203 – Standard Drug and Equipment List- ALS Special Teams
203 – Standard Drug and Equipment List- ALS Special Teams
203 – Standard Drug and Equipment List- ALS Special Teams
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Nor-Cal EMS Policy & Procedure Manual<strong>ALS</strong> PROTOCOLS MODULE<strong>203</strong> <strong>–</strong> <strong>St<strong>and</strong>ard</strong> <strong>Drug</strong> <strong>and</strong> <strong>Equipment</strong> <strong>List</strong>- <strong>ALS</strong> <strong>Special</strong> <strong>Teams</strong>STANDARD DRUG & EQUIPMENT LIST <strong>ALS</strong> SPECIAL TEAMSEach <strong>ALS</strong> unit will be equipped with the following equipment <strong>and</strong> supplies. This list represents m<strong>and</strong>atorywith MINIMUM quantities, to exclude narcotics, which are exact amounts. Providers are authorized tocarry any other items listed on the current Nor-Cal EMS <strong>St<strong>and</strong>ard</strong> <strong>Drug</strong> <strong>and</strong> <strong>Equipment</strong> list for Transportor Non-transport agencies. <strong>ALS</strong> personnel who are a member of a tactical weapons team are notauthorized to carry/store any of this equipment in their personal vehicle, unless enroute to a response. Allitems with expiration dates must be current. All packing of drugs or equipment must be intact. All drugs<strong>and</strong> equipment should be stored in accordance with the manufacture recommendations.EMT-II/PARAMEDIC <strong>ALS</strong> MEDICATIONS18 mg Adenosine2 mg Epinephrine 1:1,0003 mg Epinephrine 1:10,00002 Albuterol Aerosolized Solution for Inhalation dose of 2.5 mg each2 mg Atropine25 Gm Dextrose 50%50 mg Benadryl10 mg Midazolam (Versed) (Must be kept double locked)30 mg Morphine Sulfate (Must be kept double locked)4 mg Narcan1 bottle Nitroglycerin spray or tablet1 bottle Neosynephrine <strong>–</strong> 0.5 mg per metered dose200 mg Lidocaine1 oz Lidocaine JellySOLUTIONS4 1000 ml Normal Saline in bags2 1000 ml Irrigating saline/sterile waterINTRAVENOUS SUPPLIES2 IV start kits1 ea Disposable syringes, TB, 3cc, 5cc/6cc, 10cc/12cc 20cc1 ea Hypo needles 18ga, 20ga/21ga2 ea IV Catheters, 14ga, 16ga, 18ga, 20ga2 Solution administration set, MacrodripAIRWAY MANAGEMENT SUPPLIES & EQUIPMENT1 Portable oxygen source with regulator, either D or E size cylinders1 Manual power suction device1 Laryngoscope h<strong>and</strong>le with batteries or 2 disposable h<strong>and</strong>les2 Spare batteries for laryngoscope h<strong>and</strong>le1 Laryngeal blades #3, #4 curved or straightOriginated: January 1, 2002 Last Revision: March 27, 2008 Page: 1 of 3
<strong>ALS</strong> PROTOCOLS MODULE <strong>St<strong>and</strong>ard</strong> <strong>Drug</strong> <strong>and</strong> <strong>Equipment</strong> <strong>List</strong> <strong>–</strong> <strong>ALS</strong> <strong>Special</strong> <strong>Teams</strong> # <strong>203</strong>1 Magill Forceps, (adult)1 ea Endotracheal tubes, cuffed 6.0 or 6.5, 7.0 or 7.5, 8.0 or 8.52 ea Malleable stylet, (adult)Water soluble lubricating jelly1 ea Disposable ventilation bags (adult <strong>and</strong> child)) with appropriate connectormasks (adult, child, infant)1 ea Oropharyngeal airways sizes 0 <strong>–</strong> 9 (adult, child, infant)2 Nasal cannula, (adult)2 Adult non-rebreather mask1 Small volume nebulizer1 Nebulizer mask1 One way flutter valve with adapter or equivalent1 Trans-tracheal catheter <strong>and</strong> translaryngeal jet ventilator with 10ga needle1 ea Combi-Tube SATRAUMA SUPPLIES10 Triage tags1 ea Cervical collars (large, medium, small) OR2 Adjustable collars for adults1 ea Cervical collars (pediatric)4 Trauma dressings4 4 x 4 gauze pads4 Gauze roller b<strong>and</strong>ages size 2”, 4”, or 6”2 Triangular b<strong>and</strong>ages2 Sterile burn sheets or equivalentPATIENT ASSESSMENT SUPPLIES & EQUIPMENT1 1000 ml Pressure infusion bag1 StethoscopeB<strong>and</strong>age shears2 Tape, 1”, 2” or 3”1 ea Blood pressure cuff - adult, childAmmonia inhalants1 Flashlight1 Heart monitor with defibrillation capabilities. Pacing capabilities with multi functiondefibrillation pads are optional, (m<strong>and</strong>atory as of January 1, 2004).3 ea EKG Patches (adult)Conductive medium/pads for defibrillationINFECTION CONTROL SUPPLIES1 Needle disposal system, which meets OSHA’s Blood Borne Pathogen requirements.Originated: January 1, 2002 Last Revision: March 27, 2008 Page: 2 of 3
<strong>ALS</strong> PROTOCOLS MODULE <strong>St<strong>and</strong>ard</strong> <strong>Drug</strong> <strong>and</strong> <strong>Equipment</strong> <strong>List</strong> <strong>–</strong> <strong>ALS</strong> <strong>Special</strong> <strong>Teams</strong> # <strong>203</strong>1 One mask per crew member with current certification by NIOSH. Masks should be fit tested inaccordance with the manufacture recommendations. Additionally, a mask should be available forride outs.1 Bottle of alcohol based h<strong>and</strong> rub.Nonporous gloves, goggles or glasses, face mask <strong>and</strong> gowns which meet OSHA’s Blood BornePathogen requirement. There should be enough supplies for each crew member <strong>and</strong> ride outs.Bio-Hazard bags, various sizes.Bio-Hazard Spill Kit.OPTIONAL SUPPLIES & EQUIPMENTNote: Quantities to be carried are determined by the provider.Laryngeal blade size “0” (curved or straight), for prenatal infantsDextrose 25%50 ml Partial fill Normal SalineGlucose monitoring deviceDoppler Ultrasound with conductive mediumAutomatic BP MonitorApproved automatic ventilatorManual power suction deviceBAAM (for nasal intubation)IV infusion pumpsHeart monitor with defibrillation/pacing/12 lead capabilitiesPitocinCalcium ChlorideVerapamilAmyl Nitrite InhalantsPralidoxime Chloride (2PAM (As part of a Mark I Kit))Sodium ThiosulfateAdult I/O deviceETTIOriginated: January 1, 2002 Last Revision: March 27, 2008 Page: 3 of 3
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