2013 Minimum Equipment List/Memo - CNY EMS

Central New York Regional Emergency Medical Services Council, Inc.
Jefferson Tower – Suite LL1 Phone: (315) 701-5707
50 Presidential Plaza (800) 295-2195
Syracuse, New York 13202 Fax: (315) 701-5709
www.cnyems.org
Regional EMS
Council
President
James Jones
Vice-President
Robert Duell
Secretary
Linda Foster
Treasurer
Mark Murray
Program Agency
Committeeof
the REMSCo
Chair
Robert Duell
David Butler
Mark Murray
James Jones
Linda Foster
Lon Fricano
Troy Hogue
Peggy Merrill
S. Lee Price
Executive Director
Susie Surprenant
Regional Medical
Director
Daniel Olsson, DO
Associate Medical
Director
Joseph Markham, MD
Serving
Cayuga County Cortland
County
Onondaga County
Oswego County
Tompkins County
February 25, 2013
TO: ILS and ALS Agency Directors
FROM: Susie Surprenant
Executive Director
RE: CNYEMS Minimum Required Equipment Lists:
• ILS / ALS Transporting Units
• ILS / ALS First Response Units
In preparation for the 2013 ILS and ALS Protocol Rollouts for the CNYEMS
Region, the minimum required equipment lists for ILS / ALS ambulance and
ILS / ALS first response agencies have been updated to reflect changes in
the protocols. The updated CNYEMS ILS / ALS Minimum Required Equipment
lists are attached.
The following items have been added.
• Cardizem
• Diphenhydramine Elixir
• Ketorolac
• Methylprednisolone
• Nitroglycerin Paste
• Terbutaline
• Vasopressin
The following items were removed.
• Acetaminophen Elixir
• Activated Charcoal
• Flumazenil
• Meconium Aspirator
The following items were changed.
• Endotracheal Tube 3.0 quantity was reduced.
• Combitube was changed to the generic name Secondary Advanced
Airway Device. This will allow an agency after consultation with their
Agency Medical Director to select a Secondary Advanced Airway Device
approved by the FDA for prehospital use. The device can be a Combitube
or other comparable device.
• Quick Trach was changed to the generic name Percutaneous Airway
Device. This will allow an agency after consultation with their Agency
Medical Director to select a Percutaneous Airway Device approved by the
FDA for prehospital use. The device can be a Quick Trach or other
comparable device.
Please contact me with any questions concerning these changes.

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS Transporting Units
Equipment/ Supplies Portable Kit Ambulance ILS EMT-CC EMT-P
Cardiac Monitor/Defibrillator 0 1 X X
AED 0 1 X
Continuous Waveform Capnography 0 1 X X X
Pulse Oximetry Monitor 0 1 X X X
Pediatric Measuring Device 1 1 X X
Protocol Book 1 0 X X X
Bio-Telemetry Transmitting Device 0 1 X X
Water Soluble Jelly
Tube or 1 1 X X X
Packets 4 4 X X X
10 cc Syringes for airway mgmt. 2 1 X X X
Endotracheal Tubes
3.0 1 1 X
3.5 1 1 X
4.0 1 1 X
4.5 1 1 X X
5.0 1 1 X X
5.5 1 1 X X
6.0 1 1 X X X
6.5 1 1 X X X
7.0 1 1 X X X
7.5 1 1 X X X
8.0 1 1 X X X
8.5 1 1 X X X
9.0 1 1 X X X
Secondary Advanced Airway Device
(Adult Set) 1 1 X X X
(Pediatric Set) 1 1 X X X
Adult Stylet 1 1 X X X
Pediatric Stylet 1 1 X X
Laryngoscope Handle 1 1 X X X
Laryngoscope Blades
Curved – 2 1 1 X X X
Curved – 3 1 1 X X X
Curved – 4 1 1 X X X
Straight – 0 1 1 X X
Straight – 1 1 1 X X
Straight – 2 1 1 X X X
Straight – 3 1 1 X X X
Straight – 4 1 1 X X X
Adult Magill Forceps 1 0 X X X
Pediatric Magill Forceps 1 0 X X

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS Transporting Units
Equipment/ Supplies Portable Kit Ambulance ILS EMT-CC EMT-P
End Tidal CO2 Detector 1 0 X X X
Esophageal Detector Device
1 0 X X X
(Syringe Style)
Nebulizers ****** 1 2 X X X
Atomizer **** 0 2 X X
Gum Elastic Boogie 1 1 X X X
Percutaneous Airway Device
Adult Set 1 0 X
Pediatric Set 1 0 X
CPAP**** (Adult Set specified
0 1 Adult
X X
by the Manufacturer)
Set
Suction Catheters
6 French 1 1 X X X
8 French 1 1 X X X
10 French 1 1 X X X
12 French 1 1 X X X
14 French 1 1 X X X
Yankauer 1 1 X X X
14 gauge x 3” IV Catheter 2 2 X X
Orogastric Tubes
8 French 1 1 X
10 French 1 1 X
14 French 1 1 X
16 French 1 1 X
1000 cc NS Solution 1 3 X X X
250 cc NS Solution for medication 1 1 X X
mixes or premix medication
50 cc NS Solution 1 1 X X
Macrodrip IV Admin. Set 1 3 X X X
Microdrip IV Admin. Set 1 3 X X
Large Bore Saline Lock Kit*** 3 2 X X X
Protective IV Catheter 14G X 1¼” 2 3 X X X
Protective IV Catheter 16G 2 3 X X X
Protective IV Catheter 18G 2 3 X X X
Protective IV Catheter 20G 2 3 X X X
Protective IV Catheter 22G 2 2 X X X
Protective IV Catheter 24G 2 2 X X
Intraosseous Needle – Adult**** 1 1 X X
Intraosseous Needle – Peds 1 1 X
1cc Syringe with 25G Needle 2 2 X X
3cc Syringe with 22G Needle 2 4 X X

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS Transporting Units
Equipment/ Supplies Portable Kit Ambulance ILS EMT-CC EMT-P
5cc Syringe with 21G Needle 2 2 X X
10 or 12cc Syringe 2 2 X X X
18G Needles 2 2 X X
Disposable Razors 2 1 X X X
Disposable Tourniquets 2 2 X X X
Alcohol Prep Pads 12 12 X X X
Neosporin/Betadine Packets 6 6 X X X
Transparent Dressings 2 2 X X X
Band-aids 12 12 X X X
2” x 2” Gauze Pads 12 12 X X X
9” Padded IV Armboard 1 1 X X X
18” Padded IV Armboard 1 1 X X X
Spare Patient Monitor Cables 1 0 X X
EKG Electrode Set – Adult 2 4 X X
EKG Electrode Set – Pediatric 2 2 X X
AED Pad – Adult 1 1 X
AED Pad - Pediatric 1 1 X
EKG Jelly (Manual Defibrillators) 1 1 X X
Pacing or Combo Pad – Adult 1 1 X X
Pacing or Combo Pad – Pediatric 1 1 X X
Defibrillation or Combo Pad – Adult 1 1 X X
Defibrillation or Combo Pad -
1 1 X X
Pediatric
Medications:
Adenosine 6mg/2ml 3 3 X X
Albuterol 2.5mg/3ml ****** 4 4 X X X
Amiodarone 150mg/3ml Ampule 4 2 X X
Anesthetic Spray**** 1 1 X X
Aspirin 81 mg Chewable Tablets 1 Bottle 0 X X X
Atropine Sulfate 1mg/10ml Syringe 3 3 X X
Cardizem 5mg/1ml Vial**** 1 1 X X
Dextrose 50% 25g/50ml 2 1 X X
Diphenhydramine 50mg/1ml 1 1 X X
Diphenhydramine 12.5mg/5ml
2 2 X X
5ml UD Elixir
Dopamine 400mg/5ml 1 1 X
Epinephrine 1:10,000 1mg/10ml 6 6 X X
Epinephrine 1:1,000 1mg/1ml
2 2 X X
Ampule
Epinephrine 1:1,000 30 ml Vial 1 1 X X
Etomidate 2mg/ml 10 ml Vial 2 1 X X
Fentanyl 100 mcg/2ml Ampule * 0 2 X

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS Transporting Units
Equipment/ Supplies Portable Kit Ambulance ILS EMT-CC EMT-P
Furosemide 40 mg/4 ml Vial 1 1 X X
Glucagon 1mg/1ml Vial 1 1 X X
Glucose - Oral 31gm 1 1 X X X
Haloperidol (Haldol) 5mg/1ml Ampule 2 2 X X
Ipratropium Bromide 500 ug/2.5 ml 2 2 X X
Ketorolac 30 mg/1 ml 2 2 X X
Lidocaine 100 mg/5 ml 3 3 X X
Magnesium Sulfate 5mg/10ml 1 1 X X
Methylprednisolone 125 mg/2ml Vial 1 1 X X
Metoprolol 5 mg/5 ml Ampule 1 1 X X
Midazolam 5mg/5ml* 0 4 X X
Morphine Sulfate 10mg/1ml* 0 2 X X
Naloxone 2mg/2ml 1 1 X X
Nitroglycerin 0.4mg Tablet and/or 1 Bottle 1 Bottle X X
Nitroglycerin Spray**** 1 1 X X
Nitroglycerin Paste 1 gram / packet 4 4 X X
Nitrous Oxide 50/50 **** 0 1 X X
Ondansetron 4mg/2ml Vial 1 2 X X
Rocuronium 50mg/5ml Vial ***** 2 0 X
Sodium Bicarbonate 44.6meq Syringe 2 2 X X
Succinylcholine 20mg/5ml Syringe
2 X
*****
Terbutaline 1mg / 1 ml 1 1 X X
Vasopressin 20 units/1ml vial **** 2 2 X X
Vecuronium 10mg/10ml Vial ***** 2 X
* A Controlled Substances License is required to carry these medications.
*** SALINE LOCK KIT is made up of:
1 10cc Vial of NS
1 3cc Syringe with Needle
• Or a Prefilled Syringe can be used in place of the two above items
1 Large Bore Saline Lock
2 2” x 2” Gauze Pads
2 Alcohol Preps
1 Transparent Dressing
**** These items are Regional Optional Equipment.
***** Agency must be approved by the CNY Region to perform RSI.
****** ILS Agencies must have a current Medical Director Verification form on file
with the CNY Region.

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS First Response Units
Equipment/ Supplies Vehicle ILS EMT-CC EMT-P
Cardiac Monitor/Defibrillator 1 X X
AED 1 X
Continuous Waveform Capnography 1 X X X
Pulse Oximetry Monitor 1 X X X
Pediatric Measuring Device 1 X X
Protocol Book 1 X X X
Bio-Telemetry Transmitting Device 1 X X
Water Soluble Jelly
Tube or 1 X X X
Packets 4 X X X
10 cc Syringes for airway mgmt. 2 X X X
Endotracheal Tubes
3.0 2 X
3.5 2 X
4.0 2 X
4.5 2 X X
5.0 2 X X
5.5 2 X X
6.0 2 X X X
6.5 2 X X X
7.0 2 X X X
7.5 2 X X X
8.0 2 X X X
8.5 2 X X X
9.0 2 X X X
Secondary Advanced Airway Device
(Adult Set) 1 X X X
(Pediatric Set) 1 X X X
Adult Stylet 2 X X X
Pediatric Stylet 2 X X
Laryngoscope Handle 1 X X X
Laryngoscope Blades
Curved – 2 1 X X X
Curved – 3 1 X X X
Curved – 4 1 X X X
Straight – 0 1 X X
Straight – 1 1 X X
Straight – 2 1 X X X
Straight – 3 1 X X X
Straight – 4 1 X X X
Adult Magill Forceps 1 X X X
Pediatric Magill Forceps 1 X X

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS First Response Units
Equipment/ Supplies Vehicle ILS EMT-CC EMT-P
End Tidal CO2 Detector 1 X X X
Esophageal Detector Device
1 X X X
(Syringe Style)
Nebulizers ****** 3 X X X
Atomizer **** 2 X X
Gum Elastic Boogie 1 X X X
Percutaneous Airway Device
Adult Set 1 X
Pediatric Set 1 X
CPAP**** (Adult Set specified
1 Adult
X X
by the Manufacturer) Set
Suction Catheters
6 French 2 X X X
8 French 2 X X X
10 French 2 X X X
12 French 2 X X X
14 French 2 X X X
Yankauer 2 X X X
14 gauge x 3” IV Catheter 4 X X
Orogastric Tubes
8 French 1 X
10 French 1 X
14 French 1 X
16 French 1 X
1000 cc NS Solution 2 X X X
250 cc NS Solution for medication 2 X X
mixes or premix medication
50 cc NS Solution 2 X X
Macrodrip IV Admin. Set 2 X X X
Microdrip IV Admin. Set 2 X X
Large Bore Saline Lock Kit*** 5 X X X
Protective IV Catheter 14G X 1¼” 2 X X X
Protective IV Catheter 16G 2 X X X
Protective IV Catheter 18G 2 X X X
Protective IV Catheter 20G 2 X X X
Protective IV Catheter 22G 2 X X X
Protective IV Catheter 24G 2 X X
Intraosseous Needle – Adult**** 1 X X
Intraosseous Needle – Peds 1 X
1cc Syringe with 25G Needle 2 X X
3cc Syringe with 22G Needle 2 X X

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS First Response Units
Equipment/ Supplies Vehicle ILS EMT-CC EMT-P
5cc Syringe with 21G Needle 2 X X
10 or 12cc Syringe 2 X X X
18G Needles 2 X X
Disposable Razors 1 X X X
Disposable Tourniquets 2 X X X
Alcohol Prep Pads 12 X X X
Neosporin/Betadine Packets 6 X X X
Transparent Dressings 2 X X X
Band-aids 12 X X X
2” x 2” Gauze Pads 12 X X X
9” Padded IV Armboard 1 X X X
18” Padded IV Armboard 1 X X X
Spare Patient Monitor Cables 1 X X
EKG Electrode Set – Adult 2 X X
EKG Electrode Set – Pediatric 2 X X
AED Pad – Adult 2 X
AED Pad - Pediatric 2 X
EKG Jelly (Manual Defibrillators) 1 X X
Pacing or Combo Pad – Adult 1 X X
Pacing or Combo Pad – Pediatric 1 X X
Defibrillation or Combo Pad – Adult 1 X X
Defibrillation or Combo Pad -
1 X X
Pediatric
Medications:
Adenosine 6mg/2ml 6 X X
Albuterol 2.5mg/3ml ****** 4 X X X
Amiodarone 150mg/3ml Ampule 4 X X
Anesthetic Spray**** 1 X X
Aspirin 81 mg Chewable Tablets 1 Bottle X X X
Atropine Sulfate 1mg/10ml Syringe 3 X X
Cardizem 5 mg/1 ml Vial**** 2 X X
Dextrose 50% 25g/50ml 2 X X
Diphenhydramine 50mg/1ml 2 X X
Diphenhydramine 12.5mg/5ml
2 X X
5ml UD Elixir
Dopamine 400mg/5ml 1 X
Epinephrine 1:10,000 1mg/10ml 6 X X
Epinephrine 1:1,000 1mg/1ml
2 X X
Ampule
Epinephrine 1:1,000 30 ml Vial 1 X X
Etomidate 2mg/ml 10 ml Vial 3 X X
Fentanyl 100 mcg/2ml Ampule * 2 X

EFFECTIVE 5/1/2013
CNY Minimum Required Equipment – ILS/ALS First Response Units
Equipment/ Supplies Vehicle ILS EMT-CC EMT-P
Furosemide 40mg/4ml Vial 2 X X
Glucagon 1mg/1ml Vial 1 X X
Glucose - Oral 31gm 1 X X X
Haloperidol (Haldol) 5mg/1ml Ampule 2 X X
Ipratropium Bromide 500 ug/2.5ml 2 X X
Ketorolac 30 mg/1 ml 4 X X
Lidocaine 100mg/5ml 4 X X
Magnesium Sulfate 5mg/10ml 2 X X
Methylprednisolone 125 mg/2ml Vial 2 X X
Metoprolol 5mg/5ml Ampule 1 X X
Midazolam 5mg/5ml* 5 X X
Morphine Sulfate 10mg/1ml* 2 X X
Naloxone 2mg/2ml 2 X X
Nitroglycerine 0.4mg Tablet and/or 1 Bottle X X
Nitroglycerine Spray**** 1 X X
Nitroglycerin Paste 1 gram / packet 4 X X
Nitrous Oxide 50/50 **** 1 X X
Ondansetron 4mg/2ml Vial 3 X X
Rocuronium 50mg/5ml Vial ***** 2 X
Sodium Bicarbonate 44.6meq Syringe 2 X X
Succinylcholine 20mg/5ml Syringe
2 X
*****
Terbutaline 1mg / 1 ml 2 X X
Vasopressin 20 units/1ml vial **** 4 X X
Vecuronium 10mg/10ml Vial ***** 2 X
* A Controlled Substances License is required to carry these medications.
*** SALINE LOCK KIT is made up of:
1 10cc Vial of NS
1 3cc Syringe with Needle
• Or a Prefilled Syringe can be used in place of the two above items
1 Large Bore Saline Lock
2 2” x 2” Gauze Pads
2 Alcohol Preps
1 Transparent Dressing
**** These items are Regional Optional Equipment.
***** Agency must be approved by the CNY Region to perform RSI.
****** ILS Agencies must have a current Medical Director Verification form on file
with the CNY Region.