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At our company we employ the use of a 4x4 Gator type vehicle either having 4 or 6 wheels. The rear dump bed is modified to hold a folding stretcher and the remaining room has one rear facing seat and plenty of room for gear. Will hold two in the front seat onrear facing medic and a patient...

Till the late 90s it was PHI that did the maint on the Aircraft and supplied the pilots. Metro Aviation is now the maint provider if I remember correctly. I believe we operate 9 BO105s for Med Evac. And now 1 EC 135. One S76 that I know of and a Sea Knight for Offshore rescue under a private...

The rear of the aircraft allows more ability to get to the patients torso unlike the 105 where you pretty much had just the airway and maybe upper thorax availible. Also mounts the LifePak12 much better and more sitting room and head room now. Im sorry to see the 105s go just because thats what...

Our service made the switch from the BO105 to the EC135. They are going to fly NVGs for land and offshore night ops. Just though you guys might want to see the picture of it.

My service provides ambulances pretty much for the entire state of Louisiana as sole provider minus Baton Rouge, Shreveport and New Orleans, there may be a few smaller areas i forgot. We also respond in two areas in Mississippi and Sillsbee, Bexar, and Austin in Texas I believe...

We didnt have that many codes to begin with. We do NOT communicate with any other agency so it worked fine. We kinda mixed it we would say on scene if it was the case but in the advent of going no lights and sirens we are required to say "unit # we are departing scene non emegency x 1 patient...

I agree with exodus. A national standard of 10 codes would be much better but I see that there would be a million of them and many problems adjusting. That being said we are not using 10 codes at ALL. MCI or not. Day to day operations are now in plain speak. It jams up our radio as we work in a...

As of yesterday to ease the transmission to NIMS ICS and make communications "easier" we got rid of 10 codes. I find it is going to cause a massive head ache. Instead of saying we are code 3 or in our case "10-15" we have to say We are en route lights and sirens . Anyone else out there had their...

We use a home grown program to do Medic created tickets on the computer. When I started we had just made the switch from carbon to Calling into a phone number where medics worked full time. We would dictate each ticket to them and they would type them for us. This was time consuming as you would...

All the 200+ units and sprint trucks have MDTs. Toughbooks are used and are mounted permanantly in the cab. Each MDT is tied into the main system. All have GPS with map tracking. Internet is availible with mobile wireless across the state and works very well. We can instantly locate our calls...

Acadian Ambulance in Louisiana and Texas. Largest Private Ambulance service in US owned by its employyes. You can tie your 401K with Employee owned stock options. THe company stays ahead on equipment and is pretty fair along Hours and rules. Over 200 units, 7 helicopters, and offshore safety...

Can a forum moderator encode my pictures so they appear in the post instead of an attachment and tell me how to do it and heres another pic from gustav maybe some of your guys trucks are in here . BTW I was leading convoys of 30 + units around the area the first night.THats really fun .Heres a...

On the traumatic arrest I also had the belief that the guy is pretty much dead no matter what. My preceptor had an award I asked him about one day that only two medics in the company have. He saved two trauma completes on the same wreck. I know this is the perfect sitution but dont lose hope and...

Just another piece of food for though. How long you are going to have this patient may also play in. 5 minutes to the ER ? Its a judgement call. Flight LP has a good point too. The area I work in has a lot of under educated folks. They may not be trying to lie to you but sometimes I get the...

My rig in the first picture , The back of an Excellance Narrow Body decked in wood grain for Gustav i had to suffer in , And in the last picture many of the different types in service and by coincidence the second to last truck is the same unit in the second pictue some three years later

I have had a "Mds"show up on scene sometimes with an obscure non emergency related cert. If they direct you to do something harmful make sure you repeat it to them what they asked you to do and if you transport the patient have them attend the patient as they are a higher level than you and can...

On a side note is ipatropium still peanut oil based ? I know we had peanut allergy listed as a contrindication .

I had this misfortune of going through two P classes because of my registry problems. The first class was the older train of thought which you have mentioned. The new class we were trained pretty much in class that the blood pressure and mental status decide if you go drugs or eletrical.90...

Left the portable oxygen tank we changed on scene at a code. Left the paramedic at the station during my orientation because the basic in the front told me he was in the back and the best was we found our stair chair on the side of the highway after getting cancelled on a call. Oh ya and...

I made the argument about the cost and how few GSWs and stabbings we run at the staff meeting when it was introduced. I think our cost is about $7.. EMS God must have ben in the front row and wouldnt you know it I had 2 shootings and two stabbings in a 2 month period whic his unusual for our...