
The Bespoke Air Ambulance Programme provides HEMS teams with an effective approach to safely deliver essential emergency care and treatment to patients with impaired capacity in confined environments.
In brief: Air Ambulance courses from ProActive Approaches. This bespoke programme builds on our Clinical Holding Courses and is specifically designed for HEMS teams operating in confined environments.
The Bespoke Air Ambulance Programme builds on the success of our Clinical Holding Courses and has been specifically designed for HEMS teams. The Clinical Holding Courses were originally developed following consultancy work with A&E departments, Great Ormond Street Hospital, national charities and adolescent mental health provisions.
Our team also has significant experience (8 years) in trauma management training for armed police and public order medics. Many of the lessons learned during this period have been applied to our courses, ensuring they are not only instructional but also realistic.
The programme provides staff with an effective approach to safely deliver essential emergency care and treatment to people with impaired capacity and AMS (Altered Mental State) in confined environments.

The programme is structured around four essential areas, ensuring comprehensive coverage from legal foundations through to realistic scenario-based practice.
The legal framework in relation to physical intervention during emergency clinical procedures.
Robust theoretical grounding covering all necessary elements to ensure a comprehensive programme.
Practical techniques for safely managing patients with impaired capacity and Altered Mental State (AMS).
Realistic, scenario-based training in confined environments including ambulance and helicopter settings.
The course content considers the internal differences in aircraft configuration, including positioning of seats and equipment specific to your service.
Foundations and Core Skills
Confined Environments and Scenarios
By the end of this programme, your HEMS team will have the confidence and practical skills to manage patients safely in the most challenging environments.
A thorough understanding of the legal context surrounding physical intervention in clinical settings.
Practical skills to safely manage patients with Altered Mental State in confined environments.
Effective communication and teamwork techniques for two-person patient support in high-pressure scenarios.
Safe approach, positioning, and body mechanics for supporting emergency clinical procedures.
Scenario-based training tailored to aircraft configuration, including helicopter and ambulance environments.
Rapid response techniques for managing aggressive patients during in-flight or on-scene emergencies.

32 Years of Clinical Nursing Experience
Gary has been qualified for 32 years with experience in medical, surgical and trauma settings. He was the Clinical Practice Development Nurse for a large General Hospital in the North West with responsibility for supporting over 2,500 staff dealing with violence and aggression in all clinical settings.
Gary has worked as a physical intervention instructor since 2002. After leaving the NHS, he worked as a Principal Trainer for an organisation that delivered BILD Accredited Behaviour Support training and worked extensively in the adolescent Secure Estate. During this time, he also delivered Clinical Holding Training for the staff at Great Ormond Street Hospital, as well as consultancy work for Young Epilepsy and a number of Adult Social Care provisions.
Gary then spent 8 years as a Senior Instructor for a well-known organisation that delivers scenario-based Trauma Management Training for armed police and public order medics. Many of the lessons learned during this period have been applied to our courses. This includes the fact that the courses are not only instructional but also realistic.
Gary continues to deliver clinical skills training in a number of clinical settings in both Primary and Secondary Care, including both General and Psychiatric.
Effective Behaviour Support relies on Empathy. A Healthy Culture. Consistency. Effective Communication. Great Team Work. #AimingForZero
12 people with 1 Trainer, up to 18 people with 2 Trainers. These ratios are in line with the RRN Training Standards.
Venue supplied by yourselves. We come to you! We will supply you with a detailed venue specification to make a venue easier to source.
2 days (the duration will depend on your needs). The usual start and finish times are 9.30 am to 4.30 pm, however, this can be flexible depending on your needs. There will be a mid-morning and mid-afternoon break as well as a lunch break. Lunch is not provided.
Click on the 'Download Info Pack' button to receive your copy of our PDF info pack (delivered instantly via email). The pack includes full course details and costs.
Yes. The course content considers the internal differences in aircraft configuration, including the positioning of seats and equipment specific to your service's helicopter and ambulance setups.
Gary Collins (RGN) has been qualified for 32 years with experience in medical, surgical and trauma settings. He has 8 years of experience in scenario-based trauma management training for armed police and public order medics, as well as extensive clinical holding training experience at Great Ormond Street Hospital.

For more information on the course and for details on pricing and upcoming dates, click the button below, or email us at [email protected].
Alternatively, if you have unanswered questions or want to discuss if this course is right for your team, use the "Book a Call" button to arrange a convenient time to speak with us.