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30)Ambulance Operations
 

30)Ambulance Operations

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  • Full Name Full Name Comment goes here.
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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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    30)Ambulance Operations 30)Ambulance Operations Presentation Transcript

    • Ambulance Operations
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    •