1. Introduction to Toyota Ambulances
Toyota Ambulances; An ambulance is a vehicle that provides transportation to people in emergency situations who often do not have time to wait for the hospital to come to them. The provision of fast, safe and comfortable transport is expected to reduce the possibility of death while on the way to the hospital. The demand for excellent emergency medical services, in addition to the ambulance service, has increased the number of ambulances used at present. The increase in the quality of basic health facilities service delivery system is one, of which, is the availability of vehicles operating Urban Toyota type.
To support the process of providing medical treatment services to victims, the commission’s health services have stationary facilities that transport patients and residents, still using Toyota cars to carry patients from the incident location to RSUD Kab. Bener Meriah. Toyota ambulances have advantages in the form of additional features and Toyota ambulances are also sturdy and of high quality. However, the existence of other brands of ambulances is now beginning to emerge with a variety of variants and adequate features. The proportion of patients to be referred to the main hospital expects faster transportation. The objectives are as follows: 1. Knowing the variant types of ambulances assembled by Toyota companies. 2. Identifying the types of ambulances used by Toyota. 3. Knowing the name of the facility that supports Toyota ambulances.
2. Toyota Hiace Ambulance
A Toyota Hiace full-size van converted into an ambulance. It is a high-roof vehicle with ample space inside to move and treat patients. Most vehicles use a turbocharged inline-four diesel engine, which has a standard front-engine, rear-wheel-drive layout that enables smooth high-speed driving. The diesel engine has enough torque at low engine RPM, which allows for quick acceleration from a standstill.
The Toyota Hiace is a versatile vehicle used in many countries around the world for various emergency healthcare purposes. It can transfer one patient lying on a stretcher and his assistant along with a few seated passengers, or it can handle patients with non-urgent sicknesses who can walk. The vehicle is often used in congested cities where narrow side streets and heavy traffic mean that any vehicle used for emergency patients also needs to be small enough to easily navigate the city. Some ambulance designs take advantage of the Hiace’s high roof and flat floor, which allow for the treatment of patients. The layout can be front-engine, rear-wheel-drive, thus there are no driveshafts and no floor humps. The wide-open rear and side doors and interior layouts are somewhat taller and longer to enable EMTs to stand and have sufficient space to work on stretcher patients lying inside.
Other Toyota Hiace vehicles are used as the patient transport service event medical standbys before one is needed to be turned into an ambulance. Toyota Hiace vehicles are used as ambulances and loss-of-drain-stage, transfer or convalescent patient transport vehicles. It is also used in airport terminals. Toyota Hiace has either long wheelbase, high roof or super height extended roof.
2.1. Features and Specifications
The vehicles could have some amount of denting and painting on the vehicle body exterior due to rust or scraped paint. Other features and safety. The ambulance sounds will change when its sirens are on the road. It is not necessary to have a changeover switch in this ambulance, since this ambulance is a special ambulance. The ambulance body will be built in Civil Defence and could follow the applicable rules and regulations. The ambulance shall include the latest safety features, including state-of-the-art technologies such as traction control, anti-lock brakes, active and passive safety protection, driver SRS airbag, a seat position provided in a suitable place, and designed to give proper field-of-vision and driver ease of operation. Anti-bacterial fan ducts in both the patient and driver compartments and the electrostatic flocked blower for better air quality of the patient compartment. Stainless steel storage cabinet to keep valuable medicines and medical instruments.
Patient Compartment: The patient’s compartment in Hiace Ambulance is built to offer the full care required in an ambulance for the patients. The internal height to touch LED light in the ambulance patient compartment should be at least 03 feet and 4 inches, and also a headroom space of not less than 36-37 inches in the patient compartment is marked in the ambulance to facilitate doctors to stand in the ambulance. The ambulance is provided with a 220V and 12V charger for medical equipment and the refrigerator. It also has an inverter charger to charge the laptop or iPad of patients. Reception area with access door and individual fan for the comfort of the doctor and paramedic, and also the fast cooling system due to the large duct of AC in the patient compartment area. Toyota Hiace Ambulance has been designed and built for the mission of saving lives. The specialized care for you and the patients in a medical emergency. A number of redesigned advanced features make the Toyota Hiace the perfect ambulance for your mission.
2.2. Usage and Applications
An ambulance is a necessity to support the health care system. It is the main tool in any emergency situation and used to transport patients suffering from injuries or medical conditions that predispose them to severe medical complications. Ambulances are used not only in casualty and emergency care wards, but also during national disasters/floods, in cases of multiple trauma, cardiac or cancer emergencies in remote areas. Travel emergency signal systems (e.g. blue light ambulances) are used for in-vitro fertilization services.
The Toyota Hiace Ambulance is used as a casualty carrier and also as a support ambulance for transporting pregnant women, elderly trauma patients (fractures/dislocations), referred patients, etc.
2.2.1. For Emergency Response The Toyota Hiace Ambulance is used not only to carry patients from the Emergency Department (ED) to the Intensive Care Unit (ICU) or vice versa, but also inside trauma care. It can also be used as a mobile ICU.
2.2.2. Patient Transport These ambulances can be used to transfer stretcher-bound patients within rural areas. They are also used to transport referred pregnant women and other patients, both for short distances and long distances.
2.2.3. Medical Support The Toyota Hiace Ambulance is also used during national disasters/floods and in response to epidemics. It is also used to establish a base and transport medical and paramedical staff to remote rural areas.
3. Toyota Land Cruiser Ambulance
The Toyota Land Cruiser Ambulance is equipped with an Emergency Medical Module and Emergency Medical Equipment (EME), based on the configuration of the body structure. There are two versions available. Version one of the EME is for vehicles with low roof models, and version two is for high roof models. The EME should be well integrated into the patient care process and daily work, and it is essential that all participating stakeholders are aware of the process and needs of emergency medical services. Proper vehicle requirements in the FS&T department, so that all vehicles are uniform nationwide. The practical and optimal use of this emergency vehicle should be understood. Prompt, expert medical care is the key to ensure that trauma and other diseases are treated as quickly and effectively as possible.
The Toyota Land Cruiser is a versatile and resilient product that is widely used for both basic and advanced life support. The configuration is such that the patient as well as the healthcare professional are comfortable in the back of the Land Cruiser. This vehicle plays a critical role in the EMS and is primarily used to handle trauma requiring stabilization and immediate transportation. The patients are received in the Land Cruiser Ambulance at the scene and a mobile emergency room is created. The vehicle is dispatched after almost all land patient transport calls. In addition to the trauma calls, Land Cruiser Ambulance is also dispatched to all CVAs and other medical calls necessitating Advanced Life Support care within the area of responsibility due to the long on-scene times.
3.1. Features and Specifications
The Land Cruiser is an iconic model that has been engineered with the ability to tackle the most insurmountable load. A number of features have been incorporated into many of these Land Cruiser models. The use of a reinforced frame with a longer wheelbase that reduces the overall center of gravity and transfers weight to enhance the stability and Yamaha PR 3240 diesel engine producing a gross total of 205 PS and 637 Nm of torque at 1,680 rpm.
3.1.1. Cabin and cargo space for patients and attendants. The LH side of the vehicle’s patient compartment is equipped with 3 chairs, including two that can fold out entirely when not in use, and can be used for actual patient transport, making it possible to transport multiple family members, etc. at the same time. The RH side of the patient compartment is equipped with a stretcher stand that can carry a stretcher 350 x 1,850 mm in size in a straight line. It is also possible to install a fold-up seat instead of the stretcher stand. 1,750 L of luggage and supplies can be loaded in the rear of the vehicle while transporting two patients.
3.1.2. Medical equipment / apparatus. A drip stand is equipped in the patient compartment for the LH rear side while transporting two patients who require care in the patient compartment; when transporting the patient using a stretcher, an optional drip stand holder can be installed in the back of the front seat. In addition, a total of seven LED light balloons, including a 60-character main unit, which is used to check the progress of highly injured patients, and small units of two colors, are installed on the inside of the roof of the patient compartment. In addition to red and white (medical examination) LED lighting, a connected car and integrated audio box, an electronic sphygmomanometer, and a storage box for a defibrillator and oxygen cylinder are installed.
3.2. Usage and Applications
The Toyota Land Cruiser Ambulance has found its applications in varied services that cater to healthcare during medical emergencies. Globally, ambulances have found services at different terrains and have undergone many advancements with time. The ambulance is widely distributed in each and every corner of the world for emergency patient care. We have made a critical review of different types of ambulances that are in use globally, which mainly include Type A—Type 1 Ambulances, Type B—Type B’s Ambulances, Type C—Type 2 Ambulances, and Type D—Type 3 Ambulances to open our perspectives of Toyota Land Cruiser ambulance applications during emergency medical services. A retrospective qualitative approach is conducted to identify various types of 4 × 4 Toyota Land Cruiser (LC) ambulance. This is expected to trigger a discussion on a standard classification of LC ambulances, as existing classifications are based on the urban environment.
Ambulances are specially designed vehicles to transport casualties and emergency patients to the hospital. Land Cruiser (LC) based ambulances are mostly utilized in rural, off-road areas, hills, hilly forests, desert, water life, during fell top emergency services, hill walking, White Watch medical services, etc. and because of the latest technical facilities, they are also utilized in urban areas. In rural areas, the LC ambulance is utilized for tree-cutting and medicine collection due to poor road infrastructure in hilly areas. Ambulances are widely used from land to water, rail to air, local to international fronts. Seaplane bases of the 1930s have been described with advised patchy ambulance provision post-World War 1, focused available: – A two-wheel-drive conversion that is soft, automatic, or manually engaged. – A rear of different dimensions (or internal termination). – Three different wheelbases from 1.30 to 1.57 metres wheelbase extended. – Six different types of ambulance pods—patient compartment. – Three different pod lengths. – Four different types of Description stretcher stowage hatch and either windows or no windows with bold standard forty (40) Mph rear-end crash test. The LC is varied and hence, this review explores the type.
4. Toyota Probox Ambulance
Currently, Toyota has 4 ambulances, and today we will talk about each of them. We will determine their technical characteristics and brand characteristics and tell you which country they are made in. Toyota Probox Ambulance is manufactured in Asia, which is why some people confuse Toyota Land Cruiser (200) Ambulance with Toyota Probox Ambulance. As already mentioned, this car is designed to carry 2 patients on stretchers. The body of the car is similar in design to many other medical vehicles. Patients can be placed on stretchers in a specially adapted compartment, fastened in a sitting position or installed on a medical bed or an emergency medical stretcher.
As it is adapted for use in dusty environments, all side and rear windows are installed slightly higher than the standard model. These cars are available in LHD (Left Hand Drive) and Right Hand Drive versions and have a lifting capacity of 500 kg. It is also important to note that this car is developed in accordance with the guidelines of the United Nations Economic Commission for Europe (UN ECE) for the use of special vehicles and equipment in emergency situations. Due to this, it is suitable for use in several environments such as medical transportation and treatment centers, administrative agencies, airports, and transport hubs.
4.1. Features and Specifications
Besides emergency and transportation vehicles, ambulances are also used in cars. “Japan Lifeline”, a dealer in Japan of Stretcher-bearer, a medical stretcher-bearer, is made by Toyota Motor Corporation for commercial vehicles, called the Toyota Probox, a type of car. Since it is the first mid-engine layout ambulance car in Toyota Japan, it has the special features of a medical car in Japan and can provide an easy-to-use environment for nurses who are learning medical assistance by helping Japan as a nursing medical emergency vehicle.
This subsection will describe the features and specifications of the Toyota Probox ambulance. The moving coach of the car can provide specialized units and facilities, and assist hospitals with daily medical care and transportation to patients and medical staff. As transportation vehicles, it is also responsible for transporting patients to the emergency or transportation hospital. In many countries, various vehicles are required to ride in abnormal traffic and are also called ambulances. Toyota Motor Co. Commercialization, ambulance version as a medical transporter based on Toyota Pro Box is very high, so that medical personnel and the patient can put on display sold for the cheapest cost because the purpose of entry for those who are good in emergency medicine.
Type 3 means the third-class doctor’s care (can provide the patient nurse level who rode to move conditionally). Type 3, based on the above understanding, is an ambulance vehicle used to ensure the safe and comfortable transport of patients. The medical equipment installed in the vehicle depends on the specification type, such as 3, 2, 2, 1 (Figure 1) and L. 3 in the vehicle and the device of the ambulance driver (See: the driver is called the First Responder/FR for the patient). Vehicle and L. Small format of ODA medical chiller transport of patient child (low child 5 years of travel) + ODA medical jailer I. The crew patient vehicle for vehicle care, it is possible to switch to RCT integrated treatment at an emergency or unexpected scene. Obser- IllegalArgumentException of treatment Results: common law with RCT vehicle in the field of on-site technical procedures/treatment genres.
4.2. Usage and Applications
This ambulance is specially designed for urban to rural setup, which mainly transports patients during referral (transfer) in conditions that are non-acute and non-stabilized. It is designed in such a way for a 1+2 (crew + patient) seating arrangement inside the patient’s compartment and 1 co-driver seat. Rural to urban transfers (referral services) form an important component of services for non-communicable diseases and in the care cycle of communicable diseases (e.g., tuberculosis). Vehicles come under non-emergency, which are used for basic life support (BLS) ambulance.
This kind of vehicle ambulance is utilized for urban to urban transfers, particularly when the roads are narrow, village setup, and in-hospitals. This type of transport service is also used for blood, drugs, mobile medical clinics, etc. from sub-outlying health centers functioning as a peripheral unit to a higher health institution functioning as a base hospital. The Toyota Probox Ambulance, with its economy, ease of body conversion, and durability, has managed to carve a niche by setting a new benchmark in the compact ambulance segment. It offers the safety, quality, and dependability associated with Toyota, which together with its interior functionality and enhanced load capacity, helps Tamil Nadu Ambulance Service (VAS) to reinforce their credentials as a provider of reliable and efficient care. By providing the vehicle with its unique, advanced capabilities, Toyota aims to give VAS the transport it needs to increase access to safe and efficient emergency services throughout the length and breadth of the state.
5. Comparative Analysis of Toyota Ambulances
Toyota ambulances are increasing in popularity due to their high level of efficiency and tiered pricing. There are numerous Toyota ambulances available on the market, each with various specifications. Toyota DHS, Toyota State Ambulance, Shell Toyota, Land Cruiser, and Hiace are among them. The Toyota RHVM is a great solution for brief, rough terrain trips. Additionally, the tender in Toyota DHS is very noteworthy. However, encroachment in some regions is questioned and there are a decreasing number of reports. Toyota’s reliability has long been recognized and is unquestioned.
Toyota Land Cruiser is among the top options for 4×4 ambulance cars. Capacities, like survival and power on country lanes and roads, were high. One of the things that marred was its difficult price creation. The modification of JOP, which was designed to resume the utilization of “State recreational Installation,” develops an efficient alternative. The cost of both first and development acquisition is competitive. Toyota savings are simple and inspire. The Honda section looks like a slightly different car in 4WD with a new entrance. There is nothing remarkable. Those customer vital concerns that consented into the baseline efficiency of the hearer are investigated. What cannot be investigated is more or less interesting factors for the module actor.
6. Future Trends and Innovations in Toyota Ambulances
In the near future, it is expected that the Industrial Revolution 4.0 will bring various smart technology innovations. One of them is the autonomous driving concept. This concept is already proposed by several countries with the readiness level at Society 5.0. For certain purposes, some research studies have been conducted on the autonomous driving of ambulances. Furthermore, the role of an ambulance as a mobile healthcare center has been involved in the study of mobile telemedicine. In some cases, the mobile operations indicate cooperation service between healthcare providers and employers where developing a telemedicine platform using a mobile ambulance for checking the healthcare condition of the employees is the focus. Security and privacy of the data are considered in the study. At the vehicle design perspective, an electric concept ambulance has been investigated for the severe case and has been combined with the wind turbine system to supply electricity to other medical tools in the inside part.
In addition, a study of vehicle suspension and steering geometry is an experimental test of the vehicle’s dynamic behavior for alerting the medical personnel’s comfort. In the study of steered vehicles, it is discussed that car layout has an effect on vehicle ride and handling characteristic. In that case, different operation modes of the center of gravity are observed which can contribute to the vehicle body roll. Based on the scenario of entry road and traffic jam, a significant body roll is on its way as the decompression technique has been implemented. Another car-focused investigation is on the effect of power assist from an electric motor and the mechanical hybrid concept. Iskandar and Kamil conducted a study for investigating a high-performance car in the case of moving the center of gravity for controlling the front and rear tire slip angle.