TYPE 2 AMBULANCE MEDICAL EQUIPMENTS AND SPECIFICATIONS

TYPE 2 AMBULANCE MEDICAL EQUIPMENTS AND SPECIFICATIONS

1. Introduction to Type 2 Ambulances

Type 2 Ambulance Medical Equipments and Specifications , “At least two persons will take care of two-person Human Transfer Joinery, using oxygen and basic medical equipment to ensure the health of the person to be transferred in the planning of 2 type of ambulances, which are standards determined by Ministry of Health and generally used by our citizens who are not in the center of the city.” The following standards for 2 Type transportation, transfer stretcher stretcher transfer, stretcher and stretcher, transportation and transfer stretchers were determined. A type of life-saving support instruments (cardiac anatomical and monitoring-and their defibrillators, suction instruments, airway), Airway support instruments (portable and fixed inhaler device (resuscitator), oxygen support device, basic cleaning device iron-set, and Geebag-stretcher and – first aid equipment, peeling, doping and with materials dressing (bandage, bandage, sterile / non-sterile nadpas, hemostatic gauze, timer, dealer scissors blades, alcohol and povidone-iodine setup for cleaning) and overdose retrieval-setup, epiphenomenon of drug or other overdose, Tamif care endoscope insertion and removal set III. Ambulance scope O type (2), the only emergency vehicle that has been taken to the Ministry by the Ministry was renewed this year. Please inform the ALL WORKERS taking part.

It is essential to have the fastest and best medical equipment available for the patient’s health during the transportation of the critically ill patients to the hospital. For this purpose, different standards have been determined by the countries according to their own conditions. New features are added according to the new requirements, types and vehicles of the ambulance. Type 2 ambulances are generally used in small towns and rural areas, except for large cities. Since the territory is small, the distance between the institution and the institutions that will intervene is not too far, and no concrete intervention is required, the services other than in emergencies will be limited, and these ambulances are generally not transportation services.

1.1. Definition and Purpose

In some instances, other specially equipped vehicles, such as helicopters, rescue squad or jeep-like vehicles, may be used for transport of critically ill patients to the hospital for specialized medical and surgical care in an effort to save their lives. These medically equipped vehicles (ambulances and other nontraditional vehicles) are capable of providing medical care, including (but not limited to) vital signs monitoring, cardiac life support/defibrillation, respiratory support and advanced airway management, injury/symptom assessment and trauma care, medical procedures, drugs and other medications, and patient transport.

An ambulance is a specially equipped motor vehicle used to provide out-of-hospital emergency medical care and transportation to people who need prompt medical attention. An ambulance is designated for use primarily in responding to medical emergencies and transporting patients to hospitals or other health care facilities. An ambulance station is a structure that accommodates emergency medical vehicles, medications, and personnel. Each ambulance station has an established geographic area in which it must provide coverage for that locality.

1.2. Classification and Standards

Type – C: Advanced or Closed Life Support Ambulance These are the ambulances which require higher life support requirements on an urgent basis. Especially, in developed and developing countries, ambulances are equipped with higher-end life support systems, monitoring systems which include advanced ventilators, defibrillators, monitoring center for administering drugs, remote consultation center, etc. This is supported with telemedicine facility where a panel of doctors provide specialized support during transportation of critical patients. The design and implementation aspects of this type of ambulance can make the patient comfortable and save him on time during the emergency scenarios.

Type – B: Intermediate Life Support Ambulance The intermediate life support requires some higher level of life support and monitoring functions to support the patient in emergency conditions. The ambulance design is made more complex and organized, which helps to handle some basic critical life scenarios without undertaking the patient to the hospital on an urgent or emergency basis.

Type – A: Basic Life Ambulance This requires the basic life support functions and dealing at the scene and during transportation to the hospital. This ambulance may have life support capability including ventilation (basics), medical suction, breathing bags, simple monitors or overload. The ambulances are mandated to comply with specific norms that relate to the installation of oxygen supply (minimum of two liters), drinking water, refrigerator, and controlled compartments for stretcher. However, the basic life support functions can only be more successful if some special accessories are installed.

2. Medical Equipment in Type 2 Ambulances

Medical Equipment in Type 2 Ambulances To provide the prerequisite treatment to the patient who is in need of emergency care by carrying out proper research on the patient, medical supplies are necessary. Here is the type of medical supplies built in Type II ambulances for providing the best treatment and taking care of the patient by the first responders. The equipment list contains the information necessary for the required diagnosis, treatment, and monitoring after the person is being transported to nearby destinations. The requirements included for the medical aides depend on the levels of non-emergency, emergency, and intensive care included in the Type II ambulances.

Type II ambulances are smaller than Type I and generally based on a van, pickup or SUV platform. Features such as efficient space, lightweight construction, and ease of repair are proponents of the Type II ambulance. In a Type II ambulance, excellence in patient care and mobility are not compromised. The Type II ambulance aids in improvising emergency and non-emergency care as quickly and efficiently as possible.

2.1. Essential Equipment List

The ambulance must have an AED (Automatic External Defibrillator) suitable for application by all titles of personnel present in the ambulance. Ambulances without a separate monitoring/defibrillation device do not meet this requirement. These devices should be checked weekly by the personnel of Advanced Life Support and a suitable layman’s guide to the device-related status should be prepared. Prepared stickers must be attached to the device case to inform about the planned controls on-site. Although the minimum inventory criteria are planned in the ambulance, any additional material required by the personnel and components, which are not to be filled inside the ambulance, may be carried in suitable bags that are suitable for cleaning and can be opened separately. These bags may provide convenience to the personnel in stock control in case of a possible medication replacement and an anaphylaxis situation which requires a solution and different material. When the safe road ambulance is left in the field and performed in the hospital, it may be possible to check the equipment compliance determined by the third parties. Any missing material may be supplied from the additional kit or safe road ambulance inventory ordered by the Health Institution Coordination Center. The vehicles may be supplied from the safe hospitals by taking into account the remaining distance from the hospital within short notice and the remaining distance which makes it necessary to change the vehicle. In case of supply request from a suitable hospital, it may be possible to supply missing material for safe transportation, communication, and application.

Type II ambulance should support the Advanced Life Support (ALS) provided by the paramedical personnel who are qualified by the Advanced Life Support. All equipment must meet the quality and performance standards specified in the literature, similar to those in a hospital department. An Inventory of Equipment and Material List, which complies with the minimum inventory criteria of the Health Institution Coordination Center, must be provided by the distributor. These lists, which contain consumable materials and equipment used by personnel according to their titles, should be announced by the distributor or specified on the ambulance. The minimum inventory maintained by the Health Institution Coordination Center may be organized based on the suggestions of appropriate committees. If a medicine cabinet for ALS application is not designed and distributed with the ambulance, it should be built inside the ambulance. Then, suitable ventilation, lighting, fixation, easy grip, and practical opening/closing, access suitable for all personnel who use, with visual-labeled marking, easy replacement, and easy cleaning features should be taken into account.

2.2. Advanced Equipment Options

Required equipment in this category is quite different, including automatic ventilators and standing of injector for psychotherapeutic injectors. Like IV poles as well as medical suction devices, the standard kit contains intravenous infusions not carried out. While the USA generally recommends an electronic bracelet or tablet containing medical aid standards storage, this is not implemented in private settings. Nonetheless, this technology is usually asked for a certain number of days a year. Due to the eligibility of first responders who support this healthcare system, several specialized ambulances are needed and each advanced life vehicle must not sit for more than one hour before the healthcare system.

Medical equipment that is unique to Type 2 ambulances are devices added in the vehicles to enable advanced life support patients to operate under the control of medical staff. In many clinics, this kind of ambulance is also characterized as an ALS vehicle or an AILB (Advanced Life Support Ambulance). An airway management device (including a laryngoscope), an automatic ventilator, intravenous standing knots, medical suction, and a heart resuscitation computer are classified as some required technologies in every USA. The main difference between it and many Type 1 ambulances is an absence of a patient treatment axis or insufficient capacity to perform CPR.

3. Specifications of Type 2 Ambulances

Type 2 ambulance, that is, unsoundly ill and wounded transport ambulance, is the ambulance that is used for the transference of unsoundly and lightly unsoundly ill and wounded ones with its 2 skilled staff that is attended with necessary medical equipment and drug-set. These do the first medical helping, the first emergency in case of need, and preparation to save the casualties during the transference. There are a total of 68 units (24 MBE of Ministry of Defence and 44 MBE of Ministry of Health) with 180 manpower data that is responsible for the evacuation in the case of war at the present, but there are 160 (35 ambulances in 10 hospitals) of them in the peace scenario. The main purpose is to fill up this lack for the transference of wounded ones in the case of war, to evacuate proudly to the military hospitals with minimal damage and the least damage.

There are such specifications as type 2 ambulance and the medical equipment that should be in a type 2 ambulance. Type 2 ambulance holds a paramount place with its usage, which is pretty much and general technical specifications. The sufficient and convenient response to the casualties requires having incorruption or having the least damage. As a first action, they have to transfer the injured or ill person to a healthcare organization without doing any trouble at the casualty zone. The personnel and the driver in the ambulance should be sufficiently trained in order to serve suitably to the casualties or the emergency case. The type 2 ambulance should primarily serve these purposes. The “Type 2 ambulance” service, which is also described as the “widespread quality service,” is the most important service in the first health care at the predominance zone.

3.1. Vehicle Size and Weight

The characteristics of the Type 2 ambulance units provided through this publication are mainly: patient compartment and driver’s cabin that are separated by a partition wall, premiums must have access to the patient, the standards determined by the International Standards Organization have been applied, it is designed in such a way that it can be used by the public (the driver has a driving license, maintenance and repair of the vehicle can be made at service centers available on the market, vehicle maneuverability is more advantageous), intensive condition, and standard equipment signing system. When the vehicle is taken into account, it is seen as a whole: the position of the driver-commissioner, the severity, symmetry of the body, the tools needed for medical intervention, the patient lifting and carriage systems, the vehicle’s mobility, speed, and range of capability requirements are fulfilled. Equipment that will be located in these vehicles meets the requirements of the field of paramedicancy. The general requirements defined by the International Standards Organization (ISO) with ISO TS 17592 standard can be listed as follows: The patient’s position is lying down or sitting. The requirements for the transport of sitting patients are usually for one or two. The ISO recommends a striking blue color for the ambulance bodywork, a contrasty white or cream color for the patient compartment, and a rescue light for the daylight, and provides guidance on lighting upgrades as further requirements.

The subject of the following article is a Type 2 ambulance designed for land transport and consists of 4×2 chassis-based vehicles. These general descriptions can vary according to the countries. In Type 2 ambulances, the cabin and the patient compartment are separate from each other. They are generally available in a range of vehicles from light commercial vehicles to mini-bus-based vehicles. They are used to carry no more than 3 lying or 7 sitting patients + 1 injured nurse in/out of the vehicle. In the United States, 4×2-based van-class vehicles are defined within this group. It cannot carry more than 3 lying or 7 sitting patients + 1 nurse. As well, it is required to have headroom in the vehicle for the transport personnel, routine care of the wounded, and to have equipment to provide and ensure the necessary conditions for holding cardiopulmonary resuscitation, vital sign monitoring, defibrillation, and safe transport of the patients to the nearest hospital.

3.2. Power Source and Fuel Type

Whether the vehicle will be used in a patient location, the spread or usage amounts of these two fuel types should also be checked. When choosing a vehicle, it is important to check if infrastructure services for the selected fuel type are available. Additionally, the presence of certain legal regulations that affect the operation aspects between these fuel types should be evaluated.

Fuel types and their specific features: – Gasoline (petrol) engines: Gasoline engines are more sensitive to the quality and cleanliness of the fuel. A gasoline filter is used for this reason. The possible negative effect of gasoline is a high spark danger due to its volatility compared to diesel. – Diesel engines: Diesel engines do not have the same sensitivity as gasoline engines to fuel quality or cleanliness. A diesel fuel pump is used for handling operability. The fact that diesel has a higher entropy value compared to gasoline indicates that the possible fire hazard is less.

Power: What fuel type is used with vehicles? It is necessary to specify this when installing a system. If the vehicle will be used in a patient location, private plans regarding fuel types (diesel and gasoline) should be checked and selected. The determination of the fuel type for medical interventions can be made according to one of these plans.

3.3. Interior Layout and Design

Description of the layout and design of the interior of the ambulance. Explain materials used and the purpose in this area. It shall ensure maximum facilities and is designed by experience and are time tested. The interior of the body shell shall be self-supporting type where the exterior finish and the interior finish of the body shell along with the insulation shall be the same thus avoiding any external or internal leakages. The design of the interior has to impress upon. Adjustable mounting racks, Pump Provided with our design and based on the usage and application during meet availability as per the service requirement, we can achieve the intercontinental long, short or medium duration which is at its best. With its unique design, Cardiac and Trauma are invariably and conveniently accepted for all accident and emergency cases. Thus, transferring ambulance and immediate attention and other medical purposes not limited transport are taken care of and our design is in complete where patient care is more effective. The equipment is housed so as, ergonomics, hygiene keeping in mind and shall be easy to extract directly from the body inside to avoid any bending, specialize hanging or lifting. Furthermore, the Floor is designed to accommodate a stretcher and other medical equipment and is single piece flooring. The work area consists of an air-conditioner, Ventilation grills, a stainless steel sink equipped with a 2-in-1 tap including a detachable spout for shower and fixture for mounting the detachable spout, a mirror with light fitting, an automatic soap or sanitizer dispenser with on/off facility in electrical or mechanical modes and a easily accessible refuse-leaning hole that allows easy access for additional storage for personal protective equipment and ability to dispose of refuse at any time or use of an integrated dedicated refuse container.

4. Regulations and Compliance

4.6. The vehicle will have the necessary stickers and nameplates giving basic information about the chassis, engine, gearbox, engine power on driven axle (kW), date of construction, highest permitted standing weight (kg), permitted total weight (kg), production number, certificate of conformity about production, etc. according to the legal requirements.

4.5. Any self-contained breathing apparatus (SCBA) must be serviced on an annual basis or when the status of the SCBA instrumentation shows an evacuation of the bottle. The charges are performed by a certified maintenance organization which maintains the purchased apparatus.

4.4. An inventory list of expected medical equipment, personal items, and special self-protection clothing is drawn up in conformity with the usual equipment of vehicles intended for this type of service and is given to each pedestrian team. The inventory is attached to this document as annex X.

4.3. Identification of Safety Kit: In all ambulances, equipment, various kits (rescue, surgical, etc.) are supposed to be packed during duty times. The identification of the storage location of these items must be facilitated by color tags according to their content. A physical location is all that is required to satisfy the requirement of identification. Photographs of the equipment in relation to the call titles are necessary for recording purposes.

4.2. The equipment’s lifetime shall be as long as the service life of the vehicle. Waste material generated during the ambulance’s maintenance and the expired items of emergency equipment (defective medical materials, expired drugs) must be properly disposed of according to generally accepted methods and/or community customs in force.

4.1. The vehicle must not be off the road for long periods.

4.1. National Standards and Guidelines

Responsive medical treatment is the medical process of identifying emergency care needs and organizing the resources to manage them. Obesity in children is an important indicator for future diseases and different kinds of complications may develop in childhood or adult life. The goal of monitoring the patient is to guarantee a safe and effective transition with the highest level of care from the scene to the best-equipped hospital and finally to provide the patient with the most appropriate treatment, which requires the right pre-hospital decision-making and destination. The constraints of the physical environment of the ambulance cabin are the patient and equipment requirements of an ambulance. The contents of the ambulance include anything from medical gases, drugs, medical devices, imaging equipment, and other medical equipment to disposable, protective, and sterilized materials. The whole contents should be enough to start resuscitating adult and pediatric patients.

According to the Type 2 Ambulance National Standards, Type 2 ambulances are four-wheeled motor vehicles that are specially designed and equipped to identify and transport patients quickly. The cases, medical imaging (physico-chemical, oxygen-structured, tense, movement, etc.) if necessary, is an ambulance with a sedan patient compartment which can provide pre-hospital care. The patient area is the enclosed general environment in which the EMTs and medical equipment are in contact with the patient. The patient compartment of the ambulances that are in the standards shall be subject to the CISPR 25, ISO 11357, ISO 12037 documents for the electrical properties to which it is exposed, particularly the susceptibility against electromagnetic interference. It should be noted that since the patient compartment of the ambulances will contain medical equipment that is life-supportive, pulsating external light affects the patient and the bonds between the equipment and the patient area are reasons.

4.2. Certifications and Inspections

Zayn ambulance vehicle features critical medical devices that are necessary for safe and efficient transportation of a patient inside the ambulance vehicle at the highest level. The devices contain different fuel sources. All necessary automotive and electrical tests or inspections of medical devices have been conducted. Performance tests have been performed on the physical and vital values in line with international regulations for function tests. The items that have been checked for the medical devices include electrical, EMC, mechanical, and environmental tests/inspections. Types of testing before the validation, depending on the module standards or Type 2 emergency ambulance vehicle standards, may vary.

• Electrical safety is based on the IEC 60601-1 standard and international safety organizations. This certification is mandatory in many countries. There are also reports from authorized laboratories for umbrella standards such as UL standards, CSA, TUV, and CE. Nothing has been damaged in the patient compartment during the application of the 25 g cherppendulumtest’s, which aim to check the sturdiness of the patient and equipment holders in the stretcher device and backrest.

5. Future Trends and Innovations

With this backdrop of preparedness and potential capabilities of the EMS system, the future of EMS lies in the political process and public acceptance of that system. However, the proliferation of peripheral tools now available to enhance the quality of patient care is noteworthy and is expected to continue to grow in terms of both quantity and sophistication. Finally, the political process will continue to influence the relative priority, structure, and resources necessary to support the EMS system.

To fully assess the quality of EMS systems, reliable outcome data must be available. However, little standardization occurs across such medical endpoints as resuscitation and hospital disposition as one moves from one regional EMS system to another. Finally, improvements will continue to be made in the efficiency of the current EMS systems. Tools based on advanced mathematics are currently in use to explore the most efficient configuration of limited prehospital resuscitation resources in the setting of multiple potential resuscitation episodes of undetermined severity.

Due to the increasing importance of rapid activation of essential emergency medical services response mechanisms, computerized systems have been designed to facilitate the rapid activation or intensification of EMS personnel deployment to those areas where an increase in manpower response is necessary. Another area of recent EMS or emergency communication systems has been accomplished by the development of remote message generation and destination point transmission devices to mitigate patient discomfort associated with prolonged on-scene stabilization of trauma victims by allowing earlier EMS dispatch.

Given the sociopolitical realization that disaster preparedness is an endeavor that starts with the individuals who are to be affected, societies, communities, and individuals will require that the legislative body responsible for their welfare allocate monies that will make it possible not only to train medical and nonmedical first responders but also to make available to them the state-of-the-art equipment, both in terms of diagnostic, treatment, and support equipment, that is needed to optimize their abilities to treat injury and illness anywhere and everywhere and under any set of circumstances.