Description
1. Introduction
Renault Master Ambulance; technology advancements, largely in the spheres of medicine and transportation among other areas, are underpinning changes in the design and equipment of ambulances so that today’s ambulance no longer resembles that of yesteryears. In addition to their traditional role, modern emergency care units are shifting focus to the preventive health area including provision of first aid, patient transportation, as well as the transfer of patients between hospitals. Use of specialist ambulances is also becoming more frequent, i.e. those responding to accidents involving hazardous substances, those transporting patients to specialized hospital departments, those conducting medical examinations, preventive checks, or issuing assistance during social events as requested by both public and private bodies. Meanwhile, ambulances are equipped with increasingly complex and sophisticated medical test and monitoring devices, communication systems, computerized medical systems, and special medical equipment. The overall goal of an ambulance’s medical fit-out is to extend at the pre-hospital level the intensive or semi-intensive care provided with the current standard of medical equipment.
1.1. Background and Significance
Rescue and firefighting are specific missions characterized by high risk and demanding requirements. Beyond firefighters, vehicles have to provide safe transport and medical treatment for people during the journey to a hospital. Thus, in case of incidents or natural disasters, the rescue organization has to reach victims as fast as possible, making the journey quick and as comfortable as possible for the people being transported. Ambulances respond to these needs and have unique design requirements that are quite different from those of other rescue vehicles. The design of an ambulance should take into account all the special requirements of caregiving, as well as traffic and vehicle regulations, respecting defined standards and regulations. The care process cannot stop during transport; it is also important that these vehicles are designed to provide safe on-road approval.
Today’s media highlights the innovations of the automotive industry. Cars are now presented as an integrated element of design and technology, where both contribute to the improvement of performance and comfort in car driving. Advanced automotive electronics, navigation and traffic guidance systems, automatic parking, and innovative multimedia systems are just a few examples of newly developed vehicles used in recent years. Nowadays, cars are not considered solely as a means of transport, but also as smart tools, although such innovations primarily aim to improve driving pleasure and satisfaction. However, less attention has been devoted to other types of vehicles designed for very specific tasks.
2. History of Ambulance Design
The first evidence of using vehicles as ambulances (as the medical evacuation vehicle) is in the battlefield of Belgium. According to the medical terminology of the Greeks, the concepts “ambulon” (as a medical evacuation vehicle) and “john” (a regional explanation for electromagnetism or gas lamp) met for the first time in history at the same place, and afterwards, when it met with the terms “the knight,” the concept and the explanation started to take shape as “ambulance” and the concept of the ambulance. In reality, the most logical explanation is to use a civilian vehicle adapted into an ambulance vehicle. However, in times of chaos and conflict, life becomes difficult, and so even the period, which is considered suitable for treating civilians before the early 20th century, the regions of conflict took away the idea of transportation.
Two basic principles have been existent in the formation of ambulance models since the use of horse-drawn vehicles being started by the Knights of Saint John in the late 11th century: the interior design, which contains the equipment to provide the required care, and the exterior design, in other words, the vehicle design taking into account vehicle selection, chassis selection, and general serviceability, ensuring safety, ergonomics, durability against weather conditions, performance and comfort criteria. The transformation of ideology into practice, innovations in response to changing conditions, changes in search of excellence are also milestones in the sense of ambulance design.
2.1. Evolution of Ambulance Vehicles
With the Roman victory of the Punic wars, the Roman army appropriated the carriage. The Emperor Augusto already spells out on how it should be carried out on the battlefield. The design of the legion gurney would be replicated by the coraps, the hospital benches gained more robustness, were couched in leather or fabric and carried on the right and left poles. Small ambulance detachments, the alionsarys, were scattered throughout the clinical sites. The fold continued during the Middle Ages, the only difference being the cost to taxpayers for transportation. During the 14th century, the military doctor Guido da Vigevana drew a wagon horse for transporting patients with febrile diseases at the time of Venice’s reign. The possibility of contagious diseases contradicted the introduction of the transport of patients during battles. The Sepulchre had a small number of comfortable individual benches and a shuttered orifice to allow for ventrino passage. The car captured, carried out of nowhere, the wounded and sick of both parties. After a decline, which was only driven by financial availability, the transportation of patients would arise an Arabian steam order where the development of the military medical service made the organization the most advanced. The wagon transported a limited number of recipes and acknowledges immediately after the initially performed act. In 1099, the Norwegian Einar Flaðra wanted the work of the Saracens to revive a part of their operation, but it was the Knights who developed an extended transportation system.
The materials used as support for the treatment of patients in transit have adapted to the medical, as well as social, conditions of each era. Transportation itself has undergone a series of adaptations in order to be able to support any type of patient, independently of pathology and severity of the trauma, as well as follow the evolution of the basic life support (BLS), advanced life support (ALS), and critical care transportation standards. Ambulance vehicles have a structural design that has adapted to the capacity to transport patients. The pioneers of ambulance transportation were the armies in the ancient world, which, being aware of the importance of the sutures issued, transported the patients from the battlefield to the camp, after acutely acute pain. The ash from the environment in which they found themselves being attacked by the number of wounded. The transportation was carried out on litters with a canopy where the Romans and the Egyptians introduced the nobility.
3. Renault Master Ambulance
Renault Master Ambulance; Other features available as standard include Anti-lock Braking Systems (ABS), Cruise Control with a speed limiter, and a modern emergency braking system known as the Electronic Brakeforce Distribution (EBD). The EBD takes into account the vehicle’s load to help drivers apply the appropriate level of braking so as to avoid potential skidding. With the additional traction control system on the rear-wheel-drive versions, Master offers a high level of safety to vehicles and passengers. Furthermore, the innovative Renault Traction+ control and Hill Start Assist, standard on rear-wheel-drive vehicles equipped with a manual gearbox and Easy Gear automatic transmission, contribute significantly to the vehicle’s safety levels. With High-Performance Selective Catalytic Reduction (SCR), the Master van complies with the Euro 5 environmental standards in line with the latest European regulations for light-duty commercial vehicles and provides fuel savings as well as a high level of torque at low speeds. Renault’s Medium-duty vehicle range conforms to Euro 5 standards without requiring the installation of a fuel additive system to treat nitrogen oxides, and fuel consumption remains low, eliminating the need for frequent maintenance and possible time off the road. This is particularly important for medical ambulances that are required to remain in a state of operational readiness 24/7.
In 2010, Renault introduced a new Master van that sought to take on the established competitors in the market. The first generation of Master models made in Turkey was introduced in 2006. The 2010 models are a product of Renault’s engineering experience developed over the years, and took some design features from Renault’s recent models. Initially, the 2010 models were available with three different chassis variations: quick-delivery van, long-base van, and long-base high-roof van. The cabin space was made more ergonomic. Entry is easier and the comfort level further improves. The dashboard has been engineered with increased user convenience in mind, LED lighting for compartments, a driver’s airbag, and a radio/CD/MP3-compatible audio system offering Bluetooth compatibility with steering column-mounted controls are other standard-fit features that ensure a high level of well-being inside the cab. The manufacturer offers a number of comfort options on the cabin, including air conditioning, an electric pack, a touch-screen multimedia navigation system with streaming audio, and a double bench seat to transform the Master Cab into a vehicle that can accommodate five- or six-person crews. The Master’s driving aids utilize modern technologies and contribute significantly to the road safety of its users.
3.1. Features and Specifications
There has not been found paper dealing with the car design of the ambulance in the last 40 years. The terms of operation of ambulances are limited. As emergency services are, they are the first cars to the scene of an accident. The quality of this interaction has an impact on the delivery of the patient to the hospital, which can alter the outcome in critical care situations.
According to the many ambulance producers, RSM has 50 different but 13 most popular specifications. Such opportunity is very appreciated at hospitals and regional medicine centers where there are not sufficient medical staff. Teams of district bakeries’ intensively makeup patients, so employees of microdistrict bakeries are at risk; and time for the delivery of bakery workers to hospital is critical. It results in increase of the bakery popularity since investors prefer eco-friendly regions. Each of them can have an emergency situation ÒÌÄ. In recent years there has been an increasing demand for ambulances. As a result of SUV natural strengths, ambulances need to be as spacious and comfortable as big clinic.
4. Impact on Emergency Medical Services
Another factor to consider is the type of atmosphere that is created for the patient in the back of the vehicle. All of the little things that the designers have done in creating the Renault Master ambulance have created an environment for the patient that does not constantly remind them that they are in an ambulance. This can help calm the patient down, and keep their blood pressure at a constant and safe level during the time it takes to get them to the hospital. The clean lines, comfortable lights, and general smoothness of the interior all help to accomplish this task and allow the patient to stay comfortable and calm while riding in this innovative new vehicle.
Innovations in ambulance design: A case study of Renault Master ambulance manufacturer. There are many aspects of the Renault Master ambulance that are extremely beneficial, not only to the driver and passengers of the ambulance but also to the patients who are riding in it. One of the first things to consider is the fact that the patient is not able to see what type of driver is behind the wheel of the vehicle. Renault has the capability of designing the Renault Master ambulance with many little features that allow the driver to stay comfortable, without taking the driver’s focus off the road.
4.1. Efficiency and Patient Care
The aim of the study is to perform an analysis that investigates the innovations of new ambulance design in providing home support services for the best patient outcome. This study uses a well-defined home support service to explore these innovations. The innovations are highlighted with extensive literature references. These references, while making specific mention of a supplier, often tacitly point to the designs underlying the vessels they mention. Focusing on these designs can establish clear economic benefits and social values of alternative solutions. Accordingly, an ambulance concept design framework model is presented in this study. The literature used is based on areas central to increasing the care pyramid. The suggested enhancements developed are summarized in a design study of an efficient ambulance concept. The results could inspire future public procurement processes that the user particularly wishes to define and implement in new projects. The conclusion follows with further discussion.
Efficiency in the ambulance sector can be seen as two interlinked concepts. It is about how to achieve the best patient outcome and how to deliver the best patient care with the best resources. Efficiency in this context means providing an appropriate, timely response – it does not only mean getting to the scene faster. Patient outcome is directly influenced by the provision of appropriate care at the scene. This outcome could be impaired by excessive speed on the part of the responding service. A decision must be made – the problem is to make the right decision for the right reasons. Ambulance services, therefore, have an ongoing interest in developing new interventions to improve their activities and stretch the current constraints of their services.
5. Future Trends in Renault Master Ambulance Design
Through the globalization of the world, the desired service is now preferred to be offered in the same quality, regardless of the place or the party that is responsible. It also concerns health services. Health services in hospitals and their peripheral institutions are expected to meet all expectations from an aesthetic approach to functionality, just-in-time loading and unloading, with the premise that comfort is the right of the patient. In this process, patient transport services also come to the fore. The service demanded to the consumer’s place, either make the said vehicle or restore it. Whether the patient transport vehicle will be a specialized tool to meet half an hour or one hour, i.e., about existing patient transport services that the hospital staff fall into, have some deficiencies and have time management problems, or sheet breaks, it is essential for hospital management that it reaches the target from its door with safe grips as soon as possible or carries people to the hospital and saves lives in necessary health service than bring new patients back. As a result, the characteristics of the vehicle, where health services are frequently used, stand out due to both functional and process-related factors, and an increasing number of large, small or medium-scale companies have invested capital in these vehicles. These vehicles stand out as tools that are frequently preferred and used by both professionals and non-professionals to obtain health services, or in the transportation of patients and relatives to healthcare centers.
Recent needs for local medical services and the efficiency of those services have opened up new discussions in different parts of the health sector. The improvement of health service performances gains importance, especially in the transportation sector of the health services. In this context, the necessity of the reform of the ambulance vehicle, which performs a crucial function in the transportation services, becomes clear. The development of new ambulance vehicle designs suitable for the specific requirements of local medical services, based on user expectations, elite user satisfaction, and improved service performances, has gained importance. It is aimed to develop suggestions for the development of future ambulance vehicles by investigating elite user and passenger expectations and experience levels on the existing ambulance vehicle applied in the Case Emergency Service Center. Consequently, the experiences of the personnel of the emergency service institution responsible for health services and the individuals benefiting from these services for different reasons were evaluated, and suggestions and applications were made regarding future ambulance designs.
