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Guard Transportation Health. Transfers

1 - 2-
Health Transport Health Transport Technician (TTS)
3 - Classification According to the Environmental Health Transport which produces .
4-types of transport.
5 - technical and health characteristics common to all types of ambulances.
6 - specific technical and health characteristics of collective medical transport vehicles.
7 - technical and health characteristics specific to basic life support ambulances.
8 - health facilities.
9 - Personal.
10 - Features specific technical and health of ambulances.
11 - Duties of medical transport technical.
12 - Material immobilization, mobilization and evacuation.
13 - medical equipment.

1 - Health Transport

transport is being done to the movement of sick, accident or other health reasons
in vehicles specially designed for this purpose. 2-

Health Transport Technician (TTS)

Person responsible for maintaining and controlling the basic medical equipment of the ambulance, make the extra care hospital health care and carry out the sanitary transfer of patients, wounded and injured in collaboration with other health professionals based on their level of competence.

3 - Classification According to the Environmental Health Transport which produces.

You can talk as the work which is intended, the environment, the type of vehicle, work area, etc ... And are the following:

• •
air medical transport medical transport medical transport maritime land
•

4-Types of transport Plumbing

4-1. Emergency Health Transport

one who should be in the shortest time possible, with priority absolute and without delay, given the vital risk posed to the patient a delayed diagnosis or treatment. Basically will move critical patients with current or potential risk to life immediately or prolonged, by compromising vital functions.

4-2. Primary Health Transport

He who is made to a health center from where there is urgency or emergency.

4-3. Secondary Health Transport

One who is from one hospital to another healthcare center, usually another hospital as the term is usually equal to "interhospital transport."

4-4. Transportation Scheduled health

He is known to be made with sufficient time to be planned in advance (usually 24 hours in advance)

4-5. Air medical transport.

1 - Definition :

is one who performs medical transportation by air transport is the most widely used helicopter which develops primary transport functions (traffic accidents), there are those who perform secondary transport (critical patients from hospital to hospital), here are some rules to perform actions if helicopter :

• Approach: access and exit the helicopter provided with the permission of the pilot or cabin crew, leave and come always at the front (green) is the only safe area, never do it for the back (zone red).

• ascending slopes on the sides of the helicopters are considered death traps.

• making if the helicopter land on a slope, he always access up the slope and stay away from it long down the slope, never the opposite.

• If the helicopter is approaching objects must take into account not protruding head height.

• If the landing zone is a road traffic must cut both ways and avoid the traffic of people.

• vehicles must have the newspapers turned on to facilitate the location and at least 30m. Of the aircraft.

• rotor area of \u200b\u200binfluence: In Spain there are regular helicopter rotor step to 1.70 m. thus have to enter that area with a little forward lean and avoiding any red areas.
  

Carry

• securely fastened garments or objects easily removable by the flow of air produced by the rotor. (Caps, the bed sheets etc ....)
  

• recommend the use of helmets and visors, as the rotor can absorb and throw small stones or objects at high speed.

4-6.Transportation

Maritime Health

is one that is used for search and rescue people at sea.

Health

4-Terrestrial 7.Transporte

4-7-1. Care Ambulance not



specially equipped ambulances to transport all patients whose transfer is not emergency in nature and do not require assistance technical and health on the road, or are suffering from infectious diseases that can cause obvious harm to other users. Public transportation shall always be programmed and is intended for patients who need to make trips to health facilities and are unable to use ordinary transport.

4-7-2. Ambulance Basic Life Support Healthcare




for the transport of all kinds of sick or injured people who need or may require basic health care en route. This ambulance usually included in your envelope a nurse or TES, in addition to technical and driver.

4-7-3. Advanced Life Support Ambulance (UVI-medicalized or mobile)

Other communities

ambulances are permanently meet the technical and staffing sufficient to a doctor, a Nursing assistants (nurses) and TES, duly qualified, to provide intensive assistance.
Designed exclusively to the transfer of patients with current or potential risk to the life of an immediate or long-term commitment by vital functions.

4-7-4. Ambulance

road vehicles are those that are destined for a medical transport in areas with difficult terrain and adverse weather conditions.

4-7-5. Rapid Intervention Vehicle (RIV) medical and technical

vehicles are fast and very maneuverable small van equipped with medical supplies and where you normally only a technician and a doctor, his mission is to bring the material and personnel Instead of assistance, are also responsible for initiating specialized assistance "In situ" quickly, CPR, and giving information to the focal point of the number of casualties and resources.
ACE (Advanced Coordination Team) nurses and technicians.
These vehicles have a common technical features are:

5 - technical and health characteristics common to all types of ambulances.

5-1. Identification and marking.

1. External identification to distinguish clearly that this is an ambulance, by registration of the word ambulance back and forth, in this case in reverse so it can be read by reflection. Preferably outside
2. Body mostly white. Exceptionally variation is permitted in cases before the entry into force of this Royal Decree shall come using corporate identifications.
3. light and sound signaling of way adjusted to the provisions of the legislation.
   

5-2. Documents required.

1. Registration of medical equipment reviews. Register
2. disinfection of the cabin and equipment. Book
3. claims.
4. Register of applications and services.
   

5-3. Vehicle. Vehicle

1. fiscal power, suspension and braking systems adapted to current regulations for transportation of people.
2. front and rear fog lamps.
3. indicators stop flashing.
4. fire extinguisher in accordance with the provisions of the legislation.
5. chains for ice and snow when the weather conditions in the area as required. Tools
6. vehicle care.
7. triangular warning signs.
8. Team receiving radio-telephony-effective emission area of \u200b\u200bactivity.
   

5-4. Cell health.

Lunas
1. translucent. In the case of transport vehicles may choose another device that will eventually ensure patient privacy.
2. ventilation, heating and lighting independent of the driver's compartment.
3. isothermal and soundproofing measures applied to the body.
4. linings, walls smooth, non-sharps and non-slip floor, all waterproof, self-extinguishing, washable and resistant to common disinfectants.
5. right side door and rear door open enough to allow easy patient access. Cabinets
6. material instrumental and lingerie.
7. Wedge and unbreakable bottle.

6 - specific technical and health characteristics of collective medical transport vehicles.

6-1. Vehicle.

van type vehicle, with capacity for up to nine seats.

6-2. Cell health.

1. reclining seats, fitted with seat belts, should be capable of sharing some in wheelchairs, with anchorage.
2. access system within the cell delivery by sliding ramp or hydro-pneumatic mechanism.
3. Folding wheelchair.
4. Equipment Health:
   

• oxygen equipment.

• suctioning device.

• First aid and basic life support.

6-3. Personal.

1. a. technical. Assistant
2. when the type of service required.
   

7 - technical and health characteristics specific to basic life support ambulances.

7-1. Vehicle.

1. preferably Vehicle type van.
release
2. basic allocation of casualties.
3. driver's compartment Passenger capacity.
   

7-2. Cell health.

1. Separated from the driver's window with communication and / or intercom.
2. Dimensions: will enter the patient on the stretcher and access.
3. Outlets 12 V DC.
4. General equipment:
   

• Camilla restraint belts fitted, sized for an adult, equipped with necessary accessories and lingerie.

• Support Systems, fixed and sliding table with castors or glides.

• Seat Belt security along the table.

8 - Sanitary ware:

1. oxygen system with oxygen tank, at least 800 liters, with adult and child masks.
2. manual ventilation system with adult and child masks.
3. suctioning system for adult and child.
4. Device for suspension of intravenous infusion solutions.
5. First aid kit and basic life support material.
   

9 - Personal. Technical

1. .
2. Assistant, when the type of service so require.
   

10 - technical and health characteristics specific to ambulances.

10-1. Vehicle.

1. van type vehicle.
2. driver's compartment with capacity for companion.
release
3. basic allocation of casualties. Tailgate
4. double leaf opening of at least 180 °. Long-range auxiliary lighting, removable and expandable.
   

10-2. Cell health.

1. Separated from the driver's window with communication and / or intercom.
2. Dimensions: will join the patient on the stretcher and assistance to it.
3. independent air conditioning the driver's compartment, when weather conditions warrant.
4. Electrical:
   

Independent
• the driver's compartment.

• Power on all electrical equipment.

• will have an adequate supply of auxiliary power outputs of the vehicle with 12 V DC and 220 V AC to allow the operation of critical systems for patient care in case of engine failure.

• Outlets 12 V DC and 220 V AC.

• Possibility of incorporating a power generator equipment.

• interior lighting system, adjustable, swivel and sufficient intensity to the type of assistance to be made.

10-3. General equipment:

1. Support System, fixing and sliding gurney that allows safe and easy installation and removal of it with the patient. The stretcher positions should allow positive and negative Trendelenburg to 30 ° by itself or through a portal camillas.Permitirá treat the patient on all sides, leaving space in the header.
2. Camilla, fitted with seat belts fasteners, wheel size and appropriate to the size of cell health and in any case sufficient for roadside assistance to an adult, equipped with necessary accessories and lingerie.
3. seat at the head of the stretcher equipped with seat belts. Anchor
4. portable incubator and oxygen outlets for electrical power in the case of advanced life support ambulances.
5. folding chair. Camilla
6. spoon or scissors or long spinal board.
   

10-4. Sanitary equipment: Fixture

1. oxygen, electrically isolated, with quick shots in paredesconvenientemente labeled. Two bottles with total capacity of 2,000 liters, with flow meters that allow a flow of 15 liters per minute, humidifiers and control of pressure gauge. Oxygen station will be located in a compartment readily accessible and where not store any other type of material. Respirator
2. allowing respiratory function of 10-40 cycles per minute and a supply of O2 to 50% and 100%, flow, pressure control gauge and overpressure valve. (Only for ambulances will provide advanced life support). Fan
3. manual type ball check valve and the possibility of Fi02 ventilation by connecting a source of O2 (adult and child).
4. Suction equipment fixed or portable electric reservoir. Games
5. endotracheal tubes adult, child and infant.
6. Laryngoscope with blades of adult and child.
7. ventilation masks adult and child. Consumables
8. support ventilation. Cases
9. differentiated adult CPR and child, to enable its use outside the ambulance assisted with the right material.
10. Monitor-defibrillator: an autonomous portable type, equipped with paddles or adhesive patches serve as ECG electrodes and defibrillation, with accessories. External pacemaker generator with fixed operation and demand with possibility of adjusting the stimulus intensity. Registrar of electrodes of a single channel connection with the possibility of allowing 12-lead monitors. (Only for ambulances will provide advanced life support).
11. Device for suspension of intravenous infusion solutions.
12. Consumables for percutaneous venous puncture and drainage.
13. sphygmomanometer, stethoscope and flashlight exploration. Material
14. allowing comprehensive patient immobilization and immobilization of upper and lower limbs and spine and cervical collars game.
15. surgical material. Material
16. cure.
17. catheter and drainage equipment sterile and disposable.
18. refrigerator or isothermal container with sufficient capacity.
19. Medicines: all medication must be kept in adequate conditions of light and temperature and periodically review the revocation. Containers should be avoided that could be damaged by hitting or injuring the occupants.
    

• System color coding: red, circulatory system, blue, respiratory system, green, other systems yellow, dosages for children.
  

• Content: appropriate medication for the pharmacological treatment of patients who require it, at least, analgesics (including opiates for those who must comply with current legislation), local anesthetics, calcium channel antagonists, opiates (naloxone), antianginal, antiarrhythmics, anticholinergics, antiseptics, benzodiazepines, beta-adrenergic blockers, bronchodilators, corticosteroids, diuretics, glucose, rapid-acting insulin, serum, plasma substitutes and vasoactive (adrenaline). 10-5
  

Personal. Technical

1. .

• It shall have the following staff:
  

1. When the ambulance care is intended to provide basic life support, at least one other person with appropriate training. In
2. going to provide advanced life support, at least, Medical and Nursing assistants, both with demonstrable training assisted transport, resuscitation and advanced life support techniques.
   

11 - TRANSPORTATION TECHNICAL FEATURES OF HEALTH

1 - DRIVING
2 - VEHICLE MAINTENANCE
3 - LIFE SUPPORT

12 - IMMOBILIZATION EQUIPMENT, MOBILIZATION AND EVACUATION

1 - CERVICAL COLLAR

is the immobilization device that is used to prevent flexion and extension of cervical and axial maintain traction.
There are several types of collars: Collar

soft

• rigid collar

• rigid collar

2 - O BLADES CAMILLA SCISSORS



is a support radio metal or plastic transparent, consisting of two symmetrical branches hinged at the top and bottom, through a telescope with anchors, can be adapted to different lengths depending on the patient. This table can be placed separately, one to the other side of the patient every branch of the bed, attached by anchors below the patient with minimal mobilization
making it one of the most used devices in the initial care of the injured.

• is not indicated for the removal from the place at the hospital, except for short trips.

3 - SPINAL BOARD

long
are simply flat and rigid surfaces made of plastic or wood to get a good immobilization in flexion and extension of the body.

4 - IMMOBILIZER tetraventricular



Better known as "Lady of Elche" is designed to prevent the wobble of the head to the side, at the time of us to go forward, is used together with cervical collar and spinal board or bed of blades.

5 - VACUUM MATTRESS


is the best system of complete immobilization a rugged, consists of a sealed envelope very flexible to ¾ filled ball lightweight synthetic material, once removed, allows the air inside, immobilize the patient keeping their anatomical forms.
is indicated especially in cases of suspected fracture in the area of \u200b\u200bthe spine and pelvis.


6 - KENDRICK DEVICE


Better known as Fern - ked (trademark) is a mobilization system that is used for extrication of an injured person is inside a car collar with this system freezes vertebral column in its entirety during the extrication.

7 - EVACUATION CHAIRS








these chairs are designed for the transport of patients, we point out two models:
chair skate: main feature is its rail by which is slipping on the steps of the stairs, a single person for their only drawback is that it serves only to lower stairs. Wheelchair
: very useful for transporting patients on flat surfaces in the case of having to use it to go up or down stairs will be necessary At least two people.


8 - Splints VACUUM


limb immobilization element, made of synthetic materials, the interior is made of tiny particles that make the emptiness these are linked together giving consistency and adaptability quite acceptable to the affected limb. Are permeable to x-ray

9 - Splints PNEUMATIC




limb immobilization element, are made of nylon or plastic.
They have a valve to control entry and exit of air inside, consist of several air chambers that allow for greater adaptability to the affected limb. Are permeable to x-ray
One of its drawbacks is its fragility with sharp objects. (It stuck with great ease)

10 -
traction splint




traction system for quickly and effectively on long bone fractures of the lower extremities to prevent further injury and vascular nerves and reduce blood loss.

11 - AMBULANCE STRETCHER



indispensable element an ambulance, it is where will the patient during the transfer if
had to go in supine, prone, or lateral. These beds also have the option to incorporate the patient to an angle of 90 degrees.

12 - RESCUE STRETCHER



These beds are suitable for evacuation of persons or auxiliary stretcher from an ambulance, do not have wheels to get around but has to be transported by at least two rescuers are foldable and durable.

13 - electromedical equipment

1 - MONITOR defibrillator



portable unit that allows us to get the rhythm and heart rate, and the disturbance of it.
also allows downloading of energy in a controlled manner in case of cardioversion or defibrillation nesecidad and also the function of pacemakers.

2 - PULSE OXIMETER



device that lets us know in a non-invasive blood oxygen saturation and pulse.
The record is produced by a sensor placed on a finger of the patient.

3 - BLOOD PRESSURE MONITOR



Apparatus using a self-inflating cuff lets us know digitally and blood pressure and heart rate.

4 - PUMP PERFUSION




device that controls the rate of intravenous infusion of fluids.


5 - FIXED RESPIRATOR



strokes controlled device that provides oxygen to the patient artificially.

6 - portable ventilator



performs the same function above but with the possibility of being transported to any site because of its reduced size.

7 - secretion aspirator


Get out whereby we get to draw the patient's secretions.

8 - CALIENTASUEROS



a backpack equipped with heating element whose only function calerntar sera as its name suggests.

9 - FRIDGE



Place all medication is stored need to be at low temperature.