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30)Ambulance Operations
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30)Ambulance Operations

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  • Nice presentation, but the slide with the ambulance types is incorrect.

    Type I - is a pick-up chassis with a box on it (The picture is incorrect, this is a picture of a Type IV)

    Type II - is a Van Style, maybe with a slight roof raise. (This one is ID's right in slide)

    Type III - is a Van Chassis with a Box on it. (This picture is wrong, the picture shown here is the Type I)

    Type IV - is a Medium Duty Truck Chassis with a box on it (The picture of the Type I would be this)
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  • Nice slides i like it,
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Transcript

  • 1. Ambulance Operations
  • 2. Phases of a Call
    • Preparation
    • Dispatch
    • En route
    • Arrival at Scene
    • Pt contact
    • Movement of pt to unit
    • En route to hospital
    • Arrive at hospital
    • Transfer of pt care
    • Clear/Return to service
  • 3. Ambulance Type
    • Type I
      • Box shaped passenger compartment
      • Mounted on truck style chassis
    • Type II
      • Van style vehicle
      • Raised roof
      • Extended rear compartment
    • Type III
      • Modular box like a Type I
      • Mounted on a van chassis
    TYPE 1 TYPE 2 TYPE 3
  • 4. Equipment
    • Basic Medical Supplies
      • Pt transfer equipment
      • Airways
      • Suction equipment
      • Artificial Ventilation devices
      • Oxygen inhalation devices
      • Cardiac compression equipment
      • Basic wound care supplies
      • Splinting supplies
      • Childbirth supplies
      • Medications
      • AED
    • Non-medical
      • Personal Safety Equipment
      • Street maps, etc
  • 5. Daily Truck Inspection
    • Fuel
    • Oil
    • Engine Cooling System
    • Battery
    • Brakes
    • Wheels/tires
    • Headlights
    • Stoplights
    • Turn signals
    • Emergency lights
    • Wipers
    • Horn
    • Siren
    • Doors closing/latching
    • Communication systems
    • AC/Heat
    • Ventilation system
    • Seat belts
    • Equipment
      • Checked/maintained
      • Restocked/repaired
      • Batteries for –AED –Suction – O2, etc
  • 6. Dispatch Centers
    • Central Access
      • Coordinates numerous EMS units in a region
    • Enhanced 911
      • Automatically identifies a callers location
    • Emergency Medical dispatch
      • National method of training for dispatchers
      • Triage and provide basic 1 st aid instruction
    • Typical information collected
      • Nature of call
      • Name
      • Location
      • Name
      • Location
      • # of pts
      • Severity of injury
      • Call back number
      • Other special problems
  • 7. Considerations En Route
    • Considerations
      • Seat belts
      • Notify dispatch
      • Obtain additional info from dispatch
      • Assign personnel specific duties
      • Assess specific equipment needs
    • Essential info
      • Nature of call
      • Location of call
  • 8. Ambulance Operations Vehicle Operations
    • EVOC
      • Emergency Vehicle Operation Course
    • Characteristic of ambulance operator
      • Physically fit
      • Mentally fit
      • Able to perform under stress
      • Tolerant of other drivers
    • Safe driving
      • Driver/passengers ware seat belts
      • Become familiar with your ambulance
      • Alert to weather/road conditions
      • Caution in use of emergency lights/siren
        • LIGHTS/SIRENS DO NOT RELIEVE THE
        • DRIVER FROM LIABILITY IN A CRASH
      • Select appropriate route
      • Maintain safe following distance
      • DUE REGARD TO SAFETY OF OTHERS
      • Know appropriateness of lights/siren use
        • Increased speed = decrease time to hear siren
        • Siren @ 60mph barely precedes ambulance
      • Headlights are most visible part on an ambulance
  • 9. Vehicle Operations Multiple Units, Crashes
    • Escorts/Multiple Vehicle Responses
      • Extremely dangerous
      • Use only if unfamiliar:
        • Location of pt
        • Location of receiving facility
      • No vehicle should use lights/siren
      • Safe following distance
      • Recognize hazards
    • Intersection Crashes
      • Motorists at intersections as light changes DON’T STOP
      • Motorists expect 1 ambulance not multiple vehicle responses
      • Vision is obstructed by vehicles
  • 10. Vehicle Positioning
    • For Safety
      • Uphill from leaking hazards
      • 100 ft from wreckage
        • In front of wreckage, OR
        • Beyond the wreckage
      • Set parking break
      • Use warning lights
      • Shut off headlights (unless illumination is needed)
    • Exiting scene
      • Avoid parking in locations that will hamper leaving scene
  • 11. Arrival at Scene
    • Notify dispatch
    • Size-up
      • BSI
      • Scene safety
        • -Parked in safe location – Immediate pt removal – Safety
      • MOI
      • Medical Pt
        • MCI
          • # of pt
          • Obtain additional help
          • Begin triage
        • C-spine stabilization if needed
      • Trauma Pt
        • MCI
          • # of pt
          • Obtain additional help
          • Begin triage
        • C-spine stabilization if needed
    • Total # of pt
    • Need for additional help
  • 12. Transfer to Unit
    • Action at scene
      • Organized
      • Rapid/efficient
      • Goal of transport in mind
        • “ Platinum 10 minutes ”
    • Transfer of pt to unit
      • Preparing pt for transport
        • Completion of critical interventions
        • Check dressings/splints
        • Pt covered and secured to moving device
      • Refer to lifting/immobilization presentation
  • 13. En Route and Arrival at Hospital
    • En route to hospital
      • Notify dispatch
      • On going assessment
      • Additional vitals assessed
      • Notify receiving facility
      • Reassure pt
      • Complete PPRC
    • Arrival at hospital
      • Notify dispatch
      • Transfer pt
      • Lift/move as previous presentation
      • Reports
        • Verbal report at bedside
        • Complete PPCR and leave copy
  • 14. Clear/Return to Service
    • En route to station
      • Notify dispatch
      • Prepare for next call
        • Clean/disinfect unit
        • Clean/disinfect equipment
        • Restock disposable items
    • Post Run
      • Refuel unit
      • File reports
      • Complete cleaning/disinfecting
        • 1:100 bleach:water solution if commercial cleaner is not available
  • 15. Air Medical Considerations
    • Landing Zone (LZ)
      • At least 100ft X 100 ft
      • Relatively flat ground
        • No greater than 10 degrees
      • Clear of debris
        • Trash
        • Rocks
        • Sand
      • No major vertical structures
        • Trees
        • Buildings
        • Telephone poles
        • Towers
      • As close as possible to scene of call
    • Approach
      • Assume crouching position
      • NEVER approach from behind
        • Pilot blind spot
  • 16.