Ambulance Services By: Hitesh Bhardwaj: Mbahs Chitkara University
Ambulance Services By: Hitesh Bhardwaj: Mbahs Chitkara University
Ambulance Services By: Hitesh Bhardwaj: Mbahs Chitkara University
AMBULANCE
An ambulance is a vehicle for transportation of sick or
injured people to, from or between places of treatment for an illness or injury, and in some instances will also provide out of hospital medical care to the patient.
the Latin word ambulare, meaning to walk or move about which is a reference to early medical care where patients were moved by lifting or wheeling.
Types Of Ambulance
Functional Types : Emergency Ambulance. Patient Transport Ambulance. Response Unit / Fly Car Charity Ambulance. Vehicle Types : Van / Pick up Trucks Car / SUV Motorcycle Bicycle All train Vehicle Helicopter Boat Ship Bus
ambulance service personnel at least one of whom must be an EMT, who provide a level of care so as to ensure that (1) life threatening situations and potentially serious injuries are recognized,
(2) patients are protected from additional hazards, (3) basic treatment to reduce the seriousness of emergency
Contd..
A BLS service must provide basic airway management,
which includes:
esophageal obturator airway or esophageal gastric tube airway. A BLS service must provide automatic defibrillation. equipped with a defibrillator.
staffed by at least:
registered nurse who is an EMT, is currently practicing nursing and has passed a paramedic practical skills test approved by the Board and administered by a training program, or
currently practicing as a physician assistant and has passed a paramedic practical skills test approved by the Board and administered by a training program.
Contd..
An ALS service must provide basic life support (as described in the
Basic Life Support section), advanced airway management, manual defibrillation, and administration of intravenous fluids and pharmaceuticals. staff additional ambulances to provide basic life support.
written agreement with its medical director to ensure medical control for patient care 24 hours a day, seven days a week. administration of medical control for the service.
Contd..
The policy must address the following issues: two-way communication for physician direction of ambulance
service personnel,
Patient triage, treatment and transport, use of standing orders and the means by which medical control will be provided 24 hours a day. The agreement must be signed by the licensees medical director
Areas of differentiation
ALS Vs BLS
AIRWAY EQUIPMENT
Oxygen , Cannulas . Oxygen & Bag Mask , Pulse Oxymeter Laryngoscope for intubation CPAP masks Numerous medications Splints & Bandages Cervical collars & backboards Burn Sheets MAST pants IV fluids to treat shocks
TRAUMA EQUIPMENT
12 lead EKG monitor PACEMAKER Synchronized Cardioversion Manual Defibrillator Numerous Medications Oral glucose Glucometer IV fluids Medications
DIABITIC TREATMENT
Oral Glucose
SEIZURE TREATMENT
IV fluids Medications
ALLERGIC REACTIONS
IV fluids Epinephrine
SPECIALITY EQUIPMENT
OB kits
OB kits Intraosseous drills Childrens Tylenol NARCAN ( for Narcotics) Pain Medications.