Ambulance E&P

What type of call is an ambulance local?

BLS; non-life threatening medical emergency or injury

What kind of apparatus are needed for an ambulance local?

1 BLS ambulance, suppression units as needed

What kind of equipment is needed for an ambulance local?

the “usual stuff”: aide bag, oxygen bag, cot, radio, keys, toughbook, any necessary stabilization/extrication devices

What kind of call is a medic local?

ALS; a life threatening medical emergency or injury

What kind of apparatus are needed for a medic local?

1 ALS provider, suppression unit

What kind of equipment is needed for a medic local?

usual stuff plus AED and portable suction

What kind of call is a working code?

report of a person in cardiac arrest, subset of medic local, first unit on scene confirms code

What kind of apparatus are needed for a working code?

2 ALS providers, 1 transport unit, suppression unit

What kind of equipment is needed for a working code/DOA call?

usual stuff plus AED, suction, LUCAS device, backboard

What kind of call is a “dead on arrival (DOA")” call?

report of a person that has died, treat as a working code until proven otherwise, cannot declare until first unit arrives

What kind of apparatus is needed for a DOA call?

2 ALS providers, 1 transport unit, additional providers

What kind of call is a rescue local?

motor vehicle accident (MVA) or personal injury accident (PIA), stuck elevator, trapped on escalator, locked in or out with sick or injured

What kind of equipment is needed for a rescue local?

usual stuff plus traffic vests, extrication bag, backboard

What kind of call is a rescue 1?

low mechanism motor vehicle accidents

What kind of apparatus is needed for a rescue 1?

1 engine, 1 BLS unit

What kind of call is a rescue 2?

motor vehicle collision involving entrapment

What kind of apparatus is needed for a rescue 2?

1 engine, 1 rescue squad/engine, 1 BLS unit, 1 ALS unit, EMS duty officer, battalion chief

What kind of call is a rescue 3 or 4?

motor vehicle collision on a limited access highway, remember to check inner v outer, north v south. 4 involves entrapment

What kind of apparatus is needed for a rescue 3 or 4?

BLS, engine, rescue squad

What kind of call is a rescue 7?

motor vehicle collision with ejection, decreased level of consciousness, pedestrian struck, motorcycle, all-terrain vehicles, or injury requiring ALS with no entrapment

What kind of apparatus is needed for a rescue 7?

1 BLS, 1 ALS, 1 engine, rescue squad, EMS duty officer, battalion chief

Fire calls

wear full PPE, stage the ambulance out of the way and leave an exit route, bring working code equipment and trauma bag

What is the job of EMS during a fire call?

set up aide station on side alpha, treat and transport victims, rehab FFs

EMS task force

2 BLS units, 1 ALS unit, 1 EMS duty officer, 1 battalion chief

Mass casualty task force

4 BLS units, 2 ALS units, 1 rescue squad, mass casualty support unit, battalion chief, 2 EMS duty officers, 1 safety officer, medical ambulance bus

Where is the medical ambulance bus and when is it used?

station 830; when 20 patients need to be transported

Where are the mass casualty support units?

stations 841, 855

Respiratory rate

12-20 breaths per min, decreases with age

O2 sat

94-100%

Nasal cannula flow rate

2-6 lpm

nebulizer flow rate

6-8 lpm

non-rebreather flow rate

12-15 lpm

BVM flow rate

25 lpm

Pulse

60-100 (adult), decreases with age

glucose

70-140 mg/dL

blood pressure

systolic/diastolic, 120/80 normal, 90 low end systolic, 180 high end systolic, increases with age

Ambulance 127

A812, 2019 Ford F550 (Horton)

Ambulance 128

A812B, 2021 Ford F550 (PL Custom)

Minimum staffing of an ambulance

2, driver and aide

Maximum staffing of an ambulance

4

Requirements to be a driver?

EVOC certification, aide

Roles of a driver?

radio transmission, assists with patient care as needed

Requirements to be an aide?

EMT-B, 15 acting aide calls, acting aide test out, protocols test out, pass 3 precepts

Roles of an aide?

Officer in Charge, responsible for all reports and patient care, directs the driver

Requirements to be an acting aide?

test out of third skills, ride 15 third calls, complete county applications

Roles of an acting aide?

report to the aide, continue training, all responsibilities of aide

Requirements to be a third?

test out of third skills, station, and ambulance, have a CPR certification

Roles of a third?

report to aide, continue training, take vitals, gather equipment, perform CPR, assist with care

Roles of a fourth?

observe

What keys should the ambulance key ring always have?

Knox Box key, UMD gate keys/card, UMD building access

When should you wear gloves?

on every call

When should you wear a mask?

when doing an airway procedure or if the patient has a suspected respiratory infection

All members are required to wear full PPE when…

operating on a fire ground, operating on the scene of a certain accident, or when instructed to do so by an officer.