A Land Rover Defender Ambulance
This ambulance was parked outside the Red Cross in Moorfields, whilst I ate my breakfast in the LEON opposite.
Note.
- It was from the Lincolnshire Red Cross.
- It was a very professional conversion.
- Judging by the sign it appeared to be promoting the link between Jaguar Land Rover and the Red Cross.
As an occasional user of an ambulance, I have some views on the design of these vehicles.
Should Ambulances Be Hydrogen Powered?
I asked Google AI this question and received this answer.
Hydrogen power offers significant advantages for ambulances by combining long driving ranges with rapid refuelling times, making it a strong contender for emergency fleets.
The Case For Hydrogen Ambulances
Fast Refuelling: Hydrogen tanks can be refuelled in about five minutes, keeping vehicles ready for back-to-back emergency shifts without long charging downtimes.
Longer Range: Fuel cell and battery hybrid setups (like the ZERRO project) can travel up to 300 miles, which is vital for rural areas or long-distance hospital transfers.
Onboard Power: Hydrogen fuel cells can power heavy medical equipment without draining the main drive battery or requiring extra diesel generators.
The Challenges
Infrastructure Costs: Public hydrogen refuelling stations remain scarce, limiting where vehicles can operate and refuel.
Vehicle Costs: Building and buying hydrogen fuel cell systems is currently more expensive than standard battery-electric or diesel setups.
Electric Competitiveness: Standard battery-electric ambulances are already performing well in urban areas where depots allow for overnight recharging and shorter daily shifts.
Note.
- I have been a passenger in about four or five hydrogen fuel cell-powered buses. All were mouse-quiet with no vibration. This is surely important in an ambulance!
- I used to live next to a London paramedic sixty years ago and he said it was a stressful job. Would a calm environment help to relieve that stress?
- The onboard power capability is surely important and will get more important in the future.
- As more hydrogen-powered vehicles appear on the roads, hydrogen fuelling stations will be less scarce.
The long-range of a hydrogen-powered ambulance might mean that patients were taken to an appropriate hospital immediately.
How Does The Performance Of Electric-Powered And Hydrogen-Powered Ambulances Compare?
I asked Google AI this question and received this answer.
Electric-powered and hydrogen-powered ambulances compare across range, refueling time, energy efficiency, and onboard power capabilities:
Range and Operational Capacity
Electric Ambulances (BEV): Typically offer a range of around 70 to 120 miles on a single charge, which suits local response cars, patient transport, or shorter urban shifts.
Hydrogen-Electric Fuel Cell Ambulances (FCEV): Use hydrogen fuel cells as a range extender to charge onboard batteries, providing a significantly higher extended range of up to 300 miles, which is closer to traditional diesel vehicles for demanding shifts.
Refueling and Downtime
Electric Ambulances: Require time plugged into charging infrastructure to replenish batteries, which can take anywhere from tens of minutes on rapid chargers to hours depending on power limits, creating potential downtime during fleet rotations.
Hydrogen Ambulances: Can be refueled with compressed hydrogen in roughly 5 minutes, allowing for immediate back-to-back operational shifts without prolonged downtime.
Energy Efficiency and Onboard Power
Electric Ambulances: Feature high overall powertrain efficiency (converting over 85% of battery energy into motion) and lower moving-part maintenance costs, but heavy medical equipment loads draw heavily on the primary battery and can restrict operational range.
Hydrogen Ambulances: Offer onboard power off-take capabilities directly from the fuel cell system, enabling high-draw medical equipment to run continuously without draining the main drive energy or requiring a separate noisy generator. However, hydrogen systems have lower overall well-to-wheel thermodynamic efficiency and higher complexity.
Infrastructure and Deployment
Electric Ambulances: Benefit from a rapidly expanding public and depot charging grid, with several NHS trusts already successfully deploying electric response and transport vehicles.
Hydrogen Ambulances: Remain in early trial and prototype phases (such as projects via ULEMCo and HVS) because specialized hydrogen refueling stations are scarce and expensive to build.
I suspect that the nature of the terrain in an area, will also affect the type of power selected.
My Sister’s Burst Aorta
This is a personal observation.
- My sister lives near Colchester General Hospital.
- After her aorta burst, she dialled 999 and an ambulance was dispatched.
- The paramedics corrected assessed her problem and didn’t muck around.
- They decided to take her immediately to Papworth Hospital on the other side of East Anglia.
- The road between the two hospitals is dual-carriageway all the way and possibly with a Police escort, they made the trip in time.
- After several months in hospital, she returned home.
- My sister has now fully recovered.
I believe journeys like this, would be faster and more comfortable in a custom-designed high-performance hydrogen fuel-cell ambulance.
It should be noted that the East Anglian Ambulance Service has been known to station ambulances on the bridges over the dual-carriageways to shorten response times to road accidents.
Are Toyota HiLux Pickups Used As Ambulances?
I asked Google AI this question and received this answer.
Yes, Toyota Hilux pickups are used as ambulances, especially in remote, rural, or off-road environments where standard van-based ambulances cannot travel.
Common Configurations
Canopy / Rapid Response Style: The pickup bed is fitted with a secure, weatherproof canopy or Truckman top to carry a single stretcher and essential emergency gear.
Box-Type Modular Body: A fully enclosed, purpose-built medical compartment is mounted directly onto the Hilux chassis, offering a climate-controlled environment and space for advanced life support (ALS) equipment.
Where They Are Used
Off-Road & Disaster Zones: Mountain rescue teams, humanitarian groups, and military field operations rely on the Hilux’s 4×4 capability and high ground clearance.
Specialized Services: Organizations like wildlife hospitals use adapted Hilux trucks as animal ambulances to reach stranded or injured wildlife in rough terrain. International agencies like the UN and WHO also deploy them in regions lacking paved infrastructure.
I would expect that in designing the next generation Toyota HiLux, Toyota have improved on the design for ambulances.
Will A Hydrogen-Powered toyota HiLux Pickup Make A Useful Ambulance?
I asked Google AI this question and received this answer.
A hydrogen-powered Toyota HiLux pickup can make a useful off-road or specialized utility ambulance, but its practical application as a standard emergency vehicle faces major limits.
Advantages for Ambulance Use
Off-road access: The rugged ladder-frame chassis of the HiLux allows access to remote, rugged, or off-road terrain where standard vans or traditional ambulances cannot go.
Quick refueling: Hydrogen fuel cells refuel in about 3 to 5 minutes, offering much faster turnaround times than battery-electric vehicles.
Clean operation: The fuel cell produces zero tailpipe emissions, creating a quiet, exhaust-free environment suitable for patient transport.
Good payload and towing: It targets a towing capacity of around 5,500 pounds (2,500 kg), handling heavy medical gear better than lighter electric alternatives.
Limitations for Ambulance Use
Cabin space: A pickup truck bed and cab offer less enclosed, climate-controlled volume for patients and attending medical staff compared to standard box ambulances or large vans (like the Toyota Hiace).
Infrastructure gaps: Hydrogen fueling stations remain very rare outside select urban or regional pockets, restricting emergency range and operational zones.
Availability: Toyota is targeting production for the hydrogen HiLux by 2028, meaning the vehicle is not yet available for immediate fleet purchase.
I do think though, that it would be very suitable for some specialist operations.
It’s Time We Used Cyber Dark Arts To Foil Putin
The title of this post, is the same as that of this article on The Times, which was written by Edward Lucas.
This is the first paragraph.
Breaking the Kremlin’s grip on the Russian people is the greatest national security priority of our lives. We cannot (or rather, will not) fight the Russian invaders in Ukraine. But we can fight inside Russia, using disruption and subversion to disable the war machine, ideally to the point that the country becomes ungovernable.
He suggests the following.
- Russian speakers could sow doubt about the regime’s lies and brutalities.
- Use the Russian diaspora to contact friends and relatives back home.
- Build and unleash a psychological warfare arsenal against Putin’s cocktail of crimes, lies and secrecy.
- Send condolences to family members for their losses in the war.
- Prepare Nuremberg for war crimes trials.
- Highlight the friendly treatment that Ukrainians give Russian deserters.
- Use wit as a weapon.
Edward Lucas then talks about the antics of Sefton Delmer in World War II. Wikipeda says this about him.
During the war, he led a black propaganda campaign against Hitler by radio from England. It was so successful that Delmer was named in the Nazis’ Black Book for immediate arrest after their planned invasion of Britain.
I suspect he was very good at his job. Two of his weapons were.
Aspidistra, which was a 500 kW radio station.
A daily “grey” German-language newspaper titled Nachrichten für die Truppe (“News for the Troops”). These leaflets were delivered by the USAF.
Edward Lucas says that we should all read Delmer’s autobiography, which is called Black Boomerang, which is now out of print and difficult to find.
Wikipedia gives this explanation of Black Boomerang.
When fighting entered Germany itself, black propaganda was used to create an impression of an anti-Nazi resistance movement.
At the end of the war in Europe, Delmer advised his colleagues not to publicise the work they had been involved in, lest unrepentant Nazis claim (as had been the case after the First World War), that they had been defeated by unconscionable methods, rather than on the battlefield. Consequently, former Nazis were able to claim, without contradiction, that they had assisted the fictitious resistance movement; Delmer described this unintended consequence as a “black boomerang”
Edward Lucas suggests reprinting Black Boomerang.
If someone has a good clear copy, I could possibly arrange it.
Demoralising The Russians
Edward Lucas believes, we can use similar techniques to Delmer to attack the Russians.
But instead of using a massive radio, he proposes using the Internet and its various messaging apps.
I suspect with a bit of arm-twisting Facebook, Twitter, Google, Microsoft et al, could produce a very good list of Russian Internet users.
It might be against the law, but who cares? It’s a war out there, we’re not using the information to physically hurt anybody or steal anything of value.
News For The Troops
I believe we can go one better than Sefton Delmer.
We are dealing with Russians invading and occupying Ukrainian territory, where many of the inhabitants can certainly read Russian.
So could we develop a truthful leaflet, that is delivered across Ukraine to both Russian Troops and the Ukrainian population?
Delivery would be primarily by the Internet, but why not deliver it by drone?
Delivery from say 5000 feet would distribute the leaflets over a wide area.
Could We Go Candy Bombing?
Gail Halvorsen, who died recently was known as the Candy Bomber.
This is the introduction to his Wikipedia entry.
Gail Seymour Halvorsen (October 10, 1920 – February 16, 2022) was a senior officer and command pilot in the United States Air Force. He is best known as the “Berlin Candy Bomber” or “Uncle Wiggly Wings” and gained fame for dropping candy to German children during the Berlin Airlift from 1948 to 1949.
I think, his actions could be copied in Ukraine.
Consider.
- The Ukrainian people are starving in the occupied territories.
- The Russian soldiers aren’t doing much better.
- These days, we can supply nutrition bars instead of sweets.
- Automated drones could deliver them safely from 5000 feet.
- They could be flown on behalf of the Red Cross from over the border in Hungary, Moldova, Poland and Slovakia.
Organised properly, the Russians would have a problem.
- If they let the drones through, the siege will be broken in a small way.
- If they shoot them down, their soldiers won’t get the smallest snack and the Russians will be attacking the Red Cross.
We might lose a lot of drones, but eventually we’ll get the nutrition through, each wrapped in a large dollop of propaganda.
