Transcript ambulance operations - Hatzalah of Miami-Dade

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

Preparation for the call – Availability and readiness of equipment and
supplies.
Equipment
 EMT
- B will have access to a large variety
of equipment and supplies.
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
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
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”
Equipment
 Non-medical
– Personal safety equipment
– Maps
Preparation for the call

Personnel
– Available for response
– Minimum one EMT-B in patient compartment
 Daily
inspection
– Inspection of vehicle systems
Preparation for the call
 Equipment
– Checked and maintained
– Restocked and repaired
– Batteries - operated equipment daily
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.
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
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.
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.
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.
Vehicle operations
 Use
of lights and siren
 Safe following distance
 Parking considerations
 Laws and regulations
 Use of escort
 Intersections hazards
Arrival Phase
 Report
to dispatch
 Conduct a scene size-up
 Determine Mechanism of injury/nature of
illness
 Provide emergency medical care
Departure from scene
 Package
for transport
 Notify dispatch/receiving hospital
 Monitor patient/perform on-going
assessment
 Prepare written report
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
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
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
Aeromedical consideration
 Flightline
driving
– Speed limit 15 MPH
 Around
/near aircraft 5 MPH
– Crossing active -Never without clearance
of tower
Summary
 Phases
of an Ambulance call
 Response Phase
 Safe vehicle operations
 Law and regulations
 Arrival Phase
 Air Medical Operations
 Aeromedical Considerations
QUESTIONS???