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AMBULANCE OPERATIONS

AMBULANCE OPERATIONS. Lesson Objective : Describe basic rules and techniques associated with the ambulance operations. Overview :. Phases of an Ambulance Call Guidelines for safe ambulance operations Air Medical Operations Aeromedical Consideration. Phases of an Ambulance Call.

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AMBULANCE OPERATIONS

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  1. AMBULANCE OPERATIONS

  2. Lesson Objective: Describe basic rules and techniques associated with the ambulance operations.

  3. Overview: • Phases of an Ambulance Call • Guidelines for safe ambulance operations • Air Medical Operations • Aeromedical Consideration

  4. Phases of an Ambulance Call • Preparation for the call - • Availability and readiness of equipment and supplies.

  5. Equipment • EMT - B will have access to a large variety of equipment and supplies.

  6. Medical • Basic supplies • Airways - oropharyngeal for adults, children, and infant • Suction Equipment - both portable and “on board” • Oxygen inhalation equipment - portable-300 L capacity, • on-board 3,000 L of oxygen

  7. Medical supplies • Artificial ventilation devices - pocket and BVM • CPR equipment - CPR board -so that you can give effective chest compression • Basic wound care supplies • Splinting supplies • Childbirth supplies

  8. Medical supplies • Medications - activated charcoal, Tubes of oral glucose, oxygen, snakebite kit depends on local protocol. • Automated external defibrillator • Jump Kit - light, durable, waterproof, a “5 minute kit”

  9. Equipment • Non-medical • Personal safety equipment • Maps

  10. Preparation for the call • Personnel • Available for response • Minimum one EMT-B in patient compartment • Daily inspection • Inspection of vehicle systems

  11. Preparation for the call • Equipment • Checked and maintained • Restocked and repaired • Batteries - operated equipment daily

  12. Dispatch • Readily accessible- 24-hour availability, operated by EMS itself or shared with law enforcement, and fire dept.. • a. Trained personnel - familiar with both the geography of service area an the capabilities of the agencies they are dispatching.

  13. Dispatch • Dispatched information • Nature of call • Name, location and callback number of caller • Location of patient • Number of patients and severity • Other special problems - Hazards or weather conditions

  14. Response Phase • Before you move the unit make sure you and your partner fasten seatbelts and shoulder harness. • Notify dispatch/medical control center (MCC) - Inform dispatch your unit is responding, confirm nature and location, ask any other available information about location.

  15. Response Phase • Characteristics of good ambulance drivers • Physically fit - not taking medications. • Never drive or provide medical care after drinking alcohol • Mentally fit - Emotion stability - ability to operate under stress. • Attitude - Positive attitude ,have confidence , shows responsibility.

  16. Response Phase • Safety- safe vehicle operations - • First rule in the safe driving of an emergency vehicle is that speed does not save lives. • Weather and road condition - • Hydroplaning • Water on the Roadway • Decrease Visibility • Ice and slippery surface.

  17. Vehicle operations • Use of lights and siren • Safe following distance • Parking considerations • Laws and regulations • Use of escort • Intersections hazards

  18. Arrival Phase • Report to dispatch • Conduct a scene size-up • Determine Mechanism of injury/nature of illness • Provide emergency medical care

  19. Departure from scene • Package for transport • Notify dispatch/receiving hospital • Monitor patient/perform on-going assessment • Prepare written report

  20. Delivery and Postrun Phase • Notify dispatch upon arrival- Priority is transfer of the patient and patient information to the hospital staff. Restocking unit is second

  21. Air Medical Operations • Fixed wing - Interhospital transfer, for distances greater than 100 miles. • Rotary wing - Shorter distances, more efficient • Military - C-9, C-141, C- 130, H-60, H-53 • Safety - Good common sense and constant awareness

  22. Aeromedical Consideration • FOD inspection - Inspect vehicle tires • Flightline Hazards • Propellers- stay away • Jet Engines - no more than 25 feet in front • 200 feet behind while in operations • Ejection seats and canopies • Approaching aircraft - stay in visual contact with pilot or Aircrew directing approach

  23. Aeromedical consideration • Flightline driving • Speed limit 15 MPH • Around /near aircraft 5 MPH • Crossing active -Never without clearance of tower

  24. Summary • Phases of an Ambulance call • Response Phase • Safe vehicle operations • Law and regulations • Arrival Phase • Air Medical Operations • Aeromedical Considerations

  25. QUESTIONS???

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