Paramedic Ambulance Tour ⎮New 2019!⎮
18
September

By Adem Lewis / in , , , , , , , , , , , , , , , , , , , , /


hey guys my name’s Sam welcome back to
PrepMedic. In this week’s video I’m going to give you a tour of our brand new
ambulance alright guys so this is one of our brand
new ambulance, we just got three of them but we only have one in service just so
we can work out some of the kinks that come along with getting a new vehicle
and having a new system to work out of You will notice this is more of a European
style, the truck itself is made by Freightliner which is also owned by the
same company that owns Mercedes so that’s why there’s kind of a similarity
there and then the box was actually mounted by crestline so for this video
I’m going to start in the patient compartment and walk you through
everything we carry back there we’re going to walk around all of the exterior
doors and what we carry on the outside of the ambulance and then I’ll show you
up in the cab and kind of go through everything piece by piece so coming over
to this door.. alright so coming in the side door you’ll notice right away we
carry our stair chair on the inside of the door for those of you that don’t
know a stair chair is a device that you can seat the patient in and then it
actually has treads that can climb down the stairs it keeps us from having to
lift a patient and ultimately saves our back looking into the ambulance you can
see three shelves and these are made to be easily accessed from the outside of
the ambulance so I’m standing outside right now and I can easily grab one of
these bags on the top shelf we have our vacuum splints which are a special kind
of splint that has the air evacuated from it and then there’s foam beads that
will conform to an injured extremity they’re pretty comfortable for patients
all things considered next that we have our portable suction device so if we’re
going in a cardiac arrest or another issue where we have to manage an airway
this is something that we can easily grab and then we have our protocol books
and our refusal forms and some other paperwork in here in case we need them
in case our electronic recording fails below that we have our Lucas 3 device
which this is a compression machine for CPR this was actually the first video I
ever did on this channel so if you’re curious about this machine and what it
does go check out that video and then the last thing on this shelf is our dead
man’s bag so this is our blue bag and essentially with this ambulance you’ll
notice later that there’s not a whole lot of cabinets we don’t carry a lot of
supplies in the ambulance itself so we’re trying to
function almost exclusively out of this bag for ALS interventions and that’s
because one it keeps us from having to stock two of everything so it saves us a
little bit of money and then it also gives all of our paramedics just one
thing to know one thing to memorize it’s a lot easier for us to operate so I’m
not going to go in detail because I do have another video with everything in
this bag that really details stuff but essentially in this bag we have our
IO our airway roll a IV kit a set of BVM’s
we have cricothyrotomy equipment King tubes for a backup airway we carry
tourniquets chest seals needle decompression and then we also have some
diagnostic equipment on that side and another refusal form in case we need it
so I’m going to step up here and we’re gonna close this door so it gets a
little bit quieter in conjunction with our dead man’s bag we carry this slinger
which this is our BLS bag and this comes in with us on every single call no
matter what this has your basic diagnostic equipment and then it also
has your sharps container pulse oximeter tourniquet some minor wound care and a
splint right above the shelfs i just showed you we have our medication
cabinet now generally this is locked but I’ve unlocked it for this video and like
the name implies this carries all our advanced life support medications we
carry on this ambulance once again I’ve got a video detailing everything in this
box we have over 70 different medications we carry that we can give in
the field so I’m not going to go into detail on this video because it would
take forever so if you’re curious about that go check out that video down below
we’ve got some bags of fluids we’ve got lidocaine we’ve got some different size
salines and d5w for certain kinds of infusions we mix our dopamine and some
60 drop tubing we also have the duo tote auto-injectors for the potential nerve
gas exposure we have a cyano kit for our firefighters if they get trapped in a
fire for an extended period of time and then we have our nitroglycerin or
nitrile for infusion nitro right next to the medication cabinet we
have another kind of airway cabinet in the top we have our CPAP which is a
positive pressure airway device that’s really good for CHF congestive heart
failure COPD and asthma among some other issues this is a great device and we all
really like it down here we’ve got our bag valve mask
s– and those are for providing artificial ventilations to patients that
are not breathing on their own now coming over to the right of the
captain’s chair this is kind of the most unique feature of this truck these are
what replaces the cabinets here and these are pouches made by Ferno these
can be rearranged any way we want on the wall there’s mounting brackets and then
the individual pouches can be removed and put on different mounting brackets
as well so kind of a unique system it saves some space in the truck and it
also keeps us from having a cabinet that becomes too cluttered so everything has
its space the thought of this truck is that we’re operating out of the dead
man’s bag like I showed you before so there’s not a whole lot of supplies in
the ambulance itself although we do carry some backups and then some of the
really high stakes devices as well so in this top pocket we carry our most common
sizes of our endotracheal tubes so it’s mainly like 807 fives that kind of thing
and then below that we have everything to secure a tube and confirm placement
so we’ve got our adult tube tamers pediatric tube tamers a end-tidal sensor
and then we also have a rescue pod which is not used very much but the hospital
requires we have it so we still carry it next to that we have our quick trach so
we’ve got an adult quick trach and a pediatric quick trach this device has
some mixed reviews in pre-hospital setting I’ve tried to use it once and it
was not very effective unfortunately in Iowa we can’t do
surgical crike so we have to settle for this for a emergency airway down below
that kind of tucked behind the captain’s seat we’ve got our respiratory PPE so
some dust masks and 95s we also carry goggles and then some biohazard bags for
the messy cleanup periodically coming down all the way near the ground we have
our suction for the truck so that’s connected to tubing here and then we’ve
got our tonsil tip and our soft tip sections for suctioning both just a
regular airway or somebody that might have a advanced airway in place you’ll
see here next to all of that we’ve got a series of controls for lights turn on
and off the oxygen on and off the suction we have our O2 stack here or
at least one of them and then we can also see a readout for the inline o2 to
see how much is left in that over here as well continuing on the side of the
ambulance this bag has everything we need for emergency trauma so in here
we’ve got two chest seals we’ve got a cat tourniquet a SWAT T and then two
needles for Needle decompression you’ll notice that all the seats in this
ambulance are forward-facing it’s a new safety initiative in case we got in a
crash it’s a little bit different taking care of a patient like that but we’ve
all kind of gotten used to it and then there is a table that can be folded out
to use as a workstation if need be right there we do carry IV pumps we mix a lot
of drips in the field and then we take transfers that have infusions going so
this is actually really nice it’s a great tool for us in this cabinet we
kind of have some odds and ends so we’ve got our OB kits here our soft restraints
for a patient that’s either combative or more often they have an advanced airway
in place and we’re trying to protect them from pulling that airway out so we
will use soft restraints to keep them there we’ve got a razor and then an
extra Lucas battery in the back below that we’ve got our fluid warmer so this
has just normal saline on it that’s being warmed we’ve got 15 drop sets and
then we’ve got some normal saline that is not being warmed along with a
pressure bag for our IOs this is a thoroughly underwhelming cabinet this
has all our linens in it so our blankets and our towels and then our pillows
don’t really need to explain that and all the way down there we’ve got a
portable o2 tank and PD mate for pediatric patients if we
have to transport them we can secure them to the cot similar to a car seat
it’s a lot safer for them coming to the other side of the ambulance this is our
basic trauma supplies so in the top we’ve got our Sam splint our gauze koban
some abdominal pads trauma shears things for the not quite as emergent trauma
that we’ll deal with this one has our diagnostic equipment in it so we’ve got
our blood pressure cuff a stethoscope our temporal thermometer a Doppler 4
hearing the really low blood pressures or the faint blood pressures they’re
also great for fetal heart tones and then there’s some other uses for them below that cabinet we have our ootds
these are traction splints for a mid-shaft femur fracture they’re
essentially a tent pole that unfolds and it’ll provide inline traction of the
femur and realign things and really help with the pain of the patient and help
prevent further orthopedic injury below that we’ve got a c-collar bag with
series of c-collars and some head blocks and then you’ll notice a scoop stretcher
there this cabinet can be accessed from the outside of the ambulance as well we
don’t actually carry any long backwards any more on these new ambulances all
right so this section of the ambulance is kind of where the attendant is meant
to sit so the theory is is they can sit for the entire call and have everything
they need within reach to a certain extent so right up on this wall we’ve
got hot and cold packs pretty self-explanatory
we have spit hoods and emesis bags we work in a college town sometimes kids
drink a little bit too much and they don’t know what they’re doing they’ve
got a nasty taste in their mouth and they’ll spit on us or I try to spit on
the floor and miss so well sometimes put a spit hood on them if we have to just
to protect ourselves from that but that’s a pretty common occurrence and
then vomit bags I don’t need to explain those those are useful all the time for
what we do and it’s really nice to have them in easy reach for us so next to
that we have our basic O2 administration sets so
in this top pocket we’ve got a non-rebreather mask regular nasal
cannula and then we have an end-tidal co2 nasal cannula and this is a great
tool we use it a lot below that we have all our supplies for the nebulizer so
we’ve got a basic nebulizer we have a device to hook it to an endotracheal
tube and bag in albuterol and atrovent that way and then we’ve got a pediatric
and adult nebulizer mask in there as well one lower we have our electrodes
for our EKG so we have both sets of four and six and together they’ll make the
12-lead and then below that we have all our kind of random stuff for the monitor
so we’ve got our pediatric pulse oximeters we’ve got extra paper for the
monitor among some pediatric electrodes as well
the monitor we are using is the Seoul x-series now the Seoul x-series isn’t so
much new to us anymore we got about two years ago and we moved
from Philips I personally like life packs having used all three but we’ve
all gotten used to the x-series and honestly it works pretty well for those
of you that don’t know this monitor can do a four lead EKG 12 lead EKG which
helps us look at arrhythmias in the field that we can correct it also has a
full set of vitals equipments so it can take a blood pressure it can take a
pulse ox and then we can actually download all those vitals into our
report automatically after we’re done so it saves us a lot of time on the other
side we’ve got defibrillator pads and those can be used for defibrillation and
cardiac arrest they can be used for a synchronized cardioversion in certain
kinds of tachyarrhythmias and then they can be used to pace a patient that’s
having bradycardia so a really useful machine and we really like it one of the
really cool things about this truck is that this mount can actually be taken
off this platform here if we need this workspace or if the monitor isn’t in the
right place and we can actually put that up onto a wall so either this wall over
here that wall over there and kind of rearrange things how we need it
it’s not something we do a lot but it’s nice to have that option you’ll also
notice on this side we’ve got and tidal co2 sets or nasal canula and
then the one for the ET tube just in case we need it alright so in
this top drawer here we use this as kind of a desk area or workspace if we need a
platform to do some work on we have a start kit in here for an IV a loop and a
flush it’s just really easy to grab right here and then we’ve got a notepad
in case we have to take some quick notes coming down we’ve got half of our IV
supplies to some of the uncommon sizes of catheters sort of syringes for
administration of medications blunt tips for drawing up medications and then we
have our MADD device which is an internal medication delivery system and
then we have a three-way stopcock for your pediatric patients in micro dosing
the third drawer has our most common IV supplies so we’ve got our loops and our
flushes we’ve got 20 gage 18 and then our Start kits and tape and then your
22s and your alcohol swabs down there so you’ll also notice in the tower it’s not
super exciting but we’ve got a trash can and a sharps container down there and
then we have another Christmas tree for our Oh too right here for administration
up above we carry three main sizes of gloves so we’ve got our medium large
extra-large there’s only a couple staff members we have that carry the small
gloves so we kind of decided on these three and then they just stock gloves in
their pocket when they go on a call one of the best features of this ambulance
is the cot this has a Stryker autoload system on it so I’ll cut to some b-roll
and show you guys that but essentially this will lift somebody up I believe
it’s up to 700 pounds and we don’t even need to lift them into the ambulance now
unfortunately we still have to lift them onto the cot alot of times but it is a
really great system it’s definitely a back saver it’s just really cool how it
works on the cot we have an o2 tank for your oxygen administration out to the
truck and then underneath it we carry a blanket
mega mover a soft cot and a series of masks and emesis bags and extra gloves
in there alright so stepping out of the ambulance
we’ll go through the exterior compartments alright so in the back this
is one of the shared compartments that also opens into the ambulance itself we
have a new scoop stretcher in here that opens up both ends really nice like to
use it we use this mostly for carrying patients or educating them from a car
but we’re really not doing a lot of spinal immobilization anymore we’ve got
the c-collar as I showed you before some head beds and then we have a second
scoop stretcher kind of broken down in there just in case we need it on this side it’s another shared
compartment so we’ve got our linens our Oh to tank and then we also have a
Packers unit and essentially hazmat suits in there for your infectious
patients or potential miner hazmat incidents we have a fire extinguisher
and then some urinals and bedpans and crime tape just in case and the last exterior compartment this
just has our inline o2 and our headboard which is never used we carry some kitty
litter for traction and icy environments and then up there we have our mass
casualty kits and right here is just a bunch of circuitry that will never touch
ever all right now to the cab of the truck all right the cab of the truck is pretty
standard to other ambulances in the center console we have our mutual aid
radio which is used to contact helicopters or services requesting an LS
intercept or as we call it in Iowa a tier here’s our main radio this can
contact all three of our dispatch centers that can send us out we’ve got a
map light here siren module microphone and then our lights module for control
of all the exterior lights of the ambulance have a trash can some cup
holders which are a must and then behind each seat I don’t know if you can see it
but we have our ballistic vests hanging on hooks now I have been using my safe
life defense vest to test it out for a review that I think I’ll actually be
releasing next week so I’ve been using this but we are issued vests that kind
of stay in the ambulance all right in front we have a GPS unit just in case we
get lost which does happen periodically but pretty rarely and then in each side
door we carry reflective vests and don’t let
me forget we do have gloves up here for gloving up before we get to a call it
just saves some time thanks for watching guys if you have any questions about
anything I covered today please leave them in the comments down below
overall I really like this ambulance it is very different from what we’ve had in
the past so there’s been kind of a learning curve but it looks really
professional it’s very functional you just have to adjust how you operate as a
paramedic slightly I’ve got a lot of great videos coming up I’m going to be
doing a review of my safe life defense vest for EMS and other applications next
week I believe and then past that I’ve got some tutorials and then some other
videos I’ll be releasing so stay tuned for that and I will see you next week


100 thoughts on “Paramedic Ambulance Tour ⎮New 2019!⎮

  1. That does not look like a a rescue that’s ever used. Our is new but never that pretty. Is it just for tours? Even the equipment is crazy clean.

  2. I like the layout of the modular shelving, but wonder what the cost of those Ferno pouches are when you consider the life of the truck. Hate the term "Dead man's bag"….sincerely hope you do not call it that in front of a patients family. With such limited equipment on the truck "Not carrying two of everything" seems to me you are more interested in BLS than ALS. Equipment fails all the time, it gets dirty, it gets lost…then what?

  3. Im a Paramedic in Germany (Europe) and in this Vid i can see the Big difference between the Ambulances in each country. In Germany we must disinfect our cars ones a week and after every infectious emergency (often this happend). For this reason the cars in Germany are very clean and flat and the equipment is behind doors or in drawers so we can disinfect our car easyer. My question is: How often you disinfect your Ambulance and how long does it takes. (Sry for my bad Englisch)

  4. "Stair chairs have treads for going up and down stairs…"
    Hah, you've never had to use ours before. Made circa 1980, lol.

  5. I built an ambulance out of legos, it has that Res- Q thing, Intravenous Fluids, a bag valve mask, a LifePak, a Jump Bag, and a stretcher.

  6. If you don’t mind me questions, why the decision against a full backboard? Because correct me if I’m wrong the scoop boards have a little slope correct? Does that effect immobilization at all?

  7. My agency is very impressed with this setup. Could you please tell me who you got this ambulance from? We really like the Ferno racks, and the forward facing seat. We never thought of it till we saw it. Thanks for the videos. Keep it up!

  8. Tampa's Hospital Row: Help make this hospital row more safe at 
    https://www.gopetition.com/petitions/remove-the-danger-highway-intersection-at-usf-and-tampa-veterans-hospital-campuses.html.

  9. Hola dime cómo está wou que bien mes encanta muchísimo sol paramedico de ambulancia desde San Felipe in the Puerto Plata República Dominicana

  10. Where the hell are you? Never seen a bay that neat before

    Edit: also god damn that organization, I think I'm gonna forward this vid to a few people…..

  11. Interesting how different areas do different ambulances. Here in TX most 3rd services are moving to Dodge Rams or Ford F-450's. Only some of the private companies are using the Sprinters or Transits. The major drawback to this type of rig is the loss of space both in the box and cab. Also, no headsets?

  12. @PrepMedic I know this is not ambulance related but what is the manufacturer of your EMT pants? The ones with the reflective strips on the legs.

  13. PLEASE tell me "dead mans bag" is your name for it and not something you call the bag in front of patients lol

  14. body armor that " kinda stays in the ambulance" is worthless…wear your armor..always..be safe out there brothers and sisters, good video

  15. That is a really small truck, but that is the future it looks like. Unfortunately, the patients aren't following suit.
    Lifepak 15s are all I've used, but neighboring services use Zolls. Any issues with transmitting?
    I never found those mounts all that useful; always just put the pak behind the head short of arrests/full spinal traumas.

    Your IV tray makes a lot more sense than what I'm used to /facepalm. I don't like the autoloaders. You're gonna have enough hands if you have a patient over 500, and it just makes the cott heavier for no reason. Like you said you still gotta get them on the stretcher, and there's no machine for that. It's a lot of money for nothing. For what one of those costs, I'd be on call for lift assist every day! haha.

    What kind of computers do ya'll use? Have you moved to tablets, or are you still using the toughbooks?

  16. I'm planning to go train as an EMT, so the more familiar I can get with the sights, sounds, and procedures beforehand, the better.
    Question, though…do EMTs have to be able to drive the ambulances?

  17. Hey awesome video I would like to know what batteries you carry onboard to power your equipment I noticed you are plugged into Shore power and then where does that go do you have deep cell batteries or like what's the go

  18. Nice Rig I do like Crestlines' but they look so small to do patient care in the back. We use Osage Boxes I like them, with a 2016 Ford E450 chassis. One tip about the LUCAS if you are using it and if you call out Aircare you can leave the board under the patient and just swap the device those boards are interchangeable.

  19. Hi. I love your videos, I'm EMT in Spain, you could take a tour of your station. Thank you and keep it up Sam. Greetings from Spain.

  20. Im a German Paramedic/ Firemen and we carry double of all the medical Equipment
    + light rescue tools in our Ambulances ("Rettungswagen" in german)

  21. 17:14 Sam, you are clearly smarter than you think.. Working patients or wires same thing all systems based 😉

  22. Very clean and modern. I remember when it wasn't cool to wear gloves and sticking your used IV needles in the seat till you got to the hospital. Sharps didn't retract. Do you have a broselow tape or pediatric bag on board?

  23. The nebulizer was my life saver as a kid many times and not just in context but literally saved my life multiple times even at home we had to get one prescribed same with the medication because I had anaphylactic croup that would happen really bad at completely random times even In the night thankfully it's under control now without medication but I did need a nebulizer at home and my mom was trained on how to do it I was going to the hospital so often that I was prescribed a nebulizer for home sometimes depending on how bad the flare up was I either was allowed to go back to sleep or it was to the ER we go. I don't remember much of it I just know it happened because I still have some or the tubing and some masks that I use on my dolls when I play with my younger sister the nebulizer has since gone to my mom's father he of course got his own mouth piece or mask however you want to say it and the medication but the machine itself went to him since he needed it. I'm thankful to still be here even as an older teen and thankful to all first responders even if I never have contact with that particular one I've been helped by a cop and paramedic but never a firefighter so far I probably will at some point in my life need a firefighter but hey let's give a round of applause to our first responders and if you ever see one who isn't busy saving a life a simple thanks does more then enough to brighten their day even a little. SO THANK YOU FIRST RESPONDERS FOR BEING THERE TO HELP WHEN CALLED UPON you have my sincere thanks

  24. Very informative thanks, whats the reason for not doing many spinal imobilisations and why do you not use KED's, also how useful are the vacuum splints compared to traditional type splints, would it be worth investing in for ohv accidents

  25. can you donate us an ambulance like😢😭 we need that kind of ambulance here in phillipines. im a rescuer also. and aour ambulance is not looking good.

  26. Crazy to see how different your ambulances are to the UK ones I certainly wouldn’t like to lift anyone into the back but it’s very shinny and bright 😍

  27. This ambulance is a lot nicer than the old one that you had. I like the LED lighting inside the cabinets and shelves it has a very clean look. The holding stuff along the walls are titer . It doesn't allow things to slide around

  28. Here in my country ambulances are basically a stretcher inside a truck… maybe they have a stetoscope, gause and paracetamol. So sad

  29. You guys are getting these awesome ambulances and ambulances in my country are early 2000s cargo vans with a stretcher

  30. As a Paramedic myself..i so jealous with the equipment and vehicle u has there..so well equipped.. What u has there is just like a moving Red Zone in our place..

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