How did ambulances start being used? - Answers 1700s - horse drawn ambulances were used
in major US cities
1800s - ambulances used in Napoleonic Wars
1860s - ambulances used in US hospitals w/ limited supplies
1960s - first motor powered ambulance (hearse since pt could lay down in it and if died
convenient)
How have ambulances changed today? - Answers more advanced medical equipment
(sometimes directly transmitting info to the ED), higher emphasis on rapid response which
increases danger for EMS workers
What is an ambulance? Who determines the design? - Answers a vehicle that is used for treating
and transporting patients who need emergency medical care to a hospital. Designed according
to government regulations and have large pt compartments
KKK Specification - Answers document published by the fed gov, first blueprint for ambulance
requirements
Who sometimes treats patients before the ambulance arrives? - Answers first responders such
as police, firefighters, etc. w/ sometimes limited knowledge + basic care techniques
sometimes FF/EMT or Medic
What are the components of a modern ambulance? - Answers drivers compartment
pt compartment big enough for 2 EMTS + 2 supine pts
equipment and supplies
2 way radio communication
design for max safety and comfort
How are Type 1 ambulances designed? What does this mean in the event of a crash? - Answers
chassis foundation structure that is made by a car company (jeep, dodge, ford, etc) that
supports the ambulance from underneath (wheels, underwiring, driver's compartment)
then chassis sold to an ambulance conversion company that adds the back box with the
equipment (cabinets, benches, etc)
,means that the base (chassis + drivers compartment) very safe and well tested, so less damage
whereas ambulance conversion components more about comfort + convenience and less well
tested = more danger to providers + pt in back since not well tested
crashworthiness - Answers How well a vehicle protects its occupants in a crash
(ex = chassis + driver's compartment tested for crashworthiness and survivability with good
results)
What is the star of life? What does it mean? What does it mean if there is an R with a circle next
to it? - Answers The six-pointed star emblem that identifies vehicles that meet federal
specifications as licensed or certified ambulances.
R = registered as trademark of the department of transportation
Where is the star of life usually located? - Answers on the sides, roof, rear of the ambulance as
emblem of emergency care
Who establishes ambulance licensing or certification standards? - Answers the state
What are the 9 phases of an ambulance call? - Answers 1. Preparation
2. Dispatch
3. En route
4. Arrival at scene
5. Transfer of patient to ambulance
6. En route to receiving facility (transport)
7. At receiving facility (delivery)
8. En route to station
9. Postrun
How often should ambulance inspections occur? What should the EMT look for? - Answers
every shift (2 12 hr shifts = 2 inspections)
inspect cleanliness, quantity + function of equipment/supplies
What should the cabinets and drawers of an ambulance have? - Answers transparent front
labeled
,able to open easily
close securely (since ambulance moving vehicle)
What is some basic supplies that should be carried on an ambulance? - Answers basic supplies
= common supplies
- airway + ventilation equipment (various sizes)
- portable + on board O2
- portable + on board suction
- bandages
- CPR equipment ( AED)
- splinting supplies
- OB kits
- pt transfer equipment (stretcher, stair chair, long backboard, short backboard/immobilization
device)
- pre planning + navigation equipment
- medications
- jump kit
What should always be done before using any items on the ambulance? - Answers check the
expiration date
What is a jump kit? - Answers A portable kit containing items that are used in the initial care of
the patient such as penlight, bp cuff, gloves, glucose, stethoscope, penlight, dressings +
bandages, BVM
What is PPR ambulances may carry? - Answers face shield
N95 masks
gowns, shoe covers, caps
turnout gear
helmets w/ face shield or safety goggles
safety shoes or boots
, tactical vests
Can an ambulance carry more or less than what is required by the state? - Answers can carry
more but not less
How many EMTs need to be in the ambulance at once? - Answers at least 1 EMT in pt
compartment during transport regardless of whether the squad is volunteer or licensed
license = 2 EMTs required to be in ambulance
no license = staffed any way (usually 1 EMT + 1 non-EMT driver)
**EMT responsible during call since highest license for pt care
Does an ambulance need a license to operate? When would one be necessary? - Answers
ambulance service billing = license by DOH required
not billing + volunteer = can operate w/o license (in NJ)
What happens during the preparation phase of an ambulance call? - Answers inspect
ambulance to make sure equipment functional
review safety precautions
make sure everything in proper place
restock if last crew failed to
What should the EMT look for when reviewing safety precautions? - Answers - proper working
order of safety devices
- properly secure oxygen tanks
- properly secured equipment in the CAB, rear, compartments (all bags in cabinets/strapped in,
computers/devices bolted down in shelving, etc)
**in NJ required all equipment crash worthy
When should new equipment be placed into the ambulance? - Answers after proper instruction
on its use to all workers and approval from medical director received
In what order should equipment be stored in the ambulance? - Answers based on how urgently
and often used
What is the most common cause of AED malfunction? - Answers uncharged battery
What is the minimum vacuum force required for a suction unit? - Answers 300 mmHg (when