Chemical cold packs are carried on the ambulance for treatment of which of the following

800.24 Equipment requirements for certified ambulance service. All ambulances in a certified ambulance service shall be equipped with the following unless exempted pursuant to section 800.25:

(a) Patient transfer equipment consisting of:

(1) wheeled ambulance cot capable of supporting the patients in the Fowlers position;

(2) a device capable of carrying a second recumbent patient;

(3) a device enabling ambulance personnel to carry a sitting patient over stairways and through narrow spaces where a rigid litter cannot be used. The requirements of paragraphs (2) and (3) of this subdivision may be satisfied by use of one combination device capable of both operations;

(4) all litters and cots used to transport patients shall be secured using crash resistant fasteners. The ambulance shall be equipped with securing devices such that two patient carrying devices can be simultaneously secure; and

(5) ambulance cots and other patient carrying devices shall be equipped with at least two, two-inch wide web straps with fasteners to secure the patient to the device and the cot.

(b) Airway, ventilation, oxygen and suction equipment consisting of:

(1) a manually operated self-refilling adult-size bag valve mask ventilation device capable of operating with oxygen enrichment, and clear adult-size masks with air cushion;

(2) four oropharyngeal airways in adult sizes;

(3) portable oxygen with a minimum 350 liter capacity (medical "D" size) with pressure gauge, regulator and flow meter and one spare cylinder, medical "D" size or larger. The oxygen cylinders must contain a minimum of 1000 PSI pressure;

(4) an in-ambulance oxygen system with a minimum 1200 liter capacity (two medical "E" size) with yoke(s), or CDC fitting, pressure gauges, regulators and flow meters capable of delivering oxygen to two patients at two different flow rates of up to 15 liters per minute simultaneously.

(5) four each, non-rebreather oxygen masks, and four nasal cannulae;

(6) portable suction equipment capable, according to the manufacturer's specifications, of producing a vacuum of over 300 millimeters of mercury when the suction tube is clamped. This will meet the 800.24(b)(7) requirement if equipped to operate off the ambulance electrical system;

(7) installed adjustable suction capable of producing a vacuum of over 300 millimeters of mercury when tube is clamped; and

(8) two plastic Yankauer-type wide bore pharyngeal tips individually wrapped.

(c) Immobilization equipment consisting of:

(1) one full size (at least 72 inches long and 16 inches wide) backboard with necessary straps capable of immobilizing the spine of a recumbent patient;

(2) one half length spinal immobilization device with necessary straps capable of immobilizing the spine of a sitting patient;

(3) one traction splinting device for the lower extremity; and

(4) two of each of the following size padded boards, with padding at least 3/8 inches thick:

(i) 4 1/2 feet by 3 inches

(ii) 3 feet by 3 inches or equivalent device

(iii) 15 inches by 3 inches or equivalent device

(5) one set of rigid extrication collars capable of limiting movement of the cervical spine. The set shall include large, medium and small adult-size rigid extrication collars which permit access to the patient's anterior neck; and

(6) a device or devices capable of immobilizing the head of a patient who is secured to a long backboard.

(d) Bandaging and dressing supplies consisting of:

(1) twenty-four sterile gauze pads 4 inches by 4 inches;

(2) three rolls of adhesive tape in two or more sizes;

(3) ten rolls of conforming gauze bandages in two or more sizes;

(4) two sterile universal dressings approximately 10 inches by 30 inches;

(5) ten large sterile dressings 5 inches by 9 inches minimum;

(6) one pair bandage shears;

(7) two sterile bed-size burn sheets;

(8) six triangular bandages;

(9) one liter of sterile normal saline in plastic container(s) within the manufacturer's expiration date; and

(10) roll of plastic or aluminum foil or equivalent sterile occlusive dressing.

(e) Emergency childbirth supplies in a kit, consisting of the following sterile supplies:

(1) disposable gloves;

(2) scissors or scapel;

(3) umbilical clamps or tape;

(4) bulb syringe;

(5) drapes; and

(6) 1 individually wrapped sanitary napkin.

(f) Miscellaneous and special equipment in clean and sanitary condition consisting of:

(1) linen and pillow on wheeled ambulance cot and spare pillow, two sheets, two pillow cases, and two blankets;

(2) four cloth towels;

(3) one box facial tissues;

(4) two emesis containers;

(5) one adult-size blood pressure cuff with gauge;

(6) stethoscope;

(7) carrying case for essential emergency care equipment and supplies; (8) four chemical cold packs;

(9) one male urinal;

(10) one bed pan;

(11) two sets masks and goggles or equivalent;

(12) two pair disposable rubber or plastic gloves;

(13) one liquid glucose or equivalent;

(14) six sanitary napkins individually wrapped; and

(15) one pen light or flashlight.

(g) Safety equipment consisting of:

(1) six flares or three U.S. Department of Transportation approved reflective road triangles;

(2) one battery lantern in operable condition; and

(3) one Underwriters' Laboratory rated five pound U.L.-rated ABC chemical fire extinguisher or any extinguisher having a U.L. rating of 10BC.

(h) Pediatric equipment consisting of:

(1) pediatric bag valve mask, equipped with oxygen reservoir system;

(2) clear face masks in newborn, infant and child sizes, inflatable rim (or mask with minimal under-mask volume) to fit above;

(3) two each nasal cannula, and two each oxygen masks including non-rebreather in the pediatric size;

(4) two each oropharyngeal newborn, infant and child size airways;

(5) sterile suction catheters, two each in sizes 5, 8 and 10 french;

(6) two sterile DeLee type suction catheters #10 or modified suction traps, or two small bulb syringes;

(7) one sterile single-use disposable oxygen humidification setup;

(8) child and infant size blood pressure cuffs with gauge(s);

(9) one rigid extrication collar in pediatric size;

(10) one pediatric stethoscope (interchangeable type acceptable);

(11) one commercially prepared infant swaddler.
 

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