Transcript MAB1

Montgomery County Fire Rescue
Medical Ambulance Bus
20 Patient Capacity
Medical Ambulance Bus
Medical Ambulance Bus
Medical Ambulance Bus
Removable articulating ramp is
stored under the bus bumper
Eight removable “K” Oxygen cylinders located on the right side. All 20
patient positions will flow oxygen at 15 LPM for 3 hours. Additionally a
high pressure hose is provided to allow for an outside source of O2.
When connected to the bus it will provide oxygen for an undetermined
length of time.
50 Amp Shoreline Receptacle to
power inside lights and AC/Heat. For
use when remote power is available
Emergency Door Opening Valve
Battery Charger Receptacle
Receptacle to power remote lighting.
One at each corner.
Patient Compartment
20 removable stretchers with a weight
Capacity of 350 lbs. each. All stretchers
Have adjustable heads.
Four large storage drawers
All stretcher are on a slide out track that
allows the stretcher to be easily removed.
This will reduce the potential for injury while
attempting to remove or load the stretcher.
It locks in place with a “T” type pin.
•Five attendant seats
•Three on Drivers side
•One on Officers side
•One at rear door that
stores out of the way
Electric oxygen monitoring system
located at desk behind driver
Adjustable liter flow valves are located at
Each stretcher position.
The attendants desk #1 is located behind the driver.
Below are the drawers in the desk.
There are multiple supply drawers, numbered from the front.
Drawer # 2
Drawer # 3
These drawers are located under the attendant seats.
Drawer # 5
Drawer # 4
Cabinet #6 is the tall skinny cabinet located next to the 3
attendant seats. Additional supplies are located here also.
There are 5 attendants bags that have basic supplies,
airways, bag valves and blood pressure cuffs.
12,500 KW Generator
Battery Switch above driver
Remote Generator start switch
12,500 KW generator
Located on drivers side
Washington Metropolitan Council of Governments
Medical Ambulance Bus Field Operations Guide (FOG)
Medical Ambulance Bus (MAB) Mission
MAB’s are designed to assist in transporting patients as a result of an Multiple Causality Incident (MCI). Each bus is designed to transport up to 20 patients on
stretchers from the incident. Crew configuration will be dependent on each incident profile and resources available. These MAB’s are strategically located around the
Washington Metropolitan Area for rapid deployment to incidents that may require this particular resource.
Crew Configuration
Crew Position
Responsibilities
Crew Actions
Bus Operation with Patients
Pre - Incident
Patient Loading: Key Points
Vehicle Responsibility
o
o
Driver
Responsible for daily mechanical
readiness.
Primary operator of the vehicle and
assures a safe response to the
incident scene.
Secures an area for crew assembly
and operations.
Designates an area for patient
assembly and transfer to MAB.
Assures patient safety and security
during transport.
Loaded From Rear Door
Load Least Critical First – Bottom & Top Positions
(Consider Weight of Patient – Heaviest on Bottom)
Mechanical Readiness
Operational Readiness
o
Monthly Inventory
On-Scene
Directs Assembling Shelter (if available)
o
Crew Protection & Assembly Area
Designates patient Transfer Area
o
o
Near Rear of Bus
MAB Cots to Equipment Assembly near
Transfer Area
Patient Loading & Security
o
Medical Crew
Assists the driver of the MAB in
navigating to the scene of the incident
in an “Escort” fashion.
Helps establish radio communication
and coordination with the Incident
Commander.
Provides direct medical care to
patients being transported to the
receiving facility.
Provides documentation of patient
injuries, treatment and identification if
possible
Assistant Driver or Medical Crew
Assists Primary Driver Enroute to Incident
o
o
Patient’s That May Require Invasive Care, i.e.:
Airway Management, Should be Loaded in the
Middle Positions for ease of care
Bus is Loaded FRONT to REAR
Keep in Mind that Patient Weight and Triage
Level Should Be Considered When Loading
Patients. If Possible, Heaviest/Least Critical
Patients should be Loaded in Bottom Positions
Secures Law Enforcement to Assure Vehicle,
Patient & Crew Safety
Security of Patient’s Personal Property
Coordination of Patient Exchange
Navigation to Incident
Radio Coordination with Incident Command
Operational Readiness
Slowly turns oxygen bottles on and charges O2 system
Overall Patient Care
Transfer of Patient Information to Receiving Facility
Allows Most Critical Patients to be Loaded
Last and Unloaded First at the Receiving
Facility. (Load in Middle Position if Possible)
Patient Documentation
Patient Name, Triage Tag Barcode or
Identification Number
Age – If Possible
HPI – History of Present Illness or Injury
Patient Pertinent Medical History
Prescribed Medications
Medication Allergies
Treatment Rendered
o
Treatment Outcome
Vital Signs
Final Disposition
Tertiary Care Centers
Level 1 Trauma Centers
Level 2 Trauma Centers
Shock Trauma – Baltimore MIEMSS
Johns Hopkins – Baltimore
Inova Fairfax Hosp – Fairfax
MedSTAR – Washington DC
Howard University Hosp – DC
George Washington (GW) - DC
Suburban Hosp – Bethesda
PG Hospital Center - Cheverly
Pediatric Trauma Centers
Childrens – Washington DC
Johns Hopkins – Baltimore
Inova Fairfax Hosp - Fairfax
Spinal Trauma Center
Shock Trauma – Baltimore MIEMSS
Johns Hopkins – Baltimore
Inova Fairfax Hosp – Fairfax
MedSTAR – Washington DC
Burn Centers
MedSTAR – Washington DC
Johns Hopkins - Baltimore
(Adult – Bayview)
(Pediatric – Main Campus)