Ambulance Operations
Phases of a Call <ul><li>Preparation  </li></ul><ul><li>Dispatch </li></ul><ul><li>En route </li></ul><ul><li>Arrival at S...
Ambulance Type <ul><li>Type I </li></ul><ul><ul><li>Box shaped passenger compartment </li></ul></ul><ul><ul><li>Mounted on...
Equipment <ul><li>Basic Medical Supplies </li></ul><ul><ul><li>Pt transfer equipment </li></ul></ul><ul><ul><li>Airways </...
Daily Truck Inspection <ul><li>Fuel </li></ul><ul><li>Oil </li></ul><ul><li>Engine Cooling System </li></ul><ul><li>Batter...
Dispatch Centers <ul><li>Central Access </li></ul><ul><ul><li>Coordinates numerous EMS units in a region  </li></ul></ul><...
Considerations En Route <ul><li>Considerations </li></ul><ul><ul><li>Seat belts </li></ul></ul><ul><ul><li>Notify dispatch...
Ambulance Operations Vehicle Operations <ul><li>EVOC </li></ul><ul><ul><li>Emergency Vehicle Operation Course  </li></ul><...
Vehicle Operations Multiple Units, Crashes <ul><li>Escorts/Multiple Vehicle Responses </li></ul><ul><ul><li>Extremely dang...
Vehicle Positioning  <ul><li>For Safety </li></ul><ul><ul><li>Uphill from leaking hazards </li></ul></ul><ul><ul><li>100 f...
Arrival at Scene <ul><li>Notify dispatch </li></ul><ul><li>Size-up </li></ul><ul><ul><li>BSI </li></ul></ul><ul><ul><li>Sc...
Transfer to Unit <ul><li>Action at scene </li></ul><ul><ul><li>Organized </li></ul></ul><ul><ul><li>Rapid/efficient </li><...
En Route and Arrival at Hospital <ul><li>En route to hospital </li></ul><ul><ul><li>Notify dispatch </li></ul></ul><ul><ul...
Clear/Return to Service <ul><li>En route to station </li></ul><ul><ul><li>Notify dispatch </li></ul></ul><ul><ul><li>Prepa...
Air Medical Considerations <ul><li>Landing Zone (LZ) </li></ul><ul><ul><li>At least 100ft X 100 ft </li></ul></ul><ul><ul>...
 
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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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30)Ambulance Operations

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