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Ambulance Operations

Ambulance Operations. Opening Case. Ambulance Operations. Opening Case. You come on at 1400 hrs; the previous crew tells you they have been dealing with a brand new dispatcher all day and he is tough to understand At 1430 you are dispatched to a “52-year-old man with chest pain”

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Ambulance Operations

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  1. Ambulance Operations

  2. OpeningCase Ambulance Operations

  3. Opening Case • You come on at 1400 hrs; the previous crew tells you they have been dealing with a brand new dispatcher all day and he is tough to understand • At 1430 you are dispatched to a “52-year-old man with chest pain” • You have trouble hearing the address but you and your partner both agree that it is 4352 Fourth Street South

  4. What should the crew have done prior to going en route? • Made sure the truck was stocked with all supplies • Made sure the truck had enough fuel • Repeated the address to the dispatcher to clarify • All of the above

  5. What should the crew have done prior to going en route? • Made sure the truck was stocked with all supplies • Made sure the truck had enough fuel • Repeated the address to the dispatcher to clarify • All of the above

  6. Case cont’d • You arrive at 4352 Fourth Street to find no one around and no one answering the door • You call dispatch back only to find out that the address is 4352 Forest Street • This confusion adds an extra 4 minutes to your en route time

  7. Lessons Learned • What are the potential implications/ramifications of this mix-up? • How can you avoid this in the future?

  8. Introduction

  9. Introduction • The paramedic is the ultimate patient advocate

  10. Local and State Ambulance Standards

  11. Local and State Ambulance Standards • Equipment recommendations made by two organizations: • KKK-A-1822 • American College of Emergency Physicians/American College of Surgeons (ACEP/ACS)

  12. Vehicle Types • Type I

  13. Vehicle Types • Type II

  14. Vehicle Types • Type III

  15. Phases of EMS Response

  16. Phases of EMS Response • Preparation • Dispatch • En route • Arrival on scene • Transfer of patient • Transport • Arrival at receiving facility • Return to station • Post-run

  17. Ambulance Inspection and Preparation

  18. Preparation • Equipment check • Equipment checks should be done prior to the start of every shift • Categories to be checked

  19. Check Expiration Dates

  20. Secure Narcotics

  21. Ensure oxygen is properly secured and at least 500 psi in a large tank

  22. Street Secret • A professional paramedic is accountable for his or her own performance and the vehicle and equipment that he or she brings to the scene

  23. Vehicle Fluids • Oil • Transmission • Brake • Radiator • Windshield washer

  24. Vehicle Brakes • Should be checked on an incline

  25. Vehicle Glass • All glass, mirrors, windshields, and windows should be clean, inside and out

  26. Vehicle Lights • Headlights • Parking lights • Hazards • Emergency lights

  27. Prior to Your Shift

  28. Mapping Preparation • Specialized map books

  29. Drive the Area • Familiarize yourself with new developments and common sites for calls: • Nursing homes • Senior citizen buildings • Low-income housing • Potential for mass casualty • Businesses • Colleges/universities • Sporting facilities • Transit locations • Airports • Train stations

  30. Drive the Area If you can, drive to each of the major hospitals in the map and find the emergency department. Driving in the service area is extremely beneficial.

  31. Dispatch

  32. Dispatch • Evolution of the emergency medical dispatcher (EMD) • Deployment • Communication • Radio equipment • Communication systems • Federal Communications Commission

  33. Radio Communications

  34. Hardware: Radio Waves • To communicate via radio waves, you need: • Transmitter • Receiver • Both pieces of hardware need to be tuned to the same frequency

  35. Hardware: Radio Waves • To communicate via radio waves, you need: • Transmitter • Receiver • Both pieces of hardware need to be tuned to the same frequency

  36. Hardware: Frequencies Band Width Frequency

  37. Hardware: Frequencies Frequency

  38. Hardware: Frequencies Ultra-high frequency- 400 MHz- Short range- Strong signal UHF Frequency

  39. Hardware: Frequencies Ultra-high frequency- 400 MHz- Short range- Strong signal UHF Very-high frequency- 150 MHz- Long range- Poor building penetration VHF Frequency

  40. Hardware: Frequencies • Simplex A B Talk Listen

  41. Hardware: Frequencies • Simplex A B Listen Talk Single Frequency

  42. Hardware: Frequencies • Duplex Repeater A B

  43. Hardware: Frequencies • Duplex Repeater Talk A B Listen Two Frequencies

  44. Hardware: Frequencies • Duplex Repeater Talk A B Listen Two Frequencies

  45. Hardware: Frequencies • Duplex Repeater Talk Talk A B Listen "Stepping on each other"

  46. Hardware: Frequencies • Multiplex Talk Talk Repeater Data Data A B Listen Listen Two Frequencies

  47. A radio that uses a computer to switch users from one frequency to another automatically is a ______ communication system. • duplex • multiplex • trunked • digital

  48. A radio that uses a computer to switch users from one frequency to another automatically is a ______ communication system. • duplex • multiplex • trunked • digital

  49. Communication • Communication systems • Trunked • Digital • Cellular telephones • Fax machines • Computers

  50. Equipment

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