Wyoming Administrative Code › Agency 048 - Health, Department of › Sub-Agency 0023 - Emergency Medical Services - General › Chapter 0 - Appendices A-E › Appendix C - EQUIPMENT REQUIREMENTS FOR AMBULANCES

Current through July 13, 2024
The Department of Health's Office of Emergency Medical
				  Services has established the following equipment list as the recommended
				  minimum necessary for ground ambulances involved in the transportation or
				  treatment of ill or injured patients in the prehospital setting.
Basic Life Support
Airway Management and Ventilation:
. Oxygen tank - fixed (minimum capacity of 3,000 liters with
				  reduction gauge and flow meter) and portable with regulator.
. Oxygen masks in infant, child and adult sizes.
. Nasal cannulas in child and adult sizes.
. Oral airways; infant, child and adult sizes.
. Nasopharyngeal airways with lubricant; infant, child and
				  adult sizes.
. Self-inflating resuscitation bags; with oxygen reservoir.
				  Infant, child and adult sizes.
. Masks for use with resuscitation bags; neonate, infant,
				  child and adult sizes.
. Oxygen connecting tubing.
. Portable suction unit with various tonsillar and flexible
				  suction catheters.
. Bite stick s.
Patient Assessment:
. Blood pressure cuff, infant, child and adult sizes.
. Stethoscope; infant and adult.
. Flashlight/penlight (with extra batteries and
				  bulbs).
. Thermometer with hypothermia capacity
Obstetrics:
. Sterile pre-packaged OB delivery kit.
. Thermal absorbent blanket and head cover.
Immobilization:
. Traction splint - child and adult.
. Firm upper and lower extremity splints to include joint
				  above and below injury, rigid with padding.
. Backboard with appropriate securing straps; pediatric and
				  adult sizes.
. Spinal immobilization device; such as KED.
. Rigid cervical collars; pediatric and adult sizes.
. Triangular bandages - minimum of six (6).
. Scoop type stretcher
Personal Protection:
. Infectious disease prevention materials - gloves, goggles
				  or face shields, masks, gowns, boots or shoe covers, appropriate
				  disinfectants.
. Sharp object disposable containers which can be permanently
				  be sealed when full.
. Antiseptic hand wipes.
. Hearing protection.
. HEPA mask.
. Appropriate mask with one-way valve & appropriate
				  filter.
. Minimum of a Level C protective suit.
. Traffic safety vest.
Bandaging:
. Burn package - includes sterile sheets or towels for
				  children.
. Sterile trauma dressings of various sizes - 5 x 9; 8 x
				  10.
. Sterile gauze bandages of various sizes.
. Adhesive tape in various sizes.
. Elastic bandages in various sizes.
Communications:
. Two-way communication equipment between dispatcher,
				  ambulance and medical facity.
Other:
. Sterile saline irrigation fluid.
. Bandage/trauma shears.
. Disposable basins or emesis bags.
. Disposable bedpan and urinal.
. Stretcher, main; shall be four-wheeled elevating cot for
				  primary patient with appropriate patient restraining device.
. Activated charcoal as directed by physician medical
				  director.
. Patient restraints as directed by physician medical
				  director.
. Sugar cubes or hypertonic sugar solution.
. Cold Packs
. Blankets.
. Disaster/triage tags.
. Warning flares and /or signal devices.
. Fire extinguisher.
Optional:
. Automatic external defibrillator (AED) - strongly
				  recommended for systems that lack immediate response from an advanced life
				  support service.
. Length-based tape or chart for pediatric equipment sizing
				  such as Broselow type tape.
. Pulse oximetry .
. Protective helmets.
. Protective coat with reflective materials.
. Scissors capable of cutting heavy metal.
. Pediatric transport chair.
. Ring cutter.
. Tweezers (splinter).
. Portable trauma kits for treating patients away from the
				  ambulance.
. Eye wash.
. Self-assisted medications as outlined in the basic EMT
				  curriculum - ambulance service's physician medical director must authorize
				  ambulance service to stock.
. Pedi-wheel.
. Small stuffed toy.
It is highly recommended that pediatric equipment be
				  maintained in a separate jump kit from the adult equipment.
Advanced Life Support
(In addition to Basic Life Support)
Airway Management and Ventilation:
. Laryngoscope handle with extra batteries and bulbs;
				  pediatric and adult.
. Laryngoscope blades - sizes 0, 1 and 2 straight - sizes 3
				  and 4 straight or curved.
. Endotracheal tubes (minimum of 2 each size) - sizes 2.5 to
				  5.0 mm uncuffed - 5.5 to 8.0 mm cuffed.
. Combitube or similar Division approved multi-lumen lower
				  airway adjunct.
. Stylettes for endotracheal tubes; pediatric and
				  adult.
. Magill forceps - pediatric and adult.
. Lubricating jelly (water soluble).
. Nasogastric tubes - pediatric sizes 5F and 8F - adult sizes
				  14F, 16F, and 18F.
. End-tidal CO2 detectors or esophageal detector
				  devices.
Monitor/Defibrillator:
. Portable, battery-operated, cardiac monitoring
				  defibrillator with recorder, quick- look paddles or hands-free patches,
				  pediatric and adult electrodes and paddles, with capability to provide
				  electrical discharge below 25 watt-seconds.
Vascular access:
. Intravenous catheters, 14g - 22 g.
. Intraosseous needles or devices.
. Tourniquets - constricting bands.
. Syringes of various sizes
. Needles; sizes 14g - 24g.
. Blood sample tubes; adult and pediatric.
. Intravenous administration sets - micro/macro/adjustable
				  flow rate sets
. Intravenous securing devices.
Medications: The Office of Emergency Medical Services shall
				  maintain separate lists of approved medication for the EMT-Intermediate and
				  Paramedic ambulance services.
It is recommended that pediatric medications/equipment
				  be maintained in a separate jump kit from the adult
				  medications/equipment.