants

Our Control Room Assistants have a task which is challenging and demanding, but definitely worthwhile They're the team who help ensure that Emergency Ambulances respond as quickly as possible to requests for help - in terms of j o b satisfaction alone, there's little to match it.

As long as you're aged at least 18, you could join them, at Central Ambulance Control, th e n e rv e centre of our Headquarters in Waterloo.

Fonnal qualifications are not important since full training will be given, although keyboard skills are essential as we are in the process of introducing a new computerised system. In addition, you should have the ability to work calmly under pressure, and to deal confidently with telephone calls from people in stressful situations. Ideally you should be living within the Greater London Area

You'll work 39 hours per week (full time) and enjoy 22 days' annual leave per year.

The are also some vacancies for part-time staff to work 19.5 hours per week but you will n eed to b e very flexible as this may involve working weekends and nights.

Salary will be £11,433 per annum, inclusive of London Weighting, shift and weekend duty payment, rising to £12,811 for full time staff

For part time posts, the salary will be £4,856 rising to £5,545 per annum, inclusive of London Weighting. Enhanced rates will be paid for weekend work or unsocial hours

All salaries are currently under review.

For further details and an application form please write to the Personnel Department, London Ambulance Service, 220 Waterloo Road, London SEI 8SD or telephone 071-928 0333 ext 2320 or 2386. Working Towards EqUllJ Opportunities.

CLUES ACROSS

9

Show approval by movement at atlanto-ocCipital JOlJ1t (3) fJ Jsed o control (5.4)

15 Il ou"c of hop producer" (4) 17 A rough meLl'>ure i" qLlltc a'> mllch a one can managc (7)

20 Painfull11ic untioJ1 (7)

22 even: III tell dlre c lJoJ1s (7)

24 A'. free from water a a "eletoll'? (4.3)

26 lOp till old upport 1'1'0 the ahdominal wall (..J.)

28 II lnes produced by nCHIOU" ,>ub.,lance may be oon In pig (9)

.\2 Unple<l'>atlllxxl) "mel! and a large nake (3)

.13 Pari or a poem 110t changing aller '>mall carcinoma (5)

J..j A Iighl - sell',lIive end-organ of the retina (l)

35 I. Johnlrall1ee(5)

36 K idncy large Intestine lung'> , and "in (9.6)

CLUES DOWN

er\e,> ,>uppl) ing the \ I'>cera (10)

A hundred Oil u'> In Ihe lower pari of the '>plllal cord (5)

L tra - \ inlet light Ur\el ale concellllllg the pigmented layer or the e) e (5)

Bulb conlalllll1g aqueous and vltreou'> humour,> (7)

E\rres'>ctl gratitude lrom Kalh and cd togelhcr (7)

Purple rlgmenl or the n:tll1<1 (9)

Laceration I'> in the lruc '>"111 (5)

Affecled h) (..J.)

FiN glwn by 51. John member'> (1)

16 Whalthc hoaN: Illan sulTt::rcd from (10)

18 A lous] egg',> (J)

19 01 rart of the ,"clelon and a bl()\\ on 11 IS not humerou,> (5,..1.)

11 MarrO\\ or cancellou,> bone Ilssue (1)

13 eLlpOrl for J gras\ (7)

11 0\\ the ..,Io\', - \\ Ollll ma"cs progre\s ? (7)

25 One changc In long pcnod 01 tlllle (3) !7 A hraclllg IJrescripllon (5)

19 Large \chlcle ror oUl\LandIng perlollller (5)

JO Countr) JJ1 re\ 01 utlon or I..J. do\', n (5)

31 "111 conditIOn common In adolescence (..J.)

r

Get to the Hea rt

,til contnhllllOn., 10 \I.lo/ill \\ (JIM ilrc \\ elLUme Thc "c .,hould 1)(: t) [led, dlluhle'raccd, on OIlC ,Ide 01,\4 rarer Plca\e make .,ure elt: nh Jre [llllrcrl) dated and that the author contact name, "ddre." and telephone numher are Included I rall"parcnCIC", hlul k and vyhlle prlnh Jnd (glo.,,)) colour print., are all dcceptablc IIlu\tratlOn, Phol\lgra[lh '" IIh atldre"e' on the halk Jrc Illorc ilkel) to bc rcturned

Ambu Man and his PALS

The Ambu CPR PAL JOins Ambu Man to make class teaching more dynamiC and Interesting by involving more students simultaneously

All members of the Ambu Family are equipped with the unique, patented hygienic system,

The C PR PAL can be purchased as a low cost baSIC training manikin In ItS own nght or can be combined with Ambu Man to give a tra ning package tailored to your particular needs

As an Instructor you Will be glad of thiS fleXibility, BaSIC skills can be practised on Ambu CPR PAL and competence can be checked uSing Ambu M an and hiS built In control functions

S TOP PRE S

Ambu Woman (who IS never seen in public) IS expe cting Ambu Baby shortly to complete the fami ly, watch fo r th e announcement.

Pupils show the worth of the Three Cross Awards

Not a lot of people know this ...

StJohn Goes for Breath of Life

A major national campaign is being planned to focus on the week 6-13 March 1993.

It aims to e ncourage more members of the public to be capable of carrying out basic lire support procedures, and to emphasise St. John Ambulance's role as principle national First Aid trainer and provider.

The idea i that each Division will pubJicise and, in campaign week, lay on a series of short "acquaint" courses in basic life. upport procedures for the public. This will lead to increased numbers igning up for our courses.

The 1992 Three Cross Award Trophy was presented to Steven Clarke of Stoke-on- Trent by the Rt. Hon. the Viscount Tonypandy at St. John" Gate on July 2nd thi s year.

Steven. then 15 year old. had completed hi'> Three Cro A\\ard three month.., before hi father suffered a heart attacl-.. Eight adulh \\ ho ere with him at the time v.ere unable to help. Ste\ en u ed full CPR to keep hi" father alive unti an ambulance cre\\ armcd and re'-larled hi" father's heart \\ ith a defibrillator. Mr Clarl-.c ha ..,ince had by-p;l\" surgery and 1\ all\ e and well.

Four R obert Balchin Medah \\ ere al'>o awarded at the ple,>entatlon ceremony. again for l11eritoriou,> act'> of emergency aid carried out b) ,>chool puplh.

Wayne Grover. a 16) ear old rrom Horle) in Surrey. had completed the One Cm'>'> A \\ ard \\ hen hi'> father - \\ ho had a) ear before \ulTered a '>trol-.e - "tal1edto have a bad lit in bed. Mr'>. Grover\\ ol-.e Way ne Uf). \\ ho put hi'> father in th e reco\cry po"ition and removed 111'\ upper llenture,>. He layed with hi" father until the ambulance crew arrived and complilllenied him on hi" calm and efficient manner. Mr. Grover is no\\ dOll1g well. Angela ightingalc. a 15 year o ld frol11 Chc\ tcr. had completed the Three Cro " A \\ ard as part or her Per,>onal and ocial Education \\ hen a di'>traught mother I-.nocl-.ed on the doorofhcr home. The \\ 0111an',> baby

had \lopped bre.llhlllg ,1\ "he 1001-. hl111 home j'ml1l Ihe dOL1lli''' and ,he and a fnend had ru n frol1l hml "C ttl hou "I.' lool-.Ing 101 "UI1lC(lne \\ hn c(1 uld help. Angt:1a ga\e the bi\b). Bradlc) dged t\\o.the 1-.1"" III Ilk \\hil c hl' Illothercalled or all ,1I11bulance I Ie had "tailed tn brcdlhe dgall1 \\ hClll he ambulancc alTl\ed Br.ldle) I" no\\ dOing fine ,\I1d \ngela lu" recel\ cJ a SpeCial '\knt A\\ard from her local lllbul.lIlcl' ICc De Ilew Pe.lch. a 1.+ ) car old frolll Dan lord had completed her One Cro"" A \\ ;.lrd \\ hen hel gralldmother hild .1 he.ln ,Ilt,\l I-. \\ hIll' tile adu lt, \\ ho did not I-.no\\ \\ hat to dn phoned 101 .In ,ll1lhul,Ulle. Delili,1 r UI her gran In the recO\ er) po..,ltlon to keep her ,\11\\ .1) opel1 a.., "he had becomc UllconSCIOU'l hc Ihell loki thc ramil) to 'Illlp \\ orr) Il1g LudIl) I\1r., Pcach '> hreathl11g did not "top and her DOLl or "uh"equelltl) told Ih famil) Ihal "hc O\\C\ her Iilc III Dcllcla he 1\ 11<l\\ dOing I' III l' aron Rec\ C"' .•I 16 year old I mm Oldham h.ld llllllpkted hl'l Thrn (ro..,.., \\ardl1car!\ \11'\ \\ekh ralli rl hi" hou"c 10 c.tlllo; altel hc; Tre\ m. hecalll CIlI

Aaron ru..,hcd to the \\ekh "and lound )eal old Tre\()J 1IIllOIN'JllL'

In hell. Hi" condition deteriorated .Ind he "wpPl'd hrl'dthlllg "n ,1[('" u..,ed mouth - to-Illouth breathlll!.! 10 re"u..,L1tate 111111 \\ elch nlnl1llUe brcalhlng for a fe\\ mlnUle" "Iopplllg again. Ihl\ time 1m hran topped a well. Aaron performcd full CPR t\\ Ice belorc Ihe alllhul:lIll , tlrrJ\ct! and thc Lre\\ 1001-. mer 1\11' Welch ha" made a lull reLlI\er) ano he and hi" ralllih .Ire \en to ..\aron The \\ "UPP\lltl'd b) B,lIll,I)" B,lnk.

La t Jun e St. Jo hn 's Exec uti ve Direc to r, T im G a uva in and co- pil o t Dav id Hu g hes ac hi eve d th e imp os ibl e (w hi c h, of co ur e, th ey do f\'f y yea r ) a nd fl ew a m all aircraft a lo ng way in a pace o f tim e - th e w ho le story is to ld o n page 16.

Aho on thc 1Ircralt v,ere a few IlCllh of his ton cal relc\ ance to the Ophthalmic 11 0"l1lt<11 (thc picture show, Tlln. Dil\ id and reception part) shol1l) after alTI\al in Jerusalem alq1ort)

The e Included a me"",,"e of good\\ 111 and ,I Cit) Pla4ue from O,rord - \\ hich upplied 60.0()() horsc,>hoe'l fortheThird ru,>ade; a bag of bean" from SJA Calll(no for the John and the Bean.., tall-. compeli lon - Calll -

bndgc,hire upplied R ichard 1\ amlY \\-ith to eat): and a \'cllum copy of the R oyal Cha rt er granted to Co che'>ler by the King from JA E se\ The Dean and Chapter of Llncoin Cathedral ..,ent a \\ Dod car\Illg. the Dean and Chapter at Cantcrbur) and Glouce..,terCathedrab ell! mcs age.., of good\\- ill. as did a number of other Coun t ies. \\cl a th e ohanni terand OG IT. the It alian branch of the Order.

The "acquaints" may be in St. John premises. or hop. offices. or private homes - wherever and whenever demand may be met. We hope that St. John supporter. will help by providing venues. Already a County President has hosted a successful pilot course and a ROlary Club has booked a se sion for March next year. There will be a co-ordinated national and regional publicity campaign in the months before. de igned to raise public awareness and promote interest in the. week itself.

In thi C'cUl1paign we will be to the public. but it will also bring benefit to St. John. or only should there be a greater uptake on courses. but we can expect increru ed recruitment and - though thi is not the purpose of the campaign - some increase in donations. It will also lend urgency to the need for us all to get up to date with the new procedures. which will be published in ovember.

A national Campaign.Manager Ian Walden., has been appointed and has begun a hectic programme of VISits to the Counties. He told St. John World:

'"This campaign has terrific potential for St. John - providDd tbe Divi ions support It enthusiastically_ After only a few weeks I am very encouraged by the positive support of the Counties.• Watch thi pace for more detail as plans unfold... !

Summertime

Q: What's yellow and goes thump, squish, thump, squish?

A: A banana with one wet plimsole

4 St Jo hn Wor ld Au g u'> t 1992

up o n T ha mc<.; d e li g ht ed to rcce ive th e 199 1 Med ica l Co mm unit y Award-eve n if it did co me o ut o f th e

A medal and a plaque \\ere pre..,ented at thc Di\ I,>ion'" Annual n'ipec tl on in June The Award. lor ·out..,tilndlng medical ..,ervicc,> 10 the cOlllmullit y came a.., a complete ..,uqxi<,c to everyone in the 1)1\ 1"1011 "Vv c \\l're 1I0tnpel tlllg Ihl' " .. I Oglll"l' .Jlld apprell,lle our I En' I) one hell' I" tlllllled" The K 11l!.!'>tOIl DI\ l"lonlll\ l' r III all \ local LOlldonLiulIC'lr: L'h The member" alc elllhu 1 a,tlc and I-.ccnlll pia) a prnllll ll l'J11 part In the local COIllIllUlllt) The ,mard W(\" " 1)()INlred b) Londoll and North SUITe) e\l\ paper" 011 behall or the "",,(KI:I tlon 01 Bnll"h I n"urer"

Th e fo ll ow in g have bee n nam ed in th e Binh day H ono ur Li r

1992 , fo r 'Ao rl., w ith Sl. Jo hn mb u l ance and assoc al eu ac t i , iti es :

- Mr S M L ath am , ( ate ) Co mmis s o ner. urre))

IBE - Mr J I od ge. ( Ia el ) OI1lI1lI SS tOner, o m c r "et) Mr Hall , Oep D is \. C o mmi ss i o ner, I BEM - Mr P But cher. O , up!..

The \( illdoll ombincd Di\ I\ion " "t<lglng. a chant) e\tra\ aganza on unda) I Jth cpteillber III the Promenade ParI-. FeJture\ \\ illillcludc Illotorcycle dl"pia) team" band" .•\11 RT -\ incldcnt and an allll\ battleIf an) othcr DI\ 1'Ilon \\ 10 jOin i\ aldon on the da\ to rai,>c fU;ld'l for IhelL pltche\ .;n.: J\ailable at a nominal charge OlltJct IIchJcl Ballard. (0621) ,' 91105

If ou can keep our head when all about you are 10ing their • probabl) mi understood the ituation ugu 'l t 1992 St J o hn \\ orld 5

Avon wins its second £20 for a Pic of the Month. W e' r e not sa y ing it s technicall y the be t phot o in the world , but Y OU'\ e got to be awed b y the logi s tic s involved - full mark s to the Bath Evening Chronicle photographer, the qu es tion thi s tim e i , did he u s e a megaphone?!

The obliging pupil s come from Ha ye field Second a r y Sch ool in Bath where more than 50 pupil ha ve b e en s u ccess full y trained in the One C ro ss Award. M y r a M e r e dith is in th e r e somewhere

Fellowship and a bump

Sheila PlIckle writes - I am delighted to announce the fonTIation of the tenth branch in Kent, at Gravesend, Thi i, a great achievement. No other County has more than seven Branche to date. Gravesend Branch, Kent.

Contact: Mrs W. Siggar , 19 Elm Rd. Gravesend, Kent DA 12 SLA.

Kent members are full of enterprise. Mr. Jack Hewitt of Folkestone Branch decided to celebrate his 80th Birthday by going up in a hot air balloon. He took alonga SI. John flag, a Union Jack and the Dover town flag, which were tied to the balloon basket.

Q: What do you call a spider with no legs?

A: A currant!

6 S J o hn W o rld Au g us 1992 ,·It was an absolutely fanLa<,tlc trip until the landing:' said Mr. Hewitt afterwards. "I was told to hold on tight, but I don't think I held on tightly enough', A touch of understatementas the balloon came into land it was caught by a gu t of wind and Mr. Hewill was thrown oul. He suffered cracked rib. cuts to his face and his glasses were broken, but he remains undeterred, \

Competition Results

BP Chemical s Fir s t Aid Competition

Held at the Pavillion Gardem, Buxton on the 10th Junc 1992. M e n ' Pair -ClwlIIlJiollshilJ TrofJhy: Baglan 8a); , C( (}I/(I PlacC' Hu lL

Women ' Pa ir Cha/llpionship /l"OfJh\' : Bclgrave House.

Open Pa ir - Cha/llp/olI 1hifJ Trophy: Leicester : Secolld PI(/( e Gran ge· mouth.

HigheJf Scorillg No.1 Ivan Thul111an. Lelcc ter.l!/( ,II/ II S CO R/\( N().2 Ron Hall, Hull.

Re e rv es EH nt. -ChalllfJWII Resel'1 'c Da\ Id Da\ IC Baglan Bal

nOl/el PloC(' Gron\>\) E\ an Baglan Ba)

No ice Eve nt -CIIUII/PIOIl 0\ ICC' b 0\\ Ie). Belgra\c Hou\e

Secolld Place , Booth. Darton , S it e Winn e r 1992: Baglan Ba)

Fire Brigade National Fir s t Aid Competition

Held at the Fire Service ollege. Moreton - in - Mar h. Gins on 12th JU llt 1992.

Challenge Trophle \>\ere a\.\ arded to the 1'0110\.\ Ing team,, :

M e n P a ir - Ch(/lIlIJ/OI/I/III> h ophl': tallord"lme Fire BrI gade

RIIIII/('f' I-lIfJ Strathclyde Flrc Bngade: TlIII'lI HUll1hcr"lde Fire Bn gade

W o me n' s Pa ir h(//l/pioll.\/1I/7 h oph) e.,1 Glamorgan Fire Bn gade

Op e n P a ir - CIWlllfJ/oII 1!lIfJ Trophy : orfolJ.. FIn Bngade : RIII/I1 ('/'!'

lip ' outh Glamorgan: Third taflord"llIre Fire BrIgade

Clwlllpiol/ Resen 'c FF QUId-fail. Humher"lde rIn; BrIgade , /-Il gh t'lI

SCOrtllg No 1 : ubO Bennett. oLlth Glamorgan Fire Bngade

Swrillg (J 2 StnO Bradlc). Clevcland Fire BrIgade

A. R. C urri e. PreSident of Ihe Chief & As"lstant hlcf Fire Offlc er\ Association \\as the presiding. officer and the trophiC.., \\ ere prc'.el1t edw l the winnll1g teams b) H.R.H. T h e Prin cess a l.

Bu rsaries f o r t h o se who care

Care in th e ommunity was the theme of the St. Joh n Ambul ance N ur ing Bursaries, which were awarded at St. John \ Gate on the 26th May by the Lord P rior, Lo rd Ve tey.

The [I ,2S() Bursaries wcre gcnerou"ly donatcd by mith & ephew and The <Il1onal Federation of IH+ Groups and arc aimed at helping memher undeI1aJ..e fUI1her '>tud) 111 area, of \>\orf- related to the volunteer deliverIng care In the communlt)

Supenntenucnt - 1I1 - hid. Ph) 1Iida tcwaI1Robert welcomed gue'>h to the pre"entatlon and Introduced hlef ur.,lIlg 011 Icer, Dame ALKire) Emerton Dame Audre) III tum IllIroduced prc'ocntatlolb b) last year'" \>\ inne rs on IhCIr progre-.., to date

The fir.,t of lhe 19t)2 \I ard £500 Irom Smllhand ephe\\.wcfllto 1r Jo)a hatv,:in fro III the 1 1c 01 Wight.

Currentl) a mature "'lUdent at K1I1Q.·'" London L I1I\er"lt) dnd alread) po c" lng qual IIication., a a Health VI.,lIor and DI'otnct urse. Joya 1I1tend., to rc.,earch a project on llelp ror Young FalllIile\ In Cn",,, or DIfTicullle\ on Ihe Isle of Wight.

With three chIldren undcr Il\c and being comm1lted to a degree cour c. JO) a pOinted ou"'t that .,he \\ a\ no trangel tn Ihe strc e., of he 1l1ectlll!! atlca:-.t one 12 year old mother \\hIist \\ork1l1o III e\.\ York (" he \.\ a.., qUite a d,lInlY thing. ") and \\.hll t they are not cOl11monl) encountered on Ihe blc of \\ Igh!. there \>\erc \er) real problem'> faced b) )()llng mOlher\. including uncmpIO)ll1efll , that .,he hoped to addres Mr. Thuang Lelll Lim of'Cra\\ Ie) rcceived the next bur"ary. agall1 for [SOO. donated b) the atlonal Federaton of IH+ Group

A lecturer 111 Learning DI abIlltle., tudle" at Wealden College In L7rre) Thuang wIiI be the bursary to re eareh a population prohie of Ea.,t LIITey. \.\ ilh a 10 prO\ idlng Community are to tho c Identified a" in need

With 27 years inthe Bngade, Thuang said were two purposes to hi., bur ary applicali on:

Annc Ha'va., of InJ..bcrrow. Worcc'>ter. an RG With one year'" SJA mcmbershlp "I didn't thmJ.. at m} age 1 would get a bursar) or cven wam a bur'>al) loranythmg!" she announccd. Anne I., a portage \\orJ..er \>\Ith mother of children \\Ith leamlll2. difficultle, and is aho Chair of the & District Cro '>roads are Attendam Scheme. he Imend" to re.,earch a proJecl on Developll1g a COmmUnll) are Pilot Action for Worce'>ter SI. John member'>

" ..,he ha worJ..ed in the field for 21 year,>, Anne alread) ha a wealth of c\perience and contact., Indeed an initial e\periment at organ1 1I1g '>peclfic dutie., for local St John members in home" and ho pitah ha alread) proved a succe"., .., __ he remarf-ed " "an ex-nurse m) self. I J..no\>\ that If I'd have kno\>\n there were trained nur.,e a\ ailable outlhere I'd ha\.c been in cloud cucJ..oo land t. John I'> ,>uch a canng organisation that 11· a Pll) v.e·re not dOlllg more I/Ilnil/g care."

The 10)ra Bro\.\ne Trust A\.\ard (enablll1g allendancc at the St. John 1\1edical Conference) wa" gl\en to MI'; Linda Bedford of orrolJ...

The 1990 Bur\ar) \\ inner. had a wealth of e\penenee" to relale rollowing their year of stud).

Audre) Emerton. Thi had also proved adl) topical. aftera local famIl) orfi\e \>\as f-illed in a hou,>e fire.

"The effeci on us all in the 01\ Ision \.\as Intene.lt brought home to me even more the need ror preparalion for 10<" " \>\ rote Maureen. he had used her bur. ar; to attend bOlh conference and a training cour<;e in communication sJ..ilb. Concluding the e\.ening·., \>\orJ... Lord ete) aid thatthe prO\ lion ofnur..,ing bur"arie "ithlll 51. John wa gathering pace and that e\.el") one stood to benefit The recent gO\ emment grant of £ 100.000 to aid the Care in the Community programme ..,howed great confidence 111 the organi'>atlon and illu Irated Ju t ho\\ imponant the role oflhe RG01111 SI. John .

A record number of visitors attended the RoSPA Safety and Hea l th Exhibition at B i rmingham NEC last June SJA National HQ had a stand there and was busy the exhibition s three days Here the Lord Mayor of Blr' mingham , Cllr. Peter BarwelI , is seen being presented with the " Basics of Emergency Aid " by Anne Macleod , Develo p ' ment Manager Association , and Pat Leadbeater from St. John , Birmingham

'The lirst i'o to enhance m) J..nowledge or Community Care. \.\ hill' on a pcr onal le\ el it enable., me to CaIT) on m)' \\orJ.. In l. John Ambulance. I alll1 to as.,es the need of a Local Authority. to ,ceJ.. the vie\>\s 01 prore sionals and non-profeSSionals and \ ould. ultimately. Walllto initiale a comlllunlt) care project."

The third bursary. (2S0 from he alional Federation of 1H+ Groups. normally goes to a non-prof'cssionalmcmberofthc Brinade Since I b b eapp the ursary <1\.\ ardcd to the excellent Mrs.

Mr.,. Margaret Phipps had interllewed 0\ er one hundred adults and lravelled to ll1enea in de\ eloping a Bab) itting Training PacJ..age. Three pIlot schemes have alread) been initiated \\ ithin t. John and more developments can be e\pceted.

Mr Jame" Cooper found that 1m tud) on helping pcople to deal \.\ ith Post Traumatic was more than topi al: nOI onl) because of the Gulf War. but also due to an incidellllll \\.hich a member of hi.., o\\'n DI\ i:-.ion had to remove a corpse rrom a motorcycle accidem on only her second public duty. We hope to feature more detaib on thi" ill a future issue of 5./11, Mrs Maureen ugdcn \Vas unable to allend. but a repon on her \.\ orJ.. on Listenlllg and Communication J..Ills \\ a read out b) Dame

There was thi rabbit who went for a pint and a nack at a local pub. The rabbit a ked the barman what he had to eat. The barman replied. ., Achee e toa tie, a ham toa tie and a beeftoa tie". "I'll have a chee te toa tie" aid the rabbit. The ne"t da) he went and had a ham toa tie and then the next day he had a beeftoa tie. On the fourth day he went and ordered all three toa tie on one plate. After he had eaten them the rabbit fell down clutching hi tummy. "What' the matter'?" said the barman, ''!'\e mixed rna toa tie ." aid the rabbit.

lines froml the Museum of St. John, by Amanda Devonshire

Where there's brass

What pan did the Hospitaller and the Templar play in mediaeval everyday life? Find out from our new exhibition at St. John \ Gate, called The HospitolondtheTemple: Landed Estotesojrhe Military Religiolls Orders -

The exhibition explores the presence of these Orders through their extensive landed throughout Europe, focusing mainly on Britain. Using prints, drawing and photographs we not only look at the churche , building and si tes in this country, but also at the people needed to run the estates, from the cook and stockmen to the Knights them elve

From the 12th Century the Ho pitallersent men, money and supplies to the headquarters in the Eastem Mediterranean. Theirability to do thi s was based on the managementoftheire tates, which had been donated to them in support of their charitable work.

When the Templars were dis-

olved in the early 14th Century. most or their properties were handed over to the Ho::,pitaller..,. and 0 you will find Order site::, throughout the country, ror e ample Chlbbum in orthumberland. Dinmore in Hererordshire and Swingfield in Kent (see picture )

You never k.now, they may ha e been in yourbackgarden. Socome and see ror your..,elr.

The exhibition run'> rrom 24th Augu::,t until22nd December 1992 on the ground noor of the Mu<;eum or the Order or St. John, t. John's Gate, Clerkenwell (071253 6644). Opening hour.., arc Monday to Friday IOam-5pm and Saturday IOam--4pm (clo<;ed Augu t Bank Holiday Week.end)

Q: Where haveall thesejoke s come from?

A: from the OTYJ Joke Book produced by North York s

Compiled by Cadet and Badger groups around Nonh Yorks., the booklet was produced free of charge (thanks to the generosity of a brace of printers). For only £ 1. 99 (proceeds to OTY J) you can get you r copy from Hazel Ellis, SJA County II Q, 46 Topcliffe Rd, Thirsk, North Yorks Y07 J RB

regu lar feature 011 SJA Brigade Bands.Keep Andrew infonned by writing to: 28 Dowllscroft Grins, Hedge End, Southampto ll , S034RR

Surrey Corps of Drums are 50 yean.;, old year. The drawn from the Redhill, Reigate and Dork.ing of urre) Th l\ year they have a very full calendar, which ... tartcd on 11th Apnl al the King ton Youth Band Conte t.

They did very well and came runner. up in their class Darryn Holland , the Drum Major, came ecoml and Samantha Garrell came second overall for her trumpet "010 On 3rd May, at the Ru..,hmoor Youth Band Charnplon,>hip. the band won the novice "ectionorthe contest and Darryn wa" judged best Drum Major.

On 28th June, the Band wa,> among ..,everal from SL. John who took part in the National Music Day Parade in London The Parade started at Horseguards Parade and the route wa'> via the Mall, around the Victoria Monument and back to Hor<;eguards

The 50th anniversary party ror the Band is on 14th ovember in Redhill. People interested are asked to contact Malcolm Gurdin their PRO, at 50 Arbutus Rd., Medvale, Redhill, RH I 6LH. Tel: 0737 222776.

The Talbot Corps or Drum.., from Boumemouth, Dorset are also very busy this year with perronl1ances most weekends through the summer. They also entered the Rushmoor Championships and came a very creditable third It was only theirsecond contest! The Band are undertaking a wide range orwork this year, from playing the hymns at a Cadet Enrolment Ceremony to leading a Carnival pro-

Durin g June. the Band took part in the Bourncm outh Mu<.,icmak.ers F-e<.,!1\ al. On un· day 21 <,t the) paraded v. nh tht Ru-,cloJ....ka Band from 01'\\'<1 ,md se\eralloCill hand!> throughoul lhe tov. n centre of Bournemouth .\1· ter the Parade, each band ga\ cJ display at thc PICr. Thi.., wa\ 1'01· lowed by a Civic Tea with the Mayor of Boumemouth A fel days later. Talbot OD took. pan in a Tatloo with the Mogreina anu Ru..,elok.ka Band from 01'\\ 3). Boumemouth Cam ivaI Band ana Forum Marching Bra'>s fr om I Blandford The Tattoo ended dusk with a rirework di'oplay. OnJune 27th, Talbot the t. John's Day Parade to 51 Pauls Cathedral. The otherSI.Jo hr Band in the Parade Ihis year \\ 3 the Wade bridge Divisional Band The following day, the Band galt two displays at Dorsel's Over You John county Fair al Merle ) In August, the Band are off on a ten day tour to Gellll<lny. LU I embourgand Franecduring \\hl d they will be perrol1l1ing at venu ei on the Rhine and in Paris I The Band conlinues to b( sponsored by Post Onicc CountC fl Ltd and they are very grateful for the !'IUpport given by this Co J1l' pany

8 St John World A ug us t 1992

Maxon now proudly announce the launch of their Sovereign

Reade,'s report on tllei r activi ties around tile counhy. Contributions are always 'welcome, selld them to,' 'Out and About', St John World, 1 Grosvenor Crescent, Loudon SW1X 7EF. Notlling longer tllan 500 l.vords,please!

FLO WER Po WER-- Susanna Brewis, President of the Old Catton Division, extols the

v irtu

es o f f lo wer fes t ivals

The orfolk Central Area St. John Ambulance wa lucky with the weather when Major Fergu Matheson. the Area Pre ident. organized a Flower Fe tival in the Church of SI. John Madd e rmark e t on 12th. 13th and 14th July. The fe tival wa to rai e fund for a new a mbulance and it did very well.

Hundreds of people came to look and nearly £ 1.000 wa raised at SOp a head entrance (plu programme and refre hmenr charge ). The beautiful church of St. John Maddermarket is tucked right away in the very centre of the city, and we pulled in the vi itor in spite of the near impo ibility of packing them in

The fe tival wa entitled "Champion of the Cros "a nd it was based on the book of that name by the Rev. Hugh Edgell. Assi tant Chaplain of the Order of SI. John A people entered the church. they were invited to purcha e a programme which gave a name to each floral tableau togeth er with a brief history of the origin of the Order. Thu. the visitor were able to see " The Holy Land" "Hospitallers and Templars in Jeru alem", "The Poor Knight ofChris[", "Hostel in Jeru alem", "Servant of the id. in Peace and War". "The Fall of the Templar", "Peace", "The Search for a Home" - illu trating the Order taking to the ea and arriving eventually in Malta-and " St. John Ambulance Today" , a large tableau howing t. John as it u ed to be, complete with outdated doctor kit and a tretcher compo ed of a trip of canva and two pole. and as it i today with a modem stretcher and other purely floral di play. [n one part of the church Florence ightingale bent tenderly over a ca ualty , and in another a real suit of armour gli tened in the sunl ight which poured in through the lovely old stained gla s windows.

Major Matheson , who e idea it all was. wa mo t amazingly fortunate in enlisting the ervice of Mr Dori Waymark and Mr Lind a Knights of the Co ter ey Flower Club The e two ladie who are well

I-.nov. n in orfoll-. for their flower arranging ano lecturing ,I-.ilb. de· ,igned th e hole thin g and the arrangement.., v. ere made by them \.\ Ilh th e .,I-.illed help of the member of the Flov. er c'lub. and the le' l sk. ilied help of Member.., of the Central orfo II-. rea l. John 01\ ISlon, On th e e\ ening prior to the offiCial opening J Pn!\ Il:\\ Party' \I a \ held in the church (after a day of frenlleo aCI1\lt) to get It done an d cleared in time!). Thi.., was attended b) about'>l\.t) ""ell I-.no\l.n orfolk faces and ..,eemed to be much enjoyed It i bel ieved that a lot of IIltere..,t v. u.., ral'>ed on behal f or l. John b) this whole exercise and. hopcfull). '>ome ne\\ member \\ ill re<,ult a",ell as cas h for the ambulance.

EUROPEAN STANDARDS--

Dr. Michae l Webb, Medical Director (Associatioll ) reports on th e 25th Anni ve r s ary Na tion a l Co ngress of L'Anims.

This F rench anniversary meeting wa held at Divonne Le s Bain s. about 10 miles from Geneva I represented Briti h Fir t Aid among t representatives from European countries.

ot all events took place as planned - e pecially my arrival at Geneva, when my reception committee cho e to wait at the' wrong ide' of the airport. I had to pas through two pa port control after my name was announced on the Tannoy system only to find myself in a de se rted ent rance hall that - I was told - wa clo ed. I eventually made contact and avoided spending the whole night there!

The first day was spent on visits The fir t of them to CER (Centre European Recherche Nucleaire) , the European Laboratory for Particle Physics. Put bluntly, the centre i researching with no end-point- it looking into why the earth is what it is, and progre sing a relative handful of years back in the multi-millions of years since the Big Bang. I do not th ink anyone need be concerned about in s tant di integration!

It does make one question the value of research for the sa ke of researching. About£300m peryear-ofwhich the UK pays IS %-see ms a lot of money when one thinks of present day world problems The researc hers' only answer appear to be that " If we didn't do it, the Ame ricans, Chinese, R ussians or someone else would" Obviou Iy there a re spin-offs and I am su re o th ers will not agree with my pe rception. Lunch high in the Jura Mountains, still snow capped, wa s fo llowed by a vi it to a bomb-proof, disas ter proof hospital and free - time in Geneva. The temperature as we walked by the lake wa 26C, which was a marked cont rast to Eng land the previous day.

My host showed me many of the world organi ations based in 10 S f John World August 1992

Geneva - th e ILO , United a tiono., Red Cross, World ouncil 01 Churches, etc. - and Illy enq uirin g mind thou ght of th e of their buildings, the beauty of th ei r surroundi ngs. the co"t IIlvol cd - and theIr impact on the poor and helpless in the worlo!

The seco nd day was spent on First id Issue..,. Mo..,t of the were First Aid train ers. were held in French There were presentations on the way in which Fir"t Aid training \\ias organised In France, Belgium , Holland. Austria and pain. It is qUite ob\ 10US thai there is far greater state co ntrol and bureaucracy 111 thes countnel compared with the UK. However such govemme ntal interference doe\ have financial benefits

Training courses and trainlllg time s appeared LO be comparab le 10 our own, but the frequency between examina tions /reassessmen ts was much shorter than ours ([ pcr:-,onally fee that three years betwecn cxamIllation\ i far too long)

During the afternoon there were demonstratiom by Austria. Bel gium, France and Switl.erland oflhe recovery position - all di fferent and none like that currently used in the UK. There were also simulated incident s, and again countries dealt with the sa me in ci dent in differenl ways In this sess ion, the make - up was excellent.

The meeting ended with a gala dinner and orchestral entertainI1len t

My s incere st thanks to Chri. Lopher Griggs. onc of the twO British Firemen/Ambulancemen al CER ,who acted as my g uide and inter· preter.1t was an educative experience in wonderful surro undings Whl h left me feeling grcat pride in th e fact that t. John Ambulance I' recognised intemationally as a leader in First Aid.

NEW RADIO CHANNELS FORST JOHN

MORE VERSATILE . You may not know that following negotiations with the Licencing Authority, extra channels are now available to St. John Ambulance.

As a leading supplier of ICOM equipment to St. John we are pleased to announce our retuning service to include these channels on your existing high-band radios.

We offer this service for most makes so call our Hotline now on 071-252 1849 for our latest information pack.

CHEAP TO RUN . ICOM 2-way radio has proved to be the most popular and cost-effective mobile system for St. John Ambulance [CO M is used exclusively by London District to give excellent low cost communications and help make the most

of their budge t. If you would like your div i sion to save money get in touch with us today !

NUnIi." Here's a Safe,

The land nobody wants

That's the Gaza strip, where st. John is involved in a new project that epitomises it's humanitarian creed. The Hospitaller, Sir Godfrey Milton Thompson, explains more about it. We also asked him, below, some deliberately awkward questions about why 'ordinary' members should care about the Ophthalmic Hospital in Jerusalem.

The Gaza trip is a barren coa'>tal strip some 27 miles long and about five miles wide, with a population ofSOO,OOO people, of whom 550,000 are refugees It is the land that nobody want<, and the ,>ource of more agitation and riot than any other part of the occupied terri ries. tandards of health care in the Gala trip are particularly poor and patient'> from GUl.a comprise 30% of atlendance at the t. John Hospital. There is a general hospital in Gal.a itself. the Ahli H ospital, administered by Palestinian hristian'>. This Ho pital has a dedicatcd and enthu ia tic wIT, who provide general medical ;.md ,>urglcal care under the most dirti ult condition , but it i desperately .,hort of fund , vel) run down , and the security situation mal-.es any coher nt progrJlllmc of treatmcnt almost impossible. On one day 162 ca e,> of gun..,hot wound had been admitted for treatment, and it I'> not unu ual for the ,>ecurity force.., to enter tht: emergency trcatment area) during ci il di)order in '>earch of thme they had targe ted. There is also an eye

Why should we fund-raise for the Hospital in Jerusalem? It ' s a long way away , there are other causes overseas , and people don ' t seem to understand what a First Aid charity like 5t. John is doing by concerning itself with the issue "The origins of St. John were to help the poor and the Sick in the Holy Land. Our Victorian forebears sought to return to their origins wh ich is why they got a gift of land from the Sultan of Turkey. Eye disease has always been a major problem in the region and there was a desperate need for the hospital. It is St. John's major contribution to the Third World Unless you think that charity begins at home and should stay at home , then it's where we should be concentrating our efforts overseas."

Isn't the Hospital mainly funded by endowments? What can we hope to aChieve with collecting tins? Surely the amounts concerned are insignificant to the overall Hospital Budget?

"The Hospital s annual budget is £2 3m, Which is very cheap when you compare it With the costs encountered in the UK. The fact is that the Hospital is not funded mainly by endowments We do get some money from the Commonwealth and some

hospital which is somewhat dilapidated, understaffed and overwhelmed by the task.

The nited ations ha s plans for a new general ho)pitalju)t outside Gaza, but it i<; likely that this will be some years away.

For some time, St. John has been running Outreach ' team to the Gaza .,trip. Thi) is not a very )ati<Jactory arrangement, for the security situation often make.., it diffic\ult for our team) to travel.

My predece sor, Sir Stephen Miller reali.,ed that ome more pennanent presence of St. John in the Gaza trip was the only realistic way to provide the region with proper ophthalmic care. fter the Gulf War, th e Warden and I visited Gaza with a view to setting up a pennanent pre..,ence. We agreed to establish a clinic in an exi ling building in [he town, and to increa e our flexibility by u ing a mobile operating th atre in conjunction with it.

With help from the Secretary General and hi )taff, the European Commi ion generou I) agreed to donate EC 300, to the Ho pital for setting up an Ophthal -

from the United States We've also recently had some capital funding from the E C., but the running costs are very much provided by SI. John worldwide

The idea that the Hospital is funded only by major donations is an attitude of mind which it is difficult to combat. At present virtually all that we get from Arab sources is from King Husse in of Jordan The Gulf War has certainly made a diHerence to contributions from countries such as Kuwait, but we hope that it will come back "As long as the Hospital runs at a deficitwhich it does - then every little helps As an example, St. John Counties have enthusiastically embraced the dea of sponsoring nurses undergoing training, which at £1,350 a year is not very much but is extremely helpful to us ."

Alright , we ' d like to help the Hospital , but how can we perusade the insular British Public to take an interest in it?

The Palestinian question seems to be surrounded in controversy

"The im portant thing is that we're not political. In the tradition of St. John we treat everyone who walks through the doors of the hospital. We do not take sides but only

mic Unit, and this donation was followed by fund from the Overseas Development Agency, while the Gennan Government and the Mayor of Berl in contributed to the cost of equipping the unit.

A building was identified for conver..,ion, and plans submitted to the I raeli authorities. The mobile operating theatre needed to be custom-built onto a Mercede and having received as urances from the Israelis that it could be imported without duty a finn order wa placed. It duly anived in Haifa at the end of June, and arguments continue a to how much ha to be paid in the way of VAT, taxe'> and duty on thi humanitarian enterprise

St. John' pennanent pre..,ence in Gaza now largely awaiting the untangling of the bureaucratic proce If the I rael authoritie really 'v\ ish to ee thi important health care mea ure fully operational. then a olutionwill oonbe reached and we hall be able better to erve the poor and the icl-. in the Gaza Strip.

eXist to help the poor and the sick regardless of creed , race or colour.

Sylvia Holmes at Nat ional HQ can he'Jl anyone who Wishes to arrange for a speaker about the hospital.

"We have also now produced the new video, "If Not Here then Nowhere ", which gives a very good feel for the humanitarian work that is being achieved This is available free on return , or for a very small fee from St. John Suppl ies - all we ask is that people use it!"

Is raising money the only thing we can do to help the Hospital?

" Rais ing money IS the main thing Small toys tend to disappear w ith the patients and we have enough large toys to keep things going

"The staff always benefit by moral support. We ' re very keen that people from SI. John who visit the Holy Land should also visit the Hospital. It's inevitable that in a sense the Hospital staH are a little under siege '. For this and fund-raising reasons too, any pUblicity that members can achieve for us is always helpful. It's vital that the hospital s name and its reputation are spread abroad ."

19:12 St John World 13

Visitors always welcome!

An investiture was held at the Ophthalmic Hospital this year on the 4th May. Phyllida Stewart- Roberts, the Superintendent-in-Chief, reports on the event below. Meanwhile SJW chased up others connected with Sf. John who either attended, or who havevisted the hospital (often at their own expense) in recent n1onths.

Thi s wa a memorable VI It which started on the evening of 3 May with a cocktail part in The Cloi ters . The buildin g ha s great dignity - built of white stoneina impleCru ader tyle. Yellow ro e grow abundantly and cover orne of the wall to fIrst floor level.

The hi g hli gh tofthe vi it wa the titure and pre entation of Service Bars and Nur ing Certifica tes. The Lord Prior accompanied by the Bailiff ofEgle wa l ked in proce ss ion through the Cloisters.

The ceremony started with led by the Prelate of the Order, Bi hop Michael Mann. Dr. Michael Ward was made a Commander of the Order and Sister Hu ghes a Serving Sister. Dily s Hu g he s ha s worked at th e H ospita l for seven years wit h so m e break s.

Committed

She, lik e all the taff, s committed to th e H ospita and work. It was apparent that there is a great bond between the staff, strengt hened by th e difficult po liti ca l atm osp here in w hi c h th ey have to wo rk

After th e In ves titure we were shown arou nd th e H ospi ta by Sister M anarious and Mr. K aidy, the Charge N urse. W e saw treatment r ooms, th e Operating Theatre , R ecover Room, L ecture R ooms, the Kit c hens and, best of all , the W ards.

14 St John World August 1992

Lord \ eSley alllie rC('CIII illl'('slilllre 111111(' // mfJlfal grol/llds. vVilh him is SI(!I//llIne Ahmad Mo'oll

A a there rarel) a death, patient'> 'With o th er conditioll'l are referred to th e general hospital. Mo'>t patients are treated in th e da) or are in the ho spital for an average or three days. The Children's Ward was aver) happ, place where children waiting ror squint correction played happil y on good nursery equipment whi l e slllall patients lay quietly in beds with their mother be'>ide them.

The food provided is simple and adeq uate - the whole atmosphere of the 11 0pital was one of calm and c l eanliness. t east 170 cataract operatiom are perfolllled each month and severa hundred patienh pa , s through the Hmpital each day, which tart at 7am and until 7pm.

Sponsors

Mo st of the <,taff have 10 al trainin g whi e enior permanent staff have received their trainin g in London. urses, funded by different spon'>or<; ( .e. th e Edwina Mountbatten Tru'>l, th e County of omerset and London District) work in the Hospital for a year or l onger.

umerou s exemption categories mean that most patients are trea ted free with a few priv ate received from tim e to time. The work of th e Ho spi tal is indi , pensab e in a country where poor hea lth care and living conditions produ ce chronic eye conditions. Job opportuniti es are limited and blind or poor )ighted peop e surfer grea deprivation.

It i s sa d to think th at th e I sraeli Government do not reco g nise the ne ed for funding , uch a co ura geo u s and humanitarian en terprise.

feeling of endless patience of people who are prepared to wait for a long time. The other thing is the contrast with hospitals in this country which are such serious places I held an Investiture there and everyone, from the longest serving members to the nurses, were all laughing and enjoying themselves I remember the Warden saying how of all the hospitals he had worked in, the St. John Ophthalmic Hospital had the most dedicated staff.

4. I always have promoted the Hospital and I shall continue to promote the fact that it does a wonderful job It is a difficult part of the world to fund-raise for but the Hospitalls there for everybody.

Tim Everard , Secretary General

1. Our January visit to the Hospital wa s the second for my wife and - three and a quarter years after our first.

2. It is still as splendid as ever, 111 fact a bit more so since exterior conditions have worsened and the load IS, If anything , heaVier. The patients ability to transport themselves , to maintall1 living standards and to make a contribution

10 their treatment, are worse.

Ever wondered what it would be like to visit the Hospital? We tracked down some recent visito r and asked them the following questions:

1) Was this your first visit to SJOH?

2) How did it compare with you r expectations? (or alternatively, has anything salient changed since your last visit?).

3) What incident that eithe r happened to you, or was related to you , has left you with the deepest impression of SJOH?

4) How do you think your visi t will affect your work now you are back in the UK?

Lord Vestey , Lord Prior

1 It was my first visit.

2 I was very much impressed With t Obviously I've seen it in photos and vid· eos, but to go there , to actually be there ,l l really has much greater Impact. It is a building, you know A s much as anything because in the old days - when posl , operative cases had to lie still in darkened rooms for ten days or more - they needed the accommodation.

3. W ell firstly , it's an impressive build ing · It' s clean, an d you very much get the

very busy and someone is pester ing me for various obscure figures on the Hospital then I'm able to remind myself of how important it is, and that getting the money is what really matters.

Stuart Latham , Brigade Secretary 1 Yes , my first visit.

2. Brilliant. It exceeded my expectations. Absolutely marvelous.

3. I think the enthusiasm of the staff to fulfill their duties IS what impressed me most. There is a very good morale.

4 Well , I've a greater understanding of the whole concept. For 34 years ' ve heard about the Hospital and always wanted to go there I m intending to promote the hospital 111 various ways - I m intending to have an evening where I'll be showing the new Video and talking about It to various people. I m also in the process of writing an article for the Surrey Newsletter - Surrey are funding one of the nurses in training

the patients. London had actually sponsored two of the Student nurses who had qualified.

4. London District and the Hospitaller's Club have so far sponsored two further nurses for the next two years , and will continue to encourage more peop le of all faiths to assist in sponsorshi p and other projects (such as the ' Warden s Shopping List'). Raising the relatively small amount of £2,500 to support an Arab male or female - often living in poverty - gives great satisfaction and is a small price to pay for providing a person With a real chance in life.

John Mills , Director of PR

1. It was my first visit.

2. It more than lived up to my very high expectations. Obviously I knew a lot about the Hospital, but I stili wasn t prepared for just how impressive its work is.

3 There were two incidents. One was In a small Village, where the importance of the Hospital s field work really came home to me. Apart from seeing the poverty and the open-hearted wel-

3. One thll1g which struck us on our last viSit was an Arab patient who had lived In Germany and who said to my Wife dUring their conversation In ArabiC that the standards in the Hospital were "better than those in Germany "

4. My viSit will II1crease the deSire to Internationalize support for the Hospital- as we have done fairly successfully for the new Gaza project.

Tom Scannell , Chief Accountant

1. I've now been three times. My last viSit was November last year.

2. It was more relaxed In November than the prev ious visit I made. Then It was shortly after the Temple Mount Massacre , while last November they were hoping for good things from the Peace Conference.

3. The deepest Impression was when I was there In 1990, when the Israeli auIhorltles chased a group of schoolgirls into Ihe Hospital and fired teargas into the I was there , looking out of the window, and thought it was a coca-cola tin! I ,su ppose I have two over -ri ding impresSions: firstly that t is such a totally ' different' experience for me since I've never known riot situations; secondly I am struck by the extent to which the Palest inians are so closely knit. On the face of it, and I may be wrong , they seem to care for each other more than we do

4 I know that there was a fear, some five or so years before my time, that the hospital would have to close for lack of funds. To my mind that would be a d isaster. Of all the charitable work that SI. John does it is the most needed I suppose the only ans w er I can give is that if I get to the point were I'm

"Mark Elder, the surgeon I was with , explained to me what he found as he examined the baby and concluded (We can make this baby see'" come we received , there was a mother who brought her baby to us be lieving It to be totally blind. Mark Elder, the surgeon I waf with, explained to me what he found as he examined the baby and concluded "We can make this baby see " ThiS was translated to the mother and, well, you can imagine the Impact it had.

Brigadier Robin Middleton , Chief Secretary

1 It was my first VISIt.

2. Far more Impressive and better than I'd expected. The relationship between the Incumbents and the nurses was espeCially Impressive

3. The service that the Hospital provides to the patients left me w ith the b iggest Impression. It wouldn't be fair to select any one patient.

4. It w ill make me all the more spIrited towards the Order of St. John.

Derek Fenton , National Advisor on Sports Grounds

1 It was the first visit to the Hosp ital for my wife and I.

2. The reason for our visit - namely the Investiture by the Lord Prior and his subsequent presentation of graduation certificates to the student nurses - was a memorable occasion in every respect.

3. The Investiture - wh ich was preceded by a reception the prev ous evening attended by many important guests - made us feel proud that we , as part of the most Venerable Order , were able to witness such dedicated work by all the staff Theircheerful attitude and help did much to comfort

The other inci dent was in one of the operating theatres. An 18 month old baby was having the second of its lenses removed prior to their being replaced. There was such an Impression of meticulousness and care as the eight medical staff were gathered around the tiny child. When it was over, there was a moment of d ifficulty as they brought the child round, which was heart-stopping for me, but the anaesthetist sorted it out and then passed the child on to the Canadian S ister.

I walked with her into the recovery room where. with Infinite care, she handed the baby over to another sister , Pau line. I then followed Pau line down through the COrridors leading from the Theatre and remember these two sets of eyes peer ing through the doors at the end of one of the corridors. They belonged to the parents who were wa iting for their baby to come back There were tears in their eyes as Pauline handed the baby back Into their arms

4. My viSit obviously put the flesh onto the bones It enables me to really talk from the heart about the hospital wh ich makes a great difference. ' ve bee n In discussion with the Hospitaller about setting up a Hospita Awareness Week and it's probably safe to say now that one is planned for late October. Readers might like to know that County HQ 's now hold copies of the Hospital Leaflet and of course, Hospital Posters are available from Supp lies.

Augu\t 1992 J o hn" o rld 15

It's that plane again .. .

How and wh y did we do it? Well , the Cabair Group had generously agreed to let the little Piper aircraft that won us the Dawn -toDusk competition last year port its G-OTYJ registration until the end of the " OVER TO YOU JOHN " appeal. Thi s wa s simply too much of a temptation for David Hughes and I not to have another go. The only problem was how to top the previou s year's effort.

Th e obvio u an we r wa to go out ide

th e U .K Afte r that, it all fell into place. We wo ul d use G- OTY J to link. the two Foundati o n of th e Order of St. John by flying it to

Je ru sale m 1992 is th e 800t h a nn iver ary of th eco ncl u ionof th eTh irdCru ade.Our fl ig ht was to be a n ai rb o rn e cru ade in s upp o rt of th e Ho p ita l, fo ll owi ng th e ro ut e

w hic h K ing R ic hard 1 an d h i armie took. A nd ince we had to bri ng the aircraft bac k again, we decided to fo ll ow th e route

tak e n by th e Kni g hts of S t. John when they we re expe ll ed from th e Ho ly Land - via C y pru s, Rh od e a nd Ma lt a.

F ir t calc ul a tio n u ing a piece of tring a nd a c hoo l a tl as made it quit e clear tha t

we wo uld no t be a bl e to make if from the U K to Je ru sa le m wi thin th e 17 ho ur a l-

lowe d by th e D aw n-to- Du k rul e . b ut

th e re wa a very o bvio u tarti ng point

d ow n th e ro ut e . R ic har d 1 took h ip a t

G e noa - hav in g fir s t fa il ed to make co ntact

w ith hi s fl ee t a t Ma rsei ll e. It see med j u t po s ibl e to fl y th e d is ta nce in 17 ho ur sexce pt th at tim e zo ne diffe re nce wo uld

mean th a t 17 ho ur s aft e r daw n in G e noa

would be we ll afte r d ark in Je ru sa le m

We co ns ulted th e Daw n-to- Du k g uru , with th e up ho t th a t we beca me th e

fir s t co mp e titor in th e 2 6 ye ar hi to ry of th e e ve nt to fl y Da wn -to -Aft e r da rk. A s pec ia l di pe nsa ti o n fo r us to s ta rt a t 4.3 0

Itali a n loca l tim e was g ra nt ed

Da vid Hu g hes undertook th e tec hni ca l aspec ts of fli g ht pl a nnin g, whil e I ta c kl ed cleara nces, li a i on with handlin g age nt at refu e llin g s top s, arran g in g fu e l a nd e ttin g up quick passage throu g h th e vario us national a ir traffi c control s ys te ms.

16 St John Wo r ld Au gu 1992

We inte nd ed to o pe ra te to Vi ua l F lig ht Rul e (exce pt fo r th e ni g ht sec tor w he re In trum e nt Fli g ht Rul e are co m pu Lory) a nd we wan ted to fl y a lo ng pu b li hed ro utes w hi c h ho uld res ult in less r is k of de lay.

We were para noid abo ut delay It was clear th a t eve n w ith a fa ou rable Wes ter ly wind , we wo ul d on ly have ten to spare o n an iva l a t Jeru a l m. Inc lud d in thi s were pl a n to re fu e l five - a t R o me, Corfu , At he ns/Mara th o n, Rh odes a nd Cy pru -a ll owi ng no more th an ]0 minut e on the g ro und a t each SlOp. It began to look like 'M ission I mpossible'.

I se t a bo ut worki ng wi th th e Briti sh E mb a, ie o ncemed to Illak co nt act with th e ri g h t peop le to spe d us o n our way.

We had two lucky breab. The Briti\ h Embassy in Rome a lerted the onsul in Genoa, who played a sta lTing ro le in setting u up at the starting point. and the AIT A tt ache, who undertook to pave the wa) forusa t Rome/Ciampinoairport. The Rom e on trol Zone is for its rigid" procedura l hand ling of aircraft.

Oursecond lud.y brea k was with Sh ell. who very kindly agreed - through its compan, hell ( Hella'» - to provide rue

... Executive Director, TIm Gauvain, recently hopped on a plane and flew toJerusalem. As he explains, though, there was a bit more to it than that!

free of cha rge at the three Greek a irfie lds we wou ld be u ing.

Th is left on ly Cyp ru and Jeru sa lem. I thought (bu t 1 was wrong!) that if we cou ld on ly get MOD permission to land and refue l a t the sovereign British ba e at Akrotiri, we would have no problems As for Jerusalem, special procedures apply to entering Israe li airspace and it wa<, vital to get them right. We would have 10 ked very foo li'lh if after 15 hours or '10, we were turned back at the rsraeli b undary!

Ent r Maranatha Tours who very kindly gave me un air ticket to vi"it "'rae I and

discuss th e matter direct with the Israel Civil Avia tion Authority. It was a goo d move , and paid off handsomely.

David Hughes, meanwhile , had spent many hours poring over aeronautical charts and discu..,..,ing the route with the Aeronautical Information ervice at Heathrow Airport. We were especially grateful to Robert Pooley, who e company Airtour International provided a mass of charts, aeronautica l publications and other equipment.

Air sea rescue facilities are negligible in the Mediterranean, 0 for our own peace of mind we appealed to the RAF (what wou ld have happened if I had served in the Army?) and received on loan two lifejackets equipped with personal locator beacons and mini-flare the be s t in the world and a source of great comfort to us. ext came sponsor. hip The Cabair Group took up the lead , of cour e, providing G-OTY J for us again. John Wei<; and Clement Clarke International - both supplier to the Ho pital - al 0 s upported u (the latter with theoutstandingAirlite Delta head etswhichweu edla tyear.a wellas with a cah donation). Gulf Air and the Automobile Association al 0 lent a hand, while we received a number of donation s from individual. Our target of £20.000 eemed achievable.

PR wa more difficult - rai ing intere t amongthe .K.pre fora torywhichwa going to unfold mainly over eas wa<; an uphill truggle (full credit, then. to the co mopol itan outlook of Capi tal Rad io and the BBC TV v.eather ervice \\ ho did gi\ e u coverage! ).

We v.ere immen el) grateful to Jock aitland. Serving Brotherofthe Orderand organi er of the Biggin Hill Inrernational ir Fair. for offering to let u land during the ir Fair programme. We took part in a very succe ful pres da) there. and held one at Denham rhe da) before departure. Just like la [ year \\e faced a di a,,trou I) bad \\"eather foreca -t. The \\ hole of the Mediterranean would be ubject to a outh Ea ·terl) wind - the \>, or t pos ible direction - \\ hich V. ould \\ ipe out our ten minute in hand \\ ithin (he first two hour. e refu ed to believe it and et off on Frida) 12th J line (0 spend the \\eekend tl)ingineas) .' rage toGenoa.read) f nhe Challenge on the I:th. fter a custom rap at Tous -us Ie oble, near Pari , our fin refuelling top \\ a ' at t. E tienne. near L) on - \\ here our friend at afev. a) had kindl) arranged for Groupe asino. their French trading partner to offer U free fuel. parking and accolllmoda tion. further top at Canne had u poi -ed 0 reach Genoa at midda) on unda) I-+th June.

t Genoa th Briri h Con ul. Mi hael i k " had appr a h d the Mayor v ho not on ly gave u a 10 ly me age to tak.e to the Ho pi tal bu t aLoofferedu freeaccommoda tion a t a hotel in the ci ty. The handling agent a t the airport. eroporto di Geno \ a, provided a free handling er\'ice and arranged to v. ai \ our landing fee , The Bliti h im ay manager, meam\ hi Ie, used al l hi ing nuity to get our tlight plans for ugUSl 1992 t John W o rld 17

the following day lodged by fax with the Rome AirTraffi Control Centre. We wer all et - and the wind wac changing in our fa our!

from most or them!)

At Co!i'u we encountered the outstanding co-operation of the hell managers A ruel bows r appeared within minutes and the manager' s orfice (and telephone ) were made available to me while Dave went to complete fOlmalities in th temlinal building.

W e decided to land at Rhod es and contact the British Forces Ileadquart cr'i in yprus. The RAF lifejack e ts might have been the be t in th e world, but we weren't that keen to try them out. A:-.. wc might have hoped. the RAF had th e <,illla tion in halld.

Genoa Airpol1 at 3am i about a lively ae Blitish Rail ration on Chri. tmas Day. We eventually found a leepy policeman in a kio ek. who looked incredulously at two eccentric clad in short. who didn·t peal-. a word of Italian With CCA likel story" written allover his face. he made a phone call and within minute a rew coach appeared to take us to the handling agent's office and thence to the aircraft.

Air Traffic Control wa al 0 awake but eemed to be in ajokingmood.Aclearance to climb to 9,OOOft in a Piper Alpha 28? They had to be kidding! They weren't.

Poor G-OTYJ! Hanging on to it , propeller, it grumbled it way to an altitude which for mo Iight aircraft trato pheric.

The sun ro e over the coast to our left and we et off on the first of our major ea pas age - out of reach of land and praying to the great god of aero engine .Lycoming!

Our effort to prepare the Rome zone for our arrival paid off, and we were fed into the approach pattem for Ciampi no airport on time. Group Captain Steve Wrigley, Briti h Air Attache in Rome, wa waiting for us on the tarmac. together with an incredibly efficient handling agent who had the fuel bower parked in front of the aircraft almost before we had topped the engllle.

Twenty minute s later we were on our way again. Rome to Corfu wa the lon gest leg of the flight. We climbed over the that guard Rome and set off down the pi ne ofItaly - refuelling our elve with Tracker bar and Five-Alive juice (which was all we had, or wanted, all day).

Changing to Visual Flight Rules after daybreak made thing ea ier. Brindi came and went below the port wing and we se t off across the ea again to Corfu, with the grim mountain of Albania clearly vi ible to the Ea t. We cro se d into Greek airspace and a new time zone. Monday 15th was a Greek Bank holiday and the busie st day of the week for Corfu airport - they expected 75 charterfl ight during the day. We braced ourselves for a testing time.

Sure enough the Corfu frequency wac bedlam. There i no radar at Corfu (or at mo st Greek airfields) and traffic procedurally separated by a very efficient but understandably hara ed controller. Fortunately, our Visual Flight Rules clearance enabled us to , neak in at low level from the West and we were amused to hear the controller warning the airliners about a light aircraft in the area (to audible yawns

18 St J ohn Wo rld Augu st 1992

I reported to the Gros enor Cre:-..cent Communicati ns Centre (aka John Mills, DirectorofPR), while Dave was ordially waved through the landing fees office. This seemed con i. tent with what we had under tood from the Shell mana g r. that he was paying for both the fuel and the landing fee. We had understood wrong.

We were quite unprepared for what happened The weath r was beautiful and we cut a comerolTour route by 0) ing over the mountain e on the We:-..t coas t ofGreecc. We were ahead of time and morale was high a we called Marathon. a mall airfield orth Ea:-..t or then , Int emationa and our ne'\t (free) refuelling stop.

"G-OTYJ, /Jc('(/lIs(' YOIl did 1101 pay rOllr landing Iff al COI/il. I 110\ '(' iIlSlrtlClioll \ Ih([/ you are 10 lalld (/1 Alhells IlIl erJ/aliolla/".

Athens International th e uirpOli C\ erybody love s to hate. We toyed v. ith the idea of having a fortuitous radio failure, but decided to face the music before it became deafening. t east the airport li ved down it reputation and gave u no problem'> v. ith air traffic control. The problem , began on the ground with a SLOne-faced official of the Greek Civil Aviation Authorit

"We are a charity 0 ight and we thought that our landing fees at COIi'u had been paid for u "we aid politely.

"The Greek Civil viation Authority ha no concern with charity tlighb and you have been very iITe<,pon,>ible" came the reply. To cut a long ..,tor; short. Oave wa put through the third degree, while I wa.., 'ripped off' for the landing and handling charge At lea st they let us go after an hour and a quarter and we fled for the i..,lands of theAegean bcforetheychanged theirmind..,.

Ha sty calculations followed. It wa<, 3.30pm Greek (and srae li ) time. even hour s to go, six hours and lhiI1y five minute e timated Oying time were required and at lea , an hour on the ground at th e remaining two refuellin g It didn't stack up!

Theholiday island ofMykonos, Paro, Naxos and Ko s came and went and we relaxed a little in their very real beautythen we spoke to Rhode s.

"Rhodes Tower, do you have our outbound flight-plan ?"

"We do .si r, bUI il is nol \'alid because the Cyprus C()\'ernmenl willnol aI/ow yo II 10 land al Akrolin. YOll will have 10 for a landin g al Paphos."

Disaster! There was no fuel for u s at Paphos We considered Oyin g directly to Jerusalem - four hours in the air with precious little fuel in reserve

"Fllel (/1/(/ 0 .'Ie/Tieing parly will he I\'oiling/ol' YOII al Paphos" they said. as if thi s were an everyday occurrence. The hell manager at Rhodc :-.. <11:-"0 blc:-..:-..ed us with an ext reme y frie ndl y and e lTi cicllt llIrn around. t 6pm we :-..et orr in the direction of Cyprus, having caught up ten minutes on our deficit.

Thanks to a favourable wind we Illade c client tim e acro..,<, the fcaturele "'s water to discover a olo:-..:-..althundcr-cloud ':lilting right a er the centre of ypru:-...

Fortunately it wa..,n 't affecting Papho\ where we tou chec! dov, n just a.., the RAF arrived in a c loud or duq \\ ith tv,o bam::b of ruel on the bad, of an open truck. ir icc-Mar'>hal and) IluIH er. Pre,ldent of the J in the 0\ ereign Ba,e rca,>, was there to meet u,>. together \\ ith Oa e mith. Olllllli,>,>ioner; John Gump Pre,>ident: and Franl-. Haggel1) We gratefully received a chequc and forthe Ho'>pital , and ,>omc \\aterand chaco· late bar.., for our,>el\c,>. fter the fomlal tic'>. we Ii led a nell Ilight plan ror Ben Junon irport (the ) pru,> uthoritic-. ha\ Ing helpfull) agreed th a we could depart on all ight rlan for Ben Gurion and then re-Ille In the air). and orr in the leN or the da) light ror the final leg. We had exactl) t\\ 0 hour,> again,t J Ilight plan time ofe \actly t\\O hour..,. It \\(b going to be another cliIT-hanger!

The la'.tleg \\'il'> almo..,t all O\er v,att:r. out of rea h of land. It \\a.., al'>o darl-... and the ma'>sive thunder'>tol1l1 \\l' had ",polled earlier e\ploded \I. ith Itghtning to our Iefl. ghm tl moon <,hov. cd the ,>ca a'> a ..,tee!) ma<;" belov. u'>. loud ..,tarted to bubble up arollnd u'> and we caught the odd Oa.,h of lightning rrom ,>oll1e of the dcmer patchc We didn 'ttall-. much - I think both oru:-.. were LOO bu'» li'>tening intentl) tothe engine. braced ror the '>Iighteq indIcation that it was not peri'cctl) healthy.

It seemed a very long hOllr and a hall before th e li ghts of Tel Avi became clear!) visible ah ad of us. The li ght:-.. ofJeru"alem seemed to be suspended in the (the cit) is 2,500 ft above sea level), a" we followed our route to Ben Gurian airport where lIe were to call when we had Jeru<;alelll airport in :-..ighl. thin la yerorc loud remained. but it broke just in tim e to reveal th e Fatigue was beginning to tak e its toll. but we still felt a real sense of occasion

W e cleared th e runway onto a !axilla) lit only by conventional blue g lil1l -ligh h and g in ge rly tax ied onto a completely dark apron - no I ights and no other aircral l v isi ble, just a pool of I i gh t cast by our 011[1 taxyin g lamp We parked next to a crop

spraying aircraft and c limbed out.

We waited for th e police, th e customs or eve n troops Eventually a young man, accompanied by a ten year old boy appeared. We apologised ror keeping th em up till I O.ISpm. H e announced that they had to ..,tay open anyway because Gorbachev was expected later!

We hcard Engli<;h voices and a mo unlikely apparition hove into view - Dr. Michael Ward, Warden of th c Ilo spital, wearinga, I. John cloak which billowed in the brcc/e. Sonia and Joanna Ward were with him, t1'> were Janet, the Matron; Oily the A ister Tutor, and eorge, the Ho.,pital..., <,tev.ard.

Photos and cu<,tOll1.., clearance 01 lowed and in no time we were in the car drinJ.-ing champagne. A ,>plendid meal and suitable ·..,ociallubricant · wcre laid on for us at the 10 ely Tower Flat in the ll ospital. A call to John Mills. ,till manning the phone in hi'> unice. a cull to our nearc..,t and dearest. and we called It a (\er) long and unforgettable) day.

It about clght hour.., fromlleathrov, to get to the Il ospital. We had taJ.-en a '>Iightl) lllorearduou.., route. Butl mu..,ttell alitho,>e \\ho ha\e not made the journey that it worth paclclI Illg a canoe to getthcre. othIng you hel\e rcad or are told compares v. th per<,onal c\perience.

The nc\t da) Dene and Im et lllan) of thcnur ing <,taITmercoITee. Michael Ward u<., on a tour or thc cl1l11 ,>, the wards and the ,>upport area,>. I f we had ever had Llll} doubt'> aboutlhc \\ orth of our mi'>slon the} would ha\e been di..,pelled in li\ e 111 In ute,>. Ind eed. we Ie It inadequate. It i'>all \'er) well tr) ing to reme mone) for the HospItal. but it\ not the ame a actually providing the care v, hlch mcan'> '>0 much to O\er 60.000 patient'> ever, year.

All too ,>oon \\'c \\ cre bacl-. at Jeru..,alcl11 alrpoI1.checkingmer - TYJv.hichhad endurcclthundel\lOnw., and hea\) raIn (the Ilrst '.uch \\ cather in June '>lllce 1957). On 17th June we ,>et orr again for ) pru.., and homc.

wcre grcetcd by the British onsul, Mrs. Delllctriadc , by the airport manager, and by a Greek TV crew! (Our ack of foreign lan guages was becoming a distinct embarrassment to us, and Mrs. Demetriades proved invaluable).

Free fuel wa<, made avai able to us at Marathon and lovely but ha/.y weather over the Aegean gave way to thundery activity in the Athens area we crcpt over thc hill<,. We were thankful to reach the safety of the Gulf of Corinth. We stopped agai n at o u and pressed on to Reggio. where Signor Oi Leo and his colleagues of the local Oying club gave u<, invaluable assi<,tance to complete bafning bureaucratic procedure<; (and very kindly paid our landing fee<,).

Aftcrbeing given anotherstratospheric level or II ,ooon for our tramit back to Malta. G-OTYJ <,truggled the di<,tance to b greeted, during the final tage,> of our descent. by a fantastic firework di"play. It turned out to be a village fie ta nothing to do v..lth u at all!

Colonel Claude Gaffiero. Commander of J in Malta. greeted usandthenextda, laid on a fascinating tour of Valletta and Medina. We attended a Pres<, conference at which members of the Malta Division were pre"lcnt and accepted another g nerou cheque from Colonel Gaffiero. \er) unuual South-Westerl} wind helped us on our return to t. Etienne on aturda) 20th Jul). We meandered up the It alian coa,>!. admiring the power of the rich and beautiful around apri, before going into and ou t of Rome and Genoa a smoothly \\Ie could have v.. ished. fter a :-..tunning Ilight aero".., the Ipe,,> Mantime v, e dropped dov. n into t. Etienne at 9pm to find our atex friend waiting for u<,. unda) Jun 21 'It wa '>uppo"led to hold a refuelling at Rou en before dashing aero,>.., the Channel to Biggin Hill. There W(1'" nobody in the Tower at Rouen \\ e landed an) \\a). There were no u tom:-... nohod in the landing fee ollice. and nob )d) looking after refuelling. Then it us It the a red French lunch hour (or three!). The airfield \\'a empty. but the re<,Wurant \\,a.., full!

R a th cr to our <,urprise we were to join the circuit over the crowd. We tipped the plane on its wing and made our 23rd landing after 5,095 nautical miles and 47.5 hours 11 ying. G-OTY J had consumed nearl y 500 gallon<, of fuel and we had consumed several hundred Tracker bar<, - but that is another <,tory!

We had a great welcome. Whi Ie we were failing to thrill the crowd the commentator gave a really good plug for the Ho<;pital. We parked between a rov. of Tiger Moth" and a rocket car. Tony Blowers met u<, in uniform and we quite inadequately thanked a SJA Guard of Honour which wa lined up on the crov.d line. At the George Moore Exhibition Trailer. the Depu ty of PRo Kate Buchanan. and friends had the champagne and the cake read) (thanks to Tom Gibson for letting the London Di trictexhibition be hi-jacl-.ed forthe afternoon).

t the end of the day. it v.a all for the Ho pital. Ifw e have <,ucceeded in focu ing attention on the fanrasticjob v..hich Michael Ward and all hi colleagues do - and in raiing ome monel to help them do itthen that iqhe measure of <,ucce , \\C\\ ant.

The return joullley was no Ic:-..s IllcIllorabl for its cAperience or meeting the t. John family Overs a:-... t R F (onl) nl1l10r problems ge lling in thi:-.. time ) wc Were greeted b) a larne from the b b Iwo overeign Base Areas and - to our great delight M r. Zachariades and three of his colleagues rrom J in icosia. He presented us with a generous cheq ue in th e VIP loun ge.

The nC:>.t day :-..aw another lon g Oightto V!alta. We refuelled at Rhodes. \\ here we

We tOyed \\ ith the idea ofju t departing The lIstom'> had not bothered us at l. Etienne. :-"0 \\ ould the) notice if we ju'>t through France'? We decided again'>t i!. wisel) ..,ince it tumed out that the Cutolll.., had "'potted our Oight plan. CU etoms clearance v, as a.., r lel'\ed a:-.. mo:-..t thing'> to do \\ ith genera l aviation in Fran e.

"You go to B gin Hell ? OK."

The \\'cmh er on the orth oa..,t of France \\ as foul but :-..oon we were loitering over list enin g to the sort of radio tralTic reselvcd for displa) pilot:.,. Eventuall) our me'>sage c.tllle.

"c-OrYJ , lIl'e yOI/ ohle 10 lund on grass ? II e al'e SII CCIJing Ihe rill/II 'a.\'

This was a massive team effort and we have very many people to thank. The Cabair Group , Airtour International. John Weiss. Clement Clarke International Shell. the AA , Maranatha Tours, the Royal Air Force , the Malta Hilton and the many other sponsors who made It possible. A host of others supported it. not Just S1. John people but staH at the Aeronautical Information Service at Heathrow, the Met. OHice at Bracknell , Controllers Ground Handlers and Refuellers all along the route and many others

At Grosvenor Crescent we owed everything to the enthusiasm of the Hospitaller and Sylvia Holmes, to the PR department which turned itself upside down for us , to Dorothy who typed a Zillion letters to strange people in strange places - and to all my colleagues at National HQ who might have thought we were mad. but didn ' say so!

On a personal note, it is hard for me to find the right words to thank Dave Hughes, who gave up his holiday forthe flight and spent endless hours over the planning beforehand. Without his me'- ticulous professional skIll , would probably be writing this in an Albanian jail! ugu'>l 199_ St Jo h n W orld 19

Call

and Divisional New

Call and Divisional New

Training Manikins '

by R obert S Simons, Anne R Chamney

Wh e n c h oos i ng a

m a n ik in , li fe l ike ana-

t o mi ca l a pp eara n ce

a nd rea li sti c f un c ti o n

a re esse n t ia l. O t h er

f ac t o r s a o utlin e d

a lon gsi d e h o uld be

co n s id e re d. In addi -

ti o n taff mu s t be

ava il a bl e fo rteac h in g

s tud e nt s a nd m a int ai nin g e quipm e n t, an d s pace mu st be p rov id e d fo r t ra inin g and s torage.

Manikins sh ou d be

Selection Criteria

• A udi e nc e- ize, t a ndard , fr equ e nc y

• Reali s tic A natom y

• Multipl e and concurre nt t as k capabilit y

• R es pon se to r e u scit a ti o n mano e u v r es

• Visibledi s pl ayo fp e rfo rm a nce P e rman e nt r ecord fa c ilit y

• Obj ec ti ve co rin g ca p ac it y

• Safe t y (c ro ss infec ti o n , e t c )

• Dur a bilit y

• E a se of m a int e n a n ce a nd r epair

• P o rt a bili ty

• P owe r r e quir e m e n ts

• Cos t easy to c ean and the kin should not stain from contact with ipstick, ball point, or marker pens or discolour after extensivc h and i ng. Moreover the skin should be strengthened against spl tting at vulnerab e ju nct i ons, such as t he come r s of the mouth oreyes. Components l iable to wear and tear, such as the face, skin, and chest piece, shou d ifpo ible beeasy to replace. Stranded hair may ook rea is t ic but is difficult to c l ean and constitutes an unwarranted risk of infec t ion.

24 St John World August 1992

This article on training manikins is excerpted from the ABC of Resuscitation which is published by the BMJ , Tavistock Square , London we 1H 9JR Minor modifications have been made to the text and the article should be taken as a general introduction to the topic and does not imply St John codes of use or endorsement of products Our thanks to the BMJ for permission to reproduce it.

SET PULSES RACING WITH THESE REALISTIC TRAINING MODELS

All available from st. John Supplies

A wide selection of training models to suit every needand.pocket. All are deSIgned WIth the same degree of life -like reahsm that them the most effective way to teach, or learn, reSUSCItatIon techniques.

A range of accessories and spare parts are also available, including disposable faces and airways.

Resusci Anne Complete full body complete with and legs, light c,lgnal and electrOnICs. Provide the impact and importance of realism to your training programme

C20000 £666.00

Re u ci Anne Ba ic complete with am1 and leg but Withou t hght signal, electronics and head section model. C19997 £489.95

Resusci Anne Tor 0 Complete Skillmeter Resusci Anne Comes \'vith light Clnd el ctronic and i an ideal manikin Arm and legs may be added lat?r If (Full Body Kit 20006) although a larger sU it case ( 19996) may al 0 be required.

C20001 £519.95

To minimise the rISk of cro:-.,> infection U\lnl! manikin , the number,> of tudenh for each manikin ..,hould kept mall and att ention to hygicne should be careful. ani kin.., ..,hould be disinfected during and aftereach tmini ng \c..,..,ion hlCC ..,hiclds and other disposables ..,hould be changed hetwcen studcnt", and the manikin\, face ..,hould be cleaned with 7OC,f' alcohol or SOOppm chlorine (20ml bleach/litre watt..:r), allo\\>lng ::\() ..,ecoml.., contact time. Between cla"..,e.., the manikin "hould be dl"a"..,cmbled. washed with ..,oapy Vvater, anuthe 'iuri ace.., \\elled for I () minute with fresh dilute bleach ,>olution a.., abo\l':, then rin..,cd and dried ew practice.., in cardiopulmonar) re'>u'icitatlon mtl) not be demonstrable on model.., de..,igned several year.., ago - for nalllpie, treatment of choking by abdominal thru..,l. usc of the recover) posi t ion, management oftraullla and haemorrhage, and the useof resuscitation airway adjunct:-,.

Sa mpl e mod e l

Manikins available range from simple models primarily de"igned for rescue breathing only to advanced simulator.., u..,ing microprocessor technology for defibrillation training Although nO.t as reali<;tic, torso models arc more portable than full ..,i/e manikins.

Examples of recen t models arc given below as a guide t.o features available, although detail'i may have changed since thiS al1icle was first published.

Ambu Man di..,places expired air into a disposablc plastiC bag

Resusci Anne Torso Ba ic

The low pri.ced ITlodel wit h o ut li ght ignal and e lectroni s. These t1lCl be added later (S ignal Box and Electro ni c 20005) a \vell a a rm s and legs. C20002 £334.50

Using en ors and a liquid crystal display monitor thi advanced mankin provides rapid evalua-tion of th e tudent's CPR techniques.

C ro ss infection

in the head hell. The head movement and ge n e ral appearan e of the manikin have been c on iderably improv ed in r ece nt year s, and limb: can be added An inflatab e tomach and supervi sor-c ontrolled carotid pu e are included A de s irabl e option s th e plu g- in monitoring unit that di play tidal volume and c ardia c compresion re opon e and indicate wron g h and po s ition and toma c h i n flation. An interface to a computer and printer ca n provid e a graphic or text di play of evera ble ariabl e. r ecord ed for 1,5, o r 10 minute with an ana y of th e andid at e' p rforman e. Th e criteria are strict and ba ed on Am e rican H a rt A o c iation guide in s.

The Laerdal R e s u ci m anikin in c ludea r a n ge ofto r o and full bodied model, mo of whi c h c an b e c onn ec t ed to an indi ca tor light bo to how adequate ventilation, ad equ a te compr e ion , o r wrong hand po ition.

R ecording R es u ci Anne a so h a a m etro n o m e and a b att r opera ted, pre ure en itiv e , paper trip writ e r that prov id es a permanent record of the re c u er att e mpt · a v e ntilati o n a nd cardiac com pre ion

R e us c i Junior imu ate a 5 yea r old c hild f or prac ti in g cardiopulmonary re u citation and w a er r e c ue ( fl oa tin g orubmerged ) Under t andabl y, it ac k e ectri ca indi ca tor. It p a rticularl y uitable for teaching life - av e r s, pl ay ch oo nur e and children

R e u sci B ab y i a v e r y re a li ti c m o d e f o r teac hin g n fa nt re u c itation

Skillm e e r Re u sci Anne ha s r ec entl y b ee n add ed and f ea ture a computeri sed monitor with LCD cree n. Se n or in th e m anikin re pond to the re c uer' attempt s at h akin g, ca rotid palpit a ti o n and airwa y openin g Other e n or m o nit o r ve ntil a ti o n and co m -

pre s ion , a nd rat e, r atio and perfo ml an ce o th e r e u c it ati o n manoeuvre c an be ca lcul ated a nd di pla ye d. A p ap e r strip re-

corder Ii tin g c orrec t and in c orrec p e rf0I111 an Ce ava il abl e.

Althou g h not ne c e saril y appropri ate to St. Jo hn A mbul an ce, some model can al 0 be u ed for t eac hin g furth er kill , u c h a ba sic nur in g care ( Adam Rouill y. CLA , G aum ard ) a nd Firs Aid management of haemorrh age and f r ac ture ( Ald er on , S an Are na ).

Man y of the se manikin m ay be u ed o e t kill in r e c u e a nd tran sport ation und e r a wid e r a n ge o f co nditi o n Oth e r b a b y manikin ,ran g in g from th e pre m ature b ab y t o infa nt m o d e l s a r e also avail ab l e ( Simulaid s).

Airwa y and recover y

The facilit y to tilt th e neck o r lift th e aw, o r b o th , i s a fea ture of mo st man i kin s , althou g h th e nec k s o f som e ca nn o b e rot a ed

Many ear l ier manikin s required excess i ve n ec k ex e n o n t o achieve a patent airway, which would b e h aza rd o u if p erfo rm ed on real ca ua tie with a so c iate d nec k injuri es. In Ambu M an

R esu c Junior, and Ski lm e ter R es u c Ann e st o m ac h infl ati o n will oc c ur ife x pired airres u c itation att e mpted w hil e th e ai r way ob structed

Ear l ier manikin s for ba s c life upp Or1 ge n e r a ll y h ad m a ll mout h s wit h rudiment ar y oral c a v iti es and ton g u es, w hi c h m ad e the practice of mouth sweep s and in e rtin g r e u sc itati o n a ir ways virtually impo ss ib e T h e prob e m h a b ee n r ec tifi ed in n e w e r model s s uch as Ambu Man and Ski ll m e t e r R es u c i Ann e.

B ack b l ow s and abdominal thru st s ca n onl y be prac ti se d o n appropriate l y de s g ned model ( Simulaid s). Adoption of th e recovery po ition s impracti c abl e for m anikin s lac kin g o inted bod y and l imb t hou g h the po sture ca n b e ho w n on v o luntee r s.

R e u ci J unior s notably lifelike in thi s r es pec t.

Rescue breathing

Con s de r at io n s for expi r ed air re susci ation include reali sti c c omp li ance and r es stance, a sui tab l e di splay of v e nti atory p e rformance , and a n effective mean s of avoiding c ro ss infec tion. Ambu r elie s on a clean mout h piec e and a di po sable ba g in se r1 in t h e manikin 's head fo r each re sc uer. L ae rda l offers di spo sabl e fa ce

St J o hn

Th

p m e nt or ma nik in'> for ad anced resu"ci ta t ion ha procee d ed p iece m ea l. 0 m ani k n p r t:,>c ntl ) t est'> all th e skill req u r ed ror an int erac ti e or team a p proach.

Tracheal intubation

T r ac h ea i ntu ba t ion mani k in" require an e\ tended heac.!, a large ope n m ou th , an d accura e p h aryngo al) n geal anatom) urdu c h oice of a rob u st t rai n er i" r ecommcnded. and lubricant h o uld a Vvay<; b e used. D amage to mou th , to n guc, a n d lUI) m 1\ co mm o n

C ardiac rh yt hm a nd d e fibrill a ti o n

R ea ltim e r h y th m o n an osci ll oscope arc more reulllll th a n e ure in "pec t ion of " a tl c r h ) t h m "tnp..,. e r1a ll model

a r e n ow a ai ab l e u si n g microp r oces"or t:chnolog t hat gne a w id e r a n ge of arrh y thm ia pa tt em,> an d inc ude ..,e r I n.., tr uctmooe\

Opti o n a m o nitor in te r face o a T V or d eo monitor can ,>ho\\ a r a n ge of r e pir at o r y and h ae m o d y n al11ic elec t rocardiogram \\3\( fo rm

[t sh o uld be re m e mbere d th at e n e rgies of 50 -40() J arc aSSOCI at ed w ith pote nti a ll y e th a vo lt ages of 2.5-7 k

Intra venou acce

Ce rt a in m ode l s a ll ow p e r c ut an e u " ve nepuncture (eg Laerdal \ infu o n an11 ) a lth o u g h th ese are n o t ge n era ll y app able to L Jo hn

Further con s id e ration s

Di spl ay o p e rfo n11 an ce - Durin g ca rdi o pulm o n a r y r es u sc wtion th e tr a in ee, sup e r v so r , and a udi e nce need c l ea r co

Manikin Manufacturers:

• A mbu ® Ma n

The Ambu traming concepl offer'> a comprehen.,ive, nexlble programme which can be tailored 10 individual teaching method'i which re a e to ll1'> truc t ion In cardiopulmo nary resuscitation

T he head "cc t lon model demon..,trate,> airway ob.,truc tl on and reopening in an unconscious per<,on in a rrone pO.,illon.

The Ba.,ic model I., the manll..in In it'> simple.,t fonn. I t has no JJ1strument panel "0 that adequacy 01 perfonnance of ventilation and eXlernal cardJac COl1lrre..,"lon cannot be monitored.

l odel I" the '>ame manlkJJ1 With the addition of an in'>trument panel \\hlch Illea'oun:<, performance In \.entllation and extcmal cardiac compl'C lon

C I., the ame model further upgraded to include a computer connec ti on. computer can dl,>pla) re'>ult<, during the trallllng cxerci..,e and can print re..,ult<., follo"lng. the tc..,!.

Model 0, again the '>amc model but equipped with electrode., for delibri Iialion (the .,hock I'> gl\en to the 'heart' \. la the electrode" mounled on the che'ot).

The\e four trallllllg I1lUnll..lJlS oller a range of option.., rc!wrciing audilional cqulpment conneclion.

For e\al1lplc the V I P (Voice nteractl\ e Prom pier) and I. V. Trainer can he dlrecll) cnnneLlcd 10 Ihe manlklll

P il g rim

La e rdaf

Laerdal, e.,tablished in 1940 created innovallve 10ys and boob for children. n the late 1950's Cardiopulmonary Re.,u..,cltation "a., Il1lroduced and the company developed it., Re"u'>ci Anne' manikin to make the widespread tmllling of this technique pOSSible.

The leading manikin, Re"u<,c, Anne, carries allthe standard leaturc<,: i., "l i e and ha" a reali"tic anatomy. There IS a light Signal box for IIlstruClional feedback. plll<,e bulb. and anatomical landmark" forcorrect chest comprc.,..,ion.

The Resu.,ci Anne Torc,o hac, all the \landaI'd feature" although. as her name ugge<,t ha., no ann" or leg,>: Ihl'> makes her lightweight and economically priced Thi model I the only manlklJl available Ilhout the <'Ignal box If preferred.

Recording Re<,usci Anne pro\. Ide., a ventilauon and compression c.une for accurate. objective trailllng LJ'ied in conJunction" Ith the '>'gnal box and puhe bulb the recorded cune helpc, the '>tudent perfeci hiS CP R technique.

SI..i1lmeter Resu,>ci Anne 1<, the mo.,t ad\.anced oflhe Re'ou<,cl Anne famil) belJlg filled with a computer. Thi., makes CPR lechnique'o easier to leam. Impro\.e.., e\ aluation and provide,> sel f instructIOnal re-tralnlng U ed during practice and correcli\e feedback. tracings and re"ult'> '-,llllultancou<,l) produced and an overall analySJ'o, I'> at the end. II the manikin are ..,upplled in durable pla,>uc

Th e A uth o r

R obert S Sim ons is a co nsultant ana

eti st a( (lie Roy al Free Hos pital , Lo ndon NW 3

The ActaI' CPR Trainer \\ d.., de'olgned 10 meel Ihe need for a durable I\ater proof portable lIlIt! eflccll\e i1l<Ullkln 1'01' Ihe leachJJ1g or PR o AClar is alread) "Idel) u ed IIllhe K (and In 21 olhe; CllUlllne'o) and Ihe LJ e of TAR for PR lraining ha been accepted b\ Ihe vtedlcal andlllg OI11Jl1ll1ee of !. John -

The T R hasonl) 'oi\pan'o.oneof\\hrchl'o hcne\ alma, th.1I prohlblh \entl ation unlil head - tilt I perfonm'd

T he chesl plate i'o lle\lble, closed cell fonn The head 1'0 durable sanIlHI) and non-absorbent plastic The compre""'lon IS reah'ollcalh'

Simulated by a pi'> ton \\ hich has no spnng 10 \\ eaken. The lung:- are ani) 'dispo..,ab le'o·.

C7 One A T R welg h:- less Ihan 1\\0 pounds - and CO h Ie " Ihan

To l ak e advantage ofbcing able 10 gi \ c aclas:- of pupil.., Ihciro\\ n Incll \ Idu'\ 1 I < Ill dn rdn o r la nes-o n usc, I hey can be bouoh l in sel\ of fh e or ten wi lh ap pro pria e carrying. ho da ls. t:'

The usc of Illult ip e ets means hat pupils don ha 'c to w alt around lOr their 1 'I' LII11 on a sin ge man ik in and acs <.1\ <1) \\ ith e \ pensi \ c t( Isposabk: '. far grea ter prororlion of l eaching t ime can be dc \ otcd a ac tua l PR illlll at ion

THE ACTAR CPR TRAINER

Paws for thought

chance to do your bit

Two different reproaches

The Badgers' ABC

A taste of adventure

On Friday 22 May just over 60 3dets and Leaders an-i ved at the reen Park Youth Training entre in Bucking ham shire. They had travelled from a ll over the ountry including two adul ts and four Cad t') from the Order of Malta. The welcome on arri al at the Centre WUI111, and the weather was hot!

The ade\o., \\erequlcl-.I) Into theircuo.,lomaril) acti\ Itie after dinnercarr) ing people over a goll cour'-,e. rinding ,tall nUlllber plateo., and \() on. The ..,tafT Ihought the) had the ea..,) ortlon, but al'ter an houl being bitten b) moo.,quito.., the) \\crcll'ttoo ..,ure

Then to bed (at In theor)). The IlC\t l1lorning \\ d'" rogg) and cold, but the fiN ..,c..,..,ion at lea..,t Indoor,> I Ie 1'1.' the Cadeh learnt about \Ir 1cdlcine, I.e \\ hat harpen'>to)()urbod) if itgoe'itoohigh.or tround cornero., too rao.,t. It all oulHJed cr) unrlea'oanl

Y is for Y o uth tra in ing

Z is for Zest

I n Jul) 1993 the Brodenhur'ot Q' 01\ l'>lon, under the control of an Area tan Ofllcer. arc laking a pal1) of 13 CauclS overland to the St John Ophthalmic Ho pital In Jerusalem The t np ""ill take four \\eeb, lllcluding - we hore - a 'ita) al Ihe .,eell1g hm\ and \\ here they work The trip \\ III be ll1 two mll1lbu'>c, Prior to going the 01\ l'>lon hope'o to raise over £ 1.000 to take and 10 pre ent to the HO"'jllt,11

As a Challenge, I a k each DIVISion \\Ithlll the country to raise a nominal sum of moncy , .,a) £50 each, to donate to the Hospital. I an) Olvl lon would like to take up Ihl' challenge, please ..,end yourchc4ue In llle.lllude payable to SI. John Ambulance, The Police House,S Lyndhuro.,l Rd , Brockcnhur,>t. Hamp.,hlre, soon 7RL.

The name of each Dlvl lon making u donaion will be handed to the Ho<,pital along wllh the money

Please think about It. £50 1\ not a lot of money (!), but would mean a lo t to the Ho'pital. AS O E ddi e M c Millan Brock e nhur s t

The Edllor Adds - Edd,e also ask ed I/S( Jolill World would cOllfriiJu(£' {() (he 1 ('/1(1//'('. 0171'1ollsly we'll happily c(lI crollY \1orie \ rela(/I/g {() the el 'el1t hilt IIlIjr)J'//(l/otel y the 1 more il7 a POSIIIOI/ to wkfor dOI1(f(iolls (11U1I fO gil '£' them.' Inste{)( I, (he Editor l1'il/ per wl/ull\' muke a dOllo t io l/ (If £1.00 for el'e,)' po:,tCClrd receil ed by Sep(emher I s ( 1992 which efi/rectly iden t ifies (he holiday \pot pictllred ahm e hy Tim Gall min (ill his recent flight (0 (lie Hospita

\\ a pm kged ,lI1d \ ery pl'lllld to he 111\ <\\ a Sen IIH! I'>\el ,It the 111\ e llturl' hl' ld II Grand Pno-r) ChurLl1. C ell. on Tb m' day 20th rehruar) I l)l)2

I eagerl) .1\\ ,1Ited thl repllrt in a uh l'qu l'llt i"''''l!l' 01' <)1 John \\ mid hut \\ a.., \lll1le\\ bJt di'ol1lu)cd to fll1d Ill) detal'" 1I1lolTectl) holl'

In the 1\1a\ 1",.,lIe

W hl' -t I reuli\e I11I.,ta"e.., can llccur.1 \\ll uld ha\ c thuul!ht that the\c detalb \\ (Ill Id hal l' checked before heing prinled , Thc elltr\ ..,ho\\ 11 \\ a\ "Barhara, Rodger'o r...,\l" " ,lnd hould r(' ad "Barhara. II"''' Roger.., E"''oe,'' Barbara Roger' ( Ew\

The Editor (if'. ,11 a.., , ..,tlll in PO\t)

St John World(ILll11prohahl),"'lllIlI1cirL'u la' lion)

Goounco.,.., kno\\.., \\ here to I'lI1d II

After all I'\e done for YOLI /JON I CALL Mr: } ilL INC; , (un s ig n e d bu t be lie \ cd to be from a certa in Mr. Tilling of (;orebridg==-

The un appeared and allt)\\ ed a ple,-I'o,Ull "troll after lunch ",ollle adet'> uggc '> Led I \\a the furtheo.,l the) hL1d e\er \\all-.ed, hut It \\ d..,n t fL1r reall). The) al..,o had a fe\\ to rulril. but It \\ould ",poilit I'orothero., If\\c lold yOU here \\hat the) \\cre. The Leader had the arduou'-, ta..,I-. or \ iltlllg at checl-.poinh The \un heat dt)\\ n Irol11 a 1-..) cry hard \\orl-. B'lcl-.. at the entre the Lltieh \\ ere gl\ en another ta..,I-. to complete I'm the SUllda) \lonlll1g dUring thell '>11<lre time ( "\Vhdt o.,pare time'?" the) i.l\l-.ed). Dinner 1\,1\ loillmed t1\ an -incident', \\ ith half the Cadc\'-, ,1\ the other.., a.., ir..,t \ider,>. 1 hc Il bed once more. bl! morc \ Jeep \\ <1'" tal-.cn than the prc\ iou.., night! \ church ..,en icc prcceded a ertco., tr.1ll1lng ..,e..,..,lon'.lt puttingon prc..,cntalion abollt h) pothcnnia in the bUllling. hot ,>un (building ..,un i\ al 'ihelter Iccilled <1 Iittie redundant too!) t \lkr lunch Ihe atlCh put on pre-.cntation (all oflhelll fUllll y, m'-ln) of' them at the ,tall\ e\pen"c!). Then caille the Joul11e) dealing \\ ith more incidenh, f'ording river" cro'-,'-,ing lllincJ'ield.., etc..

A J'anta\tic eel-.end and, de..,pttc the foreca\l. it ne\ 'er rained ollce Than"" to all tho\e \\ho organi\cd it. name I) l arga.L' 1 Jame!', and hertc:1m in Bucl-. II \\ <1\ a grcat °pponunit) for ic<lrning ,tnd fun - \\ a nice too to Illeet people I rom the Order of Malta and i'ind out ho\\ \imil,lr our organisaton'-. arc.

There i\ another d\,cnturc Weel-.end planllcd in 1993. \0 I-.ecp vour e\e!', open for - -

Youth Training ()tficer Alastair Lee reports on a hot - and largely mysterious - National Adventure Weekend r Write a winning essay and receive an individual prize and £100 for your Division!

In the most recent Issue of START the Cadets are asked to wnte an article about a 'Summer Camp of any sort This could be organised by a DiVISIon Area, County or even NatIonally.

So why should the Cadets have all the fun? ThiS IS your chance to tell everyone what rea//yhappened It needn't be a camp it could be any type of residential Visit so long as it involves St. John adults or cadets

The winning article will be published in St John World and prizes Will be awarded to the winner and their Division to be used on Camping Equipment'.

The artIcle should be about 250 words long and have up to three photographs It could be a poem , prose or whatever but please wnte clearly or have It typed

Send articles by 30th September 1992 to St. John World (Summer Camp Competition ), 1 Grosvenor Crescent , London SW1 X 7EF.

Please note : articles WIll not be returned unless requested.

"When a man is tired of London he is tired of life"

repose and tr an4ui llit y (7)

21 Did Illore for conge nital C)ili t contain ll1 g skin , h ai r and tee lh (7)

22 apo eon\ firq 1,>land 01 exile (4)

24 An tl '>cptlc lotion produced from lou c (5)

25 Addltlon,d '>ign Icrt In pu,> (4)

2S Large Illu"cle cx cndlf1g tile heac! and braCing the ,>iloulder'> (9)

29 There I'> tea around in lungu,> II1lectlon 0 1 the "kin (5)

30 Orhlhalmic Ic,.ton i" an ugly '>igh t (7)

31 \1od e\ ac t '>he cha ngcd (6)

CLUES DOWN

erve cell.., In -+ d(m n 1I11porJant In control of blood

Circulation (9.0)

Pan,> 01 '>k.eIcLOn olllldolent per'>on.> (9)

Tongue of Paki'>tanl (-l)

Part 01 [mil 11 concerned \\ tlh \ ttal lunctton" (7)

Prmedun.' u,>ed III dlagno'>l'> 01 hone tnJune" ( 1-3)

Dog Iml IIlthc French home ofhcavcr" (5)

ContlJlI()n due 10 atrophy of the adrenal cone, (8.7) 1l1ree '>CJl.lplt;.., of un apothecaT) (5)

14 lia rd \\ork fora tl'" Lie tran'>pltull (5)

15 Tenll111Llte rregnunc) before the !nelu I'> \ ianle (5)

IS pa'>J1lntiic contractton" oll11L1"clc (9)

20 Cu\.' line for an e">enttal alll1f10 aCid (7)

H Fall hdore end or da) rrodLlClng oedcma (6) 13 ouplc u'>ed by orthodontl'>t'> (5) 26 n) lower number", neg<lll\e H) 17 \1il e c<lu'>lng. ca ble H)

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The Re s ponder 1200 ' s uniqu e and highly accurate arrhythmia analysis program has been proven over the pa s t 5 years to be consistently reliable with no recorded case s of inappropriate shock delivery To be s ure we record every single heartbeat. every operator action , every device ' decision on a reu sable computer memory c ard which captures up to 40 minute s of uninterrupted data

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BADGERS & IV, TIMES

SEX TALK

A doctor writes on the differences between men an women ...

APPLICATION FORM

questions to be answered u,e 0' where appropnate BANK ER SNAMr _________________________________ BANK ERS ADDRE- SS. ____________________________________________________________

C R E D IT /CH AR GE CARDS H ELD A CE sO

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MORTC,AGf Rf T RA n I sTALME T CRum IHanks hnan r l' Compelnl\!' Reldd"" t Ie

O MP ANY R EP AYM ENT S R E MAININ G

O THER R EGU LAR OUTGO IN GS

IN U RAN

V ARIO US

TO TAL M O N T H LY OUTG OIN GS

LO A N DET AIL

PURPO'>E ___________________________________________________________________

AMOU T m I OAf'.'_______________________ Repaymenl peno'ud________________________ MO TH

If" slckn"s> dCCld nt dnd r\!dundancy Insuranc\! CO,,?r will be arranged unless we are advi I'd 10 Ihe conlrarv

Pledw mdrk bu, Ix) " cover 1> no t required 0

In,urclnCl cov r nol apphc bl If loan e nd, beyond bSlh for lOlnl lo n, pi '" Indl(al nam" 10 b In ur ,d"---_____________________________________________

) confirm Ihal Ih bov ,nformallon anv I.'nqulne, II Ih,nk., fl1

APrl ANl s '>1(, A TURf MR _____________________________ _________________________

DATf _________________________ DATr::.E____________

Ambu Man and his PALS

The Ambu CPR PAL JOins Ambu Man to make class teaching more dynamic and In teresting by Involving more students simultaneously.

All members of the Ambu Family are equipped with the unique, patented hygienic system.

The CPR PAL can be purchased as a low cost bas Ic tra ning manikin In ItS own nght or can be combined with Ambu Man to give a training package tailored to your particular needs

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Ambu Woman (who is never seen in public) is expecting Ambu Baby shortly to complete the family, watch for the announcement.

Croydon triumphant

Th

THE FINALS GLORY

The results

Dewar Shield

1 st : Crawley (Sussex)

2nd : Wallasey / Liscard (Merseyside)

3rd : Griffithstown (Wales)

Perrott Sh ield

1 st : Lisnagelvln (N. Ireland)

2nd : Spalding (Lincolnshire)

3rd : Bristol No 1 (Avon)

3rd : Hull (Haworth Humberside)

White Knox Cup

1 st : Poole (Dorset)

2nd : Chilton (Durham)

3rd : Northland (N. Ireland)

Dunbar Nasmith Cup

1 st : Horden (Durham)

2nd : Lisnagelvln (Northern Ireland)

3rd : Bournemouth & Southborne (Dorset)

Sir Edwin King

Special Service Sh ield

Beckton Cadet Division (London [Prince of Wales's District])

Cadet Quiz

1 st : Norfolk 2nd : Devon

Hill tore. Sue, who is St. John Ambulance trained, guided the mother in the correct method of resuscitation and he was revived by the time the ambulance arrived. He has since made a full recovery. Sue i pictured left receiving a bouquet from Biggin Hill assistant managcr Keith Hills

of Yor " ""hen he visited a playground for disabled people I abo made a "reed at a oroptomis t charit) evening. '" here I me t the local iv l P and hi'l \\ ire." ha.., .Iu'>t a " en grade -+ \ 101111 e\Hm'> and allen<-'" ) Ic'lbuf) Grammar choo!. The couP e he applicd for i" the cadet instructorcollr..,e at Matloc " 111 October. He h,h pre \ iOllsl) attended the COUllt) e.O cour,>e \\ hen he \\ a'> Illade lip to 'lergeant. and I'" no\\ hoping to '-.Ian ""or" on the Cade Chalknlle "My a te'l project I'> a tea part) a L:)ng Cre ndon Du) Centre for the delerl). \\ ith entertainmen t ami speCial tea for the Cadet 70th Birthday Challenge " OUI1<.i\ II"c a \\onh y \\Inn r! e pt li llh er 1<)<)2 S t John \\ o rld .5

Recent Reprise

Four follow-up pictures of recent events cOl-'ered in SJW. Please note that our deadlines have now been broughtforward to six weeks before publication date.

those men and that plane again Baked Cru"ader", Tim Gau\ a 111 and Da\ id Hughes, take time out on their returnjourllc) from Jerusalem i:J"t June for a photo call at Cypru".

Tim i" nov. bad, in London, but the cditor ha,>n't }et had lime to sugge\tto him the next fund-rai"ing '>tUIll. That's the one v. here all of the HQ stafr go off to the Mediterranean v. hi Ie the E\ecutive Director stu)" behind and ..,ingle-handedl} tal-.e" care of all the work. There',> a /'col challenge for you

ottlllgh,IIll hlrc ,> "en ICC I already In the 11L'\\S ,Iner II launchcarlierthls)car Gedling:"-ursll1g aoet\tonl-. uptheCadct · 70th Btrlhda) Challenge by 111\ IIlng puptl from Carlton Dlgb) SLi1tllll 1'(11 ehtldrcn \\Ith kamlllg til!'ilcultIC" to a part) on the ' Cru"',ldcl' Corp,> Staff Orficer Clare C;at lord, DI\ l"'lonal OITILCI Gemgll1a l11ith and the Cadet'> urganlseti the e\cl1l hie! SI-.Ippcr Gcorge Sweeting drO\e the ooat (01 \\hate\ er Chief I-.Ipper\ do III hoatq \\ hleh "a'> decl-.ed out \\ Ith halillolh and reamers a It "ended II \1 a: up the Trent. Cadet Pre'>ldent Barr) "lliord and CDunt) Prewklll John anel v. ere aho 111 attendance

St. John past and future

Two pictures that 'pan three centurie ,taken in the ame month!

AbO\e, the Englt h CIVil War Society praised 5t. John In Hull for reactlllg 4uicl-.ly to a na..,h e\ploslon cau ed by loose gunpowder In a mod Roundhead \'. el\ alters battle. FOl1unately only three mlllor bums re,>ulted.

OpPo'>lle. t John member dl,pla) their ware" at the Hamp.,hire Intclllalional Air ho\\ -an c\ccllelll photograph by anyone's .,tandard 51. John has cO\cred the event lor the pa t 1-1- years and fields tv. 0 control unlh. 22 ambulance,> and mobile Ulllts - all bacl-.ed up by a major field hospital. H6 St Johll members dealt \\ Ith 0\ er'+O ca,>ualtle" on the day

No more heartache

)1. John in Fareham h,I' put Ihcll under the '>potltght b) In\ Illn g Imk) \\ nght. a Go pon kalth \ I'ltor and London \ larathon rUIlncr to put the DI\ l'>lon through ih race Imle) has been ,>upen l'>ln g the member,> under ,111 e\erLl\e COUl\e "po'>ored h\ the Health Promotion L nit and "the Lool-. \Iter your Hean PrOlect 1\,lal-.e,> a c1{ange Iromlool-.lI1 g alter other people'" hean

Help wanted

St. John'S Olympic hope

Ambulance'> as lar a\ the eye can ,>ee Dercl-. Fcnton, cr twhilc Commander of London DI'>tric\. took the editor to for featuring a picture of him,>elf along with the report on hi'> retirement. So what ebe wa'> I ,>uppo..,ed to feature'! Apparently thi" picture of hi.., retireIllent 'drivcpast' in Baltcrsea Park, howi ng "OIlle or London'" fi nest in front 01 omc of the City',> latest and mo..,t up to date emergency vehicle'>. A pictorial ripo'>tc to anyone who tillthinb SJA ,>urvlvc,> on a dict or HS rcjcct'> and a tribute to thc London District'.., fund - rai"ing endeavour

6 S t J o hn Wor ld Septcmber 1902

The '>un W<l'> sttll shining even al terthe Qucen', \ I',it to Derb) "hire \0\ hen she JIl"'pected unit of John Amhulance at the Princes,> Anne Training Centre, Derby late la<,t May. Mr Gilbert Hlncl-.ley , OBE, Chairman t John Coullcil ror Derby..,hire. prc..,cnts a framcd picture of I lcr Ma.lc t) III the Robe or the Order to Captain P.J. B Drur) - Lo\\e. K. SI. J , Vice Pre"ident and Vice Chairman of the t. John Counctl Iloiding the Ilag i Brigade Member Peter Robll1,>on

That c'>tl1l1ahle o rganl atlon the Wll1ged FeIlO\\,>hlr, ISC\ hollda)" lor dl ahlcd has launched It, 30th) car appeal. The organisation I'> lool-.ing to J'lIl\e U 5111 dunng It)l)J and \1 ill n\one IIho \\Hllts to help CO;ltaCt Jane Poppicl\ell Oil 071 -KJJ 25l)-1-

Much holding of br ath in Holbeacha thi ' i suewent to pre ' The ecretary of th Holbeach Di I lon, Sally Reddin, was about to joumey to Toronto <.lnd com pet in . hot, d i.' cus and javelin ev nt . all) \1011 a bronle medal and ct the I1C\\ Britl'>h record for "hOI putting la'>t "ulllmer ,Uld \0\ nurIIlg a disappointment at failing to mal-.e an Australian C\ ent carlier till'> y car due to food poi,>oning n\one\\hol-.l1o\o\,> alh \\ill already" knov. that we are t;lI-.ing about that he i" in the British quad for the Canadian ational Wheelchair Game,- at Toronto. The be'>t of lucl-. from u,> all.

Yet another birthday!

Cac.ich 70th BIrthda\, thilt i <lmbridgcshlre I an::mol\lo a en ICC (;1' ong and er,,/ at EI) Methodl"t hurch on hapel t. and han? a,>I-.ed JW to 11l\ ite e\eryone. RC4uest,> forh) 1111l'>. ,>ong and carol (and reading,> and are \1 anted from e\ en 01\ l"lon III the - anJ '>0 \ olullteer reader,> Contact P \1. Pa mm e nt , 12 Be ll H o ld Li Ie La n e, E h, Ca mb C B7 -' E D 0\ the end 01 ' eptemncr. " The er\ ICC tan" at 7pm on October 2-1-th eptembcr St John World 7

In the most recent issue of START the Cadets are asked to wr te an article about a 'Summer Camp of any sort This could be organised by a DiviSion , Area , County or even Nationally

So why should the Cadets have all the fun? This is your chance to tell everyone what real/yhappened It needn t be acamp , it could be any type of residential vis it so long as it involves St. John adults or cadets ,

The winning article will be published in St John Worldand prizes will be awarded to the winner and their Division to be used on Camping Equipment' ,

The article should be about 250 words long and have up to three photographs , It could be a poem , prose or whatever but please write clearly or have it typed

Send articles by 30th September 1992 to St. John World (Summer Camp Competition) , 1 Grosvenor Crescent , London SW1 X 7EF.

Please note : articles will not be returned unless requested.

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Featuring :

• RUGGED

Readers report on their activities around the country. Contributions are always welcome, send them to: 'Out and About', St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

PLANE TO SEE- Cadets

celebrated this year's 70th anniversary a little help from the RAF. John Plo 'w man reports.

The interior of a four-englned Hercu Ie" tran"'port plane on the tamlac at RAF L) neham. made an ll1nm ative \ cnue for the t. John Ambulance Cadet members orTrov. bndge Q. Di\. ision'" mcmorable tea part) on aturda). June 6th.

The) were responding to a national Challenge to mar\... the 70th anni ersar) of the Cadet movement \\ ith an imaginative social e\.ent and were re\\ arded \\ ith the attendance of Wi Ihhlre's newe..,t Knight of the Order of t. John. Count) Commi"sioner Peter Mann OBE. ount) President Lad) Hav.Ie). and the Commanding OfficcrofRAF L) neham. Group Captall1 Dm id dams. as gue,>ts-of-honour.

Tweh e Cadet from the Tro\\ bridge DIvIsion. under rca tall Officer 1rs. ue Wood. were allentl\ e tea-time hosh in an opcratlonal aircraft. unu'luall) decorated with balloons. banner ,tnd contall1ll1g a large iced 70th Birthday cake.

The "aircraft party' idea \\as that of II-year old Cadet. Rebecca Fletcher. daughter of the Tro\\ bridge DI\ I"ional Superintendent. Mr Paul ine Fletcher of Sliver treet Lane. Tr()\\ bridge. and R F L) nei1<ll11 readil) responded \\ ith full facilities for the strong celebration.

Accompanying the la\ Ish tea. sand" Iche.., and ca\...c'> '>pread \\ ere the fomlal pre<;entaflon of Grand Pnor Badge to fomlcr adet Clare and Kathryn Jones: pre. entallon of a Super Badger award to Stephalllc Kelse) and the hand-o\.er of a commemorall \e than\...you· ,hlcld to RAF Stations. L) neham. The finale v. as a I()-ll1lnute CO"tUlllC pageant b) the Cadets. the history of the t. John Ambulance 1110\ ement from the mediae\al to the present da).

Trowbridge on tea part) parade were: Charlotte Bnm n. Charlotte Brind. Jennifer Donald'ion. Jamie Fletcher. Anthon) Morm. Rebecca Fletcher. JenniferGreen. KI//le Bnnd. Martin Bennet!. Patncla Gardiner. DaVid Bennett and Jac\... Andrews.

HOSPITABLE HO SPITAL

Clare Mordal1 tells ofherfortl1ight's duty at the Royal Naval Hospital. Should anyone want to do likewise, contact the Supt. in Chief's office at Nat. HQ.

After readlllg an article In Sl. John Re\ lev. (III H 11l1f1 Ed J I cho"l' to go to the Royal a\ al Hospital In the Cit) of Ply mouth. Devon. lor m) fortnight'" wor" expenence and 1l1'>lght into ho,>pltallife. The ho'>pllal '" ba<,ed on the Devonport '>Ide of Plymouth wlthlll a huge 'itonc wall. On my arrival at the hospital. J wondered what I had come to: aval and Civilian Police on thc gate" ChCC\...lllg identification passes. The hospital wa,> bUlZing.ll felt as if I had stcpped back in timc. 1wonder what famous sailor,> and officer<; had been patient'> here! urses were hurrying around in their lovely V Ictonan-style dressc starched white '>tlfT hats and aprons; poner'> were ferrying patients and equipment to different departments.

I was to start at 7.30 and finish at 16.30. ThiS was called" Day watch' I to Matron and was taken to an 18 bed female ward that was divided illlo surgical and orthopaedic bed I worked alongSide Quecn Alexandra nurses. They showed me the ropes and introduced me to the patienh and other members of staff.

The first job of the day was to assist with washes and baths before the 09.00 hours ward round. when the hou'ie doctor. surgeon and an RG from the ward discussed th e patients going on treatment. The agc range of the patients wa'i 19 year old wrem to elderly 90 year olclladle'l. The operations varied from removal of gall stones. stnpplIlg vancose vein., and exp oratory operations as well as many more. Hip replacements and lOSt John World September 1992

KEEPING SHOP-

Essex sets the pace with a new St. John charity shop. E.H. Marshall, County Vice President, reports.

A\ III every other county St John In b el( ha'> long truggled with the age-old prohlem'> 01 giving Lanng eJ'Vlce raising sulTiclcnt fund to 1ll11111talll It and. hopefully. "eeplllg up "" ith all modern dcvelopment" 'VIallY antllllgenlou" are the schemes to solve thiS need but the schemes IllU\t abo change with the tlllles ami wllh the habit of the generous public.

The Centenary year drag ged F- nle"t Mar<.;hall from a DIVISional Pre\ldellcy to three year· hard lahour In orgal1l ing and runnlJ1g the centenar) appeal. which turned the tide of declllling re\erve The COLlncd of'St John lor Essex hullt on tIm hy encouraglllg other member nlthe COlIllUI to Inillatc ..,chellle" of their ov.n Golf tournament'>. hoot Open Garden ,lIlel O mallY more whlLh produLed a v.clcollle gr()\\th \llfTILlcnt for the Bngade'" imllledlate need oUllul memher crne t and heddle White deuded to 1l1\e'tlgate the pos"lhdlty 01 a Chant) Shop In thelre\lell'.l\ e re earches tlK) were fortunate In ecunng thc ,erVlce., of Dougla Green. Pre"ldent 01 South Woodham [-ener" COll1hllled adet DI\' hlon. v. ho run\ a "elles of local hop dnd 0 1\ lamlilar \\ Ith the mall '>hopper. The three c\<imlned locatIon all mel and estlll1Llled II\...el) tan - up LO t". rUllnlllg Lo h. InLOllle. outgolllg. profit. \\ ho \\ould t,lff the hop andIlluch more Important I) \\ ho \\oultl run it. Compet ition \\ a huge a e\ er) to\\ n eemed to have more than olle \hop I'or d \ anet) 01 good Lau e, South Woodham Ferrer Ihell had nOlle It \\a malllle\\ to\\n \\Ith il"'lllallnc\\ population. hut \\ould it \UPport John) ;", [)ougla Green· 011 ILL' \\,1'" III the [0\\11 it v. a" deCided to tr\. A ,hop \\ a lound (the reLe ..,IOIl helped! ) alld a IedsC negotiated. Dougla, (rn::en \upplJed C\pCI1I e till shc" illg. pamt use of 1m office and or hiS pL'r on,lI ,1\"'I\tdllt \ alelle <)hnmpton \\ hll..,t \\ hlle and Mar hall praLtl ed thclr 1)1) \...111 J \\cll a, \...eeplIlg l. John llllnmled I Ielpero; \\ ere ,>ought through thL local pre " anti outh \\ nodhalll look John [() It-.. heart It pro\ Ided 0\ er tlmt) helpcr onl) t\\ 0 or \\hom h.ld an) connL'ctJOIl \\ Ilh St John. lllountallbor,>toL" and all orthc cu'tlllllcr'>.

The helper" produced thelrO\\ n ,>upef\ I"'Llr.Julle Hunt. \\ hode\c1oped a !lair lor the m) telIOU an of lad) management. shop routine Jnd gcttlng White. rvlarshall ant! Green to pro\ Ide \\ hate\ el \\ a needed for l'JLh cri,I I er) onc loo"ed ,ll other hop'> Jnd dc\ I ed a \ "telll or pncing. ,orting. th pla) and urplu "'WL" dl'>pO\cll a \\ell <1\ aiet\ rule such a not hamlllllQ danQerou "(lod,t t IYtJllorthrceda) a\\ee\....t\\oor \1 hlch \\ cre mar\...et dLl)'" The IOLal ,hop, II"ed , l. John' s pre"ence a" it seemed to bnllg c\lra pcople Into the area. loo"lng for hMgaln\ Me r\ Grccll. WhltL' and \1.lr hall \et thelllsel\L' a taroet to produce enough pmfit to plm Ide till' ellllre need or the council for the Brigade In E., e\ ,I'

and Badger

removal of hlood clot and lump., ere quite cOlllmon

[v.a a'i\...ed II' I escort a patient 10 freedolll Ileld hth plt,11 10 have a A.T scan. and I \\a'> ho""n ht)\\ the "'Lan \\or\... dllli "hat th l? doctor were IOO"lllg lor. The\ round an llltestlllal tUIllOUI

I went to care to a pallent and to the operating theat r, recovery room to e"cOl1 and help the porter, I too" a lad) do\\ II to Ihe plaster roOI11 he needed a full leg plaster, hut I wa\ dl..,appointed bccau,e pla'>tcr or pam IS rarely u\ed now and the nev. fihre gla.., type nOI a, mes y and very ca\y to appl)

Back on the ward I recorded /lUld Input and unll\.: output and helped do observallons on the one day post-dperallve pallent and genera\l) assl'Ited With the dady Ilvlllg activities.

The ward werc Vlctonan, ""Ith big v.lI1dow.., and no hay,> hut thc) were modem III decoration. Each ward ha'> ih own \...lIchen. fndge and mlcrowavc where toast and cereals wcre prepared They al..,o haW washing machlllcs and te!cvI ions and vlde()'> III the day rooms

The things I wdl always remcmber are how nice It IS to ..,ee pall cnt \ gOlllg home much IInproved, and how yellow patlcnt\ are with \ degrces 01 Ilvcr complaints.

Unlortunately my rOrlJ1lght· course flew by I learnt a lot. tho r· oughly enjoyed myself'. and would recomlllend till', cour"e to an)onc I would go hack to Plymouth tOlllorrow if I could!

On SUIllh.I\ 21 t June nearh ')() youn!! Ie\ eland member lIld ClliLt-.. met lor a b-arheLlle In thL' HOll e home t)ICollnt\ Pre'ltielll the Lady GI,>borough rhL' ,\l1ll 01 thc gathering. held.1t GI'>horollgh· ,>ugge\\lon. \\ ,,'> to bnng together thL' \ outh 01 thL' soclall) and c\plore the Idea 01 establlshlllg a 'Youth Group ' III C1e\elallli

Alter a mouth \\ :tterlng L·hIC\...CIl barbecue. I'ollt)\\ed b\ Ice cream (than"" to La(h GI boroul!hl. COUllt\ A\\artt... Coordl;l.IlOf \11\...e DIC"IIl\On and A { outh l\. Trallllllg )Joall G 1.ldder'> gave a pre elltatlon \\hllh outlilled prop(1\.d, lor ,1 )outh group ThiS Illcluded detad on thL' ,Itlt\llal 'Youth Coullcd, the Du"e 01 Ed III blllgh A\\ard Scheme ,Ind thL' t .Johll ChalknQc

The lunll,d SL:SSIOIl \\:1 lollo\\ed h; dISClh\IOn\. held In group\ compl'l"'ed ofdlf'lerent DI\ 1 lon ahout que"tlolh such ,h: \\ ho hould a 'outh group he I'or'! Where \\ould Itllleet ) 110\\ olten'? \ hat actl\ Itle \I()uld people II"e ? Ht)\\ \\ould it be funded'? ami What \\ (Hlld helhe be t \Va) to get ,taned'!

The general Idea \\.1'" gl\L:1l a unanllllLlU' thumb, up'. and tho e present deCided to meet latel In the )eal to llla"e dcrinllL' plan'o II ,\11) leader" have e\perlcnce of OpL'ratlllg uch groups. 11\...e Dlc\...lll on In CIcI eland \\ Llllid be happy ttl heal fmm them

YOUNG GUNS-- Mike Dickinson reports 011 pla11S for a youth group 111 Clevela11d.

200 st ressed or non-s t res ed ampoules. Promote safet y. Order "LX OPEN today! £1.75 eac h or £49.50 fo r 50 When yo u ord er 1,000 or more EP HA wi ll im pri nt you

Rette Nagorni Karabachi!

Ngorno Karabakh, the size of Northern Ireland, IS a mountaInous, fertile country. The population is predominantly Christian , but there are towns and villages inhabited by Azerts who are MuslIm. When Stalin drew the borders In 1922, the region became an enclave In Azerbaijan though Karabakh was only 15 kilometres from Armenia , a Chnstlan country with a history gOing back to 400AD, at the nearest POInt. ArmenIans have been threatened by Turkey and theIr other MuslIm neighbours for centurIes; thIS culminated in two ternble massacres of ArmenIans by 'Turks In 1912 and 1915 In the last horror 3 million Chns'l S were claimed to have been killed SInce the present conflIct there have been two other such attacks In Azerbaijan, notably In Baku Thus the In1t:.nse hatreds and prejudIces between the two sects.

In 1988 , Armenia declared for independence from the fragmentIng Soviet Union and fightIng broke out WIth AzerbaiJan ,

InvolvIng Karabakh whIch then became independent In December 1991 I The war escalated becomIng more Vicious and contInUOUS Karabakh was Isolated completely beSIeged. In fact

Today there IS no electnclty , no water. no sewage , no telephones, though there IS gas from a pipeline across the region which IS tapped - when not cut off - for cookIng and for flares for Itghting. Fuel for the few vehicles has to be flown In

The capital Stepanakert IS a ghost cIty It is under dally attack by miSSIles (Grads, which means hail'). Early In the war 240 of these fell In one day 360 CivilIans have been killed and many more wounded since the beginnIng of thIS year alone

The city population live In basements. takIng shelter during raids and at night. Morale is high , everyone conVInced by the Justness of their cause Food IS short , but there IS no hunger Flour and sugar are I rationed

In the rural areas , however , meat as pork or chicken was on the table Surprisingly ,

the people are healthy , and thiS Includes the children , though there IS no publIC health or general medical organIsation

All the city hospItals have been damaged and are unusable Medical care is proVided in adapted buildings on lower floors or in basements. The maternity hospital is underground, with ten beds from an onginal1 00; maternal and pennatal morbidity are rising

The Secr tal) -M e di c al te le phon e d to a k ilL if I \\ o uld lik to go to Karabakh! It ,' e med like a halle nge. Th e trip \\ at the in itation of Baron e s Co \:. a renown d nur:ed uca tionali s t and a deputy peak. e r of the Hou se of Lord Thi ' \\ as t be her ighth \ isit to the war z ne . thi" time to tak.e in 50 tonn e ' of ntial medical and III rge n food s upp li e , . paid for by Christian So lidarity rill ma t ional and th R u:siall lexei akharov f undation . Lad Co\: 's im itation to t John \ as to e \, p lo r the p lity o r o ur er

organisation being a motive powe r in th fOl1l1ation of a rapid re i iefforce. similarto th e FrenchbeL ed Medeein ans Frontieres (MSF).

Further aspects of the visit were also considered: to investigate and report on the pro ision of pre -ho pital care; on the abi lity of ho , pitals to care for the evere ly injured; and to bring the Order to a hi g her profile internationally.

On pril dh I tlew to Ba Ie and joined up with Lad Cox. two other doc tor (one with eperience in the M F). a ur ing

Time reporter. a Gernlan oberver from a Catholic youth orga ni sa ti on aSwissjourna li tand

. Two of' th e bodies, of husband and wi fe, we re du g lip to prove th e atrocity to th ejoumal _ is ts. mil i tiaman s tood wceping. Hi s c hild had died in th e attack., 1 no of the people were mis sing (hos ta geta k.in g i" I questioned two groups of soldiers at th e front. one had any First Aid training and onl y one in 30 had it field dr essing (a few had tourniquet s). rou gh " Budd y" ys tcm ensured that wounded were tak.en to comparative "afcty but th ere i" no de,>ignated ambulance tran spon ,

Grim harv es t: Chri tian ( Karabakh ) troop dig up r ece nt graves to show journali st s th e mutilated bodies of civilian. nl' tru c k. i'> used provided there is fuel. There i'> no mcdical frontline pre:-,ence and in this case the hospital wa" 20 kilomethe fi nancial administrator of CSI.

Dr. Zuri Balayan, a Karabachi, a medical doctor and writer. a enior member of the Armenian parliament, a dema gogue, but abo e all a patriot, al 0 joined us at Erevan (the capital of Arn1enia) and led u through the difficultie of the next few da y wit h hi only English word - "No discipline " Fortunately we were a lso alloca ted three interpreter.

After an overnight tay we flew with the cargo in a giant I1yu hin 76 with a cheerful Ru s ian crew a nd no proper :ea ting. We praw led allover the tore fter five and a half hour avoiding cro ing over Turkey, we landed at Erevan - itself blockaded at th at time - to be greeted by flower , Government officials and fervent patriotic peeche ' ,

The e peeche were to be a feature wherever we s topped, always attracting crowd oflocals hungry fora s urance from the out. ide world that they had not been forgotten. A regular feature of the se ga thering s would be refre s hment, ometimes a 'feast' in a headman' s home and alway with toa after toa st of vodka or cognacor both! We became quite immune to th e effect of thi s. e pecially becau se alco hol was the main be verage at breakfast as well.

We s ta yed overnight in a comfortab le dacha. extday we pres edon to Kar abakh, flying with the more urgenr upplie s (morphia, se ra, tran sfus ion fluid s giv in g se ts etc.) in Yak 40 aircraft, piloted by daredevi l pilots. They need to be , too There is only ashol1 airstrip, recentlycaptured, a nd sometime s under threat of attack.

We were taken into Stepanakert for more official greetings and allocated headquarters For s ix of us this was a labourer's home and sa d hospitality as hi s so n had been killed in the figh tin g the previou s week, The so n' s room was sacrosa nct.

We s lep t on the floor or , hared bed s; ate rice and bean s with pickles (hunger is a good sauce), drank vodka and black tea. At night it was cand lel ight and torche s; chocolate and biscuit s, and more toa s ts.

14 St John World September 1992

t fir t s ig ht the ci ty appears almost nonnal. Little traffic , fe\\ tree (cut down for fuel) and facades - for that is what most of the public buildings and block." of Ilat" are. Fire caused b) the grads have gu tt ed them a no water i" a ailable.

The mi s ile were a daily feature fOLir tay, a lth ough the attacks were not "ustained and happil y none fell near to us.

There were always a few ca ualtie:-,. but mo t peopl e would take CO\ er.

Wedo ctors pentacon iderabletimeat the main military hmpital. One afternoon e leven casual ti es an-i ed in farm tru c k. s and two of u were asked to assist at operatiom. It would be impo ssib le to praise hIghly enough the ski lbofth e urgeons and anaestheti s t working under,>u ch difficult condition and wi th such ,>hortage'> - especia ll y of blood. Autotransfusion was used (i.e. blood collected from the ca"ualt), f'iltered and re turned ). but in one ca -e th e gave hi s o\\n blood!

They are all civilians and have become experienced in th e management of' tr auma and in triage. The nursing s tafr. a l,>o, were first clas: espec iall y thos e in theatre. crubbing Lip was in cold water and ste rili<;alI on by steam - damp towel ,gowns and ma'>k.s were a con'>eqLlence. The improvised ward" were potle s despite the difficultiet, of di ' po sing of wa te o

Twi ce we were tak en many kilometres over very poor roacls to front-line situation s. At the first th e town was st ill und er fire and again we saw an eme rgency und ergro und ho s pital with many wounded - and a mother with her new-born baby.

The econd visit was horrifying. A border village had been attacked 48 hours before by ALeri tanks and infantry, followed by "official looters", 40 civilians had been s laughtered, the bodies mu t ilated and burnt, th e hou ses put to flam e. Five so ldi ers had been killed before Karabakh force re - took the area. We could see th e line s of troop s advancing still just in front of us with the crack le of firing ec hoin g around us.

tres awa over le lTib lc road'>

Back. in th e capital '>i\ of u" "tay ed behind to complete our projech: the mam part) Ilev" ou t t\',o day" bcfore U". [n COIllpan) [ "pent an c\ ening \ i"iting the b:mmenl'>. Well organi"ed. clean and waml , th ough one wondered a t th e potential danger of th e ga" flares and th e poor \ cntIlation We were made 1110,,1 welcome. almO.,1 overw helmed at IImc,>. by the Even \\ ith 30--1-0 per room, the ca\ c-clwell · er" \\ere COIl\ inecd it \\a" \\ onll their hard'>hip and were conlident of \ letor) , lov, cloud - ba"c mcanl our flIght ou t wa"clelayed fora day (therc i" noairtrafli c control or radar. thl'> I'> ,>cLlI -of-lhc -panh '>luff} . Eventuall \\cgolto 1'C\an - lighh in th c "trcet<;. traffi c, hot bath". good food : bli"s!

Further delay,> and a chaotic t\eroflol flight to o'>co\\ (no "eat - bclh food <,ef\ice or "afet) in"tructlon,,! J n c\pcn"iw days wait for a Briti"h ir\\ a) '> plane to London before gin -and -tonlc. ne\\ spaper, and the real isatlon that the 0\ ernmenl had not cha nged in our ab"cIlcc unique and challenging e\pcricnc e wa.., over. The mlcnian and people must be "aluted Thc) are em otional. inten"cl) patrtotic. J'l?'>ollrceful. bUI above all brave. 1. John could offer som e help. but it \\ould require IllLlch energy and organi'>ation ane! have to be b) ilnitation

FiN and econd id could be taughllO se lec ted personnel. To be involved in n rapid rei ief task force would be even more of a giant hurdle. There cou ld be a place for highly trained FiN ider" and profes<,ionalso Maybe the right role for t. John 'ihould be in using its power, influence and publIC image to lobby the Government and the Over"eas Deve lopm en t Agency to act.

Sillce t/iisorticle WOol' wriflcil /irisliall forces !J(JI e t(dell t/i e hill ((}II II {?/ /IShII which c/omino(ed

AMBULANCES

Our mutual friends

These are, to quote another Dickensian title, hard times for charities. The ones that will succeed have to be prepared to face the 'self-help' philosophy of the Eighties head-on if they are going to survive into the Nineties. Gary Cooper talks to some new friends of st. John in the commercial sector.

Endor ement i big bu ine toda. When golfer Nick Faldo won thi year' Briti h Open , the peculation wa that he stood to make s ix figure sum s from product endor ement: alone.

While few would argue that .,porting endor. raise an) ethical problem., (a ide of il1\ olving tobacco companie:-,. of cour.,e). the cannot be ,>aid of tho e embracing

Ju st ho w ethica l is it for a charity to be a ociated \\ ith consumer product-'-? What is the connection between, say. a bar of chocolate and a Third World relief agenC) '?

What do th e manufacturers '>tand to gain from th e association, other than a rosy g low f-congratulation, \\ hich may (or may not) rub-off on their all-important brand im age'? h it really in a chari ty's to be associated with Mammon'?

And ye t charities are rapidly becoming one of th e fa ourite beneficiarie" of product endorsement and St. John has not been sl o\\. to see the trend, and take advantage of it. As regular St. John World will have seen, th ere ha" been a stream of announcemenb of product endorsement,> in recent months, and there are more to come. The question" have to be asked: whalare wedoing, w hy , are we getti ng enough in exchange for the of our lo go and name - and, above all, arc we being careful to gua rd the int eg rit y and publ ic esteem which St. John has eamed in the pub ic's mind for so many yea rs ?

Lookin g after the ofSt. John Fiona Rankine, Marketin g and Appeal., Mana ge r and Sarah ewton, Promotion') Officer. It i'i th ei r job not just to negotiate with tho'ie compa nie s which approach St. John 'ieeking the use of t'i lo go and ap-

16 St John World Scplcmber 1992

pro\ al. but to ,>cek-out other., \\ ho ma) not alI-ead) ha\ e thought of the idea. The) don't do thi:-. alone. of cour"e. but it I". ul t matel), thei r re"pon" i bi lit) to make ,>ure that th e marketing i:-. right. nd marketing i" \\ hat thi" i" all aboul. Manufacturer,> \\ i.,h their product'i to be a,>"ociated \\ nh ethic alcau,>cs(the) knO\\ nincrea'>e",>alc,» \\ hile the chari tie" \\ ant the money and the promotion. To thi" e\tcnt. therc l'> LJuitc fierce competition in the market to get your name on the pacl,el.

Fiona e\plain:-. that the first product endorsed by I. John \\(1" Detlol (0\\ ned h) Reckitt and Colman). "hich ha" been CIldor"ed. for home h; giene purpme". ror ,>everal year" IlO\\. In e\change for the endor"emenl. Reckitt and Colman pay t. John an annual lee. ince then. "C\ eral other wcll-kno\\ n produch hme recein?d the SI. John "cal of appro\ al. A"ide or mone). I a'>kcd Fiona. \'v hat doe" t. John ..,tand to gain'?

"The primary mo\cr for u" i" the rinancial benefit, bccau"c the promotion" and endor.ements "cheme i" .,cen a" a fundrai'iing function, but it has a IOL of mileage P.R. \\ i"e becau"e it brings the t. John name into different hou"ehold,>. onto "upemlarket ,>helve., and '>0 on. When we publici..,e our name we hope t o increa'>c positive awarene"" of t.John, which might help recruitment. a.., with the most recent promotion on the DeLLol pack, VI, hich wa" to help train St. John adeh."

Fiona i'> certainly aware, however. or th e potential minefield in becoming <.1,>,,0ciated with a product. or company, which might renect badly on t. John in "OIllC way, and ex plain s that there i'> a clearly defined ve ttin g proce..,s to avoid thut.

" I f a company approache,> 1I". or wc approach a company, the propo'>al ha'> to he approved in the fiN in"tance by the SI.

and endorsemcnt", of £200,000 for thi'> year which we hop e we will achieve." Fiona 'iays.

Where th e money go? Fiona I.,trc,>ses th a t it i" not there ror the ,>ole benefit of Grosvenor

"We don't look at products and endor"el1lcnh <l'i hcing "olcly for thc bcnefit of ational Ilcadqu al1er,> - for example wi th thc Mycil cndor'>clllcnt, Mycil ha., becomc very involved wi th ollr London Marathon team 0 1 runner,> and ha" ,>ponsored the 'Ten toe ti/) \/or /I/(Im/fum /'111/11('1'.\' kanet. which we are '>ending out to the counLie" to u"e a,> a prol11Olionalleallct at an; local marathon I., which local Brigade members might be covering thelTI'>elve" Where po<.,,,iblc. \\c'rc trying. to link the benefit" '>0 that the promotion "erve,> to highlight the v.ork or t. John locall; as well u'> IlcadquLlI1er"."

daughter had a rail rrom her horse. It was reassuring to receive sueh prompt and immediate Fir'>tAid from a very well equipped and l-.nowledgeable St. John team."

A'>ked why he cho'ie t. John for the product, Graham replies, "Quite simple really. It \ the largest. and be'it known, cOl11munity ba'ied Fir'iL Aid organi'>ation. 'm sure thaI both Crookes H ealthcare and the St. John organi"ation will benefit from the rclationship we have created. After all. we're both in thc bu,>ine'i'i of bringing quality hcalthcare to the K \ general public."

year\ marathon as part of the Jonathon Team. "

John Medical Board - and \\e lIell£' put proptN 1I up for their commenh \\ hich they ha\e thm\\ n out heclu"e the) dOIl't compl) \\Ith their requin.!l1lenl'>."

There i". of COUN?, a dilficult) in thi, area. Fore\ample. the 1cdlcalBoard I11lght be content \\ iLh a pmduct CaIT) II1g the l. John endor"elllent 1'01 home h) glene pur· po"e" \\ hich it \\ nuld not appro\ e of for Fir"t \Id.

"\ e take great care in '>Lating clcarl) the particular rleld an endor"ement co\er (e.g. \\ hether it mLl\ he hr'>t \1(\ or Home II )'-glene) and \\e takc the precaution 01 ha\ Illg each conLract "tlplilate \\ htlt the encior"ement \\ ill co\ cr.thu,> cnlorclngthc u e or our logo" "a\" hona.

01 ha\-iIlg lound ,I prodliLl ha\ Ing gained the apprm ,II 01 the \ kLilca Board and ha\ Ing agreed that there I" ,I reLhonahle appropnatene,>" be \\ een t John and the product. there rClllain theall · i mponallt ljue"lIon or mone). Ju"t ho\\ do ;ou put a monetary \ alue on the I. John name and logo?

"It"" a ion of looking at thl' ,>i/c 01 the branu or product." hona "Li: '> th e volume of " tie'>. Lhc pncc of the product or - ifit\ancv. product \\hatthe\oluillcor projected sale,> might be 1'01' the fiN year We look at the viabi lit) of the COmpLln), the "i/e of the company LInd, along ""iLh and olher criteria, \\c gauge a fce accordingly.

"For l. John, hm>,e\er, it i'> the 'other cri teria' "" hich arc a" Important to U'> a thl\ cover" the long-term alliance \\ hich canllC built up betwe'-cn I. John and the brand or product. I t is to ourmutual bcnditLlndcan be Ju'>t a:-. - if not III ore important than the mOIll:tary va lu e of each partner hip "

And what ( to u'>e that overworked c11 che) is Lhc bottom lin e'?

"We have a target again" t proll1otioll \

With more endor'>emcnt'i under negotiation. and '>c\t!ral already qune well e,,tabli heu, there i'i no douht that t. John i" benclitlllg rrom the ,>cheIlle both I'inannail) and I rom the puhliclt) gained. But kar not - the day of the 51. John unifoml carr) I ng the IIllmortal v. ords Eat t Joe"'"

Speaking Partner

.'EA LEGS (;raha m (; ilbert, Senior Product Manager.

\\though the t. John cntlor ement of Ilealthcare"" ea Lcg ) ct to appear on il packaging, the company '>enlor prouuct l11unager. ,milam Gilbert. II., cenliin there i" an ob\ iou ") nerg).

"TrLl\ el "icknc:-.,> product" arc not '>olllething )OU buy e\er) da) and there are I.,c\eralto choo'>e from. The en<.ior"eIl1ent of a prnfe,>"ional and \\ell - re"pected 01'ganl\ation '>uch Ll'> l. John can onl) increa\e the conridence of both the public and cheIlli"t coun ter "tall in the ea Leg:-. Product."

On a per"onallevel, Graham"" connectlon:-, with I. John bCQan \\ hell he recei\ cd training forhi:-. FiN badge in the Bo)" Brigade. More recentl), he e\plaim, "I 'Va graterul for the immeciiate help Lhat Was on hand at a local gyml-.hana \\ hen Il1)

MYC IL H eat h er Mountne), Product Manager, Anothcrprouuct from Crooke" Healthcare. 1,) ci I encior"cment programme \\ i th t. John. I'> looked after b) Heather 10untne)

Il er av,arcne"" of t. John wa,> ,>trengthcned b) the appearance of I. John team,> \\ hene\ er "he attended major '>porling e\ent" It i\ thi" "porting connection. "he '><.1) ". \\ hlch I orm" the ob\ IOU'> connection \\ ith the product.

"y e chose t. John ,.\'> a charity to ,>uPPOI1 becau"e ofih "trong "paning a '>0cl<.ltion The marketing trateg) for \1) cil ha,> been to target porting. acti\ e people and \\ e ha\ e -.,pon'>ored "e\eralllla.jore\ent (:-.\\ imming. badminton and football) \\ hich ha\e all been on either BB or Channel-t T' tthe"e e\ ent'>. along \\ ith a numb 1'01' road race \\c hme atrended. \\e ha\e Llh\ a)" Illet \\ ith l. John Illember:-.. Thu" t. John \\ a" an ob\ iou., choice for our The benefit:-, ofrhe link \\ ill be the medical credibility rhat can be tran rclTeu to our brand b) the ndorsement gi\ en b) t. John."

The logo. "he reeb. is \\ell kno\\n and respected. "The l. John logo i, recogni,>ed countr) - \\ ide a,> a long e"wbli,>hed organi"at ion that prO\ ide,> an e,> ential "en Ice to the Britl"h public at large." " to \\ hat benefit'> ha\ e alread) accrued. a'>ideoftile public \ reaction, I l ea th er :-.ay:-.: "Follo\\ ing our link -up \\ ith I. John during the London l\I arathon. man) ofollr "ales tcam ha\ e become more aware or t. John and i t:-. act \ it \. 1an\' more Illem bel''> ol'thecoillpall) \\i"h-toellrol rOrne\t

PA L H RTM A:\!:,\ (F ir t Ai d Kit) Bernard Murph), ales Manager,

Unusual. in that the product endorsement here car First Aid kib produced b) the large German speciali'>t manufacturer Paul Hartmann for\ ariou., car manufacturers (rather than a product offered directl) for "ale to the general public). rhere i" "till a \ er) ob\ iou'> and direct connection \\ ith St. John. Indeed. Hartmann \ .,ale,> manager. Bemard Murph) has been a t. John member for fifteen years and i'i an rea Staff Officer (Training) farthe orth Ea tem rea of Gtr. Manche.,ter.

The fiN of Hartmann'" St. John endor ed kit'i ha recentl) been old to \\ edi'ih manufacturer,> aab. although there are other car manufacturer. in rhe pipeline. including "orne of the bigge )t name In the automobile \\orld.

"Whar brought the endor ement porential to lighl.'· Bernard a) '>. "\\LI'i the "un e) that t. John mbulance did on car Fir t id treatment'>. a\\ [hat report and. ar Hartmann. we are acti\el) iIl\ohed \\ ith rhe automobile indu,>rr). In Gernlan) \\e produce kih for 1ercede udl. AlraRomeo.Jaguar. I "anandman) orher,>.ln the light of that I. John rep rt. we felt it \\ a" time ror u,> to go all-out in thi country and to all) our,>eh e" ro one of the premier rraining organi"atian" for a pu"h again"t [he ar manufacturer and the general pubI ic to make them ,mare of \\ har i'> needed." Hanmann"" connection \\ irh \ oluntar) aid 111 Gemlan) i e\tremel) '>trong. In a cOLlntr) \\ here Fir"t Aid trallling I" pan of the uri\ ing te t (a i'> manu<\tor) t\\O-) carl) re-e\<.lmination of ,>kill,,!) Hanmann ha,> ried clo,>el) \\ ith the Red Cro'>:-.: the) acruall) produce rhe puhl ic dur) Fir'>t id kit for the Red Cro '>. '>0 the cOlllpan) ha" <l lot or e\perience In thi area. In rhe K the) are going to be "uppl) ing their indl\ idual FiN III tireing'> and triangular bandage,> through t. John uppl and eral ofthe ne\\ dre",ing:-. ha\ e actually been de\ eloped \\ ith t. John.

"The car manufacturer \\e'\e talked to ha\ e al\\ <I) '> been :\\\ ,Ire or I. John ,l'> being ") 11(11) mOll'> \\ ith FiN Aid. \ o-.t cpll'1ll8l'r 19l)2 St John \\ orld 17

peop l e con ide r t he R ed Cross a. a we l fa r orga ni at io n ons der in g St. Jo h n a he pre mi er Fir t Aid o rga ni ati o n , 0 t he co nnec ti o n i very trong an d wi ll grow. W e'v appeared at th e medica l Co n fere nce wi th th e H artman n R oad how and he H artmann

R oa d how i goi n g to be at the Brigade Co nfere ncea w II. The r...;are al oa numb r of m ember of aff who are al 0 member of St. Jo hn W e be li eve H art ma n n and St. Jo hn ca n gO forward toget her - I be ieve it'

go in g to do H art mann and I hink in t he l ong run St. John i s going to benefit a we ll with the backi ng of H artmann."

Co l ma n 's D etto l. Product Group Manager.

K ate Addi o n h as stro n g views on th e val ue of th e St. John l ogo in endor emen t te lm " I think t h at it mean tru t and care, th at wha tever the logo i on i safe and goi ng to be all right. But I would que tion the level of awarene ' of the logo, as oppo ed to that off th Red Cro That may so un d a bit abrup t bu t J think it could do with more awarene s being given to it, and that w ill come by parries joining together and being more pro - active. We do believe tha t there i a lot to be gained by working together.

awareness of the St. John logo, I 'm quite xcited about wha t I be ieve we can work togeth r for in th future. Yes we are a commercial organisation, but our brand va ue , of Denol arc carc and trust, and if you can do things together that help th e publi at large then it can only be benefi· cial.··

Kate Addi son Product Group Manager

Th e fi r t product to have received an endo r se m en t from St. John, wa R eckitt and

" I ntemally we promote the onnection very heavily b cause of the profe sional endor ement, the profe sional tamp of approval. To promote to the public we u e the logo on the front of the pad. once a year. We pick a t h me, buying an ambulan e or training cade or whatever. and we al 0 do joint po ters which we have provided but which al 0 have the St.John logo on. The -e are extrem Iy popular with the edu ational part of the communityu has choob and Brownie pack. I'm particularl interested in thi educational a pect. be it chools or home economic teachers or mid.,.., ives and hea t h vi itor There is recognition there which need to be tran lated to the public and I think there i a lot we can do together in thi area.

"Bearing in mind hov. I tarted. by aying I believe there is that much

9th National Ambulanc

OPTR EX EME R GEN Y EYEWA H

Re b ecca Judd , p ecia l Eve nt Ma n age r

An IIldustrial product de"igned for U'ie in the workplace. Optrex mergenC) Eye· \.\ ash has been endorsed by t. John sinc e pril this year "It's a relativel youn g marl-..etplace that this product is in and fairly ne\.\ to u,,; we arc tal-..ing thi oppor· tunity to promote and rai e the awarenes fOptrex Emergen ) E C Wa"h toconfim1 its effecrivene') a a health and afet) product. The 1. John organi..,ation ha a heritage of tru and respect \.\ hich theas urance fsafetyandreliabilit) thatls fitting to Emergency ye Wash

"Optrex Emergency E) e Wa..,h i" a premium quality product \.\ ith particular features which help when emergcnc) FiN id is nece ary. the protective e e shield allow an accurate, '>lead). controlled 00\\ of and i a unique benefit of th e pr duct.

"The 1. John cndor"ement offers a pelfect partner hip between organi. atiom who .:;hare thesamecommitmcntand wnd · ard.:; of quality and safety Thi lin"- be · tween St. John Ambulance and rook.es Healthcare Ltd will en,>ure that when health and safety profes iona\<" are comidering Eye Washes, Optrex Emergency Eye Wash will tand out a an unrivalled product. "

Dusting down the dingoes

Imagine tra v elling to your next Sf. John function via London, Leningrad, Tehran and back to London again by coach. That's basically the distance

that Ian Johns of Surry Hills,Australia covered - along with 44 other Cadets - on his way to the 1992 International Camp.

A I dragged from my bed it was hard to b liev tha t it was 28th Decemb r, 1991. It wa 4.30am on the day that 44 Cad t: and their Officers were to depart Sydney,Autralia, mu , ter their pion ering pint and h ad for Darwin to attend the 1992 International adet Camp. Thi" was not going to be your 'run of the mill' trip It wa" to tal-..e "ix day',(o reach Dar\.\ In and \.\ hen the camp fini<"hed ten day" later. it was to tal-..e nIne days to retum. The organi..,ation of thi.., ad\ enture had tak.en 10 month. On the coach v.ere Cadeh from tv.o Di"trich o f Au"tralia - _6 from cv. outh Wale" and 13 frolll the Au..,tralian apital Temtory In addition the adet cOlllpet1l1g frolll ew Zealand and their Onlcer (equivalent to a hief Officer ade!',) had flo\.\ n aero.,I., the Ta"lllan to Join u" For about 1000.00 .\u"tralian all e'pen"e" paid for the ne\t 25 da) Tnn el \\ a.., to be b) five "tar coach. \.\ hich \>, a'> to pull a traIler \.\ hi h Ila" our I-..itchen and panlI') - ne\t to the driver. the mo"t important rers n on the coach v.u" the For thme of) ou v. h mU not "-no\.\ t 0 much about our ountr) , it can best be de\cribed as hot and flat, and \\ hen it"" not hot and nat ... it"" hot and flat. December and Januar) are the two months of Our ummel' with temperature" \\ h re we were to tra\ el regularl) reaching 1-5" and over. ollle or the r gi ll'-. whieh we had travelled through had not seen rain for over five years.

De.,pi te the.,e problems. the record time to unload the coach. et up the campsite of 15 tent'> and have the kitchen unpacl-..ed wa" 4 minutes and J 2 econd Thi'l \0\ a done after travelling SO"-ms in temperature" abo\ e 3 0c,

We all ha\ e one pecial moment or event \0\ ithin 1. John and onl} you I-..nO\\ how e\cited ) ou felt. This joume) \.\ a to bc the pinnacleofm) tenyeaL of memberhip

Dayonetooku from )dne) [oBour"-e

Thi" was to be a rudeho "- to orne. particularl) those from temperate limate

For those fe\\ \\ ho had ne\ er camped before the concept of unpa I-..ing ) our bedroom wa::-just too much. let alone fielding in the lips ror your tent peg

" F or tho se of you who ma y not know too much about our Country, it can be s t b e de s cribed a s hot andflat and when it 's not hot and flat it 's hot and flat. "

Anvone wantillg /?lore (1/1 ( .' J ohl1 Amhll/anCC' and ewdllc( endor emen( sholild COI/((le( arall New(on, PmmoriollS Ojjicer, CI( S.J.A Na(iol1a/ II Q (071-235 5231 )

Ouraccoll1l1l c.!ationwastob in' to·erect· tems and whi Ie the descripti n may be accurate. hammering the metal pegs into the ground (read 'cement') to be a soul-shattering e\ercise at the end I' most days. Whilst on person was hurg d with the responsibility for the anempted haInmeri ng. others were strategical Iy placed Soas to find the pegs as they ricocheted into next week.. No maller hov. far they flew. Murphy\ Law dictated that they \.\ ould always whistle past your face so close that you wouldn't have to shave in the 1l10ming.

From Bourl-..e \\ e crol.,sed the border into Queensland and headed to\\ ards Blad,all. [fonan) da) weneededanoal.,i" thi::- was it. and thani-..full) the tin) cOUlltr) to\\ n didn't let us do\\ n. the I.,i lence \\ as shattered and locab \vent running forco\ er. \O\e as a group made our presen e I' It ar the local pool. Too bad the temperature of the water was equal [0 that of th ambient temperature outside!

Day thre ,and we headed f r Winton. quick. stop at the tock.mans Hall of Fame, then on\Vard:, e\ er onwards as the temperature outside \\ent UP\\ ards, ever up\" ard By this stage the interi r of the coach had : t arted to resemble a scene from

F/YIIH!, HI!!,h cra h po,>irion Winton to Mt. Isa \\ a.' da) four. ccording to the Cllilllless Bo o/.. of Re co rd.I. thi rh large tcit) inthe\\orld(insquare "-ilometres). [t definitel) felt large enough as \\e all set off in different directiom to tra I-.. do\\ n our respecti\ e banI-.. Thi \\ a" ev" ear' E\eand\\eallpartied\\ellinro the moming (negati\es are a\ Da) fi\ e, we headed to Renner pring. We cros ed into the orthem Territor).

This day \\ a h01.long and :tmight. Renn r pring ta"-es the trophy for the highest ground and oolest reception - oh, b) the v. a). Renner pri ng has a popu latlon of five Finall). si \ day" and 4.500I-..m later Darv.in.I \\ould love dearl) to tell yOU about rhe 100q humidit) but your ednor would not print it!

Ten Icg-"tretching. ba ,,-- traightening eplember 1<.)92 t Jo hn \\ o rl d 19

DETTOL

= the TERRITOR\ of AU:TRA UA

d ay ater it wa b ac k int o th e coac h fo rth e j o ullle ) ho m e.

Th e f ir d ay v, a re l at i ve ) sh o rt \ 'vi th

o nl y 4 .5hr tr ave l to M atara nk a T h erma l

Sprin gs. Wh y it th at v, hen t \ 3 °C

e er y on e in a th erm al I

d o n t kn ow e ith er. but in I we nt.

Th e nex d ay we head ed to th e D ev il \

D ev i I .., M arbl es '> a !:> m all ar ea of de'>e rt cove r ed w ith g i ant ro und bo ul de r s.

I r em ove d fr o m c v il i sa ti o n and ca n be as aweso m e. Th e un '>e t see med o l as t fo r ho ur ) , and fin all y w hen d arkn ess d esce nde d th e '> k ) ca m a ive w ith of st ar s.

I wa an un o b stru c ted v ew, no c o ud, no po lluti o n ju st yo u and th e uni ve r se. A liber a sprinklin g o f t al c um pow d er to deterth e (AnY fJ ar t ic lIl ar l \ hra nd?Ed ) and we bedd ed d ow n f o r th e eve nin g

Th e nex t t wo d ays we r e spent ex pl o rin g Ali ce Sprin gs. [ t \ wo rth m enti o nin g h er e that St. Jo hn Ambul ance o per a e all ambul ance in th e o rth elll T erritor y, W es t and So uth Au str a a. Th e Ambuance Station at Ali ce Sprin g,> cove r '> th e area in th e wo rld

From her e we hea d ed 'o n bu sin e,>,>' to A y r es R oc k , a d e finit e hi g hli g ht o rth e trip

Wh y d o peo pl e c limb Mt. E ve r e'> ? I ,> uppo se I c l imbed A y res R oc k f o r th e sam e reaso n -eith er that o r stupidit y, ego, o r a

d es ire to d eve lop a c riti ca hea l1 co nditi o n

C ert ainl y t " a sn'/ f o r o nc o f tho se tas tel ess

" I c limbed A y res R oc k " tee-s hirt s C o ober Ped y nex t and ye t ano th er hi g h-

20 S t J o hn Wo rld Se pt e m ber 1992

li g ht. T h i" dese rt tov, n is reno\\ ned t he wor l d o \ er for i h o p al ". It al-,o "n o\\ n I or i t '" u n us ua l acco llllll oda t ion. Il ou"l:'>.

C hurches and busi nes'>c'> are undergroun d c ut o ut of roc k T his enure,> a con"tan temp er atu re of2s a we Icome rcilef rrom th e above gro und hea t. ex t mo m i ng a l ittle opal ,IIofJlwlg and th en o n to Po rt ugu"ta. t he ..,cene or o ur reco r d brea" in g camp ..,e t-up. Th i " \\ as th e f i r'> t t ime '>i ncc ea\ ing S) dne) ha t the wa ter i n t he poo \\.a.., coo l. Out orbed befo re th e ea rl ) hire.! ",on11', h ad wo " en and o nt o t he coach fo r our l o nge'> t d ay. In Br o k en Hill a brier \ i"i o th e l ar ge ,t R oya F I) ing D octor ha"e I n the co untr y w h e o th er !'> go for a chec ku p at th e oca base hospita l. Mi no r de l ay. and o nt o Cobar. En rou te our cam p conce rt wa,> held in th e ai sl e of th e b u" a.., we all "wa p ped '> to ri e'> of o u r f avou rit e moment'>: p len y of l aug hter, and a f ew tea r .., too.

Fin all y ourcama,> home.., were pac "cd away f o r th e l a'> t tim e as we headed 1'01' Sy dn ey.

Fo u r peo pl e we re lu cky enoug h to h ave a bi rthd ay o ut o n th e t rac k. " and I wu.., o ne o f th em wa.., am a;: c d a Janet (o u r coo k. ) w ho w hipp ed up c rea m i n a t up perwa r c co nt ain er b y v i go r o u s y .., haki ng it fo r ha lf an ho ur

So, w h y th i" arti c le '>0 l o ng? W e had tr ave ll ed ove r I O,2 00km s and "'pe nt ovc r

13 1 o n th e coac h W c d ra nk ove r 7 00 litres o f C oca Co a in 15 d ay".

A." we arri ve d b ac k at o ur " artin g po int.

,\I1({11/ IHC(lIre eiJolo (If iii(' (II lIie .'Vor/IIC/II 7cnll(J/ Y hrm/£'I' " l/ o I£, (he {'\/Cl/\lIe \ 1 lal/dlu/pe. " 011/1IIi'I/lI OII

11 let IJiC 1/11'1" /II) I Ill' he Del iI\ \I/ ur/1I('\ I/O CIOIlc/I 11(1 {J0IIIIl/ol/ ./11 11 .' Oil alld IIIl' 1IIIIIer.l £'

t here \\ ere no -+0 people on the coach. bu t one comple te group. A ral a l 'lll conce rn ed the O\for d Eng l"h hou d he changed to read: T eam\\ orh (flJl - II lid n see t. John mhu ancc. yd ne) to Dar'" in.

Thc'>c adet-.. and heir officer" \\crc ulllha"..,ador" for th e St. Jo hn organi"atlOn. hut more than tha t the) are the epitollle or th e ade movc m en t. Int e rn ationa frlend"hips we r e fOlllled be t ween lI" raita and New Zea and which I h ave no doubt \1 ill a<.,l a li fetime.

o t at any t ime during th e organi atio n t r i po rd u r i ng th e Int erna t io nal Caillp it ..,e rcou d we rind evi d ence h at a project l i k e lhi !'> had eve r bee n ac hi evc

On Call and Divisional New

County and Divisional New

Helen Ma c Donald ( 15) carne out Fir.,t Aid on hri Petci1er (IS) at We tgate chool. Winc he<; te r wLlIchcd closely by Mrs Rita Oa\ OUnl) and lr Peter Jenner Head Teacher. O,cr50 pupil ha\,c completed the One Cro A \\ ard al the chool.

(I-r)

The Third Annua l C hes te r Branch Inler -Schools Illergency Aid Compe t it ion took place in June. wilh nine tcam'> taking part.

Pictured arc membcr., or the winning team from cwton County Primary chool and .,pecia l (I-r) Miss Pia Sutcli ITc. The Lord MayorCIlr. J ohn Randall. MrRon County Oircctorand Mr David Peddar, A.,sistant Director General.

Rachel Rlchard.,on and Llndc,ay Ray ner are L} th a m t nn e 1992 Cadet Queen and Knight of St John Here the) are In fu II

Oi\ i.,ional Superintendenl \1al) Woollard

unleers E,enlng LOcelebrate the opening of the ne'\ 'COUnl) :-"Iall'

SuperintendentDoroth) fiddled \\ ith her monogrammed Entono cylinder I) ing in its \elvet case. She looked round the ambulance hall and out into the darknc,>s. Far awa) he aw the glO\\ ing lighrs of Black pool.

A place \\ hose minorcomplainh she could onl) dream about. H eat ,>troke and heat obviou I). Bur Doroth) had seen them; la t Summer one pemion da when the post office opened an hour late. and a imilarda) V\ hen it closed an hourearl).

O. Doroth) anerie throbbed after rhe rare specialities of Blackpool. 'Stick y Rock Mouth'. sometime taking days to dis olve in hot water. and 'Flowering Body and' that could take month to di appear completely.

That wa all five mile to the we t aero , s the field..,. She sig hed, turned and looked 10\ ingly at her Accident Hit Squad scattered around the hall. Sergeant Donna Hend er on at on a chair putting a few extra ticky pla ter'> Into the rim of her hat. Tran pon Officer David polished his afety pin'> and Laura, a ne\\ member. V\a: taking the temperature of the tea. 'Blackpool ma) get all the g lamorou s, fast duties,' thought Dorothy, "but our rubber gloves are full here Lancashire - ymbol ised by a great red rose. A Brigade member can hope that somebody will lacerate themselves on that ro e. Poulton-Ie-Fylde - flowing with walking frame'> and indigestion; h angnai Is and varicose vein'>. Our landmark the Se\ enteenth Century Church at the centre of town. Its ) ard full of the results when there was no t. John Ambulance.

Also we have an ancient whipping pO'>t and stocks; interesting from our point of view to speculation on "ye o ld e fashioned injurees' inflicted there.

Superintendent Dororhy plucked a '>tray hair from her c hin with arterial forceps. 'A plea)ant, '>mart' residential area; that belies ,>omeofthedramahere,' she reflected. Finger tip blister'> at th e Bridge Club, a red mark on a left ankle for II minute s after an awkward roll at the Bowlin g Green; a blue rinse neal'/Y

<:J left too lon g. Overthe years Superintendent L}llJ Dorothy and her 'Opportunists of Oblivion'

• have come to know every need of th e community; no com is left unplastered.

26 St Jo hn Wor l d September 1992

Doroth) looked at her force again. he \.\atched Ollle or th em embroidering their initial on their triangular handage !t\ ,I ....hame the) don't get more oPI onunit) to '>hine.· '>he thought. 'We do ou tl) ing events too The Potato PIcker,> Ralh The \I10ITI Dancer'>' Dinner Dance: butjuq omcthing to gct tile pul e abo\e 85 V\ould be nice'.

It wa.., clear that e\ enlllg that Doroth) and her loll()\\er or alamit) v"ere inmuch need of omething to \.\ 01'1') ,tbOLlt. Ten"lon tretched the air IIl-.e a cOITectl) <lppllec.l crepe bandage: a.., It hat! done for 1110nth,>

Going into th e kitchcn, Doroth) LOok I rom her handbag. a '>mall bottle orT P. tnctl; forbidden 1'01' public Ll,>e. Doroth) 0111) kept it for personal application. She gargled cieepl) \\ ith it. preparing her elf to gl\ e the e\.enlng\ lecturc Tonight"" "ubject wa 'Tea Proceciure Brc\.\ Illgand ,>en l11g ror other colleague and civic dlgnitarie (\\ th and \\ thout .,ugar. '>itting or ,>wnding. lome and cubed ,>ugar)' Doroth) '>trode into the hall and to the prepared t,lbk. hcrnote and ten cup.., or hot tca ranged in front or her. he hegan

"Purpo'>e: hmpllalit), comfon, heer

The mind,> of her team ab,>orbeu ever) ) Ilahle ra ter than a Ililt dre ,>ing a'> the) '>at in a ,>emi-circle aroulld her Doroth) \\ ent on.

"Equipment per per'>on : one cup (empt)); tea '>poon. and \lIcer Ever) one concentrated hard.

Demon'>trating the correct lifting ec hni4Llc and gnpplng tion, Dorothy lifted one or the cups in front 01' her. he took a Laura'" '>hout wa,> too late. The tea V\ a'l through the ai rV\ a) and half way down and bed bath ; that wa.., hot!" cried Doroth) clutching her throat.

" [ checked the temperature; dic.ln 't think you 'cl be u"ing it for another ten minutc.., " Laura \ voice t railed oil

"Are you okay, uper?" a'>ked Donna I think ..,0 "

Several member,> leaned forward; concernecl and interested " [t 'sju,>t. [think "

Ten chin'> rested on th e tabl e in front of Dorothy

"I think [ 've go a bli'>tcr "

The tension in the air broke fast like <.Iltcrial bleeding. ,>urged as one towards Dorothy.

" [t's a burn, it\ a burn!"

Donna, being the next ranking officer, pulled Doroth) to the ground.

,, [ ow bad is it?" a..,ked Michael. tand back, give me room," growled Donna. She put three ringers in Dorothy's mouth.

"Loob like air hunger to me," commented Jill. Dorothy wa'> trying to say 'Get orr'.

"Ilere it is oh clear, 've bur'>t it."

"Loss of fluid," yelled David, "shock! Feet up ." [I e ran to get il chair.

"What we need," '>aid Donna, her hand now hold ng Doroth y \ tongue..,o that it would not fall to the baek ofherthroa t, "what we need i'> icc."

i,\ people ran to Fir'>! Aid boxe,> Michael wa,> the first to report that ice WCl'> not pre'>ent <I'> pal1 of the ,>tandard c4uipment.

"We'd hettcr go and get sOllle." concluded several at once. 0." arrected Donna. " [t \4ulckertowkethec<1,>ualt; tothe ICC. tretcher and ambulance now."

The fibrc" of pullover have never ,>tretched so far with pride andjo). E:\citement and purpose entcrecltheir Ii e again. ould weju..,t put on our ambulance jacket'>'?" asked Michael and Da\.iclncr oLl'>ly. "It\ o llluch more fun " "Qulckly then," '>aid Donna Doroth) nO\\ la) '>till and uncomplaining he l-.ne\\ the \\ hole thIng \\ a.., good I'm morale. nd ..,he dul have a bum.

Oncc In the ambulance, MIchael dro\e 4Uldl) to the main .,quarc. V Ithln t\\ () llllnute,> \\ rrom there are liv e public hou"e each contaIning ice-cuhe'>. A II ga\ e generou l) on heann£ or the ca,>uillty oUhidc.

t\ooard again the) decidcd to tak e Doroth) home to re'>t. and on thc) \\ ent. The triumphant atmo.'>phere continued and the icecuoe., hegan to mclt. The) "lipped all o\er the floor, '>cah and people"" hoLile'>: c\cept lor the one In Doroth) ..., mouth. \1lchael. pinh hIgh. drm e a ort or Ictor) lap on the \.\ <.I) hOl1le.

" ot lar 1l(m." he "aid at the last et of traffic II!!hts. "Well dnne c\ er) one," ald Donna.

BeamIng \\ ith hapPlne .., e\ t.?r) one taned to ..,lIlg LUlld oj !lope (/1/(/ (;/o/'\'.

Elc\ cn people In an ambulance I a ti£hl fit. \\ hen the\ mo\ e ahout... ome '>tood lip to .,Ing the linal ju a.., the) Doroth) '., hou'-tc. \ Ilchael put hI'> root on the brake jO) full) \\ ith the 1.I t oar., or the lllu'oic.

h\c landed In the lront or the ambulance. oboch lanueu in the reco\ cr) po ition, a root hattered the \\ and the \tcenng COIUlllll lllmed '01\ inche.., to thc rt£ht.

[n the hack. threc \.\ ere thm\\ n the door'>. \\ hich and dId not open. and ha\e not opened Ince. Doroth) \\ a fine.

FOl tho e participating perhap,> the adde'>t pan or it all \\'a that nobod) reall) badl) hurt. Onl) minor contu io1l'> and a llght blced.

o that \\ h) \\ C needed a nc\\ ambulance

It thlee )ear,> of I'und -nming \\ ith help rrom lTV Tckthon. local I'iml our f\ la) or. house to ilou,>c collection-,. !lag day carhoot "ale etc.. ur incere to e\ CI') one.

upertntcndcnt Doroth) ha the poli..,h \\aiting

NEW RADIO CHANNELS FORST JOHN

MORE

VERSATILE.

You may not know that following negotiations with the Licencing Authority, extra channels are now available to St. John Ambulance.

As a leading supplier of ICOM equipment to St. John we are pleased to announce our retuning service to include these channels on your existing high-band radios .

We offer this service for most makes so call our Hotline now on 071-252 184 9 for our latest information pack

CHEAP TO RUN . ICOM 2-way radio has proved to be the most popular and cost-effective mobile system for St. John Ambulance ICOM is used exclusively by London District to give excellent low cost communications and help make the most O budget. If you would like your diVISion to save money get in touch with us today!

The way to a Cadet's heart?

Sandra Ron on, Nur in g C ad et up erintendent of L vtham t. Ann e, \\ r o e th e followin g " ord of rh y min g "i sd o m t o m a rk

the C ad et' 70th A nni\ er

I'm a Ca d et

['m a S1. John Ambulance Cadet

And I' d like to make this plea

To every adult member nvolved in training me

['ve been on lhi" earth les than 16) ear'>

My e\perience are er) fe\\

So plea'>e don't a'>'>ume [ kno\\ Ihll1g"

Just becau,>c lhe) are ba"ic to you.

I f) ou u e abbreviation,>

Withou t s opp1l1g to explain

I Voon't unders tand what you're aying

So plea'>e keep your language plall1.

I may find thing" hard to remember

o maller ho\\ hard [ try

f you a) "Do it thi'> way" or ", evcr do that"

Without ever explaining wh).

The odd '>tory abou situat on,> You ex perienced long ago

[ 'II enjoy if thc) 'rc funny and to thc point

Otherwi\e [ don't want to knov.

Demomtration,> are rine, can \ee what to do

And ju how it "hould be done remember thing" best if [ do them my'>clf And it'\ also a lot more fun

It '" your enthu"ia,>m

That encourages me to try

But if you lind the <,ubject boring Thcn. believe mc, so will I.

f you take me on public dutic

When you 're working make ,>ure I can "ec

And rcmember I'm there to learn from you ot to clean-up and ma"e the tea

f you trea t me like a pain in the neck

Then I'll probably end up a.., one

Bu t with your "upport and guidance 'll be

A credit to you and SI. John

Absolute Tarlings

Thefamih of I.John l\c,>eenmuchc\ldcnce of it- ver; much - and I l--nov. that In the felmIl) there are man\ SI. John familIc,>· The) Jre all special. but I do feel that tim particular nile 1\ worthy of mention Freda Tarling ha"ju\t retInxl from Gra) ur<.,ing DiVISion after man) ) car'., of devoted sen ice. Her hu\hand. V\ ho. I am "orr) to \el). died "uddenl) a lev\ year" ago. v. ,i' a memher of" Gray" Ambulance Dlv 1 lon and lor a hon lime wa DiVISional Offlccr

H er daughtcr. Cathy. i" a corporal and a ';taiwan member of the ur ing DI\ i"ion. She i'> al'>o the enthu"IClstlc leader of the Gra)" Badl!er'> and the Chaflord Hundred Bad!!er and teaches Dul--e 01 Edinhurgh Award Fir''! Ald. among other cour"e\.

Another dau ghter. Dorothy , i'> nO\'. dOing her ur"ery urse E. uIll1l1ution Board cour"e, and finding her Sl. John Ambulance tr,lInlllg very helpful.

Her "on Geolf an I mtructor 01 Fir..,t Aid In trucLOr fort he bsex Fire and Re cue Service and ha\ been cho en a a member 01 thc I nternational Re cuc Team which can be called to attend any di astcr in any pan 01 the world.

He ha'> respon"ibIlI!) for Firq Ald.

he ha<, In the Cadch and In both Badger Sct'>, and great nephew and niece" In the Badger She hopc,>, and we all hope. that there will be Tarling.., in the Gray" DivI lom for many years to come.

Mr s E . B F end er Pr e., id enl Gr ays N ur sin g Dh i sion

Super stuff

We thc mcmhcr..., 01 thc Congleton DIVI Sion St John. cannot help but notice In reccnt S.lH rcf'crencc,> to nverv.-orkcd Dlvl lonal Suo pennten<.icnh Wc cnclose (\\,Jth her pCllnl\ ...,Ion!)acartoonofourf)l\ Supt. 1r M,lrgarl't Dolman It depict'> all her trwl" tlnd tnhulatl lln\ at DI\ l"lonal 1e\c1 and lu'>t aboul '>L1m" ur tht plight of our hard \\Oll--In g ·,·upel one man. or one V\ oman band\ We hope It I'> of I Illere\t I t 1\ a ef\ l!.OOtJ IIkenc\, \Ij r. lIen

Co n g e o n Di\ bion

Marking up, dressing down

In the 1\1a) 1"lIe 01 51 Johll \\ prld. DJrrel F Birch \\ nte" on <lmhUlelI1LC mar"lIlg Wh) l'> It that pcorle In St John haH: prohlem'> In the melr"lIlg of cll1lblllJnCL' 'J Supplle'> "ue Information on apprml'd marking ""ling the protiuch and an ambulance \h(m lllg \\ hcrc tlL-cah hould he fl\ed

Dc\plte til1'., \\ I.' tlll,>cc John amhulancL'\ inU)ITecth marked r-O rlhe record. IIQ "tatc All SI J olill I/IIhlllulle (,I ulI£/II1(}/Ji/t' 11/111 1 /wu/cI he I//(/IA.C't/ 1/1 (/('('(Iu/(/I/("(' IIi/iT IIQ IIp/llm('d 1I/(/lA.lI1g1 (. nllllly I/Q hal cI£'I(l/11 111(' (//l/hlllul/( c'l 11//(Ilml£'£! II II/(/I"A.£'(/ In (ljJ/Jlm'cc/ ,lol/c/elI"e!\" upplIc\ J 16 catal(}guc gl\C\ det'lIh. (' har e'> H arrold Co mbin ed Di, T lI eedif o r co mm elll. - T o be f a ir 10 Mr Bir ch h e kn e" lh

Sex and St. John

or, Iia doctor writes"! Dr. A. R. Maisey, Divisional Officer ofThame Division offers a few reflections on gender. We are indebted to Derek Fenton's local paper for the clipping opposite.

It in teres t ing to not tha t with the many article , I have written and ta lks Thave given that this has been the on ly subj ct of my talks tha t has always had ih title changed before de livery or printing.

There I.., ..,omething "trangc about our Order that light'-. '>hy of the v.ord se\. oll1eone surcly ..,hould reali"e that both the pallent and the FiN ider have a ..,cxuali t) and that thi.., nec(h to be addre..,..,ed. The amltomlcal difference.., bet ween the ...,C\c.., "hould be knov.-n to our Fir..,t "Ider,> and [ do not need to on those n thl"artlck llo\\c\t:r, It I.., Ill) view that lIe hould ha\c "ome teaching of th e difterencc" 111 thc technt4uC clnd approa h dependll1g on the sc\ualll) of the Firq .\Idcr and the pallen!. Let u takc the four co mmon ..,cenano,,:

I}

The potl(,lIt i\ /1/(I/e, lit£' f Inl , \ ider i\ lIIa/e In thl'" wc \\ til f011l1 a relation...,hir dependIng on age. I am \ er) unhapr) ahouf adeh lailing a "en lor gentleman '·mate'". and I am e4uall) unharpy about senIor Fir..,t "Ide r" referring to ajunlor as ""Id"'. thmk lIe "hould hLI\ e an arprorriatene..,s of Ollr respo nse and the rc"pon"e ..,hould re" pcct for the \ ariou,> ages of the participa nt'> .

]}

The putlcn! and !lte Fint Aide/" ore j£'l71o/e Thi., probably the ea..,ie..,t scenario to ana ly'>e as confidentialit alv. <1) "eems to be enhanced between two female..,. BondIng seems to he immediate. and the adoplio n of an 'all-girls-together' approach \ee nl'i to be lIni\ ersal. Their relationship Ili ll depend on age. as " ill the male - toma le, but women seem to ha\ e probwith the<;e relatiomhips.

)

Fe ll/o/e /JUlIellt olld II/(I/e Fir \! Aide/ : One concern here needs o be the mode t) orlhe pa t ient. The First Aider must not be embarrassed themsel es as I his will on y serve to increase the patient's cmbalTC.1ssment of the Ask before examinalIon, to do otherwise is an assault. Be fiml In your examination techniquc as a light tOUch can be more t illating. and picas

explain why you need to examine your patient.

.f)

Ma/e patiellt lind female First Aider

This provides the maximum degree of embaml,>..,menl. For the female fi r5t aider. to be mindful of your won clothes whil t dealing \Nith First Aid matter.. but please do not pia) \Nirh them in front of the male r>atient. Be firm and be discreet. and askdo not insi..,t - on making an examination.

The ..,econd heading under which sexuality co uld be discussed would be to con..,iderthe particular illne..,..,es ,>uffered by the t\NO sexes.

FemaJe IJlne es

j) Be ,1\vare that ladie t end to be more con cIOu.., of facial laceration and scar. Earl) rea.., urance mIght be needed \\ hen treating tm ial wounds on the face of women.

2) W men' breasb can su ffer a variet)' First id illne'>ses. From the infamou jogger\' nipple, to eat belt injurie , and '>e\ ere brui..,ing in road traffic a cidents.

Women are a\\are 110\\ of cancer of the breLbt, some ma) ha\e brea implant'-. and they ma) \\ i..,h to kno\\ the po ition about mammograms. It may be beholden on our organi'>ation to hu\e finn guide line.., about lhc,>e

3) peri d In my \ iev.ome teachtng should be gi\ en to the anatomy and ph) ..,iolog) orrhi nomlal C) cle. Y hen a king the a\ erag blood estimare \ ary from5111b. to 250mb.. but the i.l\ erage blood in facr 25mb. per \\ oman per month. p r lind rstanding is sho\\ n b) most Fir t icl r of the C) clical nature ofa lad) ..., peri d. They certainly do not "eem ro ho\\ rhe nonnal contraceptive works and ha\ e little grasp or e topic pregnancies or painful period. and yet it is painful \\ hich orten pres nt at public dutie.., I n a Fir t id coun,e it is alwa).., worth re apping the differen es bet"', een severe b l ood loss from, sa). heavy periods or an ectopic pregnancy causing , hock. and t he pain of painrul periods causing a faint. 1 oft en use t he e \ l1mple of se \ ere leg cramp in men which are treated very S) lllpathe tica ll y and rhe so called tri \ itll abdominal cramps in ladies \\ l h painful pe -

riods. r bethat too ought to be treated sym pathetical I y. -I) Pregnanc) Thi ingJ y i CO\ered in the FiN id book and I think needs emphasis v. hen Di\ ision undertake large public dutie

Male Illnesse s I think it would be no secret to uggest that men probably have a lower pain threshold. Men are al oextremel) 'ihyanddonotlike compalion \N ith other men. their pride eail) hurt a are their genitalia. Damage and brui..,ing to the genital often occur during port event. tor ion of the te oricle not covered in the Fir [Aid book and a ruptured urethra or the ignificance Ore\;erci e haematuria hardl) cmered. I f one included in thi ection ome detaib of erection difficultie in men and the effect of drugs on the male genitalia one would have quite a u eful Fir t id approa h.

Clothe

Tight or tie can be u ed a impro\ ied Fir t id items (even pullover for tretcher ). and tampon can famou ly be u ed for ontrol of dental haemorrhage. This \\or".., e \tremel) well a long a the cu tomer not told on \\ hat he is biting and thar the tring for retrie\ al out:ide hi

Equality

In the e day oflitigation we "hould re\ our polic) of equal it) irhin rhe eJ"\ ice. Tho e who are fir to lif hould be all 0\\ ed to lift \\ hether the) ar male or female. Tho e \\ ho are not tit to lift hould not do so. Command" "hould be ci\en b) the enior officer present and theenior male pres nL W e are. of ourse. an equal pp rtunir) employer \\ hen it comes 10 pay a.., none of our members get an) at all There is a hidden agenda in equality. though. in man) Di \ i<;ion: in \\ hich the ecr tarial posr is near!) a 1\\ a) : female and t he enior pO'>1 of uperintendenl is nt'arl) al\\ays male. It is refreshingl) good to -..ee that the haimlan of our i\ edical tanding omminee is no\\ our enior ur,>e. cptcmber 199:2 St John W o rld 19

layer of the eyeball (7)

32 A mammary gland on the "ame le\el (7)

3J ulvulur dlsen...,c 01 the hean pulmonary tion (6.X)

CLUES DOWN

TOrlleoll i'> or J u'>t the ortlLe bore.' ( 1..+ .2.1 "+)

Pet goat mn"e..., "lev : It IS olten In a me"..., (7) II110st unending nIght (4) Bel1lgn tumour I'> Iree oi'gUlI! (X)

Brc<lIhe OUI and dlt: (6)

Drop out 01 <1 laCrimal gland (4)

Full) tlc\dopcd by til"lI1g IlllXture or date \I. nh rum (7) I k I..., rUI 111 crate lor .,e\ere "Idnt:) Infection (5.9) IJ ¥Yea! 011 concealed 111 long unlf'Ol1l1 (3) \\h,1I the old urgeon.., frequentl) diu to their pallenI'> (5)

IS InI O\lcLltlf1g: hut c!OC\Il't alleet the Itlllb...,?

18 Watcrlall cau"'lI1g 10.,,,, or \ l'>lon (X)

20 Pans or brea'>l JU\, and lunl.!'> (7)

21 Plal'e In <1 recumbenl po ture t1)

23 Pipe.., 01 Ihe onellt (7)

25 ¥Yoodrorat)reofroot\\car(6)

29 L ..,ual nUlllber 01 paralh\ rold l?,land..., (-l) .10 Pnl\ Ide ulet.1/) roughage

CALLING ALL BRIGADES

• Are you making the IllO t of your magazine?

• Ha you got uniforms or equipment to sell or change?

' Then why not piac a cia sifi d advertis ment?

The latest GRP Ambulance from Wadha m Stringer developed from the highly-successful MIAB concept The MIABIW offers al l the advantages of GRP and remountable bod ies plus the extra width needed in today 's Ambulance service for full facilities to the primary stretcher whilst maintaining eas y provision of a second stretcher trolley Wit h the side sliding door option, MIABIW creates new high standards of accessibility for crew and equipment away from traffic pressure The side door also opens up new PTS poss ibil ities fo r the MIABIW shell because of its doorway , low entry steps and additiona l capac ity

S&S MOTORS LTD REFURBISHED AMBULANCES

Lives saved:

Thanks to SJA ...

A Court Commendation and ca h award have been received by St. John Ambulance We tbury Divi ion member, Graham Hiscock, 53, for hi prompt action in aving the life of a knife attack victim in January.

Swindon Crown Court heard how Mr. Hiscock dashed from his home after hearing scream and attended a 29 year old man who had been lashed in the face by an attacker while e corting hi girl friend home

A urgeon, who ub equently treated the victim at the Royal United Hospital. Bath, aid that the man had lost around five pint of blood and would have died without Mr. Hi cock' First Aid kill..

The St. John Ambulance member rec alled how the knifed man had been la hed from his right ear to his chin.

"It wa the worst injury I have ever come acro , but I acted by instinct and training r just did what anyone would have done becaus e I happened to be there" he maintained

The attacker. James Pike Paton, who emotive wa jealousy, wa jailed for six years for cau ing grievou bodily harm

... And Thanks from SJA

49 yearold Michael Eagle ofDevize , Wiltshire i helped to hold aloft hi St. JohnAmbulanceAssociation Meritorious First Aid Certificate by the young motor-cycli t whose life he saved.

The award was presented at police headquarter Devizes by the High Sheriff of Wiltshire , Mr. G. W M Street and follows an incident when Mr. Eagle was a passenger in the car involved in the accident.

Although he had not had First Aid training, Mr. Eagle reali ed that the motor-cyclist was in danger of choking through a blockage caused by bleeding and his tongue. He turned the injured youth on his side, cleared the ob truction with his finger and kept his mouth open until the ambulance arrived.

4 S t John W o rld Oc tober 1992

'Breath of Life' Campaign Gathers Speed

Planning for the Campaign in Countie and at national HQ i gathering speed. A major operation mailing Briefing Packs to every County, Area and Di vi ion wa completed at the end of Augu t, and the Campaign was launched within the Brigade at the Conference at Buxton. Few member of SI. John can have failed to hear about it by now!

Two major developments have taken place in recent week The most welcome new i that Barclay' Bank pic has agreed to sponsor the Campaign most generou Iy. This meam we can expand our publicit) and even offer (very mode t) help to Counties with their expenses. We are delighted to be working together with Barclays on this most worthwhile project.

The other new is that, in order to avoid any possible clac;h With the National Comic Relief Day, which I. likely to be early in March next year, we have moved Campaign Week to 24-31 March, with a Presl Launch on 23 March This at least gives hard - pressed Counties an extra week and a half to prepare, but It only covers one weekend. Can there ever be an 'ideal week' in the life of St. John?

The next steps at national HQ will be the Meeting of Presidents to London on I October, and continuing work to refine the publications We hall use the changes in CPR procedures to be announced toward the end of November as a 'book' for our Campaign publicity. The Campaign Manager. Ian Walden continues hi vi it. to every Count) HQ to help with planning and to spread the word. He will have visited every Count) in six month

Meanwhile. in Counties and DiVisions peoplc arc beginnmg to prepared for the Campaign, working out what cour<;es ro run. ounding out local contacts to set up venues for the two-hour courses during Campaign Week, and preparing their local publicity plum.

What will you be dOll1g Campaign Wcek'? Let us know - we reall) are interested and would like to hare your good ideas with others. After all, it i all in the iJ1lerests of St. John Ambulance.

Three Cross Hero

And another act of heroi m has also led to the making of a St. John Ambulance Commendation under the Three Cross Award scheme, thi time to 14 year old Nathan Lewi from Cowe

athan was working in the Britannia Wharf boatshed when a man started to grind fibre gla s that had not properly sel. The material burst into and could have got out of control. A<; it was, the man in question was burnt and inhaled a lot of s moke

Nathan ran 100 yard!) to call the fire brigade and returned to the shed with fire extinguishers.

"Anyone would have done what r did " Nathan told the local paper, "you must also mention my friends who were with me, Richard Lambert Ben Croad and Wesley Wilcox".

We all know that for many the of the Brigade fell alarmingly.

QUite ohvlou..,l) the recrulling methods then betng u..,cd were, tn \lIo..,t C<l"e.." not working E4Uall) worr) ing a., thc I(m ratc of retention 01 nc\.\. recrulls tn man} arca., Man) olyou v. III be av\arc that o\erthe la..,ttwo year'> there ha'> been a major InvcslIgation Into thc..,e prohlcllb. and into wa) sin \.\.hlch the) might bc O\crcomc Research tndlcatc<, that \\c need to Improve the publIc Image of Sl. John Ambulance With regard to Il'l 'rccrulting appeal'. and also look at ho\', we handle ne\', reLrUlls 111 orderto Improve retcntlon In the next fev,. iswcs \\C \\111 be lookIng at \\ay" In v.hich thi., might bc done Hov.e\ er, Will are I. John Ambulance: we need WJlIr Idea., to help us all-..uccced, and so \\e are running a competition to find the be..,t Thcre v. III be t\\O scctlon., : I) For praclIcalldca-..lrom you, on ho\.\. \.\.c mIght Improve recruiting and/or retention

2) For reports or method., v. hlch your unit/area/count) hu\ e used successfulI) in thc last two year to Impro\e recruitll1g and/or retention rates. (Plea,>e Includc detaIl" of results)

The competition IS open to all ranks and all Thc sender of the best entf) In cae h section v. " I recc I" c a prt ze or £25 lor purchases rrom l. John Supplie., Departmcnt. ,lI1d \.\.e \\ ill publI.,h as man) good idea <1\ po,slble

Please '>end enlne" to Derck Pedder at lA alional Headquarter, 1 Growenor re<,cent. London WI X 7EF. to am\ e not later than Dcccmber 1\t, 1992

Thc Illore good member" v. I.: gct. the better we can "'Cf\ c the publ ic! Good luck.

Get Steaming

On a cold, wet bonfire night, what better than a teaming cup of Bovri l drink to WaIl11 you up?

Well, vegetarians might have their own uggctions. but last year Bovril prepared special kits for chari tie organising event for large (2,000 plus attendees) outdoor events. The e consisted of cups, Bovril drink and associated support material. The kit were free of charge and thirsty non-vegetarian were asked for charity donation In all 250,000 cups were donated and over 120 group upported - in events ranging from bonfire nights to carol concerts.

The company has invited SI. John Ambulance to take part thi year, so if you are taking part in a large winter event imply end details - not forgetting your name and contact add res - to The Bovril drink outdoor event programme, PO Box lOO, Swadlincote, Derbyshire DE 12 7DR. Altematively, call the 'Bovril Drinks Warm Line' on 0530 273003.

Stining it up a u ual, Executive Director Tim Gauvain tick hi oar into the barrel of entrie for Mr . Mellow , the Chancellor' Wife, to pick the winning entry to the Thorn on Directory Holiday Competition in upportofOverTo You John. The Competition ran in all Thorn on Directories last year and for each entry received they are making a donation to the OTYJ Appeal. Thorn on al 0 provided the fabulous prize of a £5,000 holiday.

A Word of Warning

The following letter appeared in London 'sEvening Standard last August, written by a Mr. S. Leon of Woking. Further comment would be superfluous, but if anyone can match it, we'll give their Division £20.

"I recel1fly rook my First Aid examination at a Londoll College For the final test l1'e were gi\'el1 hrief derail of all 'e melgellcy' Yl'hich all'aited II behind clo ed doors

I careflll/y read rhe detail .' 'All elderly mall. Ii"ing III a mall hOllse, III/con ciou, illji'Ol1t of a go fire

H'ifh tJ'OlIg /7/el/ afgas ill 1'00/7/'.

I opelled rhe door alld tlie room was hrouded in complete darkl1e s. I nl'itchecl 011 t/7(> light ol/Iy to fil7d all empty room \1 'it/7 the e.wl71inerOIl a tahle He gm'e me a small piec(> of paper I t had olle lI 'ork wriflen on it: 'Bang."

Treat your elf - or som eon e

you lo ve (y our Di v isi on a l

Pre s id e nt ?!) - to a de sign er

tee shirt wi thou t the des ign er price tag. All y Cape llino , no

le ss de s ign ed th e im age o n

thi s 100 % co tt o n s hirt w hi c h

is av ailabl e f rom: Th e Ap -

peal Office , Arg yll Group , Che sterfield Hill , Lond o n

WIX 7RG. Two s izes are availabl e, Adul ts (ex tra large)

£12 00 ; Childre n (3 2 " che t )

£6.00 Make chequ es pa yable to "OVER TO YOU JOHN "

6 S t John World Octobe r 1992

If

Nicola Creighton, Stacey Millington and Jamcs Millington from Settle: Simon Hey and Alison Brcy from l-..ipton: Dean White from Richmond: Marcu Dalc and Claire Thompson from Ripon: and Jonathon Webb from Whitby, all had u greaterGreat Yorhhire how than usual this year. They were awarded with their Grand Prior's Cct1ificate .... by The Princess Royal (.\c(' page 2,,/) at the show. 37 casualtiL:s were dealt with on the da by some 50 Cadets and Adult members, and, according to the local press. "some young beavers"!

Nice to know JW isn't the onl; mag. that gets it wrong sometimes!

Gardeners' Question Time

How often should gardeners get tetanu jab ? Can you name three poi .... onous COI11mon garden berries? and "Without chlorofon11, plants could not produce oxygen" - true or false?

Obituaries

John Kibbl e - di ed 9 Jun e 1992 a g ed 60. It was with great sadness that on Tuesday 9 June we learned of the death of John Kibble, South Westem Area CommiSSIOner, London (prince of Wales's) DIstrICt.

J ohn JOll1ed Kingston upon Thames DiVision in 1957 and wa'> promoted to the Cadet DiVISion a<, DiviSIOnal Officer in 1959. Promotion to DiviSIOnal SuperIntendent and to Area Staff Ofncer (Amb. Cadets) followed II is as the Camp Commandant of South West Area Camp held on Ihe h Ie of Wight Ihat many member will have made their first acquaintance with John, an acqualllwnce which for many developed inlo a lastlllg fnendshir John later held the rank of Area Superintendent (Amb.) in outh Western Area before hiS appollltment 10 Area CommiSSioner South Eastem Area in 197R. John returned to South Westem Area a · CommiSSIOner in June 1983.

Jolm's sen ices to the Brigade, which fonned such an Imponant part of hiS lIfe, were recognised b) the Order of l. John and hortly before hi death he was promOled to the grade of Knight of Grace with 111 the Order Whilst being a quiet, una<.,suming per<,on. John was always happy to listen to and encourage all Brigade members that he mel, from the youngest Badger to the rClIred members in the Fellowship It was for hi friendl), IIlfOnllallcadershlp and guidance that hc will be be:-,t remembered. John Kibble \ funeral \\ a held al Kingston upon Thames Crematorium on Thursda) Igth June. It was an impre'>SI\e sight to see so man} ofJohn's Inend and fellow. Bngade onicer'> and member in allendance

A thanksgl\ IIlg sen Ice wa" held at St. Mal) 's Church. TOOling on 26th lui). Over 200 people altended the ,en ice in apprecIation of John Kibble's \."01'1-- for the Bngade and the Community. He \\ ill be greatly missed by all the member,> of the South We tem Area. (Jolin Murimer (/Ild.lcon CUI/\'{II)

Fr ed Woo d - di ed 6th 1992 , age d 67

l'd have Known you were Comin ' ...

Runningacake stall?Then this is the booklet foryou. Free from lead ing gas cooker manu facturer Parkinson owan, this booklet includes a selection of recipes as well as giving you practical tips on food hygiene, batch -baking, storage, packaging, transportation and pricing of cake stall goodies. For your FREE copy, send a s.a.c. l6em x 23 em to "And Judy will run the Cake Stall" leanet, Parkinson Cowan, Hansons Blidge Road, Erdington, Birmingham B24 OQT.

If you can an \\er these questions yOU might have won twenl) pounds Ifonl)you dst:ntll1the answers to our qui/ la"t June. The answers we received rc\ealed that nothing is e\er as "traighti'orward as It seems. early everyone pointed out that ten years is the nonnal frequency of booster Jabs, although five years is often suggested especiall) after a serious wound. The pOisonous berries list was overwhelmlllg - yew. holly. mistletoe & labumum - were the favourites, although someone suggested deadly nightshade (common gardell berries?!)

And, as all but one person spotted, question c) was a trick. a variation on the old biology exam mistake Plants u ech/omphy!! to produce oxygen. If they used you'd never wake the cows up in the morning! Congra tulations to C. V L. Ingram of Redruth Nursing Cadel Division who won our prize draW

A taff ,>ergeal1l and '>e\'\ Ing brother. Fred \\ as an aClIve member of St. Helem To\\ n Combllled Dlvi'>lon forover21 year The full DI\ision together wnh rea and COllnt) taffattended the funeral to pay their last rcspe Is. Fred v. ill be sadly III IS cd b) the man} friends he made during hiS man) years service \'vllh St. John (Jim Darwill)

Fond Farewell

Member. of Crom e r SJA met earli e r thi year at a local hotel to expre 's their appreciation of re tiring pre ident Mr 1. F. Hayes, M.B.E. after 13 year in po s t.

Mr Ha yes beca me a l. John Cade t al rh e age of el eve n III C ove ntry and beg an a life de di ca ted 10 the s erv ic e o f oth e rs as a First id e r a nd instructor, wh o both gave and e xpec ted from hi s th e hi g hes t po ssibl e qu a lit y o f First Aid prac ti ce . He mov ed il1lo th e Adult Di vis io n eventually bec oming Supe rilll c ndL:nt befor e promotion to COllnt) taff Offic er (Trainlll g) fo r St. John In Wa rwi c kshire.

Mr. Hayes s pe nt 40 ye ars wo rkin g in th c minin g indu str) in th e Midland Hi s wo rkin g life and SI. John se rvic e we re cl ose l) intertwined a nd he was heav il y involv ed in First Aid and Min es re c ue work In 1961 he wa s awarded Ih e M B E for he lpin g res cu e a number of people who we re rrapped when a s ho p col lap ed in Wolvt:rhampton In 1975 Mr. Ha yes movcd with hi s wife Marg arel, to Cromer wh e re he Soonjoin ed th e St.John Divi s ion , becoming pr es ident in 1979 He ha been a much lov e d and res pe ct ed in s tructor durin g thes e year and will be greatly mi sed He now eam ed, and we hope he will hav e, a ver y long and happy retire ment. ( Ka y Ward ).

A rather belat d addition to the current fa ' h of St. John v.orld record attempt. The picture above (v.hich wa :upplied for the Annual Report but which. ironically, proved impo ible to squeeze in) :how ' The Chri tchurch ( ew Zealand) St. John mbulance Service Open Day la t October v.hen 61 peopl compacted them el\'e in to a peciall; upported Bedford mbulance. There i no evidence to ju tify rumour that they were involved in a trial by HS manager v. i hing to reduce vehicle number in UK hospitaL ...

Wedding

C o n g r a tu lat i o ns go t o Ed ga r Plunk e tl. fO nlle r No nh Yo rJ... s hlre COUIll) Trai nin g Oftic er and hi Vv fe Fran ces , \\ hoc el e brated th e ir G o ld e n We ddin g o n S a turd ay Au g us t 8 th. Ed g ar j o in e d th e Clev e land Work s Ambul a nce Corps ofBriti h tee l bac k in 193 9 a nd re tired in 19 c 7 .ln 19d he mad e Offi cer Broth e r of th e Ord e r and rece iv ed a BEM in 197-+

Omission & Apology

Our apologie for omitting Dh isional upt. iv l rs. Chritina 1athieson Knight from our recent list of Binhda) Honours. Knight of London Di"trict was a \\ arded a BEM for ,en Ice to the t. John mbulance Bngade and IOpon. OClOb e r 1992 J o hn W o rl d 7

Satire from Another Age

An exhibition to mark the bicentenary ofthe birth of the arti ,t George Cruik hank wil l open on September 30th (three day after hi 200th bi rthday), at the Mu eum of the Order of St. John. Cruik shank 200 will put on show more than 140 examples of his work

• Irreverent, brightly-coloured early caricatures mocking anyone from apoleon to George [V

• Drawing and watercolour in which he worked out hi ideas.

• Etchings and wood-engra ings illu trating book by Charles Dicken and others.

• Comic and seriou de igns for Victorian periodicals.

• Illu trations to fairy-tales.

• Rare surviving woodblock on which he worked de signs an age ago. The exhibit are on loan from lhe British Museum, the Victoria and Albert Mu eum and a number of private owner. including the artist Ronald Searle.

Everything Cruikshank did was aimed at a wider audience. and so ha great human appeal. He offer a fasclllating picture of life. from the raffish days of the Regency to the high Victorian age.

Cruikshank 200 begins in Islington because Cruik s hank lived in the borough from 1823 to 1850, the central period of his long creali ve Ii fe. It will continue at St. John's Gate until October 21 (Monday - aturday. 11-4). Then itgoe rothreeprovincial venues: Towneley Hall Art gallery. Burnley, Lancashire, ov. 15- Dec. 14; Maidstone Art Gallery Jan 15 - Feb. 14: Grave Art Gallery. Sheffield. Feb. 27 - March 27.

/illi

Ult

dut ies. I kn ew th ey we re vo lunt ee rs wh o ca m e from a ll ol'er he wor ld It wo uld h e a p p r ecia ted ifl co ul d possih ly h ave t he name a nd address of so m eone w h o co uld e nli g ht en me a h o utth ese n oh le peop l e It wou ld r eally h e wo nde l/

So

Like

Readers report on their activities around the country. Contributions are alwayslvelcome, send them to :'OutandAbout',St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

WORKING ON A CHAIN GANG--

Putney and Roehan1pton Division went on

a b i k e rid e to Paris; only th e y were in an an1bul a n ce . D ave Doig re l a t es.

It wa 7.00am at the Guildhall in London on a rather damp and sul tr y Friday morning in early May A large collection of cyclist had gathered and itling in the background wa an ambulance with two Sl. John Ambulance perso nnel, Le Blake and my elf, wondering quite what we had let our elves in for. Thi wa not exac tly an ordinary cycle rid e. and for Le and myself. no ordinary duty either.

Over 140 cyclists were to cycle from London to Pari (excluding th e watery pa tch in between) - a di tance of 263 mile A the ambulance crew we were to accompany the cyclist from s tart to finish. There was a purpo e to thi apparently crazy cheme which wa. to rai e money, through pon or hip, for the SPCC - another worthwhile charitable organisation.

At the briefing the previou evening Le. had been confidently told by one of the organi er that we could expect not to have any work to do this ide of the channel. We had reached the road approaching Lambeth Bridge, about 3 miles from the start. when we saw a cyclist 'ha e an argument' in phy ical term s with a car. By the time we had arrived on th e scene the cycli t had already cycled off and one of the motorcycle marshal s was getting detail from the driver of the vehicle We caught up with the cycli t who wa till cycling and who informed u that was "o nly cratched". Ju t after pa s ing Tootin g Bec we were called back to Clapham Common where our a istance wa required. Standing b) th e roadside wa our cycli t. She had cycled the six mile from Lambeth Bridge being unable to u e her right arm to change gear or pull on th e brake! So, within 45 minute of the tart, we were 'Red One' to t. George ,Tooting, with one female - query, fractured arm. The ride was well organi ed with mar sha ls on motorcycle s to esco rt and guide the cycli ts Other mar hal drove upport vehicle to ac t as 'sweeps' and pick up tray or fatigued rider A radio channel had been set up specifically for the ride and two of the vehicle acted as 'relays' to pass information from one end of the ride to the other. There was a lso th e ubiquitous ' Bicycle Repair Man' with a van load of pares a nd tool. The cyclists each had map s and the route wa marked up at every junction

We followed the cycli t on the first leg of their 9S mile route down to Portsmouth Fortunately the weather s tayed dry and we had only one or two ache and pains to deal with. At the finishing point , the aval Ba se HMS el on, the cyclist took a shower and a meal. We were a lso privileged to witness the Beating of the Retreat performed by the Roy a l Marine before the Union Jack was lowered from the poop deck (even on shore the avy think they ' re on a boat ). Our re t was not for long as we had to catch the ovemight ferry to France.

A word of warning to anyone taking a n ambulance on a ferrybecause of the height you will be loaded on either first or last. Waitin g for all the other vehicles can take a long, long rime! Before we could' H it the Sack' there was a de-briefing by the marshal By the end of it it had gone midnight, we were losing an hour by travelling to the continent, and we were expected to be up early the next morning!

We arrived at Ou treiham on the Normandy coast at 7.00am Frenc h time. Our fir s t task was to liaise with the 'Croix Rouge (French Red Cross to you and I) who were to accompany u The meeting was a lilli e quiet as our knowledge of French was equivalent to their knowledge of English - that is , very littie (or petit peu s). It was soon apparent that th e main problem the cyclists had was sore knee s, but what could we do ) Suggest they take it easy and res t?! There was s till over 160 miles to go.

The fir s stop was Pont L'Eveque , famed for it chee es. After thi s we carried on heading south through the flat countryside. The large fi e lds of flowering rape lay like yellow carpets across the landscape At one of the drink stop, Les found a new use for the Rumbelow carrying chair which allowed him to bask in the (occasional) s un The day proved to be reasonably uneventful.

The destination for our seco nd leg was the indu strial city of Rouen 10 S t John W orld October 1992

We our la t cyc" t In arm ing at 7A.'ipm to much de er\l:d cheering and congratulatioJ1'.. Then It wa" off to thl: hotel for another bnefing. a French meal, a gla .., of Cah ado and LI Ic\\ hour I-..Ip pat .'iASam!

nother French breaU",,( and v.e \\ ere a"'''I"llng our cycil"'h before the) started - you gue" ed It, "ore I-..nee-.! v e had JU\t \\ atched the cyclist departing when we '" ere called to an aCCident out"lde Rouen Tw o of our cyclist" had collided and one of them had a oad cut on hi' am1. He happened to be the oldes t participant In th e e\ent at 71 year of age and he'" as clete 1111 ined to Ca IT) on o. after treallng Ralph and hi" 'mere Ilc,h ",ound' we left him "'<lIting for .,ome Fir''! Aid treatment for 1m bike. which had a buckled wheel.

A Red Cros "ehlc Ie Irom Rouen wa" no\\ accompany II1g u We had looked around each other \ ehlcle V\ Ith Illterc l. Their" contained onl) one troll ey-bed and had no o>..ygen or entono\. They £11£1 ha\e a direct radio link with the nallonal ambulance .,er, Ice Our watering hole on thi.., part of th eJourne) V\as the peacdullO",n of Andelys, In the Seine Valley. Whi\<'t watching our cyclt..,h cycle in, one by one we witne sed a t) pical French cent. 0111lng in th e oppo ite direction a large group of racing cycll h, together", ith a large Gendarn1e e CO I1 , many upporting \ehick and much noise. We SLOpped to watch them .,ho t b) at a pa e quite dtl'fcrent from our 0\\11 gentle pace

The hills caused th e mo:-.t aggravallon for the cycli t., and we heard several complaints of there bell1g more uphill "tretche., than do", nhtll. Soon we were on the outskirts of Pans and mentally encouraging th e cyclis ts to their destination. The was at hatou. and we arrived sho rtly before th e last few The square, bathed in unshrne, wafull of cheerful riders. glad to have a rest after three hard days in th e saddle.

They were formally gree ted by the mayor of Chatou and enjoyed a glass of French beer. ot only had ou r casual y from ear li er in the da) made it, but also the younges t, at 10 year old We had another lonk at Ralph' s arm and deCided that it might need stitches Our Reu Cro\\ colleagues took him to ho spital.

The final even t of th e day was at th e hOlel where th e medals were handed out. A rather s urpri<;ed Red Cross and St. John Ambulance cre\\ were also given medals, together with the marshals

So what did we experience from our continental duty lat e early mornings, busy days, injured knees, and it French fl y co lle c ti on on the radiator grille? What made it all worthwhile was th e look. of success on the cyclits as they finished the ride, and the thou gh t that somewhere there are children who will benefit from all their efforts

A SPECIAL BADGER--

Smiles f o r m il es. B ever l ey B a dge r Jona th an

Webb was t h e subject of a campaign to raise Ai r Mi l e vouc h ers . H umberside D ep u ty

County Con1missioner D. M. Edwards tells t h e ta l e .

Seven Year old Jonathan Webb I'> a BadgerWith a difference! J onathan \uller from cereb ral pahy, and has been undergoing treatment at a world-acclaimed CllJlic in Hun gary.

A", he IS a member of the Badger'> in Beverle), Humberslue the adult members naturally wanted to do <,omethtng to help It wa,> Brigade Member RO'.allnd Reid who spearheaded the campaign to obtain asmany AirMile Vouchers a'> pos'>lble to enable Jonathan to get to the MOira Conductive Centre tn Budapest. s Rosalllld says, "A few vouchers here, a few there. all add up to be pa..,sed on to Jonathan's Mum"

Jonathan '.., mum a) s. " 1 am .,0 grateful to l. John Mrs. Reid hac, done more than [ could do, and do appreciate It."

And Jonathan? lie may \I.ell have to return again to the Budape..,t Cltnlc Il1the utumn. but mean'" hile the phOtograph above ..,hows him ..,alulJn all those", ho have a sisted him to contlJ1ue hi'> treatment bJ sendlllg their Ir Mile..,. Bngade Member Ro..,alll1d Reid - no", a fim1 friend of Jonathan and hiS mum, .,ho\\.., how happy .lite I 111 tim plcturc

HORSE'S TALE-- D

IS N. Butc h er of Uckfie l d Q D ivision went to a "sma ll horse sho'w" al1d ended up 011 television

Ucl-..flcld Quadrilateral DI\.II.,IOn \\ n.., formed III 19X2. and IJ1 the ummer 01 th..tt year II became Imol\ cUln the equestrian \\ orld. alter beine im tted to pro\ Ide Fir"t Id CO\ er at the ou th of England gnculturat oClet) howground at rUlngl)

Through the help V\e pro\ Ided in oun "Iage of areslield during the 1987 gale. we met Mrs MalJor) Pegg, \\ho is a in Mare.,fic Id he and her <.Iaughtc r, arah. are cross- ountry jump judges. and recentl) the) both completed a Fir. t- id course \.\ ilh the Dlvi..,ion (On a '>ponsored marathon nue la t year. Marjor) '" granddaughter had a nast) fall, oreaklng both am1" and "'plltting open the palm of one hand. arah was able to attend to her \.\ hliq lal]of) went for an ambulance). Marjof) ""a later per uaded to jOIl1 our fund-ral-..ing committee to help raise the mone) for a replacement -+-\\ heel drive a;'1bulance The st0f) that rollo",s ho\\ she rai"ed .,ome runds and a surpri e on myscll and my \\ 11'c

Early in 1992, Maljor approached u and said. ''I'm Ila\ Ing a small show on the farm in ma). will you bring the ambulance and pro\ ide the Cover'?" II monies raised \.\ ere to go to the I11bulance ppeal Fund. Well, atllrda) 16th May wal., clear in the dial,) so we booked the uut\ On the da). we drove do\\ n to the ranll. and as \\ c approached gate, we saw hat lookecllikc a rather o\er-enthu.,ias tic father \\ nh an enom10U'" Video camera filming evel')'one arriving. We parl-..ed b) th e SecretaI') caravan and descended from the ambulance. and \\c \\ ere Immediatel) surrounded b) lot" or I started teasing one lad) for not. havin g First Aid cover at her liver) last year. during a gym khana which was s ho", n during the Channel 4 series " lfWi"hes '\ e;e Horse,, ". She laughed and said, "Ye... cil, but I had, just as )ou're being had tOdaY - lool-.. behind you!". We turned and into a banI-.. ofcal;eras and boom mil-..es. ··You arc no\\ being filmed for th e "econtl erie I" " If Wishe s Were Hor<; c agee! J to 10 being all ubOllt LI '. I" I' h 1C pomts ° m mg 0\\ Jumping. ho\\ tn dre"" corTcct l) , ho\\

to groom the ponies and e\ en ho\\ to clean out the table The serie.., ran for.,,, \\eeks and the second sene I to beho\\ n thi Autumn. It IIlcludes more children. ome ofrhem diabled.

The hO\\ that Marjof) arranged con"i"ted of dreage, a mall cros count!) cour e and ho\.\ jumping all bell1g held in one 5 acre rield. Dunng th e break for lun h. we were suddenlv asked,"\ hich one of ) Oll i doing the intervie\\ .? '> this came out the blue. I replied that we both "ould \! e \\ere po.,ltloned one enher Ide of the \\ord' mbulan e' at the front oCthe \ehicle. facinga bank of camera and mikes. We talked about the \\ork or t. John. the Cadet and the Badger". and rhe Three Cross \\ ard 111 school.

We then went to the rearofthe \'e hlcle to "ho\\ the equipment caITIed and demon"trate some of it.

t the of the da), larjol') called Judith fOI"\\ ard to present the The IIr\tthree in the under 10 age group and th e three in the jlrnlOr group each rccei\ ed indJ\ Idual trophle". and all eiehteen children \\ ho participated received t\\O ro.,elles. One from "If \Vi he,; \Vere Hor-,e.,· and one l. john mbulance rosette. \\ hich Lad\ Bartlel l. our Count) Pre"ident. had kind I) pro\ Ided for the Di\ I:ion. The\ al.,o recei\ ed a chll1;} mug from the sponsors.

The thank.., of th e Division go to hll]or). arah. II and the Channel -+ team lor an enJO) able da). The e\ ent ha., rai.,ed so far oyer 000

One Ironic t\\ istto the story \\ as that one little girl ould not take pali III the ('vent. as she had fallen from her hor.,e \\ hilst practi ing the prevIOus \\eekend. and had I'm LUred her elbo\\. 1um had to take her to hospital 111 the car!

II1ce \\ riting this. we have heard that the ne'\t erie.,. Ali and the children arc being take to Colorado to leam We s tern ridm£',. attend rodeos. etC I \\ onder iCthe) " e thou ght about First Aid co\er. Thrnl-.. I'd beller check 111 just in ca:-.e!

October 1992 John World 11

Take

THEA VON WEIGHT-Loss METHOD--

Avon's Prin c ipal Executive Officer, Cliff01-a Blllnt, pro vi d es an exa mpl e for County Staff n eed ing to lose a fe'w pounds.

the mcmber"hip of

inal analy • 1

As promised last month, a selection of Brigade Finals photos taken at the Croydon Fairfield Halls on the 4th July. Crawley took the Dewar Shield, Lisnagelvin took the Perrott Shield, Poole took the White Knox Cup, Horden took the Dunbar N asmith Cup - but everyone had a good time!

la t year on police advice he decided to do a "010 ride instead and hit on the idea of cycling around Avon in one day visiting ever) one of it:-. 55 Di i ion s. Route planning, followed by road reconnais,>ance. \\ hittled the route down from the mitial e timate of I 0 miles to 150 miles and he \\\car" thar it v. as the trainingchedule \\ hich resulted 111 completing the ride in onl) 144. mile ! Apart from the headv. ind in the Il1oming. the heat in the aftemoon and being \.-noc\.- ed off hi" bi\.-e b) a Ing child the ride \.\'a trouble free and Clifford is now Sitting (on a cushion?) in his office at County Headquaner:- counting the re"pon'>c to his carefully planned pon or hip campaign Within one wee\.- of the rIde he had already received over£2.S00 and wa:- awaiting the response to hi'> appeal to the Avon t. John Council Members - v. ho had been tas\.-ed b) the ChaiI111an to raise £ I 00 each - and to industf) and commerce In the county.

The end ride \\ as mark.ed by a splendid reception organised b) his per onal publicit) agent. Area Commissioner M) fa Meredith. \, ith

AMBULANCESI WELFARE BUSES

The other face of Ecstasy

Rowena Hopkins, County Pool Officer in Humberside, suggests symptoms to watch out for on rave nights

Ec tasy or methylenedioxymethamphetamine (MDMA) ha a cult like following in the United Kingdom , being largely a ociated with Acid Hou e R ave . It i one of a group of drug known as hallu cinogenic amphetamine

Ec ta y wa first produced in the early 1900 in Germany and i an entirely ynthetic compound. The drug i s upplied in capsule or tablet foml and co t from £ I 0 per do e. An average do se of Ec ta y i 100-150mg and it i estimated that tens of thou and of do e are taken each weekend.

Manyu er ofEc ta sydonotreali e that the drug the y think i in the ame legal category a cannabi i actually in the same category a heroin . The Miu e of Drug Act lists Ec ta ya a CIa A drug (carryi ng maximum penaitie ) and the Medicine Actli ts itasaSchedule 1 drug (not used medicinally ). Po ssession ofEcsta y carrie a maximum 7 year prison entence plus an unlimited fine, and po sess ion with intent to supply carries a maximum entence of life imprisonment with an unlimited fine.

The effects of taking Ec ta y normall y begin to be experienced abou t 20 minute after wallowing the dru g. The main rea so n for it popularity with the Acid Hou e' cult i that Ecstasy produce s an increa se in stamina which enable u ers to dance all night without fatigue The use r experience aeuphoric ru sh which is fo llo wed by a se nse of peace with the wor ld Perception s of colour, touch and sound are height -

edelic vi ual di , tonion whil. t retaining insight.

The phy ical effect ' of Ec s tas include, widely dilated pupil " in reased heart rate and blood pre , ure, a eling of tiffne s in the aml , I gs and ja\ , and a dry mouth.

Ec ta y i, n t a complete ly riskfree, good time drug. Ther are many ri k a ociated with its ue. The e include:

a) Adulteration of the tablets by anothermoreto icsubstancee .g. LSD.

b) Individual allergic reaction to Ec ta y.

c) Exhau tion and dehydration

d ) Idio yncratic fatal reaction.

There have been death recorded of people who have be n known to take Ecstasy. The ymptoms they hav all pre ented with have included dilated pupil, in crea ed heart rate, low blood pre ure, very hi g h tempe ra tures, convul ion and coma. Dea th is usually caused by a condition known as disse minated intra-vascular coagu lati on (a blood clotting disorder) causing re ,piratory failure.

As Fir t Aiders it is possible to tak e ste p to recogni e case , of Ecstasy poiso ning at an early stage.

Friend of the patient may be able to ened , andtheu se rwillexperiencep ych- give information about the patient's 14 St John World October 1992

b ha iour and also possibl detail:-. or an drug. taken (type, do e, br and).

If infomlation is 11 t a ailable rrom friends, other details ma be tak en into ace unt:

1) Time. Ec,>rasy i" nonmdl) tak en late at night, any oung person een late at night orearl in the momin g v. ho i fitting or un on"ciou!-' mLl) po ..,ibl) ha e taken Ec"tJ"Y.

2) urcc cen at or after a night club or 'rave' i it.

3) General condition orthe patient. If' the patient i" co ered in "weal, ha ... a high pul e rat e but low blood pre::,..,ure then this "houle! "ti.u1 to iHO ll"e mplion

4) Temperature Is the patient pyre ial ? If" your concern ... houl d in rease.

5) igns or bleeding and/or Illg.

FUl1herinfom1ati n is available from I cal drug ag ncies

References

Preston A. Pointing out the risk. Nill 'sin!? Times 1992: March 25

Jone C. Dickin on P. From Ecsta y to agony. Nursing Times 1992; March 25 Institute for the Study of Drug Dependence. Drug Notes 8: Ecsta y. London : ISDD,1989.

2 5 LITRE DIESEL

LITRE

One day in early October every Divisional , Area and County Headquarters will receive through the post an

A4 sized, bright blue bound folder.

The Community Care Start Up Package will have arrived!

What is this package and why i it needed ?

As interest in Community Care in St. JohnArnbulance has developed there ha s been an increasing need for information about the su bject. Members have had many questions about what Community Care is and how project hould be developed

In response to this the development tearn from National Headquarter s ha s visited over 20 counties so far this year to give pre sen tation s about the Community Care project and to discuss with the membership the ways of taking this 16 St John World October 1992

A launch into

ecommunity

forward.

The re pon e to th e pre ha been that of an overwhelming enthusiasm for the development of Community Care within St. John Ambulance. There have, of cour e, al 0 been que tion rai ed about the mean of funding and developing proj ec t '

The arne concem and questions have been rai ed time and time again and the need for a package of information to addre the e i ue wa reali ed.

It was decided that thi package I should be collated and di tributed to all divisions in order that the information hould reach as wide an audience a possible. It wa quickly becoming apparent that visits alone were not going to be sufficient to meet the need for guidance.

The most common of member s' questions and g uid e lin es to tarting up Community Care projects in each area can be addre ed by producing and distributing a package of relevant infor-

mation. will ab offer a struc ture to Community are wor\....

What infomlation con tain ed in th e Community are tart p Package?

The infomlation di ided into section , eac h one of which deal. with a different area of concern.

There is a ec tion detailing th bad.g round toCommunit yCare in thi country and another L John Ambulance' role within thi

Further eetion cover topic uch as recruitment of me mber ' for Community Care, fundin g project and th e roleoftheSt. JohnAmbulance member within the community.

The e are the ort of i ue ' about which member e m mo st concemed

The package ha s been carefully researched and draw s upon the experience of other voluntary organi ation in their involvement with Community Care. Many of their publication were extremely ea y to read, a well a informative, and a reading Ii t ha s been

included in th ' tan Up' for tho with a ke n interest.

There are also case tudi e from t. John mbulancemembersin ali . bury and Cleveland d tailing th eir experience in taning up ommunity Care project. . Th . e contain decription of the s tep s which they have taken to build a project and , ome of th e problem which th ey have faced.

The package i full of very practical adv ice about how to tart Up in Community Care and al offer p inter to other rgani ation wh hould be approa h d for upport and help . Whit t it is quite a bulky document the key point have been i olat d 0 that you can read through it quite quickly and' di p in' to the more detai led text a you ee fit.

It has al 0 been written in a chatty tyle , avoiding the use of jargon, in order to mak it more dig ' tible.

The Upp0l1 of th development team at National HeadquaI1er i offered throughout th e d um nt and

members , hould have no qualm abo ut eeking thi

So! There hould be no further dela y. yo u will hold the key to tart pin Community Care and for the many of you who ha e a ked for practical adice - here it ' !

This j , not a 'one off publication. It ha been produced in a ring-bind r 0 that it can b updated r gu lar! y.

Community Care ian \ and eciting de elopment within thi country and within St. John Ambulance. ew infollllation i r gularl i ued b both the Governmenr and oth r oluntary group and thi will b collat d and di nibu\ d to the m mber of t. John Ambulance

I ue u h a contra ting and funding are con tantl changing and th implication for u in St. John mbulanc will al 0 change a cordingly. It i vital that we are aware of the e change and what th po ible ad antage (or othelwi e) might be to u The e ubject will b monitor d at National

Headquarter and report circulated on a regular ba i

If you have an particular topic which ou think would be aluable for inclu ion in an update. plea e write to the Communit Care Project Leader at National Headquarter.

Finall y the Community Care Project will be launched , national! , in April 1993. Many of you will till be in the proce of erting up your project etc but plea e keep u infonned. at ational Headquarter, of all of your work. There i a great deal of Community Care alread going on and it i important that thi doe not go unrecogni ed and unrecorded 0 do let u know \ hat ou already do. a well a what ou intend to do in th future.

I hop that you fmd the tart p Packag ea y to u e, informati e and u eful. I al 0 hope that you will take Community are forward in your area.

Once again. if you ne d any help and UppOrT from the teanl at ational H adquart r. ou onl hav to a k! o tober 1992 t John World 17

Capitalism

without anaesthetic

My hip to Poland to ge ther with Richard Jakubow ski went without a hitch until arriving at Gdynia we were delayed nearly six hours at customs.

For th e fir t time we were required to produce written proofofth e intended destination of our good a so-cal ed charity goods originating in Gelmany had been ending up on the black market. Finally permi ion to proceed was given providing we produced proof of delivery on our rerurn journey.

We topped first at a Franci can mona tery to arrange acco modation overnight on our return journey. En route due to poor road urface th e back door of the van bur st open and had to be secured thereafter with twine. The Franci sc an Superiorwa sufferin g from a skin ra h for which we were able to supply medication. He also mentioned he had incurred heavy cu toms duty when collecting clothing shipped by Poli hAidAllerdale ( PAA) previou Iy, which I felt obliged to reimbur se him for perso nally.

We reached Konin that night d espite adver e weather conditions. The next morning we unloaded suppli es, afte r an ugly incident in the Konin Hotel where we had breakfasted , when I wanted to film various Ru ss ian s wan18

The collapse of Communism in Eastern Europe has brought poverty and hardship in its wake. Retired Cumbrian Gp, Dr. Desmond Fitzgerald recently took reliefitems to Po land with Richard Jakubowski from Polish Aid Allerdale and returned with this report.

dering around th e hot el lobby and an ex- ecret policeman became aggressive until intervened and th police were cal l ed.

While Ry zard wen t on to I toured th e orthopa dic ward or th e General HospitaL built in the mid -s ixtie and now hawin g wear and tear.

Durin g my tour a patient '> ho had suffered a piralleg fracture at a "name" party the night berore (Pole celebra te the day or one's c hritening rather than one' bil1hday) treated with a temporary back , lab wi th tr action in the trea tm en t room, not the operating theatre.

A kir hner wire wa inel1ed with an electric drill under local only and loa , e padding applied from knee to toe, held in place with or paper imilar to , but inrerior to. Poli sh toilet paper. A norm al PI a ter or Paris back l ab applied, entai lin g a long wait until it set - fast- etling plaster is too expensive to use in Po land - b rare the patient could be put in traction.

Only three ho sp ital in Poland have filtered air systems a Konin 's Orthopaedic theatre, which I next visited, i:-, kept ter il e by ultra-violet lamps. It eem ed well eq uipped but with finanical thi s may not co ntinu e, and ee l1ain in trum ent s including a reamer rorthe femoral shart were la ck in g, while the operating x-ray machine was unu sable becau se the quality or reproduction was too poor A new 1,000 bed

hospitaL badl) needed, i:-- planned :--outh or the town bUl awaih

LaterI ta"en on a te urofKoll1ll b Mr. Lubiatow..,"i and hi.., mcdical and a rural clinic-cumco tt age h , pilal b ror going on to War saw wit h Za e..,ki b traihn

On the wa} we through extentract.., of nooded famlland. The central traint ation \\ a.., thronged and I ..,a\\I \\ith good" to ..,ell or rctuming with rood Romanian:-, were begging openl} on the War"aw treeh Ryszard and rbegan the cli..,tribution run to the Centre. th e P"ychiatric linic and the Ome ga Children \,

t the enlral Po"t Oni e all bUl onc parcel required rcpad.ing to P li"h Postal tandard.." with which the ..,talT were helpful. Following thi.., \\c headed ror terdyn, a town in Ea"t Poland ncar the Ru..,..,ian Border, v.. here a modem health centre being de..,igned (a lth ough no one "now.., where the money to build it will come from). It wa:-, a relier to leam on Ollr return to that Omega is not doomed to c lo :ure had be n reared. R etumin g home we had time to wander around the markct, previou I) a car park, in Gdansk Ru ssian s manned sma ll sta ll s displaying a wide variety of manufactured goods ( R yszard nearly bought an e l ec tri c samova r I'or £ 10). A nearby smal L but well -s to cked supellllClrk et so ld produce

at on a par with those in thc we..,t but rar be)- ond the average Pol i h pllr..,e. Cll..,tOIl1\ c learan ce on production or \Hitten proor of deli\ er) v..enl "Illoothl). amid apologie.., for the burcaucratic hold - up..,. On the boat I 4uillcd by a Poli"h Director of the "hipping line on board about tr ea tment ror the L1nc !ltmllable epi kp ) or the child 01 a U..,tOIll.., Orficer, and concerning a ..,e\ ere ca e 01 c\/'oliarivt.: p"oria..,i..,. and I alTered to c.li\patch appropriate medication ror the..,e ca"e.., to the ""hipping line in 1ic.lcllc..,borough. ince Ill)' earlier \,i..,it in o\cmbt.:r I t)t)() there i.., greater e\ idence or pro,,perit) in Poland - i/. the inllu\ orear" orrorcign mu"e in War..,t.I\\ compounding par"ing prohlt.:m". and e\ten..,ivc. !le\\. moc.km hou\ing uburban shop.., arc more attractive and belter ..., toc "edat a price. mall bu are IllU hrooming. e\\ petrol \\ ith leadrree petrol compete \\ ith dour tate Filling tat ion"

The young art.: colourrull aarbed but the arc lrab a: ev r BOutique ar well de:-.igned but poorly made of shodd) Illaterial.

The Pala ce or Culture in th e cent re ofWar:-.aw minu:--, the red now advc!1:-- , hile the c rm n of the Polish cagle is evidell t ",hel cver po,-;sible. Tractors have increasingly displaced the hors e-draw n Gl 11 s on the fanlls. Western lan bo uage s arc bein o tauah t to C' even Out or sc hool hours but notices are

VI Odlll£: oillhe I!JI}'(///i o( 1111"( } 'fer! ed 10 111 Ihe or"i Ie /)/ Lllhw/... m\l/...o (ort /we(} ec/II llIfgerJII) alld Ihe olllh(Jr are ell Illred Oil 'he /e/i

1'C..,lricted to and Ru..,..,ian ..,till. Mean\\. hilc drunk ene..,.., i.., on th e increa..,e. I ..,av.. cOIl\truction vvor"er.., c lcarl) inebriated although it \\oa.., ..,till anI) mOll1in g.

"Polish Aid Allerdale can be contacted at 50 Mason St, Workington , Cumbria CA143EQ. Tel: 0900 602550 innation remaim

i that the rich get richer and the poor get poorer

P?liSh Aid Allerdale has by the servIces of 8t. John's Worktngton DIVISion , not the least of which has been the loan of one of its rooms It welcome contributions in cash or kind (including medical equipment whIch has perhaps been superceded by more up-tO-date replacements) Prevailing needs include :

Elastoplast and Bandages

Cotton Wool and Gauze

Aspirin and Paracetamol

AntaCid Tablets

Antiseptic Creams and Rubbing Ointments

VItamins

Cough and Throat Lozenges

Washing Powder, Soap and Talcum Powder

Disinfectants and Bleach

Toothpaste and Toothbrushes (especially for children)

Baby Food and Milk

Baby Bottles and Teats

Baby Soap and Baby Powder

Nappies (Ie Terries)

Tins of Meat. Fish or Milk (not soup or veg)

Packet Soup and Dried Milk

Rice and Cereals

Dried Fruit

Tea , Cocoa, Hot Chocolate

Chocolate for Christmas Presents (for children)

Small toys

Towels

article was submItted by N 0 Kathly D. Wilson of Working ton DiviSIOn. whIch recently celebrated its sixtieth anniversary. Collectors of St John Memorabilia might like to know that the DIvision produced commemorative mugs for the event whIch are available for a small fee.

La t September I arrived at the St. J ohn Ophthalmic Ho pital as the Edwina Mountbatten N ursing iter, an appointment that I have never regretted accepting.

Having heard and leamt so much about the hospital in both my St. John and ophthalmic nur ing life it super for me to see at fir'lt hand the making and working of the ho..,pital. othing that I had heard however, had done it justice. It really i a most fonllidable building set within several acre of orange and lemon trees.

The St. John in . ignia stands out proudly against every window a.., well as from the flag at the top of the main tower. The hospital has 84 and patient. of all denominations are welcomed.

The majority of the excellent nur..,ing staff are local Palestinians with the addition of six eye trained sisters from abroad. At present there are two others from England (one of whom has been seconded by the anny) and one from Wales, Canada and Sweden. We all live in the delightful Sisters Hou..,e, within the hospital grounds. It contains everything we need including a washing machine, television and video. The nattopped roof al<;o provides an excellent sun-trap and is frequented by the keen sun bathers as often as possible. A 20 S t J o hn Wo rld October 1992

Hospital life

Sophie Lewis reports on her exp eri en ce s th us

far as Edwina Mountbatten nursing sister at the st. John Ophthalmi c Hospital

similar situation e:\ists v. ith the medical tafl as a result or 'W hich there is a fun 'ex-pat' comlllunity.

With such a ariety of countries 111 olved I wa ... , not surprisingl), e -

village there i a repre entative ""ho arrange .... the \ eIlue, and on occ<l,>iol1thc number of patient.... "" ho attend can e\ceed one hundred. ... "" ith Sl. John generally. the ho ...tremely relic ed to find that the c( m- pital i funded b) \OluntaI") donation mon language in u e b) the hospital

Engli h I am howc\er. tI") ing to leam some basic rabie, much to the amLlsement of the nursing '>talT -1 don't appear to have a natural aptitude for the language!

Ha\ ing been a talT ur c on the Ophthalmic Ward in Cambridge. I \\a interc tcd to ee hov" m} nev. job \\ ould differ 2.000 mile <1""(1) in Jcru alcm

Much of the routine cataract and glaucoma treatment remained the ame, but the injuI) and infection that I uddelll) ..,aw at fir<..,t hcmd. I had onl) pre\ iou l) I)een in a to.t book Ithough man)

HS doctor .... complain about the number.., 'Who attend clinic in England, here it i not uncOlllmon 1'01' over 400 patienh to have been rcgi .... tered by 9.00 am - on my retum, I '.hall remind them of thi fact!

It dirficult to comprehend the obtacle" 'Which .... ome have to 0 crcome to attend the hospital. Thi.., i.., the land of work pennit", , 1.0. card.." Visa'., the police and the and one is rull of admiration for the per..,i tence and courage of the patienb in making their way to the h(hpiral.

In an erfort to help tho'.e who might not be able to reach the hospital, Operation Outreach began 10 year.., ago. Four times a week a mini-bus ..,tafred by one Doctor,a two Nursesand a Driver travel the length and breadth of the country, ranging from lenin in the north to the Gaza Strip in the South. In each

although it i hoped that the patienh \\ ill contribute to their care \\ here po ..."ible Ho\\ever. no om: i e\ el tUlllcd a\\a) and there I neyer a charge ror blind patient or children

Being ba cd in Jcru akm prm a preclou opPOI1Ullil) to ee thc \1iddlc - Ea t: indeed .Il1..,t to c\plore Jeru aicm it....elftake lIme. I h<l\e <11 0 Iloated on the Dead. ca. \ l lIed Bcthlehem. Jericho. GalIlee. Eilal. inae <md been .... k.i - lIlg in the Golan I !eight..... Plan ... arc afoot to ('urlhel not to utili c an) Cree timC' eelll" a mi ed oppoi1unit) .

To hu\ t: beC'IlIIl Jcru .... <del1lltt hn ... tma and be \\ itne to t he urea rail 01 no\\ 1'01' -t,2 year \\ a indecd a Illemorable e\perience E\ C'r) thin g. ground [0 a halt. alld it \\ a \\ omkIi ul to ec the heer I a..,clIlutioll and um<.l/CIllent or the chIldren a.., \-vcll a... thc acl u It.., a the) had no\-\ ball righh Onc con tantly hoped the) contained nothing other than no'W

Working and living at the Ophthalmic Ilospital i exciting in e er) po<,sible it i.... certainly a plca .... ure and a privilege to be with both the patient and ..,talT, most or whom havc been connected with the ho,>pitalthrougho ut their working live ..... They make Ill) job '.0 enjoyable and have made me so vcry welcome. I am extremely grateful for the opportunity and [ tUll gaining here. The time i.., going rar toO Ljuickly.

PREMIER HA2RD

U.K 's LEADING MANUFACTURER AND SUPPLIER OF EMERGENCY VEHICLE WARNING EQUIPMENT

Call and Divisional New

CO Unl Y SLUff O fficer, Mr Geo r ge Gray pictu red in his robe., as M ayor of ycliffe. H is v.ife is Coun l Y CommisWe tDurh a m recenl l'\hlbllIOI1. Othercll'>r1a) ,>, 'ouch a , Oangl'r'> on lhe Bl'tlch' and 'Camr1l1g' produced a "lead) "lream ofarpllc<1nl.., for man lh1l1h -

Rin g \\ ood arc plc ured hcre receiving u cheljue for £750 from RlI1gv.ood & Fordingbndge Lions Club Pre'>ldenL MrGeorge Srence The Lion" Illb held a Sv. Imaralhon 10 ral'>c lhe nlonc} and R ingwood 01\ 1..,lon enlered lheir Water Babe..,

Call and Divisional New

The Rotary Club of Deane held a UlllljUC \ 11ll<lgC veteran Car DlsplLI) and raised 1::2500 lor John B a., in g-. l

(/r) Gordon Davl"don. Pre\ic\ent 01 BaslI1gstokc Deane prescnt.., the cheque ror £2500 to tuart Grego!") upennlcndenl. John Baslngstokc Mrs Patricia CliflOn hC)',le(\ the L display

Our annual review of new models from regular advertisers of radio equipment. Readers are reminded of the need to check new purchases against the list held by tire Radio Communications Officer.

A p s igLtd

The director,> of Apig Ltd are pleased to announce the arrival in Europe of the Bendi '.J

K ing EP U and EP H eries handportables. These radio , fi ll ed ith selec tive calling from Midtan Electro nics, have now successfully completed type approvalte'>ling to the European ET 300 o 6 and ETS [R ES 2-02] performed at the lAMAS accredi ted iemen'> P ie ey As essment Services facilil)

The EP U and EPH J mhe Ised FM tran,,ceivers are availab le with up to 210 RF channe l . have buil t in CTCSS and DCS. and can be fi tt ed wi th a wide range of options including fu ll a lpha- n umeric keyboard and display. Al l

ra d io parame ters can be programmed via a Pc' or cloned from ano ther radio unit.

In meeting lhe ETS standard wilh these r ad ios, the first of the new E senes ha ndportable<" the Directors of Apslg Ltd are ab le to demonstrate their full upport of true Eu ro pean harmoni ed radio standards, and their commi tment o keep the Bendix/King range.

Icom

!com ( K ) Lt d. situated in Heme Bay, Kent, has s pecia ised in communications since its forma t ion in 1974. T he company now houses a taff of over 54 people.

leom has an effective research and deveo pm ent de part ment equi pped with the facilities

0 te t to th e a es t s pecification Icom (U K)

prid es it se lf o n its abil it y to provide flexib le e ng in ee rin g fac il i ies. Th e end result makes it poss b le to mee t as many different customer need as po sible.

Th e con tin ui ng dema nds p laced on commu nica ti on in all secto r ofbu ines , including th e Hea lth services have enco ur aged !com UK to deve lop a ra nge of so ph is t ica ted sys tems.

Some typical ne tworks th a t IC OM (U K ) has d eve o ped in c lu de loca l a utho rity sys tems in vo lv in g te lep ho ne in te rco nnec t fac il it ies, ta lkthr o ug h repeate rs, base s ta ti ons, land- line con tro l e tc. e tc

A lso w ith theeq u ipme nt supp lied by rCO M bei ng so flexib le, i is a lmost a ways possib le to g ua rant ee tha t a ny exis t ng sys e m can be emu-

26 S J o hn Wo rld Oc to ber 1992

lated u ing one of ICOM s product'>

ICO 1 ha,> al-;o \'.or\..cd in 111an) otherarea\ than [hose already Illentloned. including a collaboration \\ Ilh Marconi to de'velop digitally encrypted hand held radiO COIllIllUnIGlllon'> for high 'ec urit) u,e, a" a,> proJect,> 'iuch a.., LI local coverage paging repeatel for one of the emergenc) ,>er\ Ices

The ne\t few year'> \\ III '>ee man) change,> in the regulation go\ern1l1g the ,>ale and u\c 01 radiocOllllllunications\\l\hintheECamll 0 1 I'> alread) ma\"ing good progre'>" to\\ ard\ \..eeping at the forefront of radio communlCtltlon" technolog) In the K toda) ICOM radio,> pia) thelrpa11 inman) dtllerent FiN Aid ,>cenarios but some of the 1110'.t popular uses of leo 1 include IncIdent control, as as \\ Ith the deployment of personnel and equipment paI1lcularly at public e\ents.

Scancom

The Maxon range of Mobile Radio equipmc11l has buIlt an enViable reputation for ruggcd strength and reliabIlity among'.t l. John Ambulance user'> ide overthe la 1 ten years. Combined With a policy of sC1Nbie pricing coupled ith a comprehen,>i\e accessory range. Maxon's name has quic\"ly bccomc as ociated with the reputation of one of the marke t leader'> 111 land Mobile Radio based products.

Of pal1icular interest to the Brigade i Maxon's new Sovereign range of Synthesised Mobi les and Handp0rlab les. The erful 5 wall SL70 Handportab le has a 16 channel capabi lity with fu ll CTCS Tone Lock Squelch buil t into its programmc.

The accessorie.., include a lapel mount speaker microphone with an optional earpiece: vox opera ted or manua l push to talk head'>ets idea l for noisy crowd environments Fast or S low Baltery Chargers for nonna l 240V operat io n toge th er wi th a ncw Ve h icle Charger for 12V operation.

Many dl\ l"lons throughout the L I\. an: al present c\penenc1I1g the benellts 01 ;,\13\ on\ relIabIlity and features III thL' e,tent that I,ome cauntle ha\ e re-eLjulpped lhroughout \\ Ith the complete range In a 111m e to up-date their radiO 'i) "tem \\ Ith the late"t \t,lte of the LIrl technology

Nabi s hi

abl"hl RadiO y \telll" ha\ e ,I \mall (ieslgn team In the L I\. hut I11Ll11ulaCIUre Ih products In Hong Kong. to \..eep the proou cl prIce 10\\ We nonllall) market out product' through a net \\ or\.. 01 appro\ Imate I) 200ocaler around the L I\.. Tim I'> hadetl up \\ Ith full lacIlll1e\ and spare,", 111 Read1l1 g. Bcr\"shlre

Nahl\hi Radio S) ,tem'" olTer a complete range of fully type approved HF IIF 1110' bile. ba"e and handportable cqUlpment. Of '>peclal Intcrc'.l arc the three handportahlc, coverIng all requirement,> The"e Lire:

The abi..,hi I(JOO, hlch 1\ a pocket slleu. two channel, cry..,lallcd handponablc complete withCTC S,batter) ,aenaland batter) charger all ror£149.00(RRP).

The abishl <)(J I series \\-or\.. horse i\ a mlu range unit of which thou..,ands arc 10 operation. This tned and te..,tcd con\cntlona\l! budt synthesised handponable incorporate.., a choice of diode matri\ or Eprom programming. There i'> a full range of au:es,>onc\. Th e unllinciudes TC S standard. programmable pcr channel and can have sclecti\ e calling featurc.., as optional.

The versa ile PM 150 Mobile comes COIllp lete with moun t ing cradle and powerlinc connec t ions-haslhesame 16ehanneland TCSS co n figura tion as he handponable and a so a u crul laL'l lIl y lor \.1ultl - hannei usc \\ hlch I Ideal fonhe nc\\ SJ,\ r requcnC) range ror \ lidl<lnd to I II Bi.l11d 11f- f\1 rcl ILthle Illicrophone coupled \\ Ith "llIn. ple,lslI1g dcsign all add up to Pl'()\ Idll1g thl'> ILlllIo \\ Ith one or the 11l0,t reliable reputatIOn, Oil the markCI toda)

The abi"hi ender is a Ill!ero processor contro ll ed hand portable wilh liquid and ru ll scanni ng faci I ilics. tOP of Ihe range product ha.., full facility DTMF \.. cypad/selcctive calling option wl.th a , 'e l') userul paging racility. It comc.., completc \\Ith battcry, charger and aerial. 3 GOOD REASO NS FOR

NEW RADIO CHANNELS FORST JOHN

Nautical as ever

I wou ld like to ma ke some points with regard to Personal Training dVlsers and the dult Leader Train ing Scheme. You mentio n in your artic le ("Business in Derby": JW July) that not an adequate training programme for PT ·s. I tend to disagree and the One of m) roles ith Cadet & Traintng Dept.. is the training of PT thc Youth Leader Trainin o and Adult Schemes. Since I started 0 years ago the numberol PT "trall1ed ha" grn\\ n from 100 to, by the end of thi s year, 400.

The weel\.end course explains what a PTA docs and how the tw o trall1l1l g ,>cheme" \\ork. u"mg th e open leaming approach to training The course is well-balanced between theor) and practical session.

The delegates are asked, at the end of th e cour"e. whether or not the) would likl,; to undertake the role of a PTA It their choice. We say this for the ..,imple rea..,on th at this s)stem of training is a new concept for Sl. John Ambulance , formany years tfil 111 II1g has ays bCl:n a teacher/student set up These two chemes are radically di fferent, and th e PTA role I.., not to be a tcacher. the) not teachin!l th eir trainees the schemes. ot ever) one is able to put a\lde the tea cher Image PT s a re there guide and help th e trainee, not eac h th em.

All in a ll the weekend is more than adequate and the support does not end ther e. Oncc thc delegate has decided to take on the rol e, their name is added to th e national list from hlch news etters are is ued These newsletters include update on trainin g and an) all1t:ndmenh there may have been to the cheme. PTA' s are also actively encouraged to contac forother PT ' " if any questions arise, they are not bound by the channeb of co mmuni ca ti on as laid down b) BGR 'so There is a lso an annual conference for all PTA 's here they arc gl\ en the opporlunlt) III improve their kilh

Although thi s is happening for the leader-,hlp schemes. we ..,till nced more people t? becomc PTA '5 There isa leafle t that will bedistributed soon to all Di\ ision'>explalntng the role of thl,; PT , if after reading thi anyone i intere ted further then do not hesi tate to con ta ct me for more dctatl I wou ld end by saying. it is not !he Titanic we are salling on, more Itkc thc Q.E 2 With th e pro gress we have made to date. and the groundwork that ha'> been don e, we are on co urs e to walmer water.

Hopefully th e only ice we will meet will be of manageable SI7C, to coo l and not Ink our s hip !

Ri c hard Sear on Training Officer Cadet and Training I\IHQ.

The Editor Repli es: It must be fate. Two weeks after recei ing thi s letter the new s came through that the Q.E.2 had hit a rock a nd was badly h o le.d! .My comment were ba ed th,e re s pon ses to questions about PT A' g ve n at the CommiSSIOners IUm. dldn t seem very comprehensive - p e rhap s simp l y becau se the co n cept IS new and difficult to convey. I 'm happ y to believe all is well. Ce rtainl y I didn mean to act as a torpedo to yo ur Lusitania!

lode you

Thc Bournevtlle DivI ion \\C\ f0l111Cd ol11e eventy - Flve ycar ago

Coulltles" Voluntcer" ,,\I1CC then Have heen wtlltng 10 havc ,\ go o pcople still rcap th e bcnellt Of the work that was fip,t hegun B) a band of good FiN Alder,> Who a credi t to St. John.

Throughout the ,cars the"e gallant lolk" Hav c alway" donc their he"t

To aner the nced of other, Making "ure all wound" dre "eLi

They kept J real high stdnd,mi. tcad y hands and a cool head, TaklI1g ever) earc V\ I1h ally palll,;llt L Illllthc y are 'c oml) In hed

Thesc fcv\. \\ord arc part 01 the Ilk- lOr)

Of dedlcwon to the \\ ork of St. John It "hows hOI\ It IS not lor thc glory. of l11an\ hour" of prcparatlon to l,UT) on hlp \1 a trong and fncnd"hlp grel\ With one '>Ingk allll thc kll()\\ \edge to Sl,;C yllU through.

II dUllc" completed lor thc nc'\t lcver \1 I1h a slI1gle thought of ho a'> bc"l.

Our c\cn ty- !'\th year IS looming C\\ member" \1 ho are relentl) Joincd. ho\\ grcJt leal. \\ hlch 1\ H'I) encouraging. The) ork hard 10 becomc relincd. For we have a traditIOn to uphold.

To carryon \\ Ith \1 hat II f',( begun By a hand 01 good r Ir..,t IdeI'''' Who were a Lrcdlt to St John.

Harold' ilm otl King Birmin g ham

Cross purposes

In your July issuc of SJW, no 15 across In the cro,>sword Slated "Sl. John Tramel! (S)". ] left thl one blank because 1Just couldn't think 01 the amwer. In your August I",",ue I checked my answer,>, and couldn't believe my eyes whcn I saw th e an"wer to be" adet"!

I have been a Cadet for almost five ycars now, and 111 m) mllld I am not a tramee. adets have a very high knowledge of Fir..,t Aid If they Ihe) haven't, they not be ,>uitable for Cadet'>

I think your er to the clue should have read proballonary cadets'. or probational) adult..,', a" you an not be a trainee il you are not tralll1l1g for an exam.

C dt. Ldr. K ev in Davi e Fleet & C rookham Q. Hamp s hir e

The E dit o r R e plie : Yeh, ' -\e ll, th e o ri g in a am"er w as 'p r o b at io n ar) Ca d e t' but it "ouldn't fit in th e s p ace Ser iou it a goo d point. I 'd 'tell o fT' "' Arthur P o tt e r (o ur redoubtable C ro S'> " ord Co m pil e r ), only he',> just co m e o ut o f h o pit a l, so in tea d I'd a hin g him as p ee d) co nvale sce nc e.

In a fit ot peak

'\'s I come from a ount\ and rea that demand a high '>tandan] of tIn:-",,' upon all fUllcl10ns that Cadet.., allend, I \\<10., ,>urpn..,ed to see In your 'On all ' "cet 1011 Cadets from Roy"ton Cadet and Badger DIVISion on paradc and 1\ caring Baseball caps. I know that unifonn rcgulations arc bell1g updated. but I did not the) had been changed to allo\\< thc..,c item.., to be \\ 0111. The of th", could be th a man) Di\ Ision.., are led to "car items that arc not in keepin g With th e Bngade regulations

[

Get on down

For the past two years on the Saturda, evening after the compclItion at the Fairfield Hall, the Croydon HOle\) ssociatlon laid on a FREE dl"co to a ll Cadets. Officers and Supporters "tayll1g a t their member hotel,> A nominal charge of £2.50 to out"ider Hoteb IS made. \\hich Include soft drinks and light refre. hment<,.

Your reader" might like to mention that we Will be arrangl ng a disco nex t year on the '>ame lines hould anyone want more detaib they are wei ome to contact me

Mr V. C. Micke lbur gh r o) d o n Hotel A ociation :vtarkin g ton Hot e l 9 Halin g Park Rd th C R2 6:-';G

Building up credits

\\ auld like to sa) a \er) big 'Thankyou' to ) our member.., \\ ho were at the PI) mouth Citadella t \\cekend.

I am 0\ cr here from on a Reco\el) 'hoi ida) and on chemotherapy form) li\er.

First breath

In March 1993 therc IS to be a '>econd 'Breath of Life ' campaign.

I personally feel that the City of Bath Rh ode,> ur)ing Dlvl<;ion merit some recognition of their success in the inillation of a scheme to teach "Emergency Aid" to with young children.

At a 'Breath of Life campaign' with Mothercare in Bath. Eastel11 Area Commlssioner(A \ on) Myra Meredithcommented : "We could do \.V tlh a course for Mums 1\ ith \ erv young children".

Wlthll1 weeks Bath Divi"ion had it up and running and four session 111 Emergency Aid in the home were held during the moming at fortnightly interval"

Detailed diSCUSSion with the Mum'> have revealed : a)There b a vel) urgent and real need for thi training and the) are very grateful for it. blThere i no po) iblilly of reciprocal help for t. John untt! their children up.

Bath Rh ode ur ing Di\ ision has deCided that 111 the 'Servlce of Womankind' the) \\111 continue their courses JU t a long a' their uppl) of mOl11ing lolunteer doe not dl) up. All credit to Di\ isional Supenntendent Margaret shhlan and her team of helper Barbara Kellv PRO A\on (Ea tern re; )

I thought the enc losed box might raise a smi Ie At the nursing hom e where I work, we had a whole batch delivered with the same <.,et of pharmacy instructions. It doesn t matter how I give them , the residents wi ll insist on chewing th em (ha!).

0 / 0 David H arriman South Wigston Co mbined Ca d et Division Leice s ter

BISACODYL 10mg supp 10

name: Do not take indigestion remedie time of day as this medicine swallowed whole, not chewed

KEEPOUTOFREACH OF CHILDREN

Editor's note - U nfortunatel y the box would not sca n into th e magazin e, but hopefull y th e diagram oppo ite ge t s the m essage across. A n yo ne able to match thi s!? LAXA TlVE 10 SUPPOSITORIES

C dt. Ldr. Richard Farle, Hull BP C h e mical s Co mbin e d Di\i ion.

The Editor Replie : The great ba eba ll cap Co ntra.. ersy r ea r it head again. What impre ed me 010 t \va that th ere wer e OHr thirt y Cadet. and Badg e r on parade. Ba eba ll cap are c h eap, serv iceable and ( \ e ry rare ror Sf. John! ) fashionable. T h e s vle al 0 - bearing in mind SL John' s para- militar) background - now featured in mo t army uniform. Perhaps so meone fr 'o m the Dre Committee "ould lik e t o comme nt..

Du e to thi., I lind difficult) 111 1\.lIklng or \tandtng too long.

On Frida) evening one of your young ladie ferrted me b\ \\ heelchair to and fromm\ to the and on murda\ aftcmoo;l two of your young Cadeh - Grahan;and Daniel - looked aftcr me ith great care: a credit to )oung pcople

It \\ a a most memorable weekend and one I shall remember for man) ) ear'>. made POSSIble by the t. John mbulance Organisation Thank) all oncc again.

Don C hamber

Hel ton Corn " ai L

On page D. bOllom fight-hand comer of the July JW there IS a photograph attributed to orfolk t. John llmagine that if the Commlsioner is correctl) titled then the 01\ i. ion belongs to .\lorth Yorkshire. How el er. qUite clearl) it i" not a photograph of our Count) Commi ioner Jill H Kay Co un.) ecretar.\. :-';orfolk The Edi or replie a mi t ake, ror "hichlapologi e.Thi \\a atec hni ca l error that ometime happen in the transference of hard CO P) into print a nd i kno\\ n in the tr ade a a 'cock-up'

FUNDRAISING

20 Describes house plant rroduclllg palllful condition of toenail (7)

22 Fi ll ed WJlh a deVice to prevent IIljury (7)

23 ense organ left for a nobleman (4)

25 Group 01 bone '> WIth pill from beglllnmg to end (5)

26 haritablc gifts by a pre -war railway (4)

29 Il avtng had new uphol"tcl),. IS restored to health after dines'> (9)

30 LiqUid run into the recLUm (5)

31 PallIative treatment lor naso-phru)'ngeal infections (X)

32 Averts dl'orupllon to deprive of food (6)

CLUES DOWN

1 \1edicatlon to lower blood prc'>sure (11.4)

2 The \urgcon\' \\tor" I1ltxe'o p<l1nt and gore (9)

3 Organ having aqueoul., hUl1lour. blind pot, and ctila/) body (4)

5 Wan from girl having a police force at heart (7)

6 II I" 'c/) ullu ual to be Ilghtl} coo"ed (4)

7 ppcnduge of the soft palate (5)

8 Do "111\ hide age,> m mallgnam cIJ,ea"e of lymphatic gland\ (X.7) Wal"ed un'>teadtl). perhaps intoxicated (6)

IS Pan of crab honllone to regard", nh e\treme loathlllg (5)

16 Flr,t per',on \\ tth wood producmg of perfecLJon (5)

19 H eartng centre? (6.3)

21 Functtonal untl of the "idney (7)

22 Ovarte.., and le,te.., (6)

24 ) mpLOm rClUm aller period of impro'·emelll (5)

27 Gamcte, left elliptical (-f)

28 Defeat the rh;. thmlc COlllraCltOn 01 the hcart mu..,c!e (-+)

Ambu Man and his PALS

The Ambu CPR PAL JOins Ambu Man to make class teaching more dynamic and interesting by Involving more students simultaneously

All members of the Ambu Family are equipped with the unique, patented hygienic system

The CPR PAL can be purchased as a low cost baSIC training manikin In ItS own nght or can be combined with Ambu Man to give a training package tailored to your particular needs.

As an Instructor you will be glad of this flexibility BaSIC skills can be practised on Ambu CPR PAL and competence can be checked uSing Ambu Man and hiS built In control functions. S TOP PRE S S

Ambu Woman (who IS never seen in publiC) IS expecting Ambu Baby shortly to complete the family, watch for the announcement.

h,\ : Q [>11 Ill. Parade I lou'L', Walford.

Con t ribu t \Iv hile il "not po"lhle 10 g.uaranleL' IIlCIUSIOIl JlllOnlnbulions 10 )/ Jnhll nrlel are \\ e!Lome fhe,e ,hould be I) ped douhle'palL't!. on (JilL' \Ide of \-1 papL'l PIL'a,e ,>ure el en" Jre properl) d.lted

Cranleigh wins David Merritt award

The firslofthe annual Merritt Award was presented at the Brigade Conference in Buxton to Cranleigh Diviion from Sun·ey. Set up in honour of the late David Merritt, the award wa. made by his widow, Maria, and daughter, Clare.

for 000.

The "Merritt Award for Outstanding PR actl\ It) 111 St. John" 1\ a ne\\ competition set up in honour of the late Da\ id Merntl. Da\ Id \\ a active in SI. John Ambulance Count) PRO for Esse\ and then Wilt hire. He did a fanta tic Job 111 both count Ie and also JOined the National HQ In Touch Committee Sadl) he dIed ver) )-oung the Christmas before last and In wIth Essex and WIIhhln! t John and Mana hI'> Jl was felt that creat1l1g this ,,'\ rd \\ould have had his full appro\al. The aIms to encourage PR at alllcveis In SI. John. but partlcularl)- at Di\ isional Le\ el.

Entries for next years awards can be made. detaIls and entfJ fonns are available from: John Mill DPR, St. John Ambulance NHQ, 1 Gros\enor Cre cent, London SWIX 7EF.

Wh y nor have a go - and win £JOO?

Cranleigh Division gained the World Record for laying a Ime of coins last Autumn ""hen twentysi\' and aquartermiles of2p pIeces were strung out through the n'<; streets. The Division organi"ed and achieved publicity not only in 10and radIO "tallom. but also in maga71nes and partIcularly on allonal TV. It was an e \Lremely well prepared and 01chestrated event and not only dId the) enter the CllillllC'SS Bod ot" Re( ords. the) also raised enough money to purchase a ne"" four wheel drive ambulance and a trailer fitted as a mobile First Aid unit. Bob Wooldridge received the SilverTray, medallion and cheque

Cleveland explores commo n

St. John Ambulance in Cleveland has been exploring possib le areas of mutual advantage with Cleveland Ambulance. The results have been claimed as the first formal working arrangement between an N HS ambu lance service and a voluntary aid society.

Already Cleveland has agreed to SI. John using it's purchasing power to benefit from a volume discount in buying two ambulances as part of a larger order.

Both ambulance services say they are to devise systems which will enable SI. John to act as an ambulance reserve in the event of a major incident.

4 St Joh n Wor ld ove mb er 1992

The runner lip was andra Ronson. someone who gIves much to SI. John and her Division 111 Lytham SI. Annes in a very dedicated and skillful way Through her Cfrorh her feature continually in her local press. Each year "he organises an annual Cadet pageant with a Cadet Queen crowned by the Mayoress and, not forgetting the lads, there is a adet Knight invested as well. Abo every year and produce" a adet pantomIme Ith. of course, a SI. John theme Publtc support and funds rabed ha e 1I1crcil,ed. it'> has l1lelllbershlpb) 16adulhand I 7 cadets Third 111 the a\ wa" the Essex outhern I\rea members. their Area tafT and supporters They lIsed e\tremel) effective PR to galll cOIllIllUnll) ,upport to rcplace adcmollshed 01\ ISlonal HQ. wnh a brand ne\\ 01\ I'lonal Jnd Area HQ \\ lIh factlltle, for thc local communit) The) u,ed some innovati e and clevcr Idea, and not only achIeved theIr aim,. but also raised con"lderably the profile of t. John

Esther Rantzen invested

Esther Rantzen "" into the Order of 1. John by The Lord Prior la<.;t September

Bean of Britain 19921

in each of the three of the John and the bean-growing competition are: Woodstonc Badger Set from unty Durham; Sohum Village Combined Cadet Divi..,ion Crom ambridgeshirc and Nigel Poulton or Fordingbridge, l-Iarnp..,hire. Nigel Poulton · bean "talk Ila"hed bnl!Ily on the TV screen dunng Cardi'!U.' r II (lr/el gre'v" to Sl)(ktm. rai..,lllg [I X5 through \pon..,or"hip from I 1.+ "'ponsor". "I lo"t a good fnend v, ho v, as an act i\e member of l. John. through a tragic aCCIdent" said Igcl "so \'.hen I heard about the competlllonon Cordeilci \ orlc! thought it would be a run way lO help raise monel for such a dedI cated bunch of people

A Sandlcheath Pamh ounclllor and h.ecn gardener, rigel was assisted b) hI" \\ Ifc Paulll1e v, ho h.ept the giant runner fed and watered whde he wa, at \I orh. Igel Will.., £ 00 III atlonal Garden GIft To"ens.

The Beall (IFill' l'I/Slell c e

Apologies

Gala for new division

gala performance of thIS years Brighton Pantomime at the Dome Theatre has been planned for December 17. it i.., hoped that over £5.000 will be to fund the launch of Regency 01\ I"ion The Regency Div i.,ion Community DiviSIon for Brighton and Hove that comprise. 16 ne\l member (qualified under the Energy programme) and \\as set up last September. It already ha., committed llself to numerous tasks in the communit), including wor"ing closel) ""ith the ne\l AIDS Ho'>plce in Brighton The pantomime. SilO>! Illre alld rhe Sel(,11 Dwwf\. '>tar George Takel (Star Treh.·s Mr. ulu) and Greg Ben on (Matt from Home & Av,a). Tickets start from £:.:0 (£5.00 for children) v, htlepeclal IP ticket. including a champagne reception. are a\ailable. (0273) 674r7 for booh.tngs and detail.

R C/C-I'CIUIle! A II/hll 10 II ( (' Cllld CIIIIII7I1.I liol1( .I0h11 111111(' Cleveland will provide gafor St. John to aid mobilisation if required , while St. John has agreed to place its rour wheel drive vehicles at Cleveland's disposal. Joint training has been identified as an activity that wi ll ensure greater compatibility between the "ervices, and enable SI. John members access to advanced trainin g equIpment.

It i!-> only natural we worh. closely together" commented Cleveland Ambulance Chief Executive John Burnside "It will benefit everyone and I hope other Services will follow our example."

The TV Presenter becoll1c\ ASSOCiate Servlllg Si,ter of the Order and ha been u",>octated \llIh t. John for many year.,. Esther i perhaps best h.nown for helping to produce the '>tep-by-step video gUide to Inrant Resuscitation - AfterSt.John1l1e1l1ber"onthe BBe Fhat" Lljl'programmcde1l1onstrated resuscltatlon at least eight babies live'> were ,>avcd. bther continue<; to akrt the public Lo the danger:-- of a lack of First Aid knowledge and her wor" and wpport havc been of benefit to SI. John

The full result of the John and the Beanstalh. competitIon. helped along by :UOO pach.et'> 01 bean'> donated by Carter,>. ha" yet to be calculated. On \\hlch note - If\'OIl have not ll1fOrnled HQ of .,ponsorship raised b) ) our group because you missed the date. please do so nO\l !

Raleigh round

Raleigh Intemational, formerly Operalion Raleigh, is looking for volunteer doctors and for three month expeditionsto Chile, Zimbabwe, Russia. Guyana and Mauritiusnext year. Details frolll Everett on 071 - 351 7541

Unfortunatel) the \\fong addre"s gi en liht month :--hould anyone want to obtain a copy of the ParkinsonCov.an cooh.boo h., " Alld .Il1d\' 11'11/ 1'1111 rhe Cuke. ILl/I"'

Anyone who \\ants a COP) should '>end a 16cm x 23cm AE to: De p a rtm e n t CBF R Pa rkin o n Cowa n Broc hu re ervice 636 Br i t o l R oa d So u t h Birmin g h a m B3 1 2JR

orthern Ireland HQ ha pointed out to us that a further two names were omitted from the Ii t of people with SI. John who were named in the Birthday Honours List last ugusl. Mr. W A. Edgar. a Londonderry rea V icePresident. amd Mrs C. Knight both received BEMs.

Diane Croot and Oh ional Officer \Iichael Croot pictured in of on the ne\\e t recruit (or hould that be re-Crool?l for Thrap _ ton\mbulance Cadet Oi\ ision 'athan attended his first Cadet Enrolment and In pection at 6 \\eek old and his first Brigade Final (a a spectator) at 7 \\eek old. '\0\\ four old he has also attended a Cadet / Badger Camp and a Oi\ i ional Training E:\erci e. "Could this be a record'?" a k from Thrapston. \\ e dunno, but \\e'll be sur· prised if that jumper doesn't earn Jll a fe\\ outraged letters from the Old Guard complaining about dre regulations

Tribute to a very special six year old

Sub

known

anything ever happened to him we wou ld make surc thc card was used." Stephen's comeas were used to save another child's sight. " It given us a lot or COmfOl1 because we know he has helped which IS so typical of him"' father Brian Davis told the Bristo/ E"{,lIl11g Post" " hc \/vas such a givtng boy, alwa).., thlnt..ing of other He is going to be mi"sed tCITibly."

Fellowship with a camel

Sheila ?llckle writes- I have just retumed from a St. 10hn Tour of 10rdan and the Holy Land. OUf group included a numberofFellowship members and other S t. 10hn members in Countie who were collecting !ides for promised Talks to our branche It was an energetic ten days. We started out cach day around 8.00am and clambered over rock and innumerable teps at Roman Theatre, ancient monasteries, Crusader Castlcs (the stunning Krak des Chevaliers now contains an entire town) and most memorably in Jordan , Petra. Here I shall not forget Miss Edith Taylor. the Aunt of Mrs. Joy O'Neill and 85, mounting a camel, undaunted by it hair-raising method of rising to its feet. and enjoying every minute of the cheers she received. Throughout our tour Mis s Taylorwas at the forefront of every event. I mention her because she proved to all of us that age isa state of mind, not a date on a calendar. She finds it still fun to be alive. I like to think that the SI. John Fellowship helps others to feel the same.

Having been to Israel before in 1978, in a party led by George Woodhill, I was rather upset to see what progress' has done to that land which means much to us all. Tiberias especially, whcre we stayed for two nights, now resembles Blackpool. It is all large Hotels, cafes, and pleasure steamers on the Sea of Galilee. Even when

MI5.I Edilh Tay/or (85) gels Ihe hlllll/lll1 Perra

we were on the Mount of the Beatitudes which is till a place of peace and beaUlY, there were water skiers pasing down below

However I must admit that a highlight of the tour was a picnic lunch on a steamer which we had to ourselves.

Aftera wonderful tour of Acre, Bethlehem and finally Jerusalem we viSited our Hospital. This was again, a most moving experience.

If everyone in SI. John who has worked over the years to provide money clothing, toys and other items for it could see what hope it gives, they would feel very happy.

In a corridor there I saw three new hospital beelsjust an'ived from the UK I hope these were three of the six beds the Fellowship is donating this year. Matron promised to senel me a photo when they are in usc.

On the day before we flew home from Amman we were able

to bathe in the Dead Sea. 1 had always \\-anted to do thiS (you cannot sint..) and It \\-as a gloflous moment. I saw one man Iylllg on the wearing a panama hat and reading the paper not to be mIssed

The Edi/or - We forgotto include details last month of the Firt Fellowship Branch in Warwiebhire and the Eighth Branch in New Zealand at least the article above e\plain'> why Sheila hasn't sent the Fellowship heavies around to duff me up

Warwick hire Branch. COli/act · Mr B. A. Browning SH Blackprince Avenue, Cheylesmore, Coventry, CVJ 5JD.

Greymouth Branch, New Zealand.Contact : Mr. Jack Waterson, IJJ Waterwalk Rd ., Greymollth, West Coast S.L, New Zealand

Competition

TOllY Thol'f/fOl1. Competitio/l 1 MOil!!,{,/, H ri({' - The British National First Aidcompetition was held in the Com Exchange in Cambridge on September 8th. when all I J regions of British Gas were well represented. At thc prcscntation ofthc senior judge. Dr. R. Beastall commented on the high standard of First Aid. My thanks to the many casualties and voluntecrs who came from around the country to assist in making this c\'ent a success. Men's Pairs

Championship Trophy: Ist,l\onh Western: 2nd. Northern: 3rd Southern. Champion Reserve. PeterGirt (Eastern). Highest Scoring Individuals, No.1. William SWIft (North Western). No 2. Jamcs Wright (Eastern). Women's Pairs

Championship Trophy: 1st, Nonh Western: 2nd. Northern: 3rd. Headquarters Champion Reserve. He len Hogg (Headquarters). Highest Scoring Individuals. No.1. Melanie Fraser (South Wcstem). No. I. Madge Mitchell (North· em), No.2. Dilli Cooper (Wales). Open Pairs

Championship Trophy: 1st Scotland: 2nd. North Thames: 3rd, East Midlands. Champion Reserve. Peter Oyston (Northern Gas). Highest Scoring Individuals. No.1. Anne Dowling (South Eastern), No 2,Marklvey(Wales)=Gordon Senior (Northern) = Irene McCrakcn (Scotland).

Dr. A. J. Blowers. Director General, presided and awards were made by Mr. C. H. Brown FENG (Chief Executive. British Gas pic) and Mrs. Brown.

Victorian resource pack

The first i n a of resource packs for teachers invo l ved in fu l fi ll ing the

Na ti ona l Curricu l um been produced by t he Mu seum of th e O rder o f t. J o h n.

St John tllII/m/o/lce' ill \ ietorioJ} Britaill is de igned to offer teachers of Key tage 2 Hi'>lOr) :

• material the pre cribed ational Curriculum co\erage

• ..,lIll1ulating and unu,>ual origll1al source

• pupil cllrectcd to allonal Curriculum Allainment Targets

• a bridge bet\",een chool - ba"ed and mu"eulll - based acti\ itle'>

The pact.. contains photocop) ablp pupil units and aClI\ illc'-. \"Ilh clea and detailed backgrounu IIlfomlLltion and guidance for teacher..,. It ha.., been prepared for c1a ,roolll use from <.,ource.., either on di"pla) or held III the Mu..,eul11 of the OrderofSt. John. Tcacher are ..,trongl) encouraged to arrange \ iSlts and l11u eUI11 actl\itie<, \\ ill be provided guiding pupil.., to \\ Ith onglllal arLdaCh and documents and building on the v. ork donc In chool.

T h e pac k a a il a bl e a t a cos t o f £3 .00 ( plu s p o t age) fr o m : Mu se um of th e Ord e r o f S f. J o hn, S t. J o hn 's G a te, Sf. J o hn La ne, Clc rk e m\ e ll, EC I \1 ·m \ Te l: 07 1-253

A a ..,ampk fromt"e l1e\\ I'e'>nul'ce pack. the \hheulll..,talt uneanhed d Il)th football report in /1/(' \orth \\ £I/C.\. (illllrc/1lI11 or \O\l'll1bll 25th IXlJ6. It rcad.., , \("el/)I: V / 1/ 1·001 B \Ll \1""/( " he Ilfl(/( /.. 1 o/Ihe 1/01//(' !ol'\\ urc!1 (wile "(,1'\ {l11e'11 ((lid tlie h((c/.. 11/(/\ 1'1'.\ o/t/n "i I If 01' 1 hud t>/el//\ (It'1I 0r/.. {II do /'fle \1 ell I/II/lt>t'd 1>( ((III \(' 1111(' tllilie Il/((.\el'l le//lotl/e t..:1'(llIlIcI I/lI'lI (111(' o/Ilie "1 It/or· 1 hI/( /.. p/(II el'l "i/d il(" h(' held COIIlt' IlIt(l \/(1/('111 ( (llIt(/( IIllh (hI'( III. tllI(, tilth£' /1(1111(' /(I/"\\ ({I'£l1 "i/cllI( Ii /wel hl'o/..el/ lii 1 /(''.., (lIId \\ (/1 curried (Ill /he lie/c! III ( 11'((.\ /1\ 1I/( 111/1('1' 1 (II \1 ./(11/11 1 111 I> II/((I/(£' II Ii{l. /1/( "i/\ 11 /'( PI'('.I('I// Thc Rl''>llllrcl' Pad, tlk'n ,I'>t.." (tll..,lngcnullu..,l y ) "[)o llU t..ne)\\ \\ hat the \\ ord 11'/II/lClec! mean'>!" \1, ondl'rful let'., ha\ l' ,I cartoe)l1.

Penny 's

Hat Trick

PennI t\lo..,s I, Count\ Vicc Pre'>ldell! -01 JA In Hal;lp"hirc and Since IlJHX r:l1seti cnough monc) to bu) t\ \O nev. ambulance, one each for (Ea'>tcrn) and HlIIant Q. Divi"ion Recentl y a formcr oLlnt) Ambulancc Sen ice \ 'chlcle \\<IS acqlll1'cd thank:-, to th e gencnNt) ofthosc li\ ing 111 the Hu\ ant Mea. and Penn) \\ abk to mat..e her third hanu -o\'cr in four years - thi s tlllle to W:.llcrltx)\ lilt: Ambulance & urslllg 01\ ision Penn) 's nl'\t targl't is said to beadefibrillatorforWatcrIOl)\ dk

Making an impact

Ross Laird, Deputy Area Commissioner for the Londonderry Area reflects on the Northern Ireland's achievement at the Brigade Finals.

Thi., \\as thc fiN lime that all four learns going to represent Northern Ireland al the Brigade National Finals in London on the -tth July came from the Londonderry Area. This was a magnificent achievement to be ranked amongst the best in the U.K. in both Adult and Cadet. Fir t Aid and Nursing Lisnagelvin Adult Nursing Team. Lynn Campbell. judith Mill and Ruth Laird reserve won the coveted Perrott Shield for the hi!!hest mark in the nursin!! competition. This i" the first time that this ..,hield has e\cr come to Ireland since it wa" pre"ented in 1922. an outslanding achievement. The) also \\ on the Chalmer Cup. Elli.., cup and joint \\ inner of Golding Troph). Li"nageh in Cadet Nur"ing Team. Rhona Lairu. Jennifer Gutherie. Janeen McFarland. Li"a Campbell and Sarah Cmlan Resene. won the 'v1oulltballcn Cup for second highest Illark-. in the Fir..,t Aid and Nur"ing Competition Northland Cadet First Aid Team. Celia Meehan. Emma Doolin. Ashlene 'v1cLallghlin. Kathryn \1cGillo\\ay and Deirdre Mc"\lult) rc'ierve. \\ on the nail cup for third highest mark-. in the Cadet FIN Aid Competition

Belmont Adult First Aid T cam Linda Heaney. Diane Cls idy and Ann Heane) n? erw. came i\th in the Adult FiN Aid All credit is due to the hard \\ ort.. and commitment of both lho'>e \\ ho ha\ e been invol\ ed in the training and the member of the team.., \-\ihite the motto of SI. John is the Sen ice of !\1ant..ind. it has much more to oller IIltenllS of personal de\ e1opment. career de\elopment. the benefits gained through social interaction as \\cll a.., the prcparation of young people for Ollr caring society.

A picture ubmitted b.\ the Director of Ceremonie , General "ho "a _ true\" the c'\cellence of the Whangerie St. John Building on his tnn els in :'\e\\ Zealand. 'What about a erie on intere ling Sf. John building throughout the "orld' he suggests "ell'? What about it?

\ t)\cl11bcl' IYY,2 Stjohn \\orlel

Nigeria mourns death of a vice-charman

A unusually ad event clouded life at SI. 10hn Ambulance HQ. igeria onlune 19th, 1992 when oneofthe Mothers of the ur profe sion in Nigeria. Chief(Mr. ) Kofoworo a Abeni Pratt , OStl (Hon) LL D , died. She wa 77.

K ofo became a main tay of the S1. John Ambulance of igeria with her efficiency and dedication to the Organi ation, particularly with her professio n al and f inancia l contributions to th e Co u ncil at all times.

A o ne- ime L agos S ta te Commi ioner for Health, popularly called the Flo rence Nigh t ingale of Nigeria, Kofo wa until her death the Chief N u rsing Superintendent of the SI. John Ambulance Federation.

She i urvived by two sons, Dr. Babanlnde Pratt a medical practit ione r and Mr. Olufemi Pratt, a Computer Analyst. She wa laid to rest at th e Ikoyi Cemetery after a church ervice at the Cathedral Church of Christ, Marina Lago. Nigeria

She will be sad ly mi ed. (Adeyemi Anthol1io , Nat Se c. Sr. J o hn COllncil a/Ni ge ria)

Obituary

Miss Winifred Ida Telling (Sally) S.R.N.

It i 'A>ith sadnes we record the udden death of Sail) Telling on Saturday September 12th, 1992 at Sah bury General Hospital aged n Sally' long and di tingui hed career 'A>ith SI. John commenced 111 London (Prince of Wales' District) as a ursing Member in 1939 In Acton 44/IN Division Shortly after thiS she enlisted as a V A D. nurse and. after the war finished. tramed at the ROyal Free Hospital in London qualifying as an SRN (equivalent) In 1948

In 1950 Sally moved to Wiltshire as Junior Sister at Odqocl-. Hospital. This preceded her move to her chosen '>pecialll y In Orthopaedics, where she finally became Senior Ward on a male orthopaedic ward. On moving toSouth Wiltshire, Sally made her home in the village of Homing ton in her beloved "Shepherds Cottage" where she remained for her retirement. Settled in Wiltshire. Sally transferred to the Amesbury Nursing Division ofSt. John Ambulance as Divisional ursing Officer. working closely with the late Mrs. Ivy Muggleton. who was Lady' Divi ional Superintendent.

On the death of Mrs. Muggleton, Sally took over the Amesbury Division as "Nursing Officer in Charge" and was reponslble for the establishment of SI. John in Amesbury. In the early 50·s. Amesbury Nursing Division became the proud 'owners' of their own premises and Sally took on the role of 'Gate Keeper' for that much-loved HQ.

In 1973, Sally was promoted to ANO and held that po until her retirement from active service (uniformed) in 1988, during this time Sally strove to raise the profile of nursing within St. John On her retirement from active service in SI. John, she continued as Area Treasurer for South Wiltshire-a post which she held until the time of her death.

During Sally's many active years within St. John she became a legend at such places as Salisbury Race Course, Larkhlll Point-to-Point and at local blood donor se sions, as well as many other public duties.

She was made Serving Sister in 1964 and attained the rank of Commander Sister (1986) She was awarded the Long Service Medal 111 1953 and subsequently five bars. In 1988 Sally was awarded a certificate in recognition of 50 years continuous service to S1. John Ambulance

Readers report on their activities around the country. Contributions are always welcome, send them to: lOut andAbout', St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

A REWARD FOR YOUR TROUBLES -

When Belfast nurse Yvonne West

visited the St John Ophthal1nic Hospital in Jerusalem for one months voluntanJ nursing, she found that the impact of the Intafada on the local people bl'Olight back many reminders of the situation she had left behind at h01ne.

Wh en alTived at Tel Aviv airport after an 18 hour journey (I was eigh hours behind s hedule. having left Belfa t ntel11a ional Airport at noon the previoll day). I was under tandabl p eased to see th e familiar I.. John Cro in the hand s of a ho pital driver. It Monda), tlarch 23rd at 7.30 in the e ening and I wa taken to v. hat to be my ac ommodation fonhe next month - the 5i ter re idence, by garden full of lemon tree and orange groves. The is abou t a mile outside the old cit) on the ablu Road The name of th e the fir thing you notice on the pale stone \\ ails. Above you, th e SI.. John flag flutter s in the wind.

I \.Vas in th e Ophthalmic ho pital as part of m) A \\ ardI am Di\ isional Superintendent ofOrnleau Cadet Divi\ion, on my fir t day Matron gave me a guided tour of the It is a beautiful stone building. enclo'oed b) 0\\ n ground,>. The has 82 bed (comprising male. female and childrens' v.ard\ as well a pri\ ate ward,». I nside. the factlitie\ are quite ba\ic. but the all cool thanks to the qone building. \\ hi h must be great l) apprecIated In Summer. Having '>a id that. the staff and patients had gone th rough one of the \\ orst winters on record that) ear. \.V th ..,e\ eral inc he.., of "no\\ : for the children it wasa rea ln o\,e lty -man) had never"een '>no\\ beforc Thc ho pital very self-sufficient. with ih 0\\ n CS 0 department. laundr\ and kitchen. -

I pent Illy fir'>t week in Out - Pati en mainly observing. hout 60.000 patients pass through here a ) ear. I was amazed to ee th cm queuing up in the cloisters at seven in the morning. anxiou,>l) waiting for the doors to open - although "queuing" may not be th c right word for all the pu shin g and shoving that goes on people try to make ,>ure that th ey get in fir'>!. -

spent my second week in the childrens ward.., Matron ha,> tned to brighten the place up by painting it in bold reds. blues and greens. and with th e help of Onneau Cadet DiviSion. orthem reland I. John Cadets and orthern Ireland St. John Pre si dent s. managed to rai"c £ 1.700 which being used to buy new curtains. quilts and bed linen - all of which are greatly needed by the children'i ward.

Operation Smile arrived at th e hospItal dUring my second weck thcr c.

This is a non profit-making organisation from the nited Statc,> \\ hlch medical teams to perform free corrective surgery on di .figured people Th e team had been invited to Jeru salem by a local committee of Pale stinian notables for a few weeks' intenSive work. The '>urgery too" place at the nearby Augusta Victoria H ospital and S1. John OphthalmiC H ospi tal had agreed to take twe11lY post -op patient,> on top of th e n0n11al work l oad. Ambulant, uncomplicated ca'>es were ent to St John consis tin g mainl y of c left palate and harelips The patie11ls were as'>cs"ed daily by the Operation Smile team Some remarkable surgery had been performed and many lives transfigured.

During my stay I was only able to go out on Outreach once due to unpredictabl e circumstances. Durin g the third week of my stay Outreach was cancelled as it wa,> the week of the Ramadan Fea 1. Then during my fou rth week it was ca ncelled as there was a ,>hortage of doctors. I n many ways thi s highlighted the problems the ho spi tal ha s to face. On my Outreach vi.,it we wen to a sma ll village ou side Bethlehem The clinic was se t up in th e l oca 'hea lth centre'. The l oca s soo n arrived comp l aining of vario us eye condi t ions. The chi ldren soon crowded round our van with deep curiosi y. The c lini c was 'iw iftly managed by Si ster H ymn K aib ini Whi le in th e vi ll age I observed one local woman removing the hair of a dead goal. Thc goat had been in th c oven for 4 - 5 days. Th e skin was go in g to be made into a sack and used to make yogUI1 and buttcr. lO St John World ovember 1992 7of1 The olllho/"

Thcrc are many c0111pari"O I1\ could ma"c betwecll II kill Jerusalcm and lire in orthern I reland both ,>adly affec tcd by trouble The Intafada In hrael has put a stra111 on th e hospital and n" stall. Thc 111CfCa\e In cye IIlJuric,> ha'> put a strain 011 opcrat1l1g facilities Man) people arrlvc a thc OPO to cscape th c lr homc environment e",pcl'lall) Ir0111 Research ha'> ,>hown that illcl cascd str es.., on thc population has Icad to in creased childhood injurlc'i. Durin g strikc day\ thcrc is no guarantce the paticnts willturn Lip for appo1l1t1l1cnt<., as thc y have no 1l1cans oftramporl. There arc not man y people in th c ho'>pital who hav en' t becn affected by th e Intafada , ei th crdircctly or indirectly. Unfortunatcly like orl hern Ireland th e media alway,> portray th e "ad and troubl cd "idc of things as thi s is what makes head lin e new., But throu gh it all the St John Ophthalmic provide\ a valuable and worthwhilL: to thc peoplc, one which we must con tillue 10

CANOE -ALONG-JOHN --

Gavin Aldridge and Paul Baker notch up another mode

of sponsored travel in a good cause ...

Two 15 ycar-old aciets from hcriton in Kent paddled lheirway IO£SSO for th eir Divi ion when they look up the afeway Challenge and planned a spon,>orcd 26-milc Canoc - A - Long John from Seabrook ncar H ) the. Kent to R yc 111 Ea'>t us"ex along the Royal Military anal. Gavin Aldridge and Paul Baker spent three month,> preparing for th e event. They wrote thcir own spon<.,orship reque"l leller on computer and pnntcd off ISO pcrsonali'>ed copies, which thc) then handdclivl:rcd

At moo hrs on the momlng of 12th AugU'>1 thcy were rcad) for the ·"ofT'. Thc local pres'. photographer JOined family and friend,> to \.V Ish the lath good luck a\ Kent's started them off on their ten-hour Journe). And some Joume) It turned out to bel Ga\ in and Paul battled thcir \\ a) again t force 7 \vllld-" gentl) cooled b) hca\ > ralll. hampered b) 15 mile'> of thld \\el:d and waterillie!>. as wcll a" othcrob\tacle\ li"cdredgl:r,> and fi xed lock gate.,. Paul \\<1'> forced to gl\C up altcr about ten milc'> but hc conllnued to encourage Ga\ in all thc wa) to lhc cnd by walking orcycl111g along th e to\\ - path With a great bur t of encrg) Gay in reachcd the cnd of thc Journcy - anclthe end of thc watci at 7pm.

The Idndgc I amil). pal1ic.ularl) Ga\ lIl's ounger brother Gareth. also Ll t John Cadet, madc a \ Idco 01 the Joumc). Ga\ 111 thcn edited the film and pro\ Idcd I11U'iC and \Olce-o\ ercol11memar). taking thl'> opportunlt) to record hl\ than"" to "pon..,ors and ,>upPol1er'> aItkc.

TA HANNAH

-- What brings 1,000 car loads of people to an event? asks John Tindale, press officer for the North Yorks Coastal Area Di v isions. 171e answer is Miss Hannah Hallxwell

The I\counte'>s 00\\ ne. Whitb) ursl11g 01\ !Slon Prc'>ldcntll1\ Ited the Coastal rea to 'tage a ul11mer FaIr III the grounds of \! ) keham bbe). ncar carborough, on unda) ugust 2nd: eight month of plannlllg and I K-t Iettcr" later Il all camc together : Bra,>" Band. H ot Ir Balloon. G) mna..,t' , 1mh Dancer\ rc her) Fanc) Orcs" Parade. and carborough Cadcts \\ nh a qucue lor thclr H Ol Dog.., and Icc ream

On a glor1ou\ sum111erda) thcre \\erc ten Sl John tall" and 20 \talls from other charitlc'> III the Whltb)- carborough-l\ lalt on di.,tnct "et up and for Il ann<lh to arm e: "hc had \\ amed us that shc \\ a\ a "bad gCllcl-UP" and \\ hlbt the car \\ a \\ aning for hcr a" arranged at I a.m Ilann ah finall) "urfaced at 12 Dl:'>pnc \U1llmer on the East Coa t. our \oluntccr dmel (\\ ho ..,ald he \\a" a great fan of Hannah',,) alTI\cd \\ Ith minute to "pare lor th e 2 p m opening.

A "ummel da) and \hc \\ as drc,,"cd in fur bool". an old and anorak. a \\0(11) hat and "tid In a lelephone con\,ersatlon the week to ched arrang:::mcnts. H annah had cOlllidcd that "hc \\;b bus) altcrlng her clothe "he'd put on a bit 01 \\ clght. but "the"e Chant) \hop-., arc mar\ellou.., ne\ cr bu) an) thing nc\\ " he lookcd e\aetl) the part "he could ha\'c eome '>tmight from thc old moor top fam1.

The cr(m d len cd it: she told u that had come In 111emOr) or her old fnend Margarct Readman or Uglhorpc. near \ hltb). \\ ho had been a J "talwart 1'01' many year" until hcr death in 1991 hc \\ I"hed u" well and dcclared the Fair open and then came the ru,>h: do/en" had brought COPIC" of her book.s to autograph \\ hich held up procced111gs for a v. hile. That over. she visited every .,tall hook hands with hundrcd., signed bits of pap er , pcnttime with an) vi!lually handi capped orcllsabled personand was thc last but onc to leave the event!

What 1110re could you a"k of an opener'? There'" no doubt in our 111111d that th e uceess of th c Fair was do\\ 11 to Hannah

How much did we make'? Well entrance \\ a {I OO. multiplied b) a thou -;and car" and th cir occupant'> Thc Treasurer IS keepin g it dark

at the moment. \v e do knO\\ that thc hant) tall\ had a good day and cleared much of their bric-a-brac Onc delightcd "ccrctaf) \\ rate lO "a: thankyou and aid the) had raised £2( t'. hould \\ e mentiollthe \\,or" orthc committee') DOlen.., of road "Ign" \\crc made to make ure no one mi cd u : ma"111g peg\ to mark pHchc,", for li\ing up a "Plu\ IUS" 111\UranCe polie) in ca"e It rained (sugge\ tcd and premium paid for b) a "pon orl: a hundred and one other arrangements and still wondcring If \\ e'd forgotten th111g: and In the end. a perfect dn} ThJnk) OLi. Ilannah

0\ ember 1992, t John \\ orld I

\vild partyill gs across the cOlllllry. AhOl ·e. W e t orfo lk A rea ellrol/ed Orllst IIlId local Art Gallery Oll"lIa Mrs Helclla Alldasolllojlldge l/7e arM art cOlI/pelitioll Of rheir Gralld Pa rry. Congrarlliarioll.\ 10 winners Leslie Elrill. Rachel Lewin .! OWl lle Mitchell icola Erheridge. An gela LOll,!!,. Adam Carter Rebecca W csrrup. l Oll Simons. AlislOn GillJar. Liley EgglelOlI. Kar ell Armer Adele Powell and Korh erille Hill

Opp os ire (lOp) Cadets alld Badgers /rom S toc kp ort & C h eadl e Q DiI 'i iOIl c('lehrared rheClwllen ge hyparadillg Infancy dress COS llIlI1eS rheir I/ell' Flrsr Aid IInil ar rhe Sroc/ port Comi\'CIl.

Opposile (helow) the IWO Wi n ch e fe r Cadel Di l'isiolls hosted (f {wrtyj()r nearly 70 handicapped (hildren /rom LanAhills IIlId Greenacre s Special Schools onc/ M enyc/ale ChildrellS Home.

Divisional Officer Dexter Bullock tells the tale of the winning entry.

The venue ror our pan) \\ a l) 1:1 metre" underground ,It IIp tone Co lli er). o ttlO gham hire the deepe'>t mine in Bntalll Flr..,l, \\e needed pcnnlssion rrom o tlln ghall1, hirc SI. John lor u" oel1tcrthcircoul1t). A mceting was suhsetjucntl) amlngcd WI th the oillel) 1anager to organI"e our Visi t and the varlOU, alet) a"pect'> lI1\ohed [-Dod needed to he pro\ Icled for the Part) , not rorge llll1 g the Blrthda) cah.e, later to he provided by the Cllp"tonc Collicf) Canteen. and most Important, coverage for the event.

We set ou for our VI lt hrighl and early at X.()()um L nheh.l1()\\ n'-.t to th e Colliery had a fe"" 111 ,tore - "111<.11) donatin g T-,llIrt\, mugs, badges, banner,> and speL'I<1I pre.,,, coyerage to go underground

Feeling both nervou" and exc ll ed, wearing our helmel, and full wo rh.w ear, we descended deep int o th e mine clutching ou r hamper full of alilh e usual p,u1y trimmin g,>. When we reached our de"lll1alion \\C were amazed to lind that all the walls were decorated Wi th brig.htl) co l oured banncrs which th e mcn at th c collier) had given up lim e 10 paint for us. Thc party wen t wi th full wing a we em plied our hamper of goodies. W e'd alm oSI 10,1 rac " of tim c whcn we reali"cd we ll1ustma"e o ur way back o th e surfa ce to Join rriend., and family in a ch urch service. parade and bufrct disco at our homc -v illa ge o r Hil co tc.

Our party gai ned a grea t am o unt of publicity for SI. Jo hn and in parti c ular our D iVIS ion Wc all cxpc ri ence d an enormou s ,en,e or achievement ha vll1g organ sed suc h a successful even t as a team. but above all it had becn an cxci lin g and unforgettable occasion.

T o win thi s co mpc titi o n is ou r Di visio n 's grea tes t ac hi evcmen ano o nc ca n t i ma g inc how ama/cd and cxc it ed we rell. Our pri/e money can o nl y go toward s a new hcadquarters which we w ill co ntinue

..

.and a deserving six of the best

SpeciaL mentio11 goes to Thetford St. John Cadets and Kings Forest Badger Sett 7.vho he Ld no l ess than s ix birthday Party Cha ll e11ges, tu w h i t : 1) il1 the monkey cage at K il verstone Country Park & Zoo; 2)

At t h e mayor's ch amber; 3) In the be l lto7.ver of St. Peter's Ch urch; 4) Behind bars again at Thetford Po l ice Station; 5) I n the St John ha ll, catering for 70-78 year o l d peo pl e; and 6) In t h e dock at t h e Tlzetford magistrates court. Whew A chance to acquire a

Fully-equipped including :

• 2 York II stretcher trolleys

• Backrests with folding armrests

• Scoop stretcher

• Carry chair

• equipment lockers

• Beacon, homs. nashlng lights

• Full air-conditioning in cab

• Side load door

• Partition with sliding door

• Lift up 3-way vent to roof

• GRP lining and cavity Insulation

• Slip resistant noor covenng

• Stretcher poles and stowage

• Spreader bars and canvasses

• Attendant's seat

• Piped 0 ygen system

• Workshop manual/wlnng diagrams

• Body and chaSSIS spare parts (list available)

• I etlcnng and tapes to requirement

Two different but compatible recollections ofRe111en1bran ce Sunday 1991 . On th e right, Ra e Elder d escrib es events at the Ophthalmic Hospital, Jenlsalem, w hil e below Shirl ey Cox and Andrew Woodnlffe fronl Stratton St. Margaret Division rev ea l 'w hat happ ens behind th e scenes at the British Legion 's Fetival of Rem e mbran ce.

Briti h Rail got u to Paddington in time to check in to our hotel before reporting to the Royal Albert Hall at 14.00 p.m. on FrIda) ovember 8th 1991.

Whilst security arrangements v. ere being made for u we met our colleagues III the muster from the Red Cross. We introduced ourselves and immediately felt le,>s insignificant-there were nov, fourofu,> wandering losl among the corridors. We were on th e trail ofGSM Mason who v, as to dnll us in the art of descending stai rs. If v. e had "nov. n then that his full title was Garri'>on Sergeant Major Perry Mason M BE our legs would have been even more jelly-like than they were already. The man was more impressive than his title. He stood six feet eight tall andhi Coldstream Guard tunic was buttoned right up to his chin. After a short lesson we, 'The Civilian Service' were left practising our big moment. Those two hours could have been Len minutes for the amount of good they seemed to have done

The GSM retumed! He too" u'> to 'The Staircase' into the arena. After another '>hort lesson to "clarify a few points" he marked out time and set u'> marching. We were awful. The tiny floor of the arena approached and if two of our members were still in step it would have been luck We tried again and it <;eemed to work. Once more, anolher failure. We were not feeling any beller. but that was it. We walked back 10 Ihe hOlel - that seemed so easy.

At breakfa.,t on Saturday we challed nervously. We were feeling sorry for tho'>e members of our group who had been unable to attend Friday's rehearsal. At the Albert Hall we had time for two or three more practice de<;cents before the dress rehearsal. Things seemed to be coming together.

From our assembly pomt at Door 6 it was ]4 S t John W o rld November 1992

difficult to tell \\ hat time the final rel1ear.,al taned For the fir'>t lImc. Richard Ba"cr IIltfl)duced u'> as \\ c waited at the top of the talr.,.

The music .,tarted, G Mason got u., mJr"lI1g time and orr \\c w ent. Wh ether It \\as nur unifollll'" or the full band, we'lIne\ cr "no\\ but e\ery thll1g came logether We got 11 fight!

Our confidence boo ted v.e weIll to lunch in thc officers mes and OIl to fre'>hcn up III our changing room'>. The COINaIll Lhaller \\LI" b) nov, far more People'.., nen e'> \\ crc gelling the heller 01 them.

We made our \\ a) to Door 6 for 1-+.1) hr'>

The matinee due to "turl ..,OI11C 15 minute,> later. It v. as almo"t IS.OO hr" before the GS\1 called u'>. Richard Ba"er annouIlced u'>. the band struc" up, G \II ga\e u.., our mar", the "potlight wa.., 011 uo., and \-\C \>.cre oiT. "Left, Right , QUIC" March". We dldn't reall) nOllce the audience until the) "tartd their applau<.,e. It \eemed Lo carr) u on our \\ a). We had to thin" "step ..,hoft \\ hen) ou gCI to the arena" so we wouldn't rush acro lea\ Ing OUI colleagues behind. Wc marched lip the qep'" to the other ..,Ide, remcmb eri ng 10 "v, ng our amlS, and broke 01'1' to our eal" on clther sidc or thc stage. The war widows camc after us, there couldn ( have been a dry eye In thc aUdllOrIUm. The Chelsea Pensioners were lao.,t, they got a sLanding 0\ ation a Ihe) came down the step at half time It was over, we could '>It bac" and enjoy the show.

After tea we had to go throu gh thc enllre process again - nervous challer. slomachs in knot'>, knee,> likejelly waiting forourcllc. Thc reelings at th e evening perfonnanc e didn I "eclll quite so strong. The audience was not enthusiastic and perhaps we had 'seen it before'! But the thought or their I ighnesscs III the Royal Box added something else. Three cheers for the Queen ended the pcrf01ll1anCe and our great day

Mcmbers or th e Order and it'> foundation hav e alway devoted them!->cive" 10 the relief of Ihe ufrcring and III I'CI) cau\ed b) \\ ar. The) have nurscclthc sic" and \\oundcd. brought relIef to pri"oner'> of war and refu gec'.. rai,>ed funds and, with the Red ro.., establi hcd COlll1111',sions and wa repre..,cntcd in the l1lall1thealre.., of war in c\\.?r) pan of the v. nrld affecled b) hO tllitlc s. () it '" a,>, v. Ith thc tradition 01 man) years, that the l. John OphthalmiC I nspital Siall prepared for Rcmembrance Da) on 0\ cmber 91h, 199 I. The 1l10rnlllg W<I'" "'lInn) ,l11d \\ aml a.., the I\tcr., and Doctor.., 1l1ctlnthe \\ arden & Chid urgcon· g.arden ,II () (}'L l(lL" (or coflce and c<l"c. The I"ter" and the 1\1,llfOn dre\scd 111 their fOllllal dre..,.., unilonn. IdleLllng Ihe Iradltional nur..,lIlg lInlfoflllofold, tlk' f\latron III her hflghl Icd t!re..,,, \\ hlch. according tn ImlO1"). l.,tCI.., of\1crc) \\ hll-,tlhe) to the ..,IC". The ter.., 111 glC) , long ..,lcc\ dre",c\. II1g 01 red \\ Ith hlac", .\.., .\ w"en 01 l110llllllng at the 10'>" of the 11(1) LlIld. Bolh the t.llfDn and I..,ter., \\ore their fnlh nllrc.;illg hat" .lIld eer· red Il11et!. hl.IL" lippeh \\ Ith the blcm of, I. John e1l1brOllkred llnthe left ..,idt' Thc \\1 .1rdell, lIpelllllendent and patflate mcdlcal ..,talT \\Ofe lull Ienglh, blac" cina" \\ IIh t hc "'pade "hal1L'd .,h it' III ()f he .1fIl1\ or the order dlspla) ed Uj1011 the eighl-poll1ted Lfl)"'''', el11bf(micred on their kit .,ide So 11 \\ a dre"',>ed 111 thell liner), the .,tarr dim c 111 LOn\ 0) 111 the ,>t .Iohn Ophthalmil Ilo'p ltal an.., \\ IIh ilLIg 11\ IIH!. to Ihe Jcru..,aIeI11 War Celllctel') on \h1l1l 1t '>Ctlpu"" Here. along \\ IIh thc Bntl'h Con..,ulalt" L Illted \a 11011." -rcl1ch, Belglcll1 .tlld paJ1l"h COIl,>ulatc tan. the Sl. John Ophthallllic 110 \Pll,t! MClllber., ,tood 111 ,\..,e1l1IllrLle aroulld the mcmorial 'T hert'. 1l1emher,> or the church. I11cludlllg the RC\crend Petcr roob. Fr. Jeromc \lurph) O'Connor. The Rc\erend 01111 \lorton ,lI1d Canon \\1 11I1,lm Broughton ga\ e the ..,cn Ile Follo\\ II1g H) milS. Bible reading.., and conk..,.,llln. the lay IIlg 01 wreaths too" place, eonclutill1g v"llh the Wal den & Chief Surg.eoll, Dr Michael Ward, la)ing a v. reath on behal r 01 St John. The ,>Cly ICC cllded foliov.lI1g rurlher h) 111n Thc Lord\ Prayer and B 1c'>"lllg \rtcrward rcl re..,hlllcnt \\crc proVided atlhe Bntl"h Com,lIl.lle. It wa" a \cr} spcclal and moving C\penCllle to be pan 01 thiS ..,cr\ ICC he Id 111 Jcrll\aiclll 'iurrounded by the grave 01 Iho'>c ",,110 had given th e ir live" for u and I leave you With the word" "po"cn on thl\ occaSion b) II.M Con\ul Gelleral Mr. DaVid McLellllan at thc scn ice. H'f lie\ .1/10/111(1{ t; 1011' (Ild.lll 1\ '(' I/wwr('/e/i gllJ\\' old. ut;e '/1lI1111111 11('(1/ llielll 1101 llic' y(,un ('olldell/II AI 1/,(, gmllt; do II 'II o( llie .1/11/ ulld III (lie J1/omlllg I\'£, \//(/11

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There are rile ba,J...et rull or Green Thing

Toi le lri e (cach worth (20) \\ ai ling 10 be" on. II) ou hal e to do i\ ,>end your an\l\ er'> o the belo\\ along \\ ith jour name and addre,>s on a poslcGrd 10: t. J o hn '" o rl d (Gr e cn Thin gs Co mp e titi o n ), L G r o \ e n o l'

C re s ce nt , Lond o n SW1 X 7E F.

1 ) Who la unch e d th e A lucan F undrai in g Ca mp a ig n fo r B a d ge r a nd C adet s la t prin o,?

2 ) How hi g h wa th e b ea n s t a lk that won th e ' John a nd th e B ea n s t a lk co mpetition ?

3 ) Which b ea rd e d bot a ni s t la un c h e d th e Safe wa, e m ironm e ntal tr a il e rdurin g W ee k ?

Rul es I ) Entrte Illll 1reach SI. John World b) Decemho,?1 7th. 1l)l)3

2 ) Onl) fi\c prt/e are to hc a\\ artled. In thc evcnt ora tIe "inner, "ill be b) a \implcdra\\ The editor', decI\ion final and cOITe'pondence \\ ill nOI be entered into.

J)Th e \\ Inncr ·llaIllC\ \\ ill he plIbl"hcd III a future i"ue of the Illaga/ine.

The Struggle for Pelce

"} (III aI'£' ql/cer '" .Ioid lite /lI'lecr. "lI'illt P/mli -

cilll' ,/Jililll, Portl' (/ncl/lOII cla,\" (/1/(1 pOri /(Ig£' ) 011 /1I01..£' (//1 Ihe cllffl'rellcc FOIII /iIIlC IS 10

fililll ' IIOlI'cI\oll gelllti 1I)('({(/iur I.. 11(1 lI'ledgl :'"

Tlie Siruggle lor emu' (ISB J () H63 ] 2 71(2) is the uncerta1111) "Oic11l11 yet \\ hl111"ical tille of Eric CI;\\.[OI1'" conlinuing hi\tol) orthe Casuallie" Union

Vithout the eL the or Flr"t

IIl.lunc':? There i:-- a thespian delight in lllat..inga11UnwLlr) Cadet laint but i.., it worth the Ito;/I lor dccertivc scholarship ?

These people arc JllIIllIl'ing the able : looking at the 1l1,m nrdeath ith a dircctne, or gale lhat111ust (iJ,cOIll fort eve11 the g rim reaper , nd yet, Cla\tonl, 110 philosopher. Hi, pro e drip.., \I ith the dellberale "'OIeCI..,Ill and di i11genuou\ gaucherie:-- or pre war "'oclet) you can harell) belie\e Ihl'" booJ... I, III It, first Impnnl.

to the r lrst Aider or evcn. In thiS ca'>c the reader!

Wells, Kent TN3 9PT. Tel. 0892 864668 or Fax. 0892 863558.

After the war is over

I (III/ {/fiwd Ililil 011 tll/ui/l/e 11/1111 he fired olll (1/ )( rhio Fltc POIII rctil!!,c('I Of"( /II IWI"IC Ullld'flOIlI/1lI1I ('1 ('/ l/lIl1\ ' //IIII<lr(,(/1 of \\ 011/( 11 lIlIcI chile/rul arc Illcral/\ I/(I/TIII!!, alld dyillr..: j1"t1111 (!lId tllld <'If1t/l/lle IICUI' Ihe/mlllicl' ."

Thl' c\traci (omc" Irom a icller \1 1'1llcn on

Decembcr I. I K76 b) Sir Vlnccnt KennellBarnnglon - and the hoot... r 11 11 All! 10 lite BUllhjmlll. ( ISS '\ () 7509 O() 16 -+) al11101,\ ,oldy L'ompo,cd of Ihe cOITe,ponuence betl\\::el1 lhl earl) [1loneerofllltemallOni.llmcdl(ill relief \\ orJ... and hi' \\ dc. lice n don'l be fooleu Ir ) ou liJ...c other peoplc· leller you'll find much to enJo) here. Kennell-Sarnngton tl., an e\emplar of hi' link'" - rearle", to Ihe POl11t or nal\cr): 111eLhaJl1call) IIltclligent and emotionally hidebound. Thl I not a hl"IOr). but a [1crsonal I 1,lon 01"1 \ major II ar.., in lale-19th Centul") Europe (11lcluciing the Turco- erblan \\ an from '0111conc \\ ho II a". ICI") much. Iher£'

The ht"tonan Peter lorn ha, done a \eru[1ulou Job In edlll11g the !eller, and et -

tlng Ihcm in come\l.

An 111tere.,lIng ubte\t to the talc,> of our hero' humanitarian truggle\. I'" ljulle ho\\ often Kennell-Barnnglon hlm elf I ill. Time ,111d again hi' Ierrer refer dl,ml, lO a range of complaint" from "no\\ -bI111dne\ 10 ,mLlllpo, and el en bullet-hole., 111 the head It toot.. LOU rage 10 be bral e In Iho\e day

Price: £1 '- 99

Alan u tton Publi h ing

P hoe n h. \I ll

hcI111\ford-ba cdcom[1'111) ha"Ju l taned ollenng a unique en ICC \\ hlch could compktcl) tran,rorm the \1 a) we all look at photos. The c0111[1an). Picture" on Ideo. t\ ofrering. a en tce 10 Iran, fer print and ..,lide [1ictures on to I Idco tapc Famil) and rl'icnd" no longer hm e to ern\\ d around 6" \ -+" [1rint,. or have to \\alt until darJ... 10 gel out all the ,lide [1rojector equipment.

Thc cn ICC Include a 100111 !'calure \\ hlch pick" out rine detail The 700ming action giYe., '>1111ulated 1110\ ementlO an OIher\1 i"c motionles picture nd Ihe line c'panded to Ihe ,i/C or the te!el ,ercen givcs an c\ tra dimension for the poor-"'Ighted, Due to the natural brilliance of the televi1>ion se l , phOlograph.., bccome alive \1 ith bright co lour , togcl hc l with increao.;ed co nt ra :-,t bc-

tween lighh and dark.

The \ tdeo tJpe can hold O\er 3':-0 images (ap[1ro\lmarel) 300 pholo,,) anu 0 all the pace used b) photo album and "llde bo,e \\ ill not be neeued: leas t or all the e\pen e. And of cour e the endb chore or catalogu11lg dra\\ er<; full of [1rint., and slide t.., remmed.

The picture transferred uo nOl al\\"a) s hal e to be in date sequence. A compilation or children. pel. and holida:- or a l\edulllg anl1l l el elr). b111hua). Christma." or the to\\ n Camil al and o th er peCial eyenr:" CLm be lrLubfcrred OIllO tape

Pictures on Vi deo hope man) peoplt: \\ ill cnjo) \\ <l lching their photo on lele\,i ioll and th at th e sen iee \\ til be a commonplace as the telel i ion and C<NiClle recorder. thereby bnnging a Ile\\ dimension 111 th e home emenain111enl indust!) ,

Post TraUllla Stress

18

James Cooper won the St. John 1991 Non Professional Nursing

Bursary with his project to find out more about post trauma stress and how an awareness of it could be of help to the Brigade. On this page he introduces the topic, while on the page opposite he outlines the content of his work.

Stre . followin g a tr a um a ti c in c ide nt -a ny thin g from an acc id e nt to a maj o r di a. te r - ca n a ffec t all tho 'e in vo lve d Thi s includ e helpers, o nl oo k r ' , f amili es, f ri e nd and co ll eag ues . Th e :y mpt o m ca n b id e ntifi ed a ty pi ca l of a ny ev nt a nd th e co nd iti o n in d uce d is kn ow n a: Pos t T ra um a ti c Stre ' . Our de finiti o n is " th e d ve lopme nt of ha rac te li ti c sym pt o ms fo llow in g a psyc ho log i a ll y d iseve nt o ut sid th ra nge of norllla l hu man e p r ien

'\iot all \\111 sufTer the '>ylllptom'> but v. hatll1u'>t be '>tre'>"ed I'> Ihatto be affected I'> nOlllltll. and such rea c tion'> are nOllllal. PT can influence an incli\ Idual\ reelIng dboutthcI1N?I\c,> and can afrecltheir relatlon"hips at home and at \"orl--. The indi\ Idual. lhe LlIllille,. v. and children can be caught up in change, outSide their nOllllal e\penence and thl'> can cau"e problem" at \\"orl--..marital stre" and breal--.dov. n of relat ionship"

When ') mptOlm ofPT per,i"t. generall) for morc than a month or "0. the condition i, called Po"t Traumatic tre"" Di"order(PT D) With PT D the pcr"on i incapacitated b) the intensit} of ,>ome or the '» mptom" , "'0 that tht:) arc unable to copc mentall) with the ..,ituulion. hen c e they u"uall) require psychia tric help. The 'ymplolll" or PT arc:

Re-experiencing

The event can be re -e\perienced day" or eVen year" after the event. For e\ample. '1omeone invohed in an accident can fcc I that the e \ en t i" happcnll1g again and the sensation.., and emotiom, induced at tht: tim e can be re - lived. Suc h ree ling can be triggered b) (e.g TV report ) or by sounds, and fcc Iing \I,. ith the event. There Illay be no imllledia te trigger bu t a re tu rn or th e experiquite sudden ly a t home. a t \\ or l--. , or

anyw here eI. e for th at ma lter, a nd these can be overwhelming and even disabling A prion warder involved in a rio t found himself a few days la ter c., itting on the floor of a supennarke t not knowing wha t was happening to him! T h e feeling of being out of control and his suppre sed fear had '1udden ly come ruc.,hing to the c.,urface.

Avoidance behaviour

People can ,eek to a\oid anything or an}one th a t reminds them of the event. for examp le. boarding a 'l h ip or aerop lane. or getting into a car. Denial of and reaction" can abo be common. ..,en,>e of i,>olation isoftenobser\'ed v.. iththis'» mptom.

ArousaJ

There can be an increased ,>ensiti\ it) to noi,e.., and the ,>ound can eem lil--.e an e\plosion. au,ing people to jump. Increa'ed awarene",> can mean an incapacIl) to accept or to cope \Iv ith nomlal beha\lOLlI from children. pou..,e or friend.., Thi.., call lead to olltbur"l<, of anger or e\ en \ iolence. or a relreat! rom other people into I"olallon For e\ample. on hi'> return from the Fall--.lanlb. one mamed "oldier \\ ould habituall) lock him elf up in hi" room for up to three da).." and at other time, be quite abu"ive and \ iolent to hi' \\ ire.

The..,e '» mptom\ can occur year after the e\ elll. but the) can abo be e\ ident immediatel) after or e\ en during a traumat ic e\ ent

The) can re ult in dine , and breal--.do\\ n both p r"onall) and in relatlon..,hip at home cll1d at \\ orl--.

Denial or feel ings or of the need for help can al"o be \ ery "trong and [hi,> ma) prevent Illan) frolll el--.ing help. e\ en though a "'pou..,e Illa) be dri\en to do thl.., ometillle.., a \\ ife Illa) present \\ ith problems \\ hen it i.., the l1u"band \\ 110 ha.., been through the trauma and stre"

There can be \aned general ) mptom of PT \\ hich mu) be "imi lar to tho..,e a ,ociatcd \\ ith los.., or gr ief. ..,en..,e or poin tl essn s. increased an \ ie t). depre ...,ion hame. anger. "SUf\ ivor guilt" fear of c losed (or open) '>11C.lce.., are common c \ amples Tht.: pen o n co ncellled can become incapable or ma k. ing e \ en the .., illl -

plest decisions, and he or she can become prone to impulsive action (such as excessive spe nding. moving home, changing life<;ty le e tc.). Th ey ca n become irritab le. suffe r from leep di s turbance and retreat into isolation. Physical effect uch as headache stomach aches. Ii tl essne s, fatigue, increased drinking and smoking are common.

The re can be change in \ alue and readjustment in relationship , . What i the point of a marriage. wife. famil}. job or indeedofli\ing v. hen you have 10 t fami!) or friend? Thing or people that v. ere once important become tri\ ial or unnece ar;. Itematively the per on can cling or become dependent.

Carers at risk

Tho e invoh ed in helping and caring role during and after an event can uffer po t trauma tre s. Thi include,> not onl) tho e helping at the time but also people uch a<., clerg), doctor, nur..,es. counellor etc \\ho become ill\ol\ed \\ith \ictim.., and familie follo\\ ing the e\ent.

Therefore a upport s) tem mut e\i t for carers and thi.., can tak.e the ..,hape of team support through othercarer,> and helper'>. but it can aLo come from ,>upef\ isor andp ... )chiarric upportteam - \\hothem"che,> ma) at ° need help.

P s ychological debriefing

fter a traumatic incident. all those in - \0" ed \\ iII need help and ,>upport. Thi.., can be t be done initially through a "debnef ..,e"sion" (pO ). A "PO" is a group meeting to re\ ie\\ the impres ion and reaction [hat Uf\ i\or the bereaved or helper.., e\perience during or follo\\ ing critical Il1cident-.. ac idenh or di a ter,> The meeting aim" to reduce unnece .., ,,ar) p,>ychological after-efYe ' ls.

uch debnding can be camed out in a group or on a one - to-one basi.., The idea i.., to mo, the indi\ idualthrough the e\ enl. beginning \\ ith the "fa 'ts" and then dealing \\ ith thoughts<lI1d impres'-.lOn \\ hi h lead'> on to emotional reactions and plan .., for '-.upport amI copi ng. An es..,ent wi lement I" to ho\\ tha t those aff eted are neither going mad. nor stupid or weal--..

0\ cmhcr 1l)92 • t J o hn \, o rld 19

At matters

If there \ one thing guaranteed to a joumali t' s day, it's arriving at an event to be greeted by the wellintentioned words, "You mi all the excitement!".

The 'excitement' in thi" case wa the pre,>entation by Dr. Keith Littl e on the "ubjeet of trauma. The accompanying '>Iides to the '>peech had aroused comment at th e Medical Conference ear ier in the year ". at the Brigade Conference they led to a more direct response. Member) were to be found staggering out of the bad, of the hall. green and fainting.

" It wa the snapped duodenum that go them l " observed one of the members of th e Medical Standing Committee with un'>eemly enthusiasm.

"It's a good job the national pre'>s weren't here. The y'd have had ajleld doy.''' added one of the PR staff(which aho lacked feeling, but then you expect that from a PR per)on).

Hearty stuff

The titl e of thi s year's conference was 'SI. 20 St John World ovember 1992

Buxton venue

It \\ ollid be ,,\ well to dra\\ a cOillpamon \\ 1Ih la"l ) car'" conference hell', v"hcn: thc u"c 01 \ Ideo \\a,> the ulldolllg 01 at Iea'>t onc or thc prc,>clllatioll". Barbara Ra) Ilel'" 'nev\ -.ca,>t' \\ a., an ambitiOUS melange 01 techn Ical eflect" and It \\orkcd \\ ith nar) a hitch rhc Pavtlion Garden" In lor a "Iighll) odd CtlnicrellCe \Clllle. Thc Cadet & Trail1lng Departlllcnt'" londnL''>'' 101 the 1O\\n ha inured thc Inhabltanh to the ,Ight 01 Llnlfol1l1" and pOI III cd ci()",>c..,. and thc) tcnd to \\ ,1I1der through the collee hal''' (a'> '" thcll right) at odd Illornent". prodUClllg a CllrIOU\ "cn"c olllI"lncatInIl 1 he audItorIL,m 1\ a tlelightlul Victorian thcatrc. \\ Ith good ,IL'OU-.,[IL·" alld a re,t1 '>elhC of aIIllo"pherc.l ov. allca"t OIlC L'llUllt) COIll1111"\lllIlCI I\U'> hcard to relLwn lhelc \\Ith an trntahk \It \\ ('//. hele In lli< 1/1 ( II/h'" and it l11u'>t hc all()\\ ed that tl1\: call ip) gou" L11CI uh, Laroll lng around thc ccIllng \\L're not Idcall) "Lilted to talk or lund r'''''lIlg ,\1ld llaillIllg '>cherne, kt alpnc \n,lppeti dUPtiL'nLllll,. III.., no "eerct that l.tn \ lood) the COIllmi,'Ioncr In ChiC!. \\"" dl..'tL'rllllncd tn do a\\a)

\\ Ith the '>erapp) cdgc" that Ill,lrled the conk-rCI1CL' In t)t) I. and It \\ "" LJLllte kar that hi" leam "ucceedcd In 1992. 1ll11\t go to P.I" I)e Dcu\ - the '>l11all tcaill PI' prolc"'lunal ulllicrCIlL c organl '>CI" \\ htl L;I1l1L' 1.1 "ThL') \e beell reall) hrIlliant" <)J\\ \\a" ,1'>urcd Fund friend , And Llle\\a) \\(/\ thcrc, of LOUI"C, Inthc doquem "hape of ColIn I11lth 1 hen: I" ,I j101Ill of \ IC\\ that Ch,lrIlie \1CL(llllC llo\c1) CIll\\ I1lcL! \\ Ith LOl11pallle" at thell pcnl' th ,\I thc) bccol1le cI</Wlld<'1I1 on " UlIllpclIl) and arL' then tle"tmyed \\ hClllhe LOmpall) L'\ elltu,t1I) L1lOo"e, tll "" ap '1IIegl.lnLe' learl) lhc dangel I.., tilcrc. hut thcre arc "uhqallll,11 bend II" from .tII :i'>,OU;lllllll that c\tcml,> bc) ond tilc pa","'IIlg onol ,I chequc. anti Ct)lin Illlth'" '>pecLh L'\clllpIIIICd them.

John: at the Heart orVlatter · -ami the Ile art 01 Mallers , v. c v. ere told, \\ a-. the member

Thi,> i., fine rhetoriC. but hat did Il mean?

The onl) member" on the "tdge \\ere the Cndeh. Sll1CC 7Y>{ 01 SI. John Ambulance arc not adult member,> thl" \\ a'> 0(11) light. and the) ga\'e an excellent pre'>entatlon although <,land up the pcrson who wrote the line. " kC'cp 1//\ rool1l Iidy so 171.1' 11111111 doel/l'/ h(/\'(' 10 i/o 1/".

Who IS kidding v. ho? Since thi., is probably the last confcrcncc review (' II nte, I'd like to ,>uggest that v. hat dl tlngul"he.., a adet frolll a non- adet n·t that onc I., a '>aint and the other i-. a .,cum bag: It '., that thc former more IIkel) to u.,e an a'>htray to put their cigarette out With.

Barbara Ra yncr'., prc)entation (ill which .,he continues to pursue her alternative career within SI. John' s markcting departmcnt a., a newsreader) concentrated on 'member!>' per ,\(' And a good ,>how it wa., too : Minibu.,e., in Coventry, Can-recycling in Winchester, a Whit e Camel in Suffolk and 1110/1710/1 Blunt on his bike. Tangible evidence that "'Olllebody in HQ must havc travelled out.,ide London in the last year.

pelcncc You clon t have to be Wellington or Churchill to pick the out ora bin to Illake sure therc a fire at King,> Cross". lie relatcd with glcc a too-realistic training exercise (pelroleum train crashes mto passenger tr ain) whcre a hard -w orking memberofthe a,>ualties nion was Icapt upon by a passmg doctor and Injcctcd WIth a copiou,> quantity of pcthidlne before he could be stopped.

"Before you act, gel all the thcn set the action plan That the golden rule" concluded ir Bob

All led nicely up to thc prc'>cntalIon of the Adult Leader Training cheme.

If the Cadet and Training Departmcnt ha\ leamt nothIng dunng the re,>earch that led up to the launch of the L TS, It ha'> leamt c\acll) what fear the) havc to allay. ic Sugglt ha, an ellcctlve way of wrapping hi., right hand around an Imaglllary pen and shak.Ing II at the audience when he wanh to empha".,e a poinl.

II together then : the Adult Leader Traming cheme \\ill (\!/lIke) pnor leamlllg : (I //(/k(') be Ilexi ble: (\//(/Ae, I/nlAe, not be an ob tacle to promotion

The ALT II III bc launched In Januaf) ne\t year and. to he \enou".1 heard 1l00hmg but good ald about It In the loyer aftcrward.,. The C T Department clearl) bellcvc" the ALT \\ III benefIl pcorle both In and out 01 their I. John acti\ Itle\ and there c\er) chance lhal \ IC uggIt' 'i \\I'>h (" I'd like to more people on the ,,('heme than lhere arc places a\ atlable lO hc promoted to .") \\ III be mct

Emotion

But \1 hat happened to lhe Heart of \1allef', ? here \Icre the member..,? Wcll.the nturda) e'>'>lllll Loncluded III a ..,hamelc..,., Ilurr) of clllotional presentation" that - to be openly L;' mCLt! a bU"lnc,,\ anal) \t \\ ould

Therc \\ a" a ho\\ Ing of lhe ne\Y and ralher good \ Ideo Oil the OphthalI1l1c Ilospital (\\ here, a" Dr Tim LI\) memorabl) notes," l. John prm Idc a lir'.t \\ mid <.;Cf\ ICC to a thl I'd \\ orld communi I) ").

I lerc I'> a mall \\ ho kllll\\" hi" .tUdICllLC : hov. to them laugh (" Thc problem \\ ith brIcling ",e'>-'Ion I" that) ou gct a Illa 01 Idca"." ). kn()\\" \\ hat the) nccd to (".\ good rule 01 thuillb that all) fund-ral'lng L'\ ent hould make Lit 1e,I't t \\ ILe thc mOllC) ) ou \\ lluld lI1\e\t In II ."). and bCIICI thail III fced thcm untruth" ("Tlllle,>(//'(' hard The OT) J COIll III IIlce 1/(/\ had to canccl C\ Cllt" ilL'cau c 01 doubt'> about thCll l<lbtlIt) .")

It i., IIltere"tlng lo notc that OIlC of olin Smith · per..,onal crcdos sccms to han: crcpt Into l. John managcment training namely : " II Ill) "trong belief that for each and c\cry «cti\ Il) somCOile ha to be respoll"iblc alld accountable lor It or) OU \\ on't get the he out of It. and It Illa) not c\en happcn Off the rails

And Irtherc wa a ub-thelllL' at the L'onkn;llcC thi., year, it was leadership II' Bob Reid (the) Inilialled the cOlllpany artcr him) \\ LI the guest speaker and m inglccl allecdelle' WI t h nla\lIllS 10 good effecl. He has all clkctivc lille III blad humour.

" I want to destroy the notion that good manager.., arc born and not lllade," say Sir Bob "Managcment i\ the acqui"it ion of coIll-

Thcre a ,llollg Mound a IlIle rrom hak.cspeare· <.; onnel "The 1\ onh ofthall lhat v.hleh It contain,," In till', Eleanor WIIkllm from LnI\er.,it) 'o llege. Oxford conlcmplated the aluc of life : dnm ing metaphor, from her 1\lt to a French cdthedral. It ,nund., cOllln"cd and frLlnk.l) <\\\ fu!' bUl Williams has a temlic pre\ence and a real gift fOinarratl\c logic. h:\\ people III the audiLOrium \\ ould ha\ e heard a better '>peak.cr In lheir 11\ e\ and lheir applau<.,c sh cmed il. II you weren't lherc, yOU mi sed \omethlllg FlIlall), there v\ <1'> a second \Ideo, pia) cd nut to the tune "He ain't hea ) ". ". v. hlch sought to show the t. John IllembL'r 01\ a hybrid hetween a saint and 1I "tar in Llllllctionmovie It sLIrel) lert a lump III <)9 (''( of people· throah, although III Ill) ca e Ihe lump \\ <h funherdo\\ n thc oc..,ophagus

Dependable ervice

ullda y aw the hur h sef\ Ice, a presentation , on the Breath of Life campaign, on thc Bu\ton Mountain Rcs cuc Team. on The Order of I. John, and on the \ alul: I' good pubiI relations ince the editor was indisposed (no it wasn't alcohol, nor was it a bad of Jacki e .111) '" although the latter was probabl) a contribuLOr) factOr). a nUlllberofCadeh \\ ere deputl ed 10 co\er lhese e\el1! Ala onl) one aClLIall) put pen to paper. Three cheers. then, to DallIel 1\ln) a adet crgealll of Llchfield 01\ I,>ion. taIT" " \\ ho e Impre :ion of the PR pre,enlalion 1'0110\\ ,, : "Thl' pre..,cntalion \larted \\ IIh a rellllllder that publiC reialion is e\ er) thing that \\e ..,a) and do. The ne\\ "Breath of Life" campaign betng an "our e of Public Relation "y e v. ere then to lhe 'bad c\lImple' displa) - gi cn b) t\\O Brigad members \\ Ith a son of ulllfolln on! The) toyed \\ ilh ha\ ing a tople-, model I) ing 0\ er the bonnet of an ambulance, ju. t to k ep up \\ lIh Ford otor ars - certall1l) an interesting Ideal "But then, t\\ 0 OUI of ulllfollll l. John member", caille 10 sho\\ them 110\\ It Is done. One of the se 'out ofUnlfOnll' member" turned out to be Hedli of Radio l's J,rclt('rs. ., he is VCr) proud or the fact that she is the only member lIl t he c Unl) of' Borselshm::' and her l. John unifoml e\en has Bor..,etshire· COUll! Ilashe\. made especiall) ror her II In all. an C\ccllelll presentation. v\ hlch te.Klte\ us all somelhing, and tells us all to imprtH C our

Conclusion oncluding

Call and Divisional New

8edgro ve Cadets organised a special party for the elderl) at Long Crendon Day Centre as part of their 70th Birthday Celebration

The party had a 1920's theme and ever) one had a vvonderfultime dre sing up and dancing the Charleton. 91 year old Mr\ Wahh is pictured \0\ ith Cadets Holton. Heather Stretfield and icole Henderson.

Corresponding interests

If yOU recall, in 1arch 1991 a member from R)hdl and Huvercrort Oivi"ionill West Yor"sll1rc a,,"ed for a pen-pal. I \\ rote to her and invited her to help out at a big steam ralr 111 Shartcshur) When I ir she could \ isit again this year 1\\ as told that \-\c had enough member to CO\ er the dut). I ha\'e heard "lI1ce that we ma\ not have (".the Count\ Orfice ncyerconslder number.., long cnOLH!h then the) \\ hy people le;\e our sen ICC). II11) self\\ent up to the Yor""hire area last year 011 two oCGhion ;\\ gucst. fiNly ofl11) fricnd and second of her Oi\ j"ion. 1ha\ e en4uired ofm) count camp co-ordinator irlll) fncnd can COIllC to camp nl'\.t year and have as"eu her to i r I can do Ii"e\\ l'oe at her coun ty camp. Both myself and 111) 't'orbll11'e fnend \\ould II"e to receive mOl'c nl'\\ S1. John fricnd"'llr all ages from all area". Whate\ er happened to the pen pal sect ion that 111) Yor" Ime fnend 'ougge tcd ) C.M. P,wton Sherborne Dor'>et

The Editor replies - As :\tIr. Panton ha li found out, the letters page can \\ork \\ ell for contacting pen pal - it doe n't ha\c to haH a pedal ection. Perhap., others \,ill he in pired b} hi success to \\ rit e in

All's well that enswells

Your article on Sex and St. John' in the September i.,,,ue reminded me of a duty \\-hlch I CO\ 2-3 year ago with a rellow officer at a perfonnance of Sha"espeare at the Open Air Theatre at Cliveden.

Ounng the intef\ al a member of the cast had a full cup of hot coffee "nod.ed over into Ill'. Idp. After treating him. by which tim e In the vulnerable places were hec01l11ng e\ident. he rerused lO go lO HO'ipital. and went on to play in the last Act - 1m doublet \howing t"-'Ice the padding of hitherto.

A" he went off to jom hi" fellow acl'> (The "how mu<,t go on!) he remar"c-d, "That', th e ra'itc<,t tim e J have ever allowed two females to remove my trouser with no objection from me!".

Worthwhile time, in a rhyme

A fll1e bod) 01 hoy and glrh an: \\c.

o WOIl't ) ou Lome ,111(/ jOIJ1 u, plea e. [\CI') Wcdne<,da) at "'I\tlmt) harp, \ OICC )ou'lI hc,1I the..,e llIder.., har".

"Tal!c,t on thc !lank,. \hOlte-..r in thc middle"

\\e go In thc 1l1iddlc "·Cu \\e're onl.\ IIttk"

Then tn \\ or" \\ ego \\ ith plent) 01 le,t

Those ofllccr 11e\ ' el )!i\ e u a rc t. h\lng pllJ1\', and t) ing Iing'

Oh. thcrc arc \0 l11any thing". hila granny m 1\ 11 a reel.

I pull 11 hard and. tu 111) relief

That little "not ha taYL'd tied tight. \nd 1'111 ,0 pk" ed to klHl\\ 1'111 nght.

\\ I.' h,1\ I.' al..,o!carnt h!cedin!.! Irom the no,c \nd did) Oll "no\\ phalangL:- II erc your toe, ) ) Oll have bon\.: all dm\ n )Olll plnc

Thirty three or them all in a linc.

The name of these all' \ crtehrac

1'\1.' linall) I'L'n1\:l11hered. hlp hip

We h:1\ I.' to !cam thc pre sure pOlnl\, \nd do ) llU "111)\\ .thout all )- (lUI ,1uillt,. Thcrc', I'raL'lure, Impk and rr;Jetlll'C, L01l1puul1ll.

C; Ia in a \\ (lund ) ou put hui It Lip tlre"ll1g round

r UI' th(hC \\ Ill) hal L' "tupped thl'lr 1I.'",plratiul1. \\ care t,llIght method, of re'lI'l ltatIOl1

On Re\u\ 'Annle \\ I.' hal I.' a go Into her art i lil ial lungs \\ l' blul\

Scald and burn"'ldu ed b\ heal. \\et <Inti dn.

T() rel11Cmhel \\hlLh" \\h'llh I \all1l) tr)

Thc, arc treatcd ulldL'l I'unnin!.! \1 ,Iter cold hy our onicer \\l' arc tohl

The day an e for uur te t

fm us to do our \ cry he,,!.

And a hr..,t Idel had)!l' to \I in'

To proud I) 011 our uniform PIJ1

If h) our cl"lorh \\C \lrI\ e

10 h.ccPJu t onc pcr oll ali\l'

And to heir to mend 01 ca c a pain

Theil WI.' "nm\- our stud Ie are Ilot In \ alll.

So top Lll1d thin" all 01 ) ou, ror a bro"en hac". \\ hat \\ ould ) ou do'

MI·s. \. DNO for lIa'>ting'> C adet

(Described h, our informant, "P\ ", as a mid", ire nurse, painter and local /immer )

St. John in the U.K.

We. the Ambulancc Cauets of Ro)ston. arc underta"lIlg a projClt entltkd "St John In the Lnlled Kingdom " ThiS II, bCll1gdu1H.: a.., part oftheCItl/enship proliclcney \ubJect. it entail gathenng II1rormation from C\CI') OI\I ion 111 the LK and we hJ\c ,>ent 4ue'>tlonnalrc,> to ever) county HQ for o1l\\ard ul tnhution to their Di\ i'>ion We arc recel\ ing replic'> daily rrom these DI\ l'>lon for the mo"t part the replle arc \ cry good and 01\1"'1011\ arc \\ishing us \\cll 111 our 4UC\t for 1Il10nllation tn :Idd to OUI regional map The map ha all count) II.Q : mar"ccl anu all information from thclr 01\ Ision \\ ill he Jdded LO the side or thb map -\.., progress IS madc \\ I.' h()rc to havc a set or har graph" \hO\\ ing thc rc ult ofthc in 1'()11l1at ion gathcrcd

A thl' I11dp gro\\ \\ c \\ II he taking photographs and hope tl) end the..,e to) ou lor II1clu'>lOn \\ ith pcriodlc report We hal e alread) hecll 111 touch \\ ith Gro\\enor Cn:..,ccnt and thcy hLl\c "ho\\ n intere t in ourprnJcll anu \\ ill gl\ I.' a lstance 111 .Ir1\ \\ a\ thn l,ln - If anyone ha mJlcr that mal help u \\e \\ III he \'er) plca\ed to hear from )OU We than" all 01\ I,ion that hale .Ilread) repllcd ,lI1d tho\c th,1\ h,1\ e yet to reply pcclLll than'" tll the ount) H Q " I'or their II1tcre t ,Ind Cl) - Operatlon Thl'lr effort'> arc 1l1o'>t JPpreclatcu b) u all r 'IIthful".

DIS R : Jakubiak &. D 0 0 Cottington ston \mbulance Cadets Hert

Thanks

Thc annual adet COlllercncc \\ hlch \\ ,\'. hcld at Bu\ton. Oerb) shire \\ ,I" c\cellent. I had a \\onderl'ul \-\ eckl'nd Icarnlllg ahout all uillcrcilt aspects olthe, t John \mbulann: Bngade As a Cadct olthe County lor ottll1gham thl" ycar 11 also mcant that I had tlnlL' to Cillch up \\ Ith old frIcnds that I had mct mcr thc ) car. [ also made man) nc\\ friend \\ cll'! Thl' prc cnt,1I10n at the conlercncc \\crc e\cclknt Lind c\eryhod) 111\ oh cd on and ofl ..,tagc Lit thc conference de crve a big. round of appl'luse. Let's hopc that ne\t confcrencc 11\ es LIp to Bu\ton. Well done.

About turn

c\cr. e\er. could the Count) of A\on be calledbac"v"ard.lfourlovely lad) SueJosham could reach the Bngade Finals (and our team get ccond place) the least) ou could have done wa" to print hcr photograph the right v. ay round on page 13 in the October Sl. John WorldlInle,s. of you \\ I h to de cnbe the fair Count) ofNo\aa" the bnght stMofthe St. John flnll.1I11Cnt

C. A. Blunt

Principal E"ecuti, e Officer of \ on.

The Editor replie - !nmaO

Maintaining the tradition

Thc 1(1//011 /c{fer has hCCIII)(/Sscd 011(01/5 hy (,J'u Gillman. CPRO fiJI ' LUtCS({'/'.

\\thde on holIda) In \la lta la,t Ea"ter. \\e \ ISlted Valetta .lnd "ent to t. John co-Cathedral. \'. hll h \\as unfortll11atel) closed for Ea"ter decoration. r-..1) \\ Ife and daughter \\.ere tal"II1g to Ol1e of thc ladle decorating the e\tenor \\ Ith palm ka\ e" and arum Idle". \\ hen the IJd) ClIt her f1l1gcr tIp \\ Ith her Ilon"t·.., cl\sor..,. Hekn. ilgcd II and a Cadet \\ Ilh the Loughborollgh COl11hll1ed Oi\ Ision. Il11l11edlatel) got out

First Aid "II. dre ed the \\ ound and put a plaster on it We" onder hO\\ Illany other Cadets. or c\ en adult'>. can actuall) Clal1l1 to ha\l' lIscd tht:lr training. not only 111 f\1alta. but actuall) on the teps of the bUlldll1g founded by the Kilights of l. John.

The source of care

Sl. John's First Aid, what a fine brigade.

Dressed in black and v.hlte, Their alms to care ror people

To help them in their need.

The) never have to worry

About colour. race or creed.

The) give their tIme to help folk.

To give a helping hand.

A pIa ter here. a compress there.

Re')u citation any" here.

A slmg. a bandage all for free.

St. John is there for you and me.

The) tend _ chool retes and Hor.,e "hov. and e\ el) sport. Their lime IS given freel).

But does an) bod) "no\\ Ho,,-, man) hour of tudy Ha .· gone Into e\er) show?

St. John'" mut be a '>pecwl breed

Of the canng. lOVing "incl, Whene\er it i [thlll" of them

It· \\.Ilh thiS thought 111 mind.

The) give their time. their thoughts their love.

To all \\.ho need their help, It' done for free. I\, hlch eems to me

Mut come from God abO\ e.

\-Irs. E. \-, ileo" Wickford Oh i ion.

Miss M.F. Weller County

Vice-President

Berk.,

Complete Range

Designed by users

Paramedic to First Aider

Lighter than metal cases

Flexible to work with Safer in a moving vehicle

Physical

Disability ,

Mental

Health , and Rehabilitation

Thi" conference \\ill II1\ol\e '>peaker" from all area" 01 rehabililati(ln \\ Ith an emphasis 011 the mental health necd" or those \\ith;1 phy"ieal di<,abilit) iu ch of the conference \\llIloClI\ on \\ hether the person \\ Ith a phy-,ical lhsahiilt) i" gelling the sen lecs they need hoth \\'lthll1 cOlllmunit) and hospital setting" A number 01 lcadll1g agellclc<, repre"e l1t ll1g tho<,e \\ Ith particulcll cOl1ditiom or lln esses \\ iii be in\'ohed ill the coni'crence.

The conference i'> "lIltablc for all tho<,e invol\'ed in the managemel1t 01 trentl1lent of th ose \\ ith n ph)"iCLIi di"ahi ilt and lh o"c h a ing a pil)"lctli di"abilil) and their rel llives

Wednesday 3rd March 1993 Price: £55

Pr ognll11ln e a nd application form, from: Philipp a \\ rit / The Conference nil. Oepartlll e ni of \I ental ll callh Science" SI. George', ll o pital \l cdi n ll School, C'r.lI1Ilwr rerr ace, Lond on S \\ 17 UHE lei : OIlI ·ti71 hI. 555J-t St. George Ho pital Medical c h oo l a nd H ea d wa) Joint Conference

Resusci Annie and Defrib Freddie

15th October 1993

£55 I n each health dl'>tnct 6() pcorlc wi l l ha\ e a "c\ere heat.l1l1Jur)

A shocking tale of romance and horseflesh discovered in the shady depths of Shropshire st. John society. Should anyone care to own up to having written it we shall, naturally, credit them in the next issue. fell in love with Fred at Ludlow Race'>. We 'ad both been of the Ludlov. t J ohn Ambulance for year'i but it wa not until that fateful da) at theJune meeting th at I "aw Fred in 'is true li ght. You may ,>ay that ju" t a" t John mbulance ha burt into a ne\\ and exciting future \\ ith a ll this bu,>ine"" of Energ programme,> and paramcdlc training, '> Fred b unded in to m) 'ean and lit up my life.

It 'appened when an 'or"e 'ad an 'eart a t th e third fen e out. Word was Ila-.hed to our Fir'-ol id pm.t and Fred leaped into ac ti on- 'e wa<; ga l ani'ied,you might "ay \ tth one w eep of 'i,> aIl11 'e 'ad 'I'> dernbillatororfthe "hell' and one bound '1m Into the ambulance. It v.a'i \\ atching lint Ea tv.ood grabbin' 'i" ritle and leapln' on 'i or e and m) 'eart thrilled a,> the ambulance, wtth me in the 'vVo nd enng v.hether a triangular bandage v.o uld go round an 'or"e" sped dov.n the cour"e.

Blue lIght tla"hlng and "iren "ounding, v.e raced to th e ,>cene and bra"ed to an 'alt b) the poor animal. Fred \\ as out before we "topped mo\ ing and in econds 'ad c lapped 'is dribillator on the 'or ' e 'eart. " tand bac", C el") body" 'e cried, 'I'm going to give it to 'im". Then 'e pressed th e button and the 'orse t\\ itched all over but th en la) '> t ill. ''I'm a-going in agai n" shou ted Fr d and v. ith grani te face and s teady thumb 'e pressed the button. It

Brea "in gv. ind li" c a thund r-c lap and neighing lik e th e sq uee " y bra"es of our old amb ulan ce, th e 'orse wason 'is fee t and ofT clown the co ur e Ii a tw o y ar-o ld eha s r, although 'e was a fifte e n ea r-o ld point - t o-poi nt er car r ing a s t o n e of 'a ndicappin g weights.

Whil e all thi s was go in g o n 1 co uld 'a rdl y takem eyeso lT F redbu tll1) tJ ohn

Ambulance training and experience did not desen me and I did a ll I could for the Couldn't 'elp im much though: 'e 'a d broken 'i'>neck, poor od! Defribillator couldn't <;0 1 'is problem but the owne r was 'iort of philo ophical about it and said it cou ld be worse becau e 'e reckoned the 'orse was worth a ight more Thi,> i" an ordinary little stol) and you may v. onder v.h) I am telling it to )ou.

Well. I think. it shov. that even the mo t unlikely things can rou e u . Be the an .' wer to a maiden' prayer. you mlghtay Fred and me might have gone on in the Ludlov. divi,>ion all our li\ e, v.ithout realising that we were oul mare but th e defri bi lIator not onl) gave the 'or e 'eart a life- a\ ing clip under the ear'ole - if youee what [ mean - but it opened our 'eart to each other.

It v.::ts not only Fred' manly 'andling of the machine v.hich made me ' ee'i true \\orth, but 'e il) s it the admiration III my e)e'i v.hich made 'im look at me in a ne\\ light. 'E "(1) it made 'im -.ee right through my unifoIl11 and into m) 'eart. I ,>a)' I 'ope ' i" gaze did not top on the \\ ay, and eetng a" 'ov. 'i<; ears \\ em bright red at m) ripO'>te, J 'aye me doubts.

0\\ \\le are married and we 'a\e our very o\\n defribillator. We k.e p it on top of the tell) sO it's a l\\' a) before us as a reminder of' \v it br ug ht U together. It abo 'as ib L1 e other th a n a memento. Fred s it come in real 'and) \\ hen I sa) l ve got a n 'eada he a nd there are time: v. he n [ find it s effe t on Fred (pani ularl) after 'e 'as been to th e pub) an be \ eT) acti\ating. o tthat 'eoftenn edsmuchin th e v. ay of stimul ati n, if ) ou m )' mea nin g! 1 so me time ' th in k 'e 'as a so n of perp e tual m o tion, s If -ac tivating defribillator of 'is o \,\'n 'idden so m e \\ her about 'i: perso n Me mam :<1) S 'e: go t a mind and ought to 'a \ e somethin g pu t in 'i tea.

CrossW"ord No 11-9 by WA Potter

(7)

18 Eye reputed to cause illness or inJulY (4)

19 Airlinc lI1itially lonnll1g a laycr of meninges (3)

22 oumhll1gdishfrornWest(-+)

23 Healthy, happ} countemmce (7)

26 Second cervical vertehra H)

27 ltn colourallon due to lacl of oxygen in blood (4)

28 Lacerullon in the lll1 (5)

30 Dlsea,>e sudden I} and rapldl} 'opreadll1g through a region (X)

31 Affected by genetic dt"ordcr IIlvol\lng lacl of melanin (6)

32 Dt'>turbcdtlmc for diet uy con'olltuent (X)

33 Palliatl\c treatmcnt for phaJ)nglti (6)

CLUES DOWN

I nubs men for ha\ II1g no feeling ( Blu'ohcu : a differ\.:11l Dr needed (, )

3 Ila\ Ing much 'iupcrlluous fat (5) allian!. though 'ouflcnng from cardiac adlpo,>ity? (5-7)

6 Cheal a drug adutctln health} period (-+)

7 Phamlaceullcal Ila\ ounng agent pro\ Ided b) tugmcn (0)

8 FOil)) 01 gene detelll1111 IIlg phenotype III small c1eph<Ull'> (6)

II omnambulism

15 \lcimll1git::ss rhetollc for Ilatulen c H)

17 Pan of Riot ct \\ hich is e\tremely "mall H)

20 elN: organ \\ nh thll1g gl\ II1g proteclton agatJl',t hex-I-. (, )

21 In"trument for e\t.lmll1L1llnn of the ear drum (l )

24 \Imc aboul \\lIdl) 1'01 one\ "hole professlonallifc (,0)

25 Onc· octal en\ Ironment (6)

28 \\Cepers 01 tile respirator) passages and eyela"he'i (5)

29 Ilem, arranged to IiI together c1oscl) (-+) ,

Cardiac arrest. And the fight for a life begins .

Cardiac arrest! Immediate CPR can reduce the risk of severe damage and increase the patient's chance of survival. Now, new scientific research on the Active (ACO ) CPR method shows improved cardiopulmonary blood circulation compared to standard CPR*.

When the rescuer pulls the device, the chest is actively lifted and expanded by a vacuum cup. This lift - the decompression - increases the venous return flow, giving improved filling of the heart.

STJOHN

PRE HOSPITAL CARE CONFERENCE AND EXHIBITION

Progran1n1e

Saturday, 27th March, 1993

0900 - 1000 Registration

1000 Welcome address and Exhibition opening

1030 SESSION 1

"Thrombolytic Therapy in Pre Hospital Care "

Case Studies and discussion

Dr R Woolard, Department of Emergency Medicine , Rhode Island Hospital, U.S A and

Prof. R Vincent , Specialist Manager, Cardiac Dept ., Royal Sussex County Hospital

1115 SESSION 2

" Development in CPR " Airway Management ; Defibrillation ; Drug Administration ; Plenary Discussion*

1200 SESSION 3

" Early Treatment and Transport of Spinal Injuries "

Immobilisation aspect

Dr J. H E. Baker, Cardiff, South Wales Road -v - Air Transport

Dr. R. Fairhurst, Director & Chief Medical Officer, Travellers Medical Service

1300 - 1430 Lunch and Exhibition

1430 SESSION 4

"The UK Pre-Hospital Care Scene "

Dr. J. Fisher, Essex Joint Colleges Ambulance Liaison Committee

Dr T. R. Evans, Chairman, Joint Colleges Ambulance Uaison Committee >JHSTD Ambulance Paramedic Training

Mr. M I. Willis, Chief Executive, Norfolk Ambulance NHS Trust

1545 Al1E7rnoon Tea

1630 - 1730 Vehicle and Equipment Concepts

Mr V. Jolliffe, Chief Ambulance Officer, Dorset Ambulance Service

and Mr A Parr, Training Manager, East Sussex Ambulance Service

1730 EXHIBITION CLOSES

Co-sponsored by professionals of the industry

Sunday, 28th March,

1993

0930 SESSION 5

" Criter a Based Aided Despatch and Te lephone CPR " Seattle Experience

Or C Horton , Medical Director and Unda Culley , Program Co -ordi nator, K ng County Emergency Medi cal Services Division , Seattle , U.S A

1100 - 1430 Lunch and Exhibition

1430 SESSION 6

" The European Dimensions " Or E. H Dykstra , Center for Internati onal Emeigency Medical Services , Germany

1515 - 1600 Afternoon Tea and Exhibition

1600 - 1730 Veh ic e and Equ pment Standards Germany

France

Mr P Peemans , Sales & Marketing Manager, Ferno International and one U. K. speaker 1730 EXHIBITION CLOSES

Monday, 29th March, 1993

0930 SESSION 7 "The Armed Services Resources " Wing Commander S D Milne , RAF Brampton

1000 SESSION 8 "The Health Minister Perspective "

1030 SESSION 9 "The NHS and Civil Emergency Planning " Dr H Baderman , Consultant in Accident & Emergency, University College Hospital , London and Mr. F Thornley Chief Ambulance Officer, Oxfordshire Ambulance Service 1115 Exhibition 1215 SESSION 10

"

are 1 "hould he I) pt.:d. douhlt.:"paced. Ollllnc "dc of A-I paper Plea,>e \ure e\ enl\ are properl} daled and thaI Ihe author LOl1taL

Front cover: When St. J ohn Amhulance in Zamhia sees ill the New Year it will he celehratinf? thirty years of im 'oh 'ement there. This issue we carry reportsfrom two people ,,1'110 \ 'isited the countr)' in J 992 as part of the o/H?,oing 'Traininf? the Trainers' proe,ramme.

Blowing the whistle on football's poor First Aid record

'FOOlball is nOI a matler of life and dealh - iI's morc imponanl than thaI sa id Bill hankie ; and where bell er 10 tak e Ih spo n up on Ihat le gc ndar quote than at hankl y \ horne gro und of Anfield?

That is \"here. on Oc toberHlh. irChief lar.,hal Ir Da\ III E\ ailS. hier ollllllander of "t. John t\mbul,lncc. launched I. John's parIlClpatlon In a JOlnl Elllergenc; Aid Tra 111 111!! cheme bct\\ c'-cn Fontball

Hilisboroug.h DIsa.,tcr haritablc Tnl.,t and B -

Over the nc\t fc\\ \ears the led b) ,\la11 Il ndson or the F and fundcd b\ the Il ill\borough dl\<I'tcr h.I;·ltabll' Trml. aim, to trall1 at leasl one mcmber of each 01 thc -11 ()()()

Pilot paves the way

After con iderable re earTh, consultation and consideration, the pilot region a l centre in Guildford wa. opened on Friday 16th October.

Th e Regiona l Centre covers Surrey a nd Sussex and is intended to mark e t and admin is ter FirSL Aid Courses from a ce ntr a l point. It is inLended th a t in due co ur se Lh e mod e l will be followed in other co unti es.

The ce ntre is designed Lo make it easier to re gis Le r for Fir st Aid courses. Secretary of SLaLe for He a lth Virg ini a BOlLomle y e ndorsed th e launch and comme nL ed: " Kn ow in g pra c ti ca Firs t Aid s kill s can prove invalu a ble in th e eve nL of an accident. In th e working environment Lhere are par1i c ula r hazard s and the hea lLh a nd

The laull c h of/ h e lI ew R eg ional Celllre, Gui ldford. Piclur ed I-r : jo)'ce Alhbl'. J o hl/ S hippam Barry Brooking , Dr Rog e r 811X101l Dr Ali/hOllY 11Ioll'en .-

safe ty of a ll employees bc ofmajorconcem toall

St. John Ambulance ha an enviable reputation for providing Cj uality Lr aining and every company 111 [he region <,hould Lake advan tage of the courses Lh ey offer."

The new Regional Manager for SI. John Ambulance is Barry Brooki ng, MBE IP MA. Hi s respo ns ibilit y is for marketing Lh e ce nLre a nd th e Firs t Aid Cour)es to loca businesses.

Prior to his appointment wi th 1. J ohn. Barry was a senIor manager Involved wi th mar"cting. sales and publ ic relat ions. II i" carl) career wa.., spent crv 109 In the Royal Navy Barry live ill E her. Surrey. is a "een "pomman and b widely travelled.

Tw o people are killed in th e wo r"pl ace each day and 27 million working days are 10'> 1each year due to work rela ted injuries

amateur foo tb a ll In Bntam ill Elllcrgency Aid A recen t sun ey ..,howed that onl) HC;; of th e c club" has a tr ained First Aider in regular allenciance a t l11atcllC'\

Local I. John melllbers "III C<1IT) OUL this trall1l11g and gUidelines hm c beclI I sued from Ihe oCtallon Depl. at llQ a to hov, the rl'Ocedure \\ill \\or" , course content and fcc I,,) our DI\ Ision read) to w"e pari?

SlrDa\ld ue\Sedlhal , t.John "II/ orcour c COlltlnue to pr()\ ide Flr t --\Id (mcr at pro fc IOnal Leaguc rnatche hut that \\ c IllU\1 \\ or" to cn urc sa ieI' contill 101,... at allloOlhall gathcnng.\ \\ Me on dut) or not l. John I., detcI1111lled that C\ er) one should "n(l\\ ba.,lc Ide sa\ Int! tcLill1llJUC., ." he told the gathered press "1 r" e Idlgctthe lootb ,lllcOJ11Il1Unll\ \\1.' \\ ill bc ,tlthc heill1 (;fthe population " \Ian Hodson

Pie in the eye

A Brighter Outlook in Jerusalem

by Jackie Jaidy, Deputy Matron of the Ophthalmic Hospital

The patient and taff can now enjoy a bright new environment in the Chi ldren' , Ward of the ho pital , thank to the effort ofMi Yvonne

We t , Divi ional Superintendent 0 f the Ormeau Cadet Divi ion in Belfa t , Northern Ire land

Mi ss W e t visited the hopita l as a volunLeer for a month during Mar h and April of Lhi year. bringIng with here a very valuable donation of £ 1700 from th e t. John Pre In onhern Ir e land and th e on hern Ir e-

la nd SL. J o hn CadeLs

Bri g hLly co lo ured blue titted hee L and pillow ca e ,and mat c hing quilts and c urtains have tran sfonned th e ward a nd added a co mfOr1ing feature for th e children, many of w hom have uffered very unfor1unate injurie o rrequ ire urgery for th e innumerable paediatric eye condi Li o ns which abo und in th i part of th e world. The attracLive co lour erve al 0 as an aid to a se s in g improvemenL in th e chi ldren' vi ion afLe r LreaLment, and it i a plea ure LO ee the previou Iy immobile c hild gra ping eagerly at the jolly motifs a their vi ion begin to improve M any Lhank, or1hem Ireland!

Fraternising with the sisters

D r k Fenton' local new spaper clipping which appeared in SJW epr ember along ide Dr. Mai ey' article ' Sex and S1. John ' i onc lu ive proof that hi tory repea t it e lf.

The Gift of. ig ht Fair took pl ace o n October 22, b.' th e Ladies' Guild of th e Ord e r of t. John in aid of th e Ophthalmi c Ho pital in J er usa le m. -'2 different s tall s so ld all mann e r of goods from It).' '> to furniture. And th e r e "a s thi s re plendent ga me pic on ho\' 100: a s nip at :£25 and no doubt lon g-s ince consumed. The baker, alas, is unkno\\n to SJW or we' d credit th em

The new ex hibition aL th e Orderof t. John Mu eum, The H ospital alld th e Temple feature a ection on th e 12th i Le r of the Order. De puty Curator Amanda Devo n hire wa on ha nd LO ci e the following from an 11 0 deciion by the Prior a nd th e King :

The Si er of th e Order of SI. John mu L be d e di ca ted to prayer and contemplation and hould be i olated to prevenL moral corrupLion betwee n th e exe ." Superintendent -i n-Chief, Mrs

Ph y llida tewart - Robe rt , who i in c harge of all female member of St. John wa een to be uit ab ly intere ted in thi directive lfit urpri e readers LOreali e 0 little progre ha been made in th e la Leigh t hundred year, then th ey might lik e to co n ider the documentation on di play that record the impact of the Ho pital and T em pl e on Media eva l everyday life throu g h th e Order ' e tenive landed proper1i e The va t e Lat e in Europe e r ve d to fund th e Ea ' tern M ediLerra nea n Hea dqu a rt er of Lh e Order not unlik. e a 12th Century Bru e in fact. 0 d o ubt there wa no refe rendum th e n eitherbut who aid' hi tory do e n't repeat it se lf?

The exhibition will run through LO the ew Year and i well worth a vi it.

For tho e who have long cheri hed a visit to the ho pital, t. John and Marantha tours are once again planning a spectacular eleven day trip to Jordan and the Holy Land. tarting with an evening dinner in Aquaba by the Red Sea, the trip proceeds by coach to the astonishing city of Petra (ca rved out of rock ) before plunging into a veritable serie of biblical reference point and hi torical sites. The tour concludes with a vi it to the S1. John Ophthalmic Hospital in Jeru alem. The tour price includes half-board meals and 4- tar accommodation and i £884.00. Full details from Mr. Ivia Holmes , 1 Gro venor re cent , London SWIX 7EF (071.2355231). Winning by being 'runners' up ...

The outcome of the generou ge ture by Carter Seed, who donated over 3,000 packet of bean 0 that B adger and Cadet co uld join in a pon ored beangrowing effort for their Di vi ion , ha now been collated.

To mak e judging ea ier, the winning group were judged b the amoun t of pon sors hip money rai e d not by the length of their bean talk. - and th ey were

Winning Badger Set: Wood (one Bad gers from Coumy Durh am. Their !aile ( bean talk grew to 441 cm and th ey rai ed £60 throu gh pon or hip The whole et re eive a trip to the local pantomime. Winning Cadet Division: oham illage College Combined Di iion from Cambridge. Their talle t bean talk grew to 630 m and the rai ed £260 through pon orship They get a trip to the Cinema a are ult. Th e winner of the national competition for members of the public was Mr. igel Poulton of Hamp hire. as we re ported la t month. ationwide the competition ha netted a running total of £20. De ember 1992 t John World 5

Christmas Fellowship

A Clirisfl7ws Messag efrom FellOll'sliip C!wirnwll , Mqj o rC ell eml PR Lellchors :-

1992

During the year Branche and their members

Approved by the Medical Board for use by St. John members , the Responder 1200 automatic advisory defibrillator was the first in its class to offer innovative features such as integral printer , full-disclosure digital ECG recording and " Double-Pass verification " of ECG rhythm during charging The Responder

So. once again I congratulat e and than!.. you

MOD results

Readers report on their activities around the country. Contributions are always weicome, send them to :'OutandAbout', St John World, 1 Grosvenor Crescent, London SW1X 7EF. Nothing longer than 500 words,please!

THE ST. JOHN YOUTI-I CONFERENCE 1992-

First Judith Moore, Bailhvick Staff Officer (Cadets) Guer11sey and then David L. Hart, COllJ1ty Staff Officer (Cadets ann Youth) West Midlands, report 011 this years Youth Conference ill September.

[t 's S.30pm on a Llturday aftcmoon. oUhidc a Training Centre 111 and [ 'm tied in knob! ['0 \\ hat 1 e \pected when arranged to attend the Youth Conference') "Come and meet peop lc. c \changc and ea m the) had 'aill. Well. then: I \\as. doing all thc"e and enjo ing mysclf as

The knot" were pari of an e\cellelll session by Bernard Donoghue of th e Britigh Youth Council elllitied " Participation ". and he certainly had the delegates participating U"ing long qrand\ of \\ 001 he cnabled the group members to fOllll a web dcmon"trat ing htH\ 1110\t ) oUlh Issue," in terac t \\ ith each other and should not be considered in i"olatlon. H e aho left us \\ ith some thought-provoking idea" about the role of youth members in our organisation - are th e) rcall) allowed to paticipatc. or i, their inclusion on arious commilleesjust a token to youth il1\ 0" emeill'?

This \\ as just one of several good sessions gi\en b) oUhlde "pcakers. Others included " Body Langua ge for Leaders " b) PeterCii hlch ever) one became ver) aware of their actions - \\ hat hidden me\\age\ were th e) giving to other people or ho\\ could thc) bc\tu"c them to their advantage? an) Briggs g<l\e a preselllation on " Perfonm1l1ee In dicator" leading to a discussion of ho\\ we can measure the "UCCC,,\ of our \\ ork \\ th in Sl. John u"ing these indicators. Are we achieVing \\ hat \\ e hope we are achieving. and are e\ er) body\ goals the same'?

Throughout the weekend th e H eadquartcrs Youth and Training te am put together a \\ ide range of lectures and \\ ork ome of the e sions on offer proy ided the delegate" ith a chancclO earn nl'v, I '" or ge nera te ne\\ ideas. There INa,> " Stand up and Talk " (to group\ of people): overnight: Managll1g change in our " My Bill (a fun look at asserli\,enev.,): Work ing Ith the Youth Service. and another on working wi th the \ i"ua ll ) impaired.

Other,> prO\ ided a chance to get lip to date on ,>ome of the opportunities currently a\ailable for our member\. or planned for th e fUlUre.

There was plenty of time to discu'>s these and "hare worrie" or problem'>. and some t imes good idcas. Our H .Q. team are orking on variou" project'> from Camping to ledge of the Order. In addillon to th e range of courses rh ey are already providing

Two of th e be st sessions were when the Youth member of SI. John

Nursing Bursaries

Applications are invited for the 1993 Nursing Bursaries from Regitered Nurses , who are members of St. John Ambulance Smith & Nephew : £500 / Federation of 18+ Groups : £500

The subject for 1993 is " Care in the CommunityCommunications "

Applications are invited from members of St John Ambulance for the 1993 Non-Professional Bursary awarded by the Federation of 18+ Groups for £250

The subject this year is also " Care in the CommunityCommunications ".

Bursary application forms can be obtained from Linda Allen , St John Ambulance National HQ , 1 Grosvenor Crescent, London SW1X 7EF. Tel : 071 -2355231

Closing date for applications is March 31 st and the award of bursaries will be in May 1993

8 St John World December 1992

Ihem..,e" e" \\ere able 10 ..,tand Lip and g l\ e u.., an idea 01 hal It\ like 10 take pan In th e acti\ ilie <limed althelr age group rh c lalk , r:lI1gcd IrOIll tal,. ill!) on the role oflhc" ergean t " on the Cadct CO Coursc 10 Icachlll\! on Cadet In "lructor and rartlcipallllg. III The h,dlcnge -

Two memoer\ oflhe Nallonal Youth Council "poke ahout h(m Ihe Coullcil \\()uld like to ,ce it" role de\clop nallonall) and mlhe ,mOll, Counties. \1 an) thank, to Ihe,e memher, 1'01 thclr lontrlbutlon to thc \\cckcntl.

Well. that\ aboul all \\ c did that \\ eckcm!. C\ccpt fUI Ihl' Callhhean Ighl. The I arl"" Ick lultl - ultural I. John B adgcr\ Slccl Band \tLlrled the e\ enlllg hy entertallllllg u" Ilh Ih clrmu\le ,\\ I don \\:Inllo dl"pel the Idea thai SlalT OITicer, for adc", alld COUnl) Bddger\ Leader.., an: ,cmlole. qUiet people. I \\on l dC'ocnhc the re'ot oj the e\ enmg. C\leptlll ..,a y that \ome of the llnbbean O\tllllle" \\ cre amallni:'. Ihe balllHlIl\ fun. and e\ cr) one "cemed I n 11m C a good II me Peck ,. " ho ere pre\CIlI for mo\t of the \\eckend 10 \lIgge,1 fundl.lI\lng Idca..,. gellerou,l y prO\ iued thl .., "Theme \enlng ". u,an Yau AIc\andra tnck ,Ind the te,\Ill I'm II. Q \\orked hard all weekend 10 make the e\ el1l a "ucce\\. 1 hank) OLi .Ill lor agdln gl\ in!! L1' the chance 10 meet old friend, ,lI1d make one,. to dl"cu"". 10 ,hare idea..,. and ha\ e a good tlllle ,1\ \\ ell.

Dm III lIal1 wltl, Thi\ \\ a'-o m) liN COUnly Slall OllllL'r (ClliL't..,ll Badger Leader.., Conlcrence 110\\ dlfferenl 11'(111111) I,,'-l " '\Olllllgh.11ll Conlercnce " "omc ) cars ago The aCCOml110daliOn and ood \\ ere 111',1 cia"..,. \\ hlch Iml11edlatel y ga\ e P.lrtlclpanh the I11C"..,.lgL' Ih,1I \\ C .Ire '\ alued people "

Be\iclc" Ihe opportunily to l11eCI \\ th olle'., pcer glOup and op " Idea, and th e \aned progral11me alll)\\ed .1 111 ore "Iruclured Icall1ing proce\\ to takc place. The OppOrlUIlII) tll e \erl'l,e L hOlce. \\ hlch ided b) the \\ork"hop"', ,illcmed II1di\ Idu.d need.., 10 he l11e1. The IClllg on thl'-o rather nch cake came 111 th e more rela\lI1g \\ ith the 0PP0rlullltle\ \\ hlch II offered.

Like an) good meal. It did not complete I) ,all"l") mc. hut lell Ille hun gI') for the nc\1.

Lady Moyra Brown Trust

This fund was set up by Lady Moyra Browne whIlst she was Super ntendent in Chief to enable a profess ional nurse in the Brigade to attend the Medical Conference each year

The award is intended to prov ide the finanCial su pport for a nurse who would otherwise be unable to attend , or to reward a nurse who has g ive n outstanding service to the Br iga de during the past year

The medical conference date is 23-25th April 1993.

Nominations for this award should be sent to your County Nursing Officer by 15th December 1992

County Nursing Officers will then forward these to the Superintendent in Chief together with a statement in support of the appl ic ation

The Prom ot ion s Team wish t o th a nk the John Ambulance V o lunt eer for their h c lp a nd upp ort at all eve nt we organi cd for the people of R ead in g during 1992.

UNITED RACECOURSES

ar mo , t grateful for the rvice ' kindly provided b y th e St. John London (Prince of Wal s' ) Di trict Ambulance Brigade at Kempton Park throughout th e year.

PROSPEROUS NEW YEAR TO ONE AND ALL - HAPPy lANDINGS!

Best wishes and Thank you to St. John Ambulance Tltlte/rom 11v::.

Timmy Mallett stars in JACK AND THE BEANSTALK with Tony Scannell Linda Nolan Charlie Drake

Tickets £ 1 1-£7.50 Call 0734 591 591 today. 0·····, , . . : ; . " , .,,,4·"

Brighton & Hove Albion Football Club

Best wishes and thank you to all volunteers of St John Ambulance Brigade from Brighton & Hove Albion Football Club

011 bclJa/f of pisitovs to Bi1lqlcy Hall and the b01P!f1'0Ilnd at trrjjo1"d 11 e tballll t, John Ambulance for tllch'lJelp and support.

Wishin!f you all a Ve1:)! Happy NeJP Y cm'.

THE

ALL ENGLAND LAWN TENNIS & CROQUET CLUB •

Th e Chairman and memb e rs of Th e All England Lawn T e nni s and Croquet Club, Wimbledon , would lik e to thank St John Ambulance for their s upport during J 992 and co ntinued pre se nce during 1993

DINNER THEATRE

The Mill at Sonning Th eat r e would lik e t o thank the local di i ion of St John Ambulance Bri gade for their continuing dedicated upport and con tant re a uring pr nc e. "G ral efll! thank for YOllr en'ices at alf Ollr home games" BEST \VI HE FOR THE YEAR

From FOOTBALL CLL' BDIRECTOR, T-\FF -\\1) PU YERS

With appreciation for the excellent service you provide to Stoke City F.C.

ALL THE STAFF AT CHELTENHAM TOWN HALL AND THE PITTVILLE PUMP ROOM WISH ST JOHN BRIGADE MEMBER A VERY HAPPY NEW YEAR , "Many thanks for all your help"

The

PRESENTATIONS LTD

would

A very

Christmas and New Year from Crystal Palace F.C. and many thanks to all staff at St John Ambulance for their assistance during the year.

Chessington World of Adventures wishes to thank St John officers for all their invaluable assistance in the park during our very successful 1992 season. We wish them a very Happy New Year.

would

and we look forward to seeing them again in

LEICESTER CITY F.e.

Breathing Life into our County Presidents

The id ea for the ca mp a ign wa bo rn when Mr . Stewart -R o be l1 , Sup e rintend e nt -In -Chi ef, St. J ohn Ambulance , found he r e lf th e o nl y qu alifi ed Fir t Aid er in th e c hurch co ngre ga tion at a Sund ay S e rvice in her local church , wh e n a man udd e nl y c ollap ed.

Rcali ing lhat he wa the on I) V\ ith Firs t Aid knowledge. ,he rushed to help the per on. nfortunatel). ituation lik.e thi. are more common than most of us realise and fe\\ peop le know what to do. The Breath of Life Campaign aim\ to teach a many members of the public as pos ible ba ic Flrt Aid pro edure _ 0 that if they find them elves in Mrs. St ewart- Robert\ po ition.they \\ ill kno\\ hal to do.

600 live are lost each da) through heart attack and concern at these alarming tati\tic, prompted the formation of a special commillee a HQ to co-ordina te a week. long national campaign cheduled for March 1993 to encou rage members of the public [0 learn life support procedures. The ve lY fact that whe n que tioned only one third of Presldem\ pre em at the Conference knew ho\\ to give C PR is indicative in itself of the need for the "B reath of Life" Campaign. During Campaign Week, 24-31 March, countie will lay on as

Anile Reilly reports 011 a sp ec ial Presid ents ' M ee ting i11 7. Vl1ic11 th e "Breath of Life" t eam explain ed th e con ce pt and rea s on s 7.v T7y thi s campaign is so d e sp e rate lyn ee ri ed nl1d w hy it 11 ee d s th e llpport of all m emb ers, Presid ents inclllded.

man) free hour course, in Emergenc) Aid a'-. they can. nyone and everyone can allcnd a cour e and anyone and e \\::: I) one can help mal-.e the campaign a - ount ecrelarie'. PRO's. I. John ouncl!. Cadet) Fcllo\\ship and Count) Presidenh. There i, a mountain or to be done and eyer) one can help. Ian alden. ampaign that the cour,e,> arc ba,>ed on the 6th Edillon Fir,t id Manual. and \\ III teach ho\\ to treat heart attack.s and gi\ e PRo Dc\igned to \\ het the appe t ite ror rurther trall1111g. Ihe cour'le\ \\ III tak.e place v\ hcrcn:r thc) can be arranged. In home,>_ ho'>pitab. \hopping Celllre\. rlacc\ or V\ ork. etc peciall) aprOilllCd La) Demon...trator,> will be available to teach the Breath of Lire cour'le\. in addliion to qualIfied trainer., hould not exceed 10 people

Kate Buchanan Director 01 PRo HQ. repre enh the PR Depl. on Ihe BOL Committee. The Campaign Weel-. \\ Iii bl.: preceded b) a co-ordinated national and regional publicit), campaign de'>lgned to generate pubIic allention and pOlnl to the wee" It,>e If. Dunng thi., weeI-.. counliC,> arc urged to intenslf) their to local media. in ordcr 10 ma\lJl1isc publicit). To mal-.e the Job as ea,,) a'> po'>',,ble. a comprehel1'>l\e range of' publlcit) matc -

nal\ arc being produced to promole the campaign lllCluc.lIng a short \ ideo SUitable 1'01 LI.,e on nat lonal and regional I a short audiO ca'sClle. a ,clecllon or po\!er..,. l1)er and car ,tlc\,ers Counties \\ ill also be Is,>ucd \\ Ith a suppl) or lllergenC) III leal1eh lapel \tICI-.er" and COUN: atlendance card" to oe gl\ en free 01 charge to tho..,e attending Breath of Life cour e

A PR c.kl110nslratlon and \uh"equelll Que tlon and \n..,\\C!' e\'>lon b) John HamIllond and LInda lien. I. John Il1hulance 1edlcal Board. le\ e alcd Ihat COI1c.cm (Hel the 1'1'>1-. of coni raclll1g III V or Ilcpatllis B from CPR sllil seems to he uppcnnm,t In reopie s Jl1lml\. de'pIle Ihe IdL'llh,1I Ihere ha" onl) been one reported C<l,e III the la,,1 f1\ e ye ar s \\here It i llalllh:d Ilep B had been l' o ntraLi ed Ihrough PR oTo en"ule Ihat no -ont.' IS PUI al nsl-.. a 'pL'clal re",u'>t I- patl-.. at" oL'ated 0) Ihe Medical Board. Includll1g a rrOleLlI\ e face hlekl ha.., been produccd and can he sold 10 anyone allendlllg a Breath of Lilt: our e " L IiIIllatcl). II\e" \\ Iii be Iml " l'onL'lutlcd 11'''' te\\ art - Roben e\ en \\ Ith PRo bUl al lea"t \\ Ilh Dd"C Fir 1 Id I-.no\\ led ge) ou g i\ l' renplethechance Ithcl\l' lllk - \\ IthOlll IIlhert' 1\ nothll1g ".

Articles by Andrew Marsden and Caroline Thomas

(0328)

RACECOURSE thanks the Norfolk

All optiollal pull-out sectioll introducing and explaini1lg the 111ajor alteratio1ls ill reconllllended First A id practice

SIS MOTORS LTD REFURBISHED AMBULANCES

FOUR FRONT LINE AMBULANCES AVAILABLE WITH SLIP - DIFF CAPABILITIES ALLOWING THE VEHICLE WHEELS TO LOCK ON SLIPPERY SURFACES AND 1 FULLY EQUIPPED MERCEDES 310. SPECIALISED VEHICLES ALL VEHICLES CARRY 12 MONTHS WARRANTY FOR FURTHER DETAILS PLEASE CONTACT MR. G. SCOTT 0924472403

-

Why do they have to 1

LChange everything?

It's official: you can give people an aspirin but only i n the case of a heart attack.

Andrew Marsden introduces the Sixth Edition of a book which would be more useful on a desert island than the Bible or the Complete Works of Shakespeare 14

Th e c ie nce of m e di c in e i never co n ta nt but ad va nc in g a t a n a la l111in g r a te. N ew tec hniqu e a re co ntinu a ll y be in g te te d , new tr ea tm e nt d ev lo pe d a nd n ew id ea d e b a te d.

From time o t ime - u ua ll y eery five or ix ear - i t is neces ' ar to co!'} o l idate the 'e changes and produc ma terial which i profe ionall) acceptab e. r e evan t and appropriate to modern d ay p r ac ti ce. Change doe not happen so l e l y fo r c h an ge' sa k e. Otherwise each day would ee new amendment pubhed and t he confli t and onfusion ca u ed would be untenable. H owe er a new editio n ofpub li hed doctrine allow,> t he opport u ni y of

ines for CardioPulm nary R uscitat ion and Emergency ardiac are. t the consen us conference in Da l las in Februar 1992, there were national representatives from Illany countries around t he wor d. The determination to reach agreement e and, ultima tely, futur recommenda t ion on the practice of re"u'>cltation will be truly orid-wide.

The proce of chan ge

The First id Manual revi<;ion committee is composed principally or the three senior doctor'> from the oluntar)' aid s ietie.., ( l. John I11bulance. t. Andrev. '<., mbulance ,..,ociation and the Briti"h R d ro<;'-. oClet)) v. hi h mal-.e up the Tripartite Committee fter tal-.ing all\ Ice from integ r ating at one opport u nity a ll t he m p r ovemen t n m e di ca l pr ac ti ce wh c h h ave accrue d sin ce th e a t editi o n a nd r evi ing any erro r or mi -

"It has taken over two years of constant editing and consultation to get the material to the printers "

'W ithin thelrov. n orand referring to the ntensive revi..,ioll', file held ver centrally from the la edition, the fir'>! draft un der tanding w h ic h have persisted from out-da ted mat eri a l. Co nc u r r ently use can be made of ad va nces in educa ti o n and new p u b l is hin g tec hn qu es of p r esen t at ion and displ ay.

Th e t m i ng of new edi t ion is import ant and , n th e ca e of th e F rst Aid

M an ua l p art ic ul arl y, a pro t rac t ed proce s of co n ult ati o n h as t o be unde rt ak en

t o e n sure th at a ll r e l at ed t raining organiat io n r em ai n in ph a e and an no u nee

th ei r g uid e lin e at th e am e t m e. Thi tim e ar o und , step h ave bee n t aken to en sure th a eve r yo ne is p uttin g acro s th e sa m e m essage. On 20t h Nove m be r at

Bri g ht o n , at th e fi r t E uro p ean Co n fe re nce o n R es usc it ati o n , g ui de lin e fo r

B as c, Ad va n ce d and Paedia tri c L ife

Support w ill be pre ented b y th e E ur o-

p ea n R es u sc it a ti o n Co un c il. Th e e g uid e lin es h ave h ad a lon g ges t ati o n p eriod and , to a si g ni F ca nt ex te nt , h ave bee n influ ence d b y th e Na ti o n al Co nen sus C o n fe r ence ofth e Am e ri ca n H ea rt

A ssoc ati o n o n St and ard s and Guid e-

of the material \ a.., prepared. number 1''' onsultanr..." were brought in for advice on pecific hange<; to doc tri ne and technique were agr ed only whe n it wa fe lt t hat t hey would bring about significant improvements in surviva orpat en care. hange for hange's sake no t e ncouraged. In the presentation of tec h nica materia he help of the th reeocie t ie " rainingoff'icers has been n va uable. Ear y mee t ings took p i a e w ith th e edi t r an d designer. of the c ho en pub i her and th e s t yle for the book agreed. Aspec t of sty e have, in th em e l ves dic t ated compromise in t he e abora t ion of t he t ex t. For c l ari t y, certa in k ey wo rd and consis t elll h ave ap pea r ed th roug hou t the book. The r ea d ab ilit y of th e book and i t s ease of r eca ll ar e imp o r tan t fac o r s -w here the scie nce a ll owed, c han ges we re made w hi c h w ere prefe r a bl e, edu ca ti ona ll y. Fo r exa mpl e we h ave tri ed t o si an dardi e o n 10 minut es as th e freq uency of ob erva ti o n and thi s m atc he t he 10 m in u e t i m e of wa t er coo i n g for a b urn and he

rate of 10 brea t hs per minute ror artificia ven t l ation. The agreed text to page and sui table illu'>trations cho'len. Most arc coloured diagram,> drawn from rererence eac h one or which had to be carefully staged and checked. I n the case of the '>peci fic te hniqucs of bandaging and handling actual were used for the illustrations. The editing proces'> was complex: at each page proof illustration and co l our proof stage the material wa referred bad. to the contributor ror ched. ing and double checking. In the ca e or l. John Ambulance every member or the Medical tanding ommittee and of the training department ha had an opportunity or ehed ing and contributing to the final product. I t has tal-.en over two year'> ofcon tant edi ting and con,>ultation to get thc matcrial to the primers

What i Firs t

id?

The Fir'>t id Manual \\ill be read, "tudICt.!. ant.!, in some ca e'>, critically anaIy"cd by many di\ er"e group'> of people cach \\Itll differing nced" and expectation" t one extreme are the people (let u call them profc ..,ional first aider,>") \,\ ho, b) naturc of their occupation ill be coming into contact \\ ith cmergencle" nearl) e\CI') day. For the e people \\C hope that the bool-. will gi\e them a ,>olld theoretical ba..,c upon 'Ahich the) can develop their npcrience and practical-.I-.ill-..v I.?havetnl.?dtogetav.a) from dictating drill for v. hich "u h tudenh \\ III ha\ e to turn to practical in"truction munuak ollle or the achanced lifting ami carr) ing technique fall into thi'> catee.ory. \\.c ha\c point\.:d to area" \\ here \\ ith "peclUl training. advanced fir"t aid technlquc,> llla) be appropriate The me of 0\) gen, traction splint and automated e\ternal defibrillator arc e \ample".

1an) student \\- II be u"i ng th i" boo I-. to gain a Fir..,t id qualification. I t i.., hoped that l. John mbulance \" ill be re - introduclng a ., tandard Fir'>t id erLificutc" equi\ alent to that of si,,ter To this core module would be added material design d t o meet the of the I kalth and al-et) Exccuti c as "uitab c for the statutory pro ision or id in t he Other modules would addres,> first aid in s hoob, at grounds and. partiCLIlarly for practising Brigade Members, first aid whcn on public duty. It is quite impossib e for one book to ncompass t he needs of al l th se areas and ce n ainly t hat was no the aim or the auth ors. I-rowe er it is impor t ant that ma tcrial in th bool-. does no t preclude its use in any of thesc areas One uch area is advice o n t he use or m dici ne First Aid at Wor l-. Regula t ions sp cificall

( Throughout th e book Fir t A ide r ar e r e minde d to u e and ar e ee n we aring glo ves wh e n handling wounds or pill blood '

e\.clude the administration of medicine b) fir"t aider,> and it i.., not pemli sible to I-.eep v n simple. over - the -co unter painI-.iller" in Fir id Kit'> at \\orl-. In circum"tance \\ here painl-.iller" may be of ben fit (e.g. toothache. d) menorrhoea) the editors of the manual ha\ e tal-.en pains [0 a\ oid illu'>lrations sho\\ ing medicine being handed o\er and for phrase,> lil-.e "Gi\ the ca,>ualt) a Paracetamol" ,>ub'ltituted v.ord lil-.e "The Ca..,ualty mal take her 0\\ n painI-.iller" etc The onl), , pecific ex eption to thi'> rule is the ne\\ instruction thaI. for ,>u"'pected heart attacl-.. the \ ictim "hould be gi\ en an a pirin tablet to chc\\ "I 1,1.1 This ad\ ice, ba..,ed on the second International tud) on Infarct , i/c. likel) [0 sa\ e many li\ e ant.!. e\en if used inappropriately i unlil-.ely to cause an) <;erious harm. First iders e\ er) \\, here. and speciall those in the \\ orl-.pla are encouraged to 1'011 \\ "universal precaut ions" Ll'> proph) la \ i.., again [ \ iral infections such a Hepatitis B and Hi

Throughout the boo k First iders are reminded to use and are s en wearing glO\c \ hen handling \\ ounds or spilt b ood. It hough th ere is sti ll no documented e idence ortlle c l inical spread of hepa t itis or HI b) \\ a or sa iva. the Triparti t e Committee has accep ted the vie\\ or he C PR Con ensus onferenc

that no-one hould be denied training in the use of simple barrier device.., ':>uch as a face hield \\ hen gi\ ing mouth-tomouth artificial \ entilation. ( B pocket handkerchief not a uitable barrier to the cro s tran fer of ali\ a).

The last and po" ibl) the large'>t group of people \\ ho might u e the Fir t Aid Manual are member of the public or the family \\ ho need simple yel effecti\ e ad\ ice at times of cri i. Ithough the dogma mal not al\'\ ay be the be'>tcoun el it is at the lea'll. al\\ay" ,>afe lightl) more emphasis ha been gi\en to emergencie: in the home and mi cellaneou ondition than pre\ iou,>I), again \\ ith difficulties in defining the boundar) bet\\een home medi in and fir'>t aid. '\ e ha\ e tried ah\ a} to gi\ e clear and non-conflicting guideline on the di ,posal of the ca. ualty. ot e\er) one need an ambulance and notever) one has to g to ho pital but it is :ometime difficult for the lu) man to decide \\ hen the patient hould\isitadoct r r\\henthed ctor hould \ isit the patient.

Thi .' article has ought to gi\ e an 0 \ en ie\\ of the main change,> of philosoph ' affecting t h si \ th edition of Fir:t id and how the) ha\ e been brought ab ut. Details of the changes \\ hich \ \ ill beofmajorint restloregularFir tAid L and first aid instructor \\ ill be the ..,ubject of the next article.

December 1992 t J o hn" o rld 15

And vvhat exactly have they changed? -

Th e Do ctors may b e happy with the re v isions , but w hat about th e peopl e who ha ve to use it? First Aid Train er and Tutor Carolin e I1'1Omas analys es th e w hys and w h erefor es

Many of u ' have a ' love-hate' re lation ehi p wit h revi 'e d edition: of th e fir t aid ma nu a l. New il lustra t io n a nd a fre h way of giving info rm at ion ca n be timu lati n a and b we are de lig h t d when the t hings we have grumb led about are put rig ht.

The 6th edition ha!', a lot of myths on the head , and am impre scd by its modern, common-sense approach based on reality rather than legend But when someonc change,> we have been teaching and practi'>ing ror decade we respond", ith mi\ed feeling and demand e\planation. [ hopc thi article will provide that explanation. It is my privilege toescort you rhrough the manual pointing out change!',. addIt ion and omissions and explainino the rea on The ..,ubject are arranged'\l a very logical sequen e, in line'" ith the

ac cpted procedures for handling any incident, <;0 let us tart at the beginnin g and v, orJ... through chapter b) chap ter. Get comronable. prefcrabl) with th e old and new manuab be ide you, thinJ... po itively and be read) ror 'iomc surpri<;es.

What Fi."s t id ?

Thc standard derinitlon of fir';t aid and the \ alidit) of certificatc i 1'0110'" cd b) <;omcthing n \\ and III 0 t e lcomc: adIce on how to cope \\ Ith th e cmol ional side of tr) ing to handle an cmcrgenC).

I lere are th e an \\er 10 que tion orten (l!',"ed on cour e..,: hall be able 10 copcT "What ifthlfH!S go \\ ron!.!?" C\t come hill!'> on Ing confidcnce. c<; tabll hing rapport \\Ith casualtle and thclr rclatl\e dealin!l \\ ilh Ihe p )chologlcal al'tcr-cllecl anZI about infection. Ju t a a l'ir..,taider rea..,..,urc thc ca uall),..,o thi" hapter the fir'.t aider!

A ction a t an e m e r ge n cy

Managing an in cide nt qarl Ith oeneral a and afet), o II i" to maJ...e thi" the ne\t chapler. RO ,;d incldelll ha\ e been brought in at thl" poifll. dvice on handling Illulliple i.., more detailed. <.\.., \\ell as prot ec tin g yourself and \our ca,>uall\ from fire water and elec·tricit).·

R es u sc itation

The lo gic continue : \\e Illu..,t ob!',crve whether our ca'>ualt) rc..,pond.., whcn wc 'ipea" .,hout or "hak.e. If no!. we deal with the AB or ha ic IiI' port. 0 that is what come.., next in the manual, but with mosl interesting changes rrom i ts predece

The resuscitation 'routine' ha.., been revised to reflect the greatcr chances today or gctting a to a case of cardiac arrest. and Ihe convincing evidence that unless it comes within a few minute s, the chancc,> of resuscitation are small. By success we mean tha t the casua lt y wi II wa l k out of hospita and carryon wi t h a fair l y norma l l ire. So the emphasi!', now is on get t ing an ambulance crew and its equipment to the scene as carly as possible. withou a econd's unnecessary delay

he first two hreaths which have becn drilled in to us so rirmly are now considered time-wa!',ting, and. r t here i s no bystander you can '>end, you mu t leave yourcasualty in cardiac arre'>t while you go orr to summon I he ambulance! Many rirst aider!', will rind wch 'deserlion ' hard to accept, but we must be guided by the medical experts at top spccial ist level who arc agreed on th is point.

The seC/llel7Ce of 1?\'I?I7/.\ (page 27)

We will all have to rctrain ourr.,elves in the new drill. In ract it is ea..,ier to remember and th ere r re easier to teach: fir'>t we ases'> th e a<.,ualty\ consciou'>nes.., le\el. and pre<; ence of pen airway. breathin g and pube all in quick succeion. Only thell do you carry out the appropriate action. including ..,ending for help I hope thi s cm l )' sending for help '" ill hecome rimlly part of th e drill to be tc..,t eu in exa minations and competitions. r find 100 often that c\am ca ndidates dem n"trate their re"u"cILation technique adequately but forget about the ambulance!

The mo t optimi"tic is hreathing and pul e both pre'.enl. 0 the R cco \cr) Po..,ition i" cmered next. 1'01lov"ed h) brealhing pre ent but no pulse. and finall) no breathing and no pube. L II( 011 H lOll In({ Inco (/1111 '< (po I!,C 30) Till.: reco\ cry PO"ltl 11 ha" been changed! Don't panic eI"" ju'>t thinl-.. quieti) for a moment. The technique 'v\e ha\c becn practhing 1'01' dec ade i.., far from perfect. I t I" a'" I-..",ard ror man) people 10 pull a hea\) per..,on over. It 100J... COI11fortable. but I can a""ure )OU thaL when "llllulating uncon"CIOLlSnl.:"''' for Casualtic'> nion. I ha\ e ..,eldom b en pia d into a recmer) po"ilion in \\ hich 1 \\ a.., happy to "La) \\ ithout mo\ ing: there i" a grcat temptation to "hin and ea..,e the di colllforl or a bacl-..-folded ar. du"t in the Ilo"trils. gnnel under tht: J...nee or a cru"hed bo '>0 III ! One<; hand" and arm'> and hal f Ihe face are in contact \\ th the ground. \\ hich can bc cry cold. e\ en indoor!', It tv, ish the ..,pine. "0 for ..,pinal IIljur) \\ e had to learn a modified version. If the ca..,ualt) IOpS breathing it is difficult to roll him onto his back again. and our manuab have never lold us ho\\, to do it. I n short. the familiar rec vel') position i!', far from perfect. The ne", lechnique not only solves all these pr blem'> but is easier to achieve. no mauer how h avy yourcasualt). tudenL. trainers imulators and r al casualties are going to be grateful for this bra e innva t ion.lncidentall 1am aware that there arc even more 'recovery posi t ions'. and some people Illay wish their favourite alterna t iv had been cho!',cn, but we are assured t hat the final choi e \\<.1 a carefully consid red one. Th near arm is now J...epI in front of

the casua ty"; face , and upper hand acts as a litt c pillow to stabilise the position of the head and maintain an open airway. I n stead of hauling at the clothing you ease him over gently using the thigh as a lever. Try it and ec how much easier it is to pull him over, push him back again if ventilation is necesary, loo')en tight clothing, observe pulse. breathing and the race for condition and response level s. You will never want to u se the old method again. I am aware that thi s leverage u ' ing the bent

" 1 am impre ss ed by its modern , common- sen s e approach ba s ed on reality rather than legend "

le g ha<., been u ed a an alternative for heav) people and ha recei\ed ome critici m. but 1 su pect that i.., becau e the mov ement was performed too fast and too roughl).

Pul se hilt 110 hreathing (par;:e 32)

Wi th a pu he present the need to get he I p i.., not a urgent as in cardiac arre t 0 it \\orth gi\ ing the cir ulating blood '>ome frc h OX) gen to carr) around ( 10 breath) before Iea\ ing the a ualt). if you are alone, to end for help. There nothing magic about the figure 10 other Ihan being ea.,y to remember! It cro p up again throughout the manual in place of Ihe great ariet) of fairl) number.., \\ e had to memori e before: 12.IS.16.60etc.

The technique of mouth-to-mouth \ enti lation ha not changed. though the rate of \ enti lation is no'" "about 10 breath per minute" instead of 12-16.lt I.., i mpl) ea"ier to remember. and ...ri II adequate.

() hreu(liillf!,. 110 pulse (page 3-1)

I hme alread) mentioned the hift of

priorities towards getting the ambulance on its way quickly so that defibrillation takes place with minimal delay The technique of chest compression i') unchanged. The term 'ex ternal has been dropped becau se first aiders really have no alternative! The manual use the correct title of CardioPulmonary Re suscitation (note the capital P in the middle of the ingle word) and its abbreviation CPR Re s [{ sci laliOI7 for c hildren (page 36)

The technique are the ame. but an interesting new po,int is that an infant with a pulse slowerthan 60 per minute hould be given chest compre sion because their pontaneous circulation i not enough to ustain lire. Compre ing a beating heart will worry a lot of first aider. but the fact i that children are eldom likely to need more than ventilation: cardiac arrest 1 much less common than in adult.

Rechecking the pul e dramatic change ha been made concemlllg the regular pul e check during CPR. The reality of the techniqu e i that thehearti \er) unlikel) tore tartduring CPR. and it icon idered a \\a te of time topping the technique to te o[the pul e. If it doe re tart. the ign. though subtle, cannot be mi ed: a tirring. an impro\ ement of colour. a on of' return to life'. On eeing thi \\e check the pul e and continue \\ ith ventilation. rechecking the pul e e\ er) ten breath in ca e it di appear again.

The practice of Fir st A id Thi chapter cover e\amination and diagno . remo\ ing clothing. an outline of treatment and their prioritie de iding \\ har aftercare needed. recordin2 ob er\ ation and pa ing on information.

If an untrained per on. ha\ ing read up to thi point, decided to read no further. they would alread) ha\ e co\ered the mo t important ubject : incident management and the basi BC of re u citation. But for tho e \\ ho \\ ant to learn more. the re ' [

of the manual await th em: an e pan sion on prob em s concerni n g airway , br eathing and cir u arion , includin g bl din g, then everythin g el e Th e og i ca equ enc e i till th er e.

Disorders of airwa y/ breathing

The m y th of cherry pink f ace in c arbon monoxide poi onin g ha be en kill ed off. there i more detail on olv ent inhalation and, I am delighted to ee a sec tion on hyperventi a ion nothern e w ubject , croup in children

You m ay notice that sto v e- in ch e t not mention ed in thi s chapter. Th c ondition i given a new name and i co ve red under rib fracture in a l ater ch apt er

Bla t Injury ha been omitt ed becau e there i little a fir t aid er c an do to help the condition oth er t han r eco g ni sng breathin g diffi c ult y and helpin g th e ca sualt y into a comfort abl e po iti o n

Disorders of the circulation

D efibrillator are de c rib ed and illutrated in the section on cardi ac arr es t. which tie in with the emph a i o n ge tting an ambulance qui c kl y w hen yo u have fai ed to find a pul se

Wounds and bleeding

There i new in tru c tion on wound a joint c rea e , kno c ked out t ee th and sexuala s ault.Protrudin g intes tin e f rom an abdominal wound m ay be co er ed wit h pol y thene or kit c hen film , and bo th eye s are banda ge d wh en o ne eye injured , a it s unrea on able to ex pec t him to keep hi ey es till, e p ec i all y durin g the journe y to ho spit al. In c ru h injur y the critic a time after w hich to x in s pre ent a danger now t en minut e , not o ne hour; th e r ea on s f o r ch an g in g th e f i g ure i s larg ely an education a on e b y r edu c in g the qu antity of number to be m emori sed , and it will I e en th e c hances o f ha sty and badly mana ged r escue att empt s. Impalement ha a ep ar ate h ea din g and a pl ace in the inde x, rather th an a par agraph tucked aw ay on the " for e g n bodies " page!

Bites and stings

Anima l bite s, snake bite s and in sec t stin gs have been broug h t together in thi s ch apter , and a new section on injuri es b y ma ri ne creatur es ha s been added - particularly u sefu for holiday s abroad.

Burns and scalds

T h ere ha s been a change to th e limit of size beyond which' burn s should be seen b y a d octor. The 5th edition aid "Any b urn s ar ger t h an 2-3cm ( I in. ) d i ameter

r eq u r es medical attention" , whi e the new ma n ua en arge t h e size but suggest s that superficial ( redd ened ) b urn do not n eed it: " A partia l t h ickne ss b urn

18 St John World Decemb er 1992

Do not press do\;vn directly on a protruding bone end

Use c p a d /arg r th a n th w o und

ca use d by h ae m o rrh age, so thi s sini st er y ndr o m e, not ass oc i ated w ith th e mor e co mm o n thr o mb os s, i r ar e l y see n

Drun ke nn ess and S uh sta nce A hu se (p age 126)

Th ese subjec t s app ea r no t o nl y in thi s c h apt er o n un co n sc i o usness, but al so under Poiso nin g, w ith d iffer ent emph as i s eac h tim e. Thi s dupli ca ti o n co uld give ri sc t o c riti c i sm , but r em emb er th at thi s i s a re er ence m anu al , and w hen o m eo ne w ho i s poss ibl y no t a f ir st aid er i s tr y in g to pUl.7l e o ut w h y so m eo ne is un co n sc i o u it help s t o have th e possibl e ca uses in th e sa m e c hapt er.

E ffec ts of h ea t and cold

In H ypo th er m ia th e em pe r atur e of a ho b ath h as bee n red uced f r o m 43 ° C to 40 ° C, and h o t wa ter bo ttl es are no o n ge r r eco mm end ed

Bo n e, j o int and mus cl e injuri es

A d stin c ti o n i s ma de be t wee n st abl e and un 'o t ab l e frac tu res, w h ich w ill he l p fir aide r s to und er t and w h y so m e frac tur es can be h and ed wi t h e'>s pa i n t han o ther s.

Ope l/ ji'ac t" re (page / -1 2)

HI am not happy abo ut t h e iULI (ra tio n s oj a pr ot rudi n g hill -bone

b e in g dr e e d "

of I % of th e bo d y\ :-. ur face. K i tc hen film i now an appr oved cove r ing fo r burn

Th e m a,' k fo r coveri nd- a b urn ed face

m ade of c l ea n m a eri a l w ith ho l e,> c ut i s, I am d eli g ht ed t o ee, no l o n ge r r ecom-

m end ed 1 h ave a l way,> bee n a f raid of ca u si n g urth er d it res t o m y ca'> ualt

b y ro arin g w ith aug ht er

Fo r burn s and sca ds t o th e m o uth

and th roa , we ar e no l o nge r re q ui red t o

" The ' Bring Back H olge r

Niel s en ' brigade will not like thi s Manual "

offer ip o f co ld wa t er; thi con'ii der ed in eff ec ti ve as th e ti ss ues w ill swe ll qui c kl y an yway . We ar e, o f co ur se, t alkin g about f airl y eri o us sca ldin g need in g m edi ca tr ea tm ent ; th e min o r sca ld ,> we o ft en ge t from ove'r - h o t beve r ages h ardl y c om e into thi s ca t ego r y, and o f co ur se w e in tin c ti ve l y sip co ld wa ter t o soo th e th e di scomfort ; it i h ard y fir st aid

Cold wat er bathin g of eyes ex pose d to 'fl as h burn ', in c ludin g sn ow blindness, ha s bee n o mitt ed

Disorders of con scious ness

L e l'e /s of res p o nse (pa ge 11 5)

T h e 5th edition r equir ed us t o do

er edlik el y 10 have t o be res p o n sibl e fo r tr an sp o rtin g th e cas ualt y, so th at t wo b and ages ti ed ar o und th e p e v i s ar e n o desc rib ed

U nfo rtun ate l y th er e i '> a littl e nco ns st ency in th e A B C r o utin e be t wee n p ages 27 and 242, but be as'i ured t h at page 27 i s th e auth o r

Dress in gs and band ages

Co ld co mpresses (pa ge 203) 20 minut es i s co n si de r ed o n g eno ug h now, no t 30 minut es.

Handlin g and tran s port

T he Fo ur- h and ed sea t me th od h as go ne, T he ac k of suppo r t be hind the ca u alt y' b ack was co n si de r ed da ngero us beca use yo u ca n neve r r e y o n th ei r abilit y t o ho ld o n f irml y ro und t he bea r er sho uld er s.

In recog ni tio n of modem re c ue me thod s, a new sec ti o n adv i ses fi r st aid er s o n sa fe t y preca ut io n s nea r a l andi ng helico pt er.

E m e r ge n cy F irst Aid

T hi s c hapt er s a summ ar y of th e mo urgen t emerge ncy tr ea tm ent: th e inj ur ie , and co ndi t ions mo , t hrea te ning t o ife and imb, and the tec h niques w he re peed i 'o imp or ant : a u eful q u ick-refere nce ec ti o n at th e end of th e ma nu al.

I am no t happ abo u t t he llu str at ion of a pro ruding '> h in-bo ne bei ng d r es. ed.

T he fir'> t ai der is ,> up po nin g th e frac tur ed eg off th e g r o un d w t h o ne h and and app ing th e bui lt - up pads and ro ll er ba ndage w ith th e o th er. I canno t do thi on an un h urt fr end, '>0 w ha wi ll it be lik e on a r ea! f rac tur e, es pec all y an lIn '> tub l e o ne? I wo nde r w hy th e auth o rs di d no t keep t o th e f r act ured fo rearm, lI '> in g a he per, a in [ he Sth edi t io n '?

Fra C l/I red jaw (page /-15)

o he 'shoe h. '» ndromc (pa e, co d, c l am lll Y, rapid brca thi ng and p ulse) ha e be r em emberc ll a:-:-ign<,of co nc u,>,>ion, since t he) do not ac t uall) he pdiagnos s cr) muc h Recog n t ion' th e wo rd use d now, and a,> e l '-.cw here in th is m an u aI. t he I ish of sy m p t om'i and ar e (h ere t o he lp th e " t ude nt to di fferen ti ate be t ween con d i ti on,>,

Wh e reas th e 5 t h ed iti o n require d all co nc ussed ca'> ualt ie<, t o go to hos pi w l. eve n f " un co n sc o us for o nl y a shor t i m e", th e new m anu al sugges t s t ha t s o nl y necessa r y i r he h a'> bee n un co nc o w, f o r thr ee minut es o r m o r e. U nd er th at limit , h e s t o be wa c hed and mo nit ore d , and ad v se d to see hi ., d oc tor. S t ro k e ( p age J 23)

Thi s subj ec t i s now un de r U nco nsc o u sness in s ea d o f irc u l at o r y Di sord er.. At a t th e flu sh ed , h o t. d r y, bo undin g pul se , s ert o r o u s brea thin g' syndr o m e h as bee n dr o pp ed Th e fac is that o nl y a sm a l min o rit y o r str o h. es are

A B C and a bod y-c he c k be o re assess in g th e l evc of re'>pol1',e T he ne\\ manual \\ ou ld I h. e u,> t o do hi'> a,>,>c..,,,mcnt ,>ooner, "0 t h at an} change.., arc better no t iced. To avoid dela} III f lll dlng inJurie'>, th i'> m u " t be a vc r quid a,>,>e,>,>m en t. n o t as detailed a" t he C)c'> - IllO\cmen -'>peec h a"''>e,>,>ment re,>cn cll for l ater on ,\-hen tI me il l1 o\\.., n aldem e m o re i'> in t rod lIced for t h I'> fi r'> t quid asse,>,>men t : PV ( Icrt. rc'-.ponds to Voice, rc'>pond to Pain, nrc..,pon..,l\e) H ead injllrie ,\ (Jwgl' 117)

N o o nge r are we [ 0 u e th e ba nd age sup po rtin g th e h n an d t ied o n lO p of t he hea d , and good ridd ance. I h ave l o n g do ub ted th ea b l i ofaca ualt ytoge rr id o f sa li a, bl ood and de bri s thr o u g h cle n c hed tee th

Fract l/ rC'd rih (page J52)

T h e o ld -fas h io ned e rm t o \ e-i n c hes t h as bee n dro pp ed in favo ur of 'fl ail seg m ent and g ve n mu h I e ' emph as s Th e fee lin g now i th at a f ir t aid er ca n do no thin g effec ti e t o stabili se th e un t abl e part o f th e h e t. 0 t he

" firm p ad " o f th e 5 th ed iti o n now ob sol et e and th e in ur y tr eat ed I ik e any o th er eri o u in j ur y t o th e rib -cage.

Frac tur ed spi n e (p age J -I )

Th e , y mptom ut in h alf", mu derid ed b y m edi ca l e pert, h a at l a t bee n dr o pp ed M o re import antl y, 0 ha th e pinal rec o ve r y pos iti o n , Th e new st andard r ec ov er y po ition s sa fe for pina l injuri es provid ed th er e are h Ip er to c ontro l th e roll -o ver and maint ain upport and ali g nm ent co ntinu o u I y.

Fr o ctl/red p e /l 'is ( pa ge /5 9)

Th e fir st aid er i no lon ge r c on id -

About the author : Carol i ne Thomas is Div is ional Super i ntendent of No 1 City of London Div is ion Secretary of the City of London Centre , a first aid trainer and tutor , competit ion organ iser and a Demonstrator in Casualties Un i on She has been ass ist ng Nat ional Headquarters in updat ing the manuals , v ideos , leaflets , posters and pocket cards wh ich are affected by the 6th ed it on F rst Aid Manual. g 50 me tres ) Con tro bymmders and ask

Th e n ew Fir st A id M anual happy landing s

In

SABRE MULTIFLOW VALVES

1

3

2

Call and Divisional New

A team from altash Ambulance Cadet Di\ won the Flag Parry Competition at County Cadet Day in Truro. Saltash ur"Ing Cadet Divi sion took second place. Pictured are Cadet Leader Philip Samble and Corporal Anthony Fowler and Alex Gordon. member of the winning team.

Cle"e

On Call and Divisional New

I1lbulallcc Cadct. Michael Flynn 01 Ii oly Tnlllt) 0111bined adct 01\ I\ion. H e re ford a nd W o r ce!l le r hal., bccn a\\arded the llJlJ2 C)ril Fran"lill ward b) the Ikrelnrd Rotar) lub The a\\i1rd i\ gi\ell for out'.t.lJ1dlllg COIl1mUlllt) "en ICC Well dOlle Michael.

Zambia bound

The dcdicalJoll cercmon) llrthe rebuilt Pr e., (o n COlT)' lie) too" ,,1.lct: III cptcmbcr. pnor to the oilical opcnJJ1g by II' Pin IlId.\ tcwart -Robert;, uperintendent - Ill -Chid, \110 The ne\\ 1Ie) (plclLJred abo\ e) I" butll on the "Ite Ilr'>t occuplcd h) the Pre'>tol1 ('niT''' or t John In 106.1 service or dedica t ion for a new ambulancc purcha\cd by the Lon s dal e Combined Adult Divi..,ion ook placc in ugusl. Lonsdale COl1lmi..,.,ioner, Mr HaiTis acceptcd the ambulance on beha f of the Grand Prior of The Order of Sl John lrom Dlvl:--lonal Superinlendenl Mr J Cooper. The Rector or Morecamhe, Rev J Clegg conduc ted t he <;ervice.

1993 m arks the 30t h Ann i versary of St. Jo h n Amb ul ance in Zambia and th rough th e efforts or t he S1. John m emb rs in Lusakaand projec t s that t ook p l ace duri ng l al) t ummer, i t wi ll be an occas i on t o ce ebra te! I vI\lted Zambia In Ma y 1<,)<)2 in order to e\alu<lte e\l\tlllg prolect" and a,,\e'." Ihe way IOJwanl. The Bri g ade W<I" oper a lJllg on a hapha"I" due 10 the equall) hapha/ard orgal1i' <ltioJl Ore\enl\ :--portlll g and other in i.umbill The teachJJ1g 01 Fir'.t Aid wa<, a greal concclll a'> the In"tructilln 01 re"u,>clLallon had lTa\ed complelcl) due 10 Ihe high Ilgurc\ of I II larrier\ f:.\I\llll g equI[1menl wa\ \er J [1oor le\1 boo" \\ ere OUldated and g eneral Id rLl"I) TrallllJlg. -lhe \\ called 101 ! Ihe Community Care prop:t o[1cratlng In l\latern om[1ollntl. \\<1\ e\tahll"hccl5 year" ago T1m I" an e\ c eplJonal project Ihal ha\ cnJo)ed sUl' ce"" through Ille comlllitment relenlJlln of Ihe \Ollillteer,> and nllr"JJ1g lllliler. t\ tllem Com[1ound \\ a" Cited a'> Ihe Jl1o'>t need) or area" r(1r Ihl'> proJect. II bemg Ihe large'>t urhan compound JJ1 Lusa"a. current pO[1UlallOn e,>llmale I'> SO.OO() peo[1le Thl: nmtlillon" JJ1the tar get areas 01 latero arc ha"IL the cliniC" are poorly eqUipped and olten run OUI 01 medical "lIp[1lie,> l. John Community I Icalth Woil,er" dl\ Ilie Ihelr lime hel\\c e n hslQlllg Ihe c1I1lIC,tI atlendanls at the mothel bab) c1lnlc\ and home \ ISlllng The) [110\ Ide a \ ilallin" bet\\ een the cllllie and Ihe COmJllUnll) \\ here aCIJ\ "uch as nutntlon dl:11101blratlolh. heallh t.d".., and dl"cu,>sion'> IIldudlJ1g Fir'>t Aid In Ihe home fulfil some 01 Ihe proJecl obleCIJ\ e' Thc need" of the commUnll} "hape the:--e ,KII\ Itie,. e.lCh OmJl1Unlly Iealth \ or"er i\ re\poll\lbk to a are<\ cOllsI"ling or about HO famill\?"

t present there 1\ no I. John entre III Zambia. there are ho\\e\er foundallons ror a huildlng \\ hen COn"lrlll'llon \tarted (anti "topped) 2 year'> ago We hO[1e lilal a buddlllg can be c ompleted and operalJonal for the 30lh nnl\ , He le n Vlund) ,Ind P e te r Pri ce \\ere to Zambia during Ihe L1mlller 10 \\ or" \\ illl the Their brief \\ as 10 generate \\ Ides[1read inleresl in I. John 1l1bulance and promote FiN id training. For II! I \...ne\\ Ihal Ihi" \\ ould be a challenge G r a ham Walla ce. Depul) or l. John Zambia for 15 ) ears, has been the mainstay ronhe coni inuat ion or activllies. he IS both highl) regarded and \\amll) than"ed for hard \VOl'\... Ca rolin e S ilun g " e. R has wor"ed as projeci officer in atero since the project slarted and established good commullications and \\ or"ing [1olicies with health de[1artmcnls and III Ihe cOlllmunit B e tty IVl ag an g a Districi SU[1cnnlendcnt for Matero. is also a COllllllunilY Heallh Wor"er and is respon:--lble for Firsl id Iraining al v or"-

Letters Home

11th Jul y 1992

Dear t\11I1ll ,\J1d Dad "Veil. here I am In Zambia Had a re\\ lllomeJ1ls 01 concem atlhe airport aboul being Ihro\\ n into a Zambian gaol for not declanng Ill) la11111te md cll<;tard po\\der. bUI made il through CU\lom\ \\ IlhoUI a hilch Allhe ,lJrport I\\.l'\ mel b) Ihe 1. John ladle.., and policemen - 110. Ihe) hadn ' l dl\cO\ ered Ihe \ lamlile! The polICe are on good leJlll\ \\ ilh 1. John mbulance and IXO\ Ide Iran-"pon \\ hen rcqulred Thl" \\as e"'peclllllj useful \\ hen \\ e found there \\ a:-- no room at Ihe YWCA. \0 Ihe) lemed 111) "el r Jnd luggdge to t\ latero Compound \\ here I 'pent m) lIN I1Ighl in a genuine Zambian hOllle.

The Y"\ A no\\ room and am ..,harIng \\ ilh a girl (,\lIed Ceelo In cOlllmon \\ Ith much of ,ub - aharan ,.;rnca. Zambia i, in 'C\ cre drought. \'e h \\ e one tap \\ or\...lI1g 1'01' a cou[11c of JJ1 Ihe Jl10mlng and 0.,0 e\ el,)bod) lilb Iheir huc"el for Ihe day You needn t \\ on) aboul "unbum as il is mid - \\ IJ1Ier here and e\'er)one is \\earing \\oollie..,! I ha\en l ,een a single mosquito. apparenll) the) don l li"e cold \\ealh r either.

The Irans[10n from the Y\y to t\ latero Compound i bOlh emllic and 0\ ercro\\ded I ha\e t\\ 0 bus rides each \\ a) and be e\lremel) In order 10 gel a This \\ee" I have been inlroduced 10 Ihe I. John CommUnll) Health v or"ers and accompanied Ihem on Iheir Their \\01''' incorporales tradi l iona l t. John activities. Ihe) pro\ ide asSistance at mo ther and child clini s.docommunil) \\ or" and heallh education. plus t\\ ehe are Irained Tradilional Birth tlcndaJ1ls. There are onl) 1\\ in t\ lalerCompoulld (ror-t8.000

Helen Mundy is a 4th year medical student at St. Mary's Hospital. Paddington She is a Bngade member and is an active participant in the LINKS programme During the summer, Helen spent 9 weeks in Zambia working wtth the Community Health project In Matero Compound Her trip was funded by the Eluned Williams Scholarship. Rotary Club. Overseas Department LINKS and the Medical Department. with generous assistance from her famtly peopJe ).lhe CHWs \\ or" more or Ie,s full - lime. the) are \\ or"lIlg in their immediale neighbourhood and are "on caJJ" 2-t hour\ ada) Thi:-projeci 10., one of the fe\\ one In Lu"a"a and Ihe onl) one functionlllg JJ1 t\lalero Compound

19th July, 1992 ince m) lasl letler I ha\e been \\ or"illg hard mainl) at Ihe mOlher and bab) These la ke pia e in Ihe morning and the L\\ erage allendance IS bel\\ een 150 10 200 InfaJ1l:. imagine Ihe noise! Heigh!. \\ eighl and inoculalion record::- are closel) monJlored for rhe under-: s The mOl her: are ad\ i ed about Ihe pre\eJ1llon and earl) deteclion of dlsea e and nutrition. il i: a good forum for aboul general famil) health e \ 1 \\t:e" I am and refre'>hlng Ihe firsl aid "no\\ ledge and s"ills oflhe I. John Iadi JJ1 preparalion for Ihe training cour'ie ne'\t monlh I am ha \ IIlg to be adaplable \\ ilh regard" 10 lin,1 aid Irealmenl. In England mosl of our Irainl11g IS geared 10 Ihe arrl\ al of an December 1992 J o hn" o rld 15

ambulance. but he re in Zambia there is no ambulance. ervice and accident victim. have to rely on the good\ ill and dubiou s first ai d knowledge ofpa er -by for immediate treatm e nt and tran port to the ho pit a l.

26th Jul y, 1992

Ye terday I we nt to an f ric a n wedding. the hen night or " Kitchen Part y" took pla ce as t week. At both even t · there was a lot of dancing a ndmeITimem TheKitchen Party wasofcourse female only. where the brid e re ceived domesric gifL.

have pent a few day lookin g around th e Univer it Te ac hing Ho pital of Zambia. It very ad to ee what wa evidentl) a ve ry fine ho pit a l bui lt in more prosperou timc slov. I)' crumbling due to the lack of funds for maintenance and poor taffi ng le\ eb. Th e medical \\ ard are in dire need of ca h input. Th e re 'v\ ere 73 patient s in th e female medical ward. many were lying o n the floor and o me were irhout linen Th ere were on ly two beleaguered nUL erving thi 'v\ ard. It is a place and wirh the incidence of AID running at 30q· of young adulL. thi service v. ill be unable to co pe Thi i the on ly ho pital for Lu aka. it really empha i e the importance of communit y hea lth work which th e Sl. J ohn ladie are doing in Matero Compound.

Th ank you fo r your letter. which due to th e mys teri e of th e Zambian postal arrived all to gether. I have ju come back from Li ing tone. is at the border of Zimbabwe and Zambi a, where I vi ited th e Victoria Fall. or Mo si oa Tunya. 'Thundering The Fall s are fanta tic. I 0 wanted you to see them. There a tiny bridge archi ng between the Fall Apparently during the rainy ea on you are completely drenched cro s in g it. but becau, e of the drought it is reduced to a ge ntl e pray.

I am s lowl y beg innin g to expand from the effects of too much n ima, N ima i the taple diet. a type of pound ed maize th at you roll into ball s with you r hand and then u e to crape up meat or vegeta ble reli h. It i a bit lik e Chinese food in that it leaves yo u initially bloated but hungry again after a cou ple of hours.

exr week we are attending fir t aid public duty at the four da y Agricultural Show and Circus. I s hould imagine th ere a re end le pos ibilities for fir t aid in a how co n i tin g of acrobats, elephant and tiger

5th August , 1992

The Firs t Aid dut y at the Agricultural Sho w and Circu s went well with urpri ingly few casualties. Thi s was fortunate as the tin First Aid hut had no water, we had very little and only basic equipment. Medical s upplie s in Zambia are an expensive and rare commodity.

Mr. and Mrs. Wallace. both of whom work very hard for SI. John have arrived back in Lusaka and so I have had my first hot bath for a month !

Caroline Silungwe has invited me to the Ordination Service of her husband into the United Church of Zambia They will be moving to the Copperbelt in September so that he can continue theological s tudies there. Caroline Silungwe has held the po st of Project Officer since the initiation of the St. John Project in Matera; much of its uccess is due to Caroline 's

26 St John World December 1992

knO\ ledge o f th e com munit y and her dedication to hcalth for all. At the momcnt we are tr y in g to arrangc rooms at Ma tero C un c il building a nd orga ni sc personnel for th c first aid coursc It m) co-ordina tin g abi liti cs and admi ni s trat ion techniques!

13th A u g u s t , 1992

Pe ter Price clITivcd today from Hcrcford and W o rces ter St. J o hn There was no in g hi , presencc a t th e airpor t as he was surrounded by large boxes of first aid equipment. My reques t for supp li es of PG coffee and sherbet lemons was happil fulfillc I.

2 1s t A ug us t , 199 2

We ha\ e been \\ orking full-time (and o\"er) on the first aid course this week. A v. hole section of people tumed up and in vel") largc numbers, The cmphasi\ on pract ical kilb: \\ e taught the Three Cross A \\ ard and a combination course of Essentia'" and Fir"t Id at Work to age groups. It \\a" greJt fun and e\el") one \\a" \el) enthusiastiC and qUid to leam. ne\erthele"s. if I "it through onL 1110re e\plana ion of re.,u.,cltatlon. or ..,;e one Illon: armsling aprlied. I ,hall go quieti) llNlI1C!

Anyv. ay. we have the \\cekend to reeo\ er before the trainers' cour\e next wed

Water is shorter than ever and the tap h:'h run dry at the YWCA .,0 we have to \\ alk a di tance to a standpipe. De\pite my roo III mates efforts. I sti II cannot balance a bu "et of \\ :.\ter on m} head!

4th Se pt e mb e r, 199 2

Training thc 'v\ ent \el") well. a si ted Peter in the course \\ hich held at Evelyn Home College (a paramedical college). where th e teaching facilitle are excellent. The empha i was placed on practical aspects as many of the candidates were experienced teacher After such an inten i've wee" of training. we took off for safari. The wildlife was superb and r pent quite a lot of time relaxing by the pool. also enJoyed the luxury of runn1l1g v. ater and flu hing toilet!

Back in Lu aka it is hOller than ever, \\-ater and e lectricity are now being officiall) rationed. There is an outbreak mthe compound. It spreads rapidly in overcrowded condition with poor sanitation. The St. John ladie have organied a house-to-hou e campaign to advise on the ymptom and to refer vict im s to th e c lini c. Home vi iting i an important pan of commun it y health work as it provides a vital point of con tac t between th e clinic a nd th e home.

r have been pre ented wi th a cooking pot a nd s ti ck, along wit h th e ingredients to make n ima, prepare yourself for a Zambian evening on my retum !

See you oon. Lo ve from Helen

PS would lik e to thank a ll the ladie s ofSt. John Ambulance Matero for their kind welcome; especially Mrs. Magan ga and Mrs. Silungwe fortheir ho s pitality ; Gloriaand Mi c ha e l Band a, my friend s and travelling co mpanion , who s howed me so much of their beautiful co untry.

Training the trainers

Peter Price IS a full-time First Aid trainer from SJA Hereford & Worcester Peter spent 3 weeks In Zambia under the Training the Trainers programme, coordinated by the Overseas Department. This trip wa s funded by SJA Hereford & Wor cester; the Overseas Department ; and hosted by Graham Wa llace. Deputy Commissioner , SJA Zamb ia.

) first impre<,slon of Lll aka \\a" that It \\as dl"). vel") du'>t). cloudlc.,,,. but I had VI'>IOns of all sorts of things happening to me al customs, for I had tv.o .,UltC:'hes. tv. 0 ilem, of hand baggagc. plus three large bo\e., and "Annie" in her SUllCa.,e These item'> were necessal") for the forthcoming Flr"t Aid courses , The tran"ll v. as free of charge courte\) or Bntish Alrwa)., chant) frelghl. [ wa glad to see a \\clcome part) at the airport. Helen Mundy and Graham Wallace. my host. Graham and Ann Wallace have lived in Africa for 30 years and have been 1I1vo ved wi th I. J o hn in Zambia for IS of those. Their kind hospitality has been enjoyed over the years by visi tin g t. John mcmbers rroJl1 the UK

My first weekend was "pent settling in. being hown around Lu '>aka and in preparation to tan Fir t Aid courses; in retro'ipect thee proved to be the mo t challenging training programme of my SL John career!

Mat e ro C ompound

On Mo nd ay morning I was taken to MaterD to th e Council building which was o be th e teJl1pora ry St.John Training Centre. Thecentre had tw o large rooms, th ere was no g lass in the

windows. no electricity. no wa ter. it very du s ty. and th e ,anitation was a simp le holc in th e ground. Apa rt I rom the tr aining equipment I brought to Zambia. the only other facility provided wac.; a blackboard

The fiN lady arrived at X o clock In her SI. John Llnifonn - of which there are many variaaccording to the colour of matcnal avallable Shc gavc me a large '>mlle and thc tradit ional greeting of Mule Bwangi - "Good 1110111ing. how arc you"? " I cxpccting about twenty pearle. but by 9 o'clock there were fony o th crs. three of thclll had bablc\ strapped to th eir back some had shoc'>. out Jllost had none and at Iea,t half a do/cn v.ere vlsloly pregnant. II could "peak English In "arylllg degrecs and it v"as me who relt1l1adequate not under<,tanc!Ing yanja. the local languagc

The t\' o leading 1. John ladlcs. \IIrs. Carolllle dllngwe BellY Maganga. introduced thcIll\clves and made mc reel vel") welcome When they the training aid" their eyes Iit up. for the} had managed \\ Ith no resuscitation Jllodel. out of datc tC\tboob and \el") ba.,lc equipment for so long (\1\ lir..,t se,Slon \\ do., conducted on the blackhoard. I \\ <1\ a hit 0\ elUll11e 0) their '>heer e'1!.!ernes\ 10 learn The langu<l2e problem a\\k\\ard. butl\ l rs and I\r" \1aganl.!a put matter, right and \\C soon got to unlkrst:lJ1d e:.teh olher '- qulle well. I ha'-d arranged the course timc., to run het" een 9am to 12 }Opm and I pm to -LI()plll. but realised thiS \\ .IS I.umbw. not 1.'\ er) one had 'v\ atehes and .,Ollle had una\ oldablc famll) commitments. so lIllllng., IMd to bL Ilnlble In the df"tcrnllon a nUlllDcr of) ounger Col k rall!!lJlg from thelrteens to t\\entle,callle to sec \1" hZll I as dOIll!!. agalIl the\ "ere so lIlterested in gallling fiN '- Illskllls I not tU1l1 them :.1\\'-<\\ 1 one!" frolll the 0\ ersea, Department ""' -tt) g. enerate as Illuch puhliclt) and local IIlterest a\ po,slblc 111 order \l) Increase Bngade nUlllber, In the past the Bllgadc has encountered problems \\ llh recrultlllent. especiall) of \ounger 1l1embers and ,0 \.\e welcollled and 1ll,1 1I11ulllnulllber'o \\ IthoutJcopard1.,1Ilg. the \tandard and tIallllng of the eour.,e, tau"ht <:-llelcn ,Ind I deCided that the) ounger OllL, shtluld take a Three 1'0"" A \\ ard and the other .1 comblllation cour\e of E,sentlal, Ind FA W "each da) thell- understandlng greatl) lJ1Cfe<lsed. and cOllle Fnda) \\ere read) for Ihe te\1. \ e carl) and \\ olked lhrough ' tll late. \\ hen at la.,t \\ chad tesled thcm all. There \\ere onl) fi\e \\ho did not make the nrade and there \\ere some e\cellent : ho v. ollid ha\e been a credit to :'111) Di\ iSlon 111 the UK nUlllber or people \\ ere reCOlllmended to attend the Trainers COlll..,e the follov. lI1g week. the,e included IIW " and school teachers.

Dunng the fiN week. one or the ladie of Matero in l\ted I ..,hared IUllch \\ Ith her ralllil) and conw.lenng Itllllpolite to refu..,e I accepted M) rirst trul) Zambian Illeal \\ as unforgettahie. ., the guest of honour I "<I sho\\ n into thclr lh"elli;lg and given the main chair. the lady or th e at III feet \\ Ith a bO\\ I and her daughter wa,hed my hand I was thell shov. n to a table \\ here there \\ as a plate 01'\\ hat looked like stiff- white P{ rridge. it turned ou t to be ground lllaile ealled nsillla. the \taple die t of th c'-Zamhtan people. Wc all helped to

a handful of n.,ima and proceeded to break il into "mall balls which we thcn dipped into a bowl or shreddcd pumpkin leaves .,oaked in olive oil - it was different. Other relishes tasted during that week included cattle trotter. a local delicacyl

Eve ly n H o m e Co ll ege, L usa ka

The <,econd week wa\ a complete contra'>!. we moved to thc velyn Home College in Lusaka. which I" very smart With excellcnt classrooms. All of the recommended studcnt" from the prcvious week attended pill'" a number of the .,enlor Iccturers from the college , Therc are three malll area., or the communit) lhat it wa,; <,uggestcc! wc .,hou kI target for cour.,e the cliniCS. and indu'>try There were rcprec.;entative,> from all three area'> on this tralnmgcour<,e and much intere<,t wa., 'ihown in the qrL;cture of I. John as a v. orldv. ide organi..,allon

As the \tudclll'> had a good command of Engll\h and mast were expenenced teachcr,> or thc empha..,i.., v. as on likel) \Ituation'> \\ herc Fir"t Aid is needed or be JllandatOr) On Fnda) aftel1100n the a..,..,es,>ment\ \\ere cOJllpleted. II \Va.., aga1l1 qUlle \u ce<,sful. there \\ere three fallure.,.

All the participant\ were ver) enthu"ia<,uc and intend to stan a 01\ I Ion 111 Lu-.aka \\ here there is great potential. It 1\ no\\ up to us to give them the "upport and gUidance the) require

R eco mm e nd a ti o n

At f\1alcro the SI. John are In need of their 0\\ n Foundation ha\ e been laid fora bUlldlllg.thi" has been financed by the Canadian Fund. from the High Commi'osion. but more Illone) I'> needed for the completion of the bulldlllg I feel sure that \\ lIh the ne\\ Intercst .,hO\\ nand puhllclt) generated b) thl \ Isit. Illcmber\hip \\ ill certain I: ll1crease. but it \\ill need 10 be su-.ta1l1ed and a bullding \\ill rullil hoth a practical nccd LlIld establl..,h an idelltlt) lor I. John in i\1:11ero

Pre e nt a ti o ns

The pre.,cntallon Ja) at latero \\ b arranged dUring tht: third week Guc"ts of honour in-

c1uded Mr<, Hinchcliff. wife 01 the High ommissioner .,he is a phy"iotherapist who works with disabled chlldren in Matero Mrs Mal") ajournalist, whose husband is the World Bank rcpre'lentative in Zambia. she has been 1I1strumental1l1 fundrai,>ing forthe CommuI1lt} Health project in order that they have a number of ba,>ic '>upplie'> Mr. and Mr'>. Wallace. the Deputy Commi"<'loner for SJA 111 Zambia Proceedings .,tarted wilh the \!Iatero ladles performing a traditional dance (plus Helen who had by now mastered some of the routine! J. followed b) demonstrations of first aid skill., The Three Cross A warders Simulated a football match scenario. one of them wcnt down with a broken leg and without further ado six )oung lad,> rushed on, armed to the teeth v. ith bandages and proceeded to bind him up in the traditional seven 5t) Ie "a full Femur job ". The ca<.,ualt)

blanket. whereupon he was Iifted

and the team proceeded to march lI1.,tep

the showground It brought the hou,>e dov. n. eve I") one enjoyed thelrshov. of skills and gU'oto! After the pre entation of cerl1ficate'> a fev. '>hort speeche , brought the proceedings to a close and then \\e v.ere ef\ed \\Ith a cup of good old Zambian tea But pau'>e for one The "tea ceremony " a \\e kno\\ It. balling. brew lI1g and pouring take for granted the read) a\allabilll) of \l"ater. In order that \\ e <,hould be given a cup of tea after the presentation a of \\ aler. from ,>ome\\- here in :-"1atero had to be idenri lied and carried-onhead back to the Council bulldmg.

During the third week \\e returned to the colleoe order to Q:I\e e\tra tuillon. To be [ found the e hard \\or". but the fulfilment and pel'. anal re\\ ard gained o\errides the mernor) of e\hau tion and endle..,.,

YOLl \\ til be plea ed to kno\\ that m) presence " ill al\\a\ '> be felt In i\latero. one of the ladle., on the cour e ga\ e birth to a beaullful boy \\ hom she named Peter Pnce Kaf\\ezil in m\ honour.

The t\\O free weekend" \\ere \pent (at m: 0\\ n c\pen"e) on afan 111 the Luang\\ e \ ' alle: and e\plonng the upper rea hes orthe Zambe7i Ri\er b\ boat aJllldst crocodlle and hippoInfested -" tHer - but all of this IS another

Why Cadets are good for nothing

How long before we can change the attitude of certain adult m em b e r of our Brigade , and prove to them that Cadet really do work hard ?

My friend wa recently marshalling at a motor ra ci n g event, in a co unty out id e my own, which will remain namele s.

He was talking to a Brigade member, who wa on duty My friend aid to thi member, "Oh my friend (meaning me ) is in the St. John, the Cadet in fact, I think he 's a Cadet Sergeant" to which the Bri gade Member just laughed and aid, " That doe s n't mean anything, Cadet don't actually do anything and they're only given ranks as a token ge ture. "

So, Cadets don'tdoanythingeh ? Maybe not in hi s Division , but nationally hecouldn 't be much further from the truth

There are N Y.C. reps , Challenge and 0 of E award holder , Lord Lieutenant's Cade , Sov ereign Award Hold ers, Grand Prior Cadets, County Cadets, National Competition Winn er need I go on ?

I am the secretary for my Cadet Divison, a member of the ational HQ NCO training team , a co-ordinator for a divisional campaign for more radio equipment. Thi year I and many other cadets attended the Bri gade Conference in Buxton and in the la two year I have carried out 500 hours voluntary service - and there are plenty of Cadets who hav e 750 and 1,000 hour award

I put out a plea to all officers and Brigade members , to remember that Cadet are the future of our organisation, and the best way to increa se the member hip of the Adult Section of the Bri gade is to encourage the Cadets that we already have to transfer , and the best way to do that i to treat them with respect and understanding - as young adults and not children Give them ome responsibility, duties, training Divi ional jobs, and most importantly don't undere timate the Cadets. After all , we are 75 % of the organi ation. Perhap s in some Di visions the Cadets don't do much, but who e fault i that? The Cadet, or their leaders?

Daniel May Lichfield Q Divi s ion tart:

Brocks take stock

I refer to the Augu t edition of SJW and in particular [0 the letter Paw s for Thought from Janice Elphick

As a County Badger Leader I know that the subject of being given some fonn of recogniti on to wear on our Adult Unifonn is hared by many of my leaders. Many of the se people have joined their respective Adult Divi sio n s through th eir work with Badgers, my se lf included. Would the Brigade have had the e new members otherwise?

May I therefore endorse what Jani ce ha s already said, all we want is small recognition for all our hard work , a badge with Badger Leader' on it would be absolulely wondeiful Pl ease think again.

Ann Maycock County Badger Leader Kent Badgers Folekestone Kent

Scotland the brasier

I don't know whether you will think lhi i a matcher (A word of warnillg - October SJW pg 5), but e t 's try. W e don't have Divi ion in Scotland 0 send any prize money to the Priory Secretary.

An individual te t 10 a competion ; the hi story wa that a workman who had been boiling water in a kettle on a bra ier. knock.ed the kettle over. The injury wa a scalded thigh The bra ier wa th e conventional old oil drum with hole k.nocked in it but with red paper representing fuel - 0 no heat.

A compe tit or came on the scene and, seeing lhi dirty old oil drum in everybody's way , picked it up and put it to one ide The judge aid, very gen tl y. "I'm sorry but you ve ju burnt thek.in off both your hands" The competitor fainted, and the patient got up and treated him.

G. H. G. Tilling Gorebridge Midlothian

Mr. Tilling (a regular co rr e pond e nt a nd well-known s pelling mistake) is re ponding to an in vitation we mad e for member to recall humorou incid en t at co mp etit ion s. Thi i the only reply we h ave had and the £20 pri ze on offer will ha ve to go n ort h of the border unl e omeone in Eng land can come up with a sto r y quickly (t h e co t can beat the E ngli h at many thing - but Irumour?! Oh the di grace of it...)

Belated gratitude

In the July 1992 edition of SJW an article appeared en titl ed 'Pulling the Nur e Thi article de cribed th e recruitment drive a t RC Congre for R egi tered Nur e . Whil thank you were given to all members who helped [0 man the stand a serio u s ami sion wa made SI. John Ambulance Association London Di trict was greatly involved in the production of the video " Th e Challenge", indeed without their help the video cou ld not hav e been made and they were not thank ed publicly.

I would like to apologise for thi omis ion and offer a belated but heartfe lt thank you to all who helped Anne Marie Barnard Community Care Project Leader SJA NHQ

HOLIDAY PROJECT ORGANISER

Are yo u interested in organising activity holidays, if so this could be the job for you. Th e National Asthma Campaign (NAC) and Society (NES) - run a Joint Holiday Project which provides fjv e holIdays dunng July & August , for c hildr en, tee nag ers and young asthl!1a and/or ecze r:na The holidays co mbine ou td oor purSUIts ar:d SOCIal With 24 hour medIcal and nur sing supervision and the emphaS IS IS on participatlon and fun

As th e suc cessful candidate it would b e your job to develop , organis.e and .co-o rdinate th e holidays You would b e recruiting a of sixty melu.dmg nurses and doctors ; publi c ising and prom o tIng the holidays ; ?electlng SUItable participants; producing and m o nitoring a budget paym e.nts ; organIsmg a comprehensive pr og ramm e of and mdoor a.ctlVltIes;. and edu ca tional sess ions ; training leaders and staff; producmg publIClty matenal/press releases; eva luating the holidays and submitting an Annual Report.

Th e good n ews is - th e job i s n o t full time and, for the major part , can be done from your h o me! It would take approximately 1 day a week November-January, 2-3 days a Februarv - April, full tim e May t o September, (on call) 24 hours a da y - 7 days a week In July and August 2 - 3 a week in ?ctober. A fax/phone and lap top computer printer ar e su pplI ed FaCllltJes are avaIlable at both the NAC and the NES m London and yo u would be enco uraged to co m e in o n a regular basis as " business " pIcks up The sa l ary i s £ 12,OOO pa plus expe nses

So if you are self moti va t ed , exce ll ent .orga nisational , administrative, co mmuni catio n and management SkIlls, ke y board SkIlls, a sense ?f humour , a k ee n awareness of safety, lots of enthusiasm and a broad understa!1dIng of and ecze ma we would like t o h ear from yo u urg en tl y. For further mformatlon, please contact June Nichols at the NAC, Providence House, Providence Place, London N 1 ONT. Tel: 071 - 354 5913.

VOLUNTEER LEADERS ON THE HOLIDAYS

If the Job of Holiday Proje c t Organiser does not appeal, how about volunteering to be a LEADER on one of the holidays! Choose your favour te age range 7 - 13 13 - 18 or 16-30 be prepared to give up one week In July & August and apply! To qualify as a Leader you need management expertise ability to pull a diverse team of people together very qUickly experience of working with c hildren and young adults unde r standing of asthma and eczema and a great deal of energy We guarantee you an exhausting but exceptionally enjoyable and worthwhile week with all expenses paid. For further information please contact June Nichols at the National Asthma Campai g n Providence House Providence Place. London N I ONT. Tel 071-354 5913.

"When a man is tired of London he is tired of life"

29 Offer painful to lhe louch (6)

30 Believe an acknowledgement of merit (6)

CLUES DOWN ] 2 3 5 6 7 8 9

Mydriatic drug given pre -o peratively (8) urglcal In trument aiding access to the operation lie (9)

The tale for a competitor In field event (7)

Embryonic membrane forming the placenta (7) kin of tho se in en itive to critici m? (5)

Tea'>er for a fetival (6) injection given into the upper limb? (1,4,2,3,3)

Prophylaclic agruns t diphtheria tetanus, and whooping cough (6,7)

17 Part of a habit for a poisonous plant (9)

18 Thorax ruld fruit in a st..'lle, old joke ( )

20 POI onou organic ' alt fr m animal with a trange tale (7)

22 tapler for cast immobili ing a limb (7)

There are many natural reasons for choosing Ambu ®Baby

A new member of the Ambu Family

Hygiene is, more than ever, a crucial requirement in equipment for training in resuscitation techniques

That 's why the newly developed Ambu Baby features Ambu s patented hygienic system, which provides effective protection against cross -infection Both face

lPiece and head bag are changed for each trainee The removable face piece covers the entire nose and mouth area and the disposable head bag retains all the air wh ich is blown into the manikin

This also means that no time -consuming internal cleaning IS required

Respiration like a real baby

The closed hygienic system ensures absolutely realistic reactions During ventilation , the rib cage rises and falls just as if the manikin were a real baby - and if the ventilation IS too strong or too rapid , the stomach inflates letting you know at once that the trainee 's technique is Incorrect.

The air blown in through nose and mouth can only leave by the same route and it can be felt and heard

Ambu Baby corresponds to a baby up to one year old It is the latest addition to Ambu s family of training manikins

Teaching Cardio Pulmonary Resuscitation (CPR) with Ambu manikins gives a totally lifelike simulation

A detailed brochure is available on request

Please contact us if you would like to know more We would be delighted to send you our special brochure describing the Ambu Baby in more detail.