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Late 1960's defibrillator
Extrication tool called "Hurst Tool," also more commonly called the "Jaws of Life"
MIDDLE 70'S STRECTER
An EARLY 50'S CARDIO II "THUMPER"
A Old Radio Setup that includes, top:Siren, Next Company Radio, third Med-Com Radio and finally a dial Hearn System
A 2002 International Ambulance
                      OLD & NEW EMS COMMUNICATIONS SYSTEMS
EMS AMBULANCES & EQUIPMENT
A 2002 International Ambulance
MEDICAL FIRST RESPONDERS
O2 OXYGEN TANK
    AED (DEFIBRILLATOR)
STANDARD O2
BACK BOARD C-SPINE MANAGEMENT
PORTABLE SUCTION
MILTARY ANTI SHOCK TROUSERS                       (MAST)
ORAL AIRWAYS
GLOVES FOR UNIVERSAL PRECAUTIONS
SCANNER              CELL                  PAGER                                        SATELLITE
B.P. CUFF
TRAUMA BAGS
FIRE DEPT RESCUE SQUAD EQUIPPED WITH MFR TRAINED PERSONNEL AND EXTRAICATION EQUIPMENT
FIRE DEPT ENGINES IN MOST U.S. CITIES ARE EQUIPPED WITH MFR TRAINED PERSONNEL WHO RESPOND TO BOTH TRAUMATIC AND MEDICAL EMERGENCIES
POLICE DEPT CRUISERS IN MANY U.S. CITIES ARE STAFFED AND EQUIPPED WITH CROSS TRAINED POLICE MFR PERSONNEL WHO RESPOND TO BOTH TRAUMATIC AND MEDICAL EMERGENCIES
SEVERAL FIRE & SHERIFF DEPT'S IN MANY U.S. CITIES STAFF & EQUIP RESCUE BOATS WITH CROSSED TRAINED POLICE & FIRE MFR PERSONNEL WHO RESPOND TO BOTH TRAUMATIC & MEDICAL EMERGENCIES
Medical First Responder: Defined as an individual who has met the educational requirements of a State EMS Department approved Medical First Responder Course and who is licensed to provide medical first response life support as part of a Medical First Response Service such as a Fire or Police Department that provides Non Transport simple Basic Life Support Services only.
Emergency Medical Services Personnel: Is defined as a Medical First Responder, Emergency Medical Technician (EMT), Emergency Medical Technician Specialist, Paramedic, or Emergency Medical Services Instructor-Coordinator.
An Emergency Patient: Is defined as an individual whose physical or mental condition is such that the a prudent individual is, or may reasonably be suspected or known to be, in imminent danger of loss of life or of significant health impairment.
Medical First Response Service: Is defined as a service which is licensed by a State EMS Agency to respond to an emergency scene with Medical First Responders and medical equipment that is required by State and Federal regulations to provide medical treatment prior to the arrival of an ambulance.  A medical First Response provider includes both fire departments and Police Agencies that are dispatched for medical and trauma life support.
Medical First Response Vehicle's: Is defined as a motor vehicle staffed by a minimum of one Licensed Medical First Responder that meet's the equipment requirements that are set forth by State and Federal guidelines.
Nontransport Prehospital Life Support Vehicle: Is defined as a customized apparatus that is used to provide Medical Response, Basic Life Support, Limited Advanced Life Support, or Advanced Life Support, and is not intended to transport patients
A Life Support Agency: Is defined as an Ambulance Operation, NonTransport Prehospital Life Support Operation, Aircraft Transport Operation, or Medical First Response Service.
Picture of EMT - I Jeff Matthews testing a 1005 (old thumper) Photo by: Stuart Platt of Lexington County EMS (click picture to go to site)

Lexington EMS
An early 1970's Ambulance:
EMS MEDS CARRIED
MEDICATIONS, USEAGE, DOSE, CONTRAINDICATIONS, MEDICATIONS DOWNLOADABLE DETAILED MATERIAL CAN BE FOUND BY CLICKING
Bag Valve Mask (BVM)
AED (DEFIBRILLATOR)
  EARLY EQUIPMENT
CARDIO II "THUMPER"
MFR
The EMS Symbol--Star of Life
Just as physicians have the caduceus, emergency medical service personnel have the Star of Life. Use of the Star of Life by EMS personnel is encouraged both by the American Medical Association and the Advisory Council of the Department of Health, Education, and Welfare. The Star of Life applies to all emergency medical products and services funded under the DOT/EMS program.

The Star of Life was designed by Leo R. Schwartz, Chief of the EMS Branch of the National Highway Traffic Safety Administration (NHTSA).

Adopted from the Medical Identification Symbol of the American Medical Association, the newly designed six barred cross was registered as a certification mark on February 1, 1977 with the Commissioner of Patents and Trademarks in the name of the National Highway Traffic Safety Administration.

Each of the bars of the blue Star of Life represents the six system functions of emergency medical services
Six Points of the EMS System
The National Highway and Safety Administration (NHTSA) had exclusive rights to monitor the use of the Star of Life within the United States. Its use on EMS vehicles certifies that these vehicles meet the U.S. Department of Transportation minimum standards and certify that EMS personnel who use it have been trained to meet these standards. Its use on road maps and highway signs indicates the location or access to qualified emergency care services.

Permitted Uses of the Star of Life As a means of identification for medical equipment and supplies for installation and use in EMS vehicles and ambulances.  To point to the location of qualified medical care services and access to such facilities.

For use on shoulder patches and insignia worn only by personnel who have satisfactorily completed DOT training courses or approved equivalents, and for persons who by title or function administer, directly supervise, or participate in national, state, or community EMS programs. On EMS personal items, such as badges, plaques, buckles, etc.  Books, pamphlets, manuals, reports, or other printed material having direct application to emergency medical services.
  U.S. Ambulance Statistics and Facts
EMT’s and Paramedics are employed by various types of services including private (for-profit and non-profit), hospital-based, volunteer, government-owned and fire department-based organizations. Over two-thirds of the nation's largest 200 cities are served by non-fire-based emergency ambulance services.
Number of Ambulance Services 12,254
Number of Ground Ambulance Vehicles 23,575
Number of EMS Personnel 840,669
The Emergency Medical Services (EMS) system assures a timely and medically appropriate response to each request for out-of-hospital care and medical transportation including emergency responses resulting from 9-1-1 calls and inter-facility transports.

Emergency Medical Technicians are trained to deliver Basic Life Support (BLS) Services and provide first aid, oxygen administration, application of splints and bandages and CPR. Paramedics are trained to deliver Advanced Life Support (ALS) Services and provide intravenous therapy, airway management, cardiac monitoring and defibrillation, medications and other advanced emergency care.
The Emergency Medical Services (EMS) system assures a timely and medically appropriate response to each request for out-of-hospital care and medical transportation including emergency responses resulting from 9-1-1 calls and inter-facility transports.

Emergency Medical Technicians are trained to deliver Basic Life Support (BLS) Services and provide first aid, oxygen administration, application of splints and bandages and CPR. Paramedics are trained to deliver Advanced Life Support (ALS) Services and provide intravenous therapy, airway management, cardiac monitoring and defibrillation, medications and other advanced emergency care.
The EMS and Ambulance Service’s role in a Terrorist Event, Natural Disaster and a Public Health Emergency includes patient triage, decontamination, treatment, and transport.

U.S. Communities are served by Professional Emergency Ambulance Service Providers with proven track records in simultaneously delivering clinical excellence, response-time reliability, economic efficiency and customer satisfaction.

EMS key role was demonstrated during the 9/11 attacks, ambulance providers are operating at a heightened state of readiness and are working to build the necessary capacity to respond to new Homeland Security threats such as bio-terrorism attacks.

Ambulance providers face unique financial challenges due to inadequate Medicare payments and barriers to receiving Federal Homeland Security Funds.
Late 1970's telemetry
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EMS AND U.S. COAST GUARD HELICOPTERS AND THE EQUIPMENT USED IN THE AIR
NEW ADVANCED AIRWAY IN USE BY METRO EMS
Currently, EMT’s have been limited in how they could help patients breathe when they were in cardiac arrest. Paramedics with special training can intubate patients, which involves inserting a tube to allow a pathway directly to the lungs.  A new tool all Metro EMS Paramedics have begun using now can quickly insert a tube that blocks the esophagus and allow oxygen to flow into a patient’s lungs called the the King Airway .

It is designed to be inserted into a patient’s throat with minimal injury. Once in place, the balloon is inflated, which blocks the esophagus and ensures that air will pass through the trachea and into the lungs. Because the esophagus is blocked, there is minimal risk that the patient would aspirate blood, vomit or other fluid into the lungs, which could be potentially deadly. similar to the former E.O.A (Esphophgeal Airway) 

“This allows us to quickly and very simply guarantee that we have an airway secured,” said Maj. Todd Early, director of education for EMS. “Without an airway, you have nothing. You have a deceased patient.” It costs about $78 to outfit each employee with a kit that includes three sizes of the device.  Providers say they expect this device will get a lot of use in the field.
Vital Data Technology announces the launch of MyVitalData, part of the Web-based Vital EMS Network that integrates consumers’ health information into Emergency Medical Services (EMS) and hospital information systems for secure access to patient data during unforeseen, life-threatening situations including personal health crisis and natural or manmade disasters. The online gateway, accessed at www.MyVitalData.com, allows consumers to create, maintain and share a complete medical history with EMS personnel.

MyVitalData was built on HealthVault, Microsoft Corp.’s newly launched consumer health platform, a specialized search engine providing online services to search, store and connect people with their health information, putting them in control of their health and wellness.

"MyVitalData is the only emergency health record that is securely shared with emergency care providers throughout the emergency care continuum. MyVitalData was born out of EMS and created to save lives," said Matt D’Ambrosia, chief executive officer of Vital Data Technology.

MyVitalData goes beyond an online database of health information; it is an active gateway that enables consumers to make a difference in their lives and the lives of loved ones. It provides peace of mind, knowing that crucial information is available to emergency medical personnel to help them make informed medical decisions—even when a patient or their loved ones are unable to communicate.

“With MyVitalData, consumers have added assurance that they have done all they can to prepare for an emergency situation,” said Frank Zanka, vice president of business development at Vital Data Technology. “This electronic emergency health record makes it possible for life-saving information to be securely shared with the right healthcare personnel at the right time during emergency situations.”

“MyVitalData, built on the HealthVault platform, is one of the first steps of a long journey to deliver on the promise of connecting and improving healthcare,” said Peter Neupert, corporate vice president for the Health Solutions Group at Microsoft. “MyVitalData provides consumers with the opportunity to manage and share potentially life-saving emergency care information in a private and secure manner.”
About Vital Data Technology
Vital Data Technology, headquartered in Irvine, California, provides web-based managed solutions to Emergency Medical Services (EMS) organizations that deliver accurate, timely patient data to the right emergency care personnel at the right time. Vital Data Technology is dedicated to improving the quality of emergency healthcare and empowering patients to manage and take control of their medical information. Vital Data Technology’s Vital EMS Network, including MyVitalData, is HIPAA compliant. Vital Data Technology is a NEMSIS Gold compliant company. For more information, visit www.VitalDataTech.com or to subscribe visit www.MyVitalData.com. 10-04-2007
Daves EMS Headquarters

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by Dave's EMS Headquarters

New CPR Device Life-Stat
Grand Rapids, MI - Michigan Instruments, Inc. recently announces the launch of its new life support device that provides effective, consistent hands-free cardiopulmonary resuscitation (CPR). Life-Stat is a life-saving mechanical CPR device provides rescuer hands-free America Heart Association Guideline-compliant CPR in either the 30:2 compression to ventilation ratio or continuous chest compressions with asynchronous ventilation modes of operation.

Formerly known as the Thumper CPR System, the recently FDA cleared Life-Stat is based on Michigan Instruments' proven mechanical CPR principles developed over the last forty years combined with modern electronic control. Developed in accordance with the current AHA Guidelines for CPR, Life-Stat is meant to be used by all types of EMS and hospital applications and will be made available worldwide.

The Life-Stat is based on the proven and reliable technology of Michigan Instruments' previous mechanical CPR devices but it is modernized by the use of electronic control to coordinate chest compressions with ventilation. Life-Stat mechanical CPR can be rapidly deployed and set up such that there is virtually no loss of chest compressions during transition from manual CPR. Once the Life-Stat is applied to the patient, the rescuers are freed to provide further treatment because they are spared the intensive work of manual CPR tasks. The Life-Stat can provide CPR even when the patient is being carried on an emergency board in stairways from the rescue site to the emergency vehicle. Once in the emergency vehicle, rescuers can strap in to their seatbelts enroute to the hospital while Life-Stat provides effective, automatic CPR.

Through electronic controls, the Life-Stat has simplified setup and operation. It accommodates a wide range of patients, from small adults to bariatric patients. The Life-Stat produces higher levels of continuous cardiopulmonary support when compared with typical manual CPR. Life-Stat operates consistently at an optimal chest compression depth with 100 compressions per minute and a pre-programmed Systole/Diastole ratio of 50:50. It can be quickly changed by electronic control from the 30:2 chest compressions to ventilation ratio for facemask ventilation CPR to the continuous chest compressions with asynchronous ventilation for advanced airway setups. It does all of this reliably as opposed to manual CPR because manual CPR is very physically demanding and quickly causes noticeable rescuer fatigue.

As reported by the AHA, most rescuers inadvertently perform less effective CPR after only one minute. They change any or all of the important CPR techniques of chest compression depth, rate, or ratio especially as fatigue sets in. This compromises circulation of blood needed to maintain the vital organs. To provide effective manual CPR, rescuers need to change places at least every two minutes. In contrast, using the Life-Stat a rescuer can provide AHA Guideline consistent and effective CPR continuously for as long as needed regardless of rescuer size or physical condition.

The Life-Stat is meant to be used in a variety of settings including ambulances, air medivac units, EMT rescue, fire rescue, emergency department, as well as in-hospital areas such as coronary and intensive care units, cardiac catheterization labs and organ transplant facilities.
SOURCE: Michigan Instruments, Inc. Cascade Michigan
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       Road Rescue Introduces Redesigned Ambulance Line
In 2009, Road Rescue introduced a complete redesign of its line of custom ambulances.  Road Rescue, a subsidiary of Spartan Motors, Inc. showcased more than 40 improvements, including new technology and innovative features, on its line of Ultramedic(R), Promedic(R) and Duramedic(R) ambulances. The redesign features enhancements in five key areas: module, doors, systems, appearance and hardware.

"For the past year, the best minds in the ambulance industry have been working on an extensive 're-design' for our product line," said Gary DeCosse, president of Road Rescue. "our redesign incorporates more than 40 improvements to our entire product line. These are truly new vehicles - from the wheels up.  "We have made extensive enhancements to improve vehicle safety and functionality. The result is a stronger, more durable and sleeker ambulance that will enable EMTs to be more efficient and effective when working on patients during transport."

                                                    Road Rescue's new ambulance features:

Significant improvements to the module, including:
oNew crash-rail fender ring system that is more impact absorbent. The new system, which features an extruded rubber crash rail, does not require fasteners and simply snaps on the vehicle body. In the event of an accident, the system is more easily repaired or replaced in the field.
oRedesigned roof-radius extrusion with triple-wall construction that is substantially stronger and exceeds the new KKK vehicle standards.
New exterior doors featuring a double-box, pan-formed composite construction with a hidden hinge that delivers a lighter, stronger and more durable door. The composite construction improves vehicle insulation and reduces road noise. The hidden hinge is protected from the elements as well as a cleaner overall appearance.
Improvements to the vehicle systems, including:
oA refinement of the patient-centric concept introduced at FDIC in 2008 that standardizes the overhead equipment mounts and reduces their profile to deliver more working room for EMTs. The new designs also feature a rail system that provides a central point for medical equipment and improved lighting.
oAn innovative new interior outlet rail system patterned after those utilized by hospitals to consolidate outlets into a convenient location that can be field adjusted when procedures change.
oA refined central air system that realigns vent locations to improve airflow and efficiency whether heating or cooling the vehicle. The overall look is also cleaner.
Enhancements to the interior and exterior appearance of the vehicle. Exterior upgrades include a shift to chrome handles, flanges, crash rails, trim and housing. Interior improvements include the use of lighter and more soothing colors, stainless steel accents and improved trim options.
Hardware upgrades throughout the vehicle that enhance ease of cleaning, restocking and overall functionality.

"In many ways, it's what you won't see in this redesign that matters the most," DeCosse said. "More than half of all the improvements and innovations are incorporated into the build process, further enhancing our industry position as a leader in quality and safety.

"Our new ambulance line incorporates new materials and new processes that will allow us to improve the efficiency of our production line and reduce order-to-delivery times. From major structural changes down to simple hardware changes, we have developed a truly innovative vehicle that delivers improved performance."
About Road Rescue

Established in 1976, Road Rescue, Inc.  designs and manufactures a complete line of premium custom ambulances and emergency-rescue vehicles. An innovative market leader, Road Rescue pioneers new features that allow technicians to provide effective patient care in a safe, secure environment. The Road Rescue(TM) brand name signifies quality, innovation, strength and reliability to emergency personnel throughout North America. Road Rescue is a subsidiary of Spartan Motors, Inc.
  New EZ Gun for Rapid IV Access for        Adults and Pediatric Patients
Many EMS Agencies are deploying "Rapid Response Units          that provide quicker Response and additional Personnel
New Stretchers are being utilized that are built to help prevent Medics from suffering back injuries the most frequent type of injury sustained by Medics
2000-2010 EMS AMBULANCES
NEW FEDERAL SAFETY REFLECTIVE PAINT
NEW AUTO CPR DEVICE
  GlideScope video          Laryngoscope
As EMS Agencies struggle thru the U.S. Economy, Agencies search for fuel saving vehicle such as the new Dodge Sprinter chasis
TODAY'S AMBULANCE TYPE'S
TYPE-1 AMBULANCE
       TYPE-2 AMBULANCE
Type 3 Ambulance
    Specialty Ambulance for Obesse Patients
Today's Backboards
Stryker Stair Chairs
Rugged hydro Stretchers  (left used for obese Patients
Typical equipment brought into home, office etc for heart patients
          Decontamination Unit
Decontamination Unit Aplied effective with swine flu
Physio Control Lucas 2       Mechanical CPR
Physio Control Lucas 2       Mechanical CPR
New ZOLL Propaq Monitor/Defib for Military and Air Ambulance Operations
2010  ZOLL Medical has received FDA approval to market the Propaq MD monitor/defibrillator that's been designed specifically for military and air medical use. Developed in conjunction with the Department of Defense and Welch Allyn, the device is meant to be smaller, more rugged, and work for longer periods than competing models.

The Propaq MD is a new ultra-lightweight compact device with highly sophisticated, advanced capabilities that combine the well-accepted and proven features of the Propaq monitors with the clinically superior therapeutic capabilities of ZOLL defibrillation and non-invasive pacing technologies. The Propaq MD is 60 percent smaller and 40 percent lighter than other similar monitor/defibrillators. It is two pounds lighter than the current military vital signs monitor, the Propaq 206, even with defibrillation and pacing added.

The Propaq MD provides an unmatched combination of capabilities that include a large, high-contrast color LCD display capable of viewing up to four waveforms simultaneously, as well as a full 12-lead ECG for on-screen review. It also offers a unique night vision goggle (NVG) mode for military and air medical night time operation. All physiological monitoring parameter values, including heart rate, SpO2, ETCO2, respiration, non-invasive blood pressure, two temperatures, and three invasive pressures, are shown in large color-coded numeric formats. The device is capable of monitoring all patients, whether adult, pediatric or neonatal. Alarms are provided for all parameters. The Propaq MD is the only FDA-cleared airworthy defibrillator to provide monitoring of three invasive pressures necessary for treating critical patients during long transports.

A new battery system and AC power charger provides worldwide land, sea and air operating capability. The system can monitor all physiological parameters, including three invasive pressures and two temperature channels, for over six hours on a single battery charge.

In addition to real-time monitoring, the Propaq MD has a full data collection and trending capability. Keys are provided to annotate all ACLS interventions such as intubation, drug administration, and associated ECG and other physiological waveform segments. Full trending data is available on the unit's display from its integral memory, supporting data collection over 24-hour periods. Trends can include 1,000 time-stamped events and 32 snapshots of treatment. All data can be downloaded to a standard USB flash drive and transferred to electronic medical records using an open architecture XML format. An integrated printer can provide immediate documentation of events and diagnostic ECG traces.
Bariatric unit
COMPUTERS
Acadian Ambulance Utilizing the new Dodge K Series
New International and GMC Trucks are now utilized as Ambulances
<a href="http://www.apple.com/quicktime/download/">Quicktime Required</a>
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CARDIO 2 (THUMPER) USED FOR AUTO CPR
        IV Catheters
Click this picture to enlarge
Advances in Ambulance Tech
KTLA FOX 4
StatGear Tools: T3 Triage and Auto Rescue Tool