First in bag

[JPINFV]

interfacility transport

 

[firecoins]

Probably overkill, but pants were never down. (at the very least it was my daily weight training)

I have a belt to solve that problem.

Most ALS services pring three bags in. The first in bag, an ALS bag and the monitor for most calls. If they don't, there is something obviously indicating its overkill.

 

[Kendall]

Typically, we bring the monitor and our "everything" bag. It has a d-tank and a few varieties of masks, BP cuff, pulse ox, steth, glucometer, IV n/s kit, basic airways, manual suction unit and some basic drugs (nitro, ASA, ventolin, atrovent, epi, D50W, oral glucose and glucagon). If there's reason to bring in the works, then it goes. The one who's attending makes the call, but since that is the extent of my scope that's all I bring. My service is combined ALS/BLS so it depends which truck I'm on.

 

[EMTinNEPA]

First In Bag: Epi, atropine, lasix, sodium bicarb, D50, narcan, albuterol, nitro, aspirin, a BVM, ears, BP cuff, neb mask, neb pipe, IV start kit, glucometer, BLS bandages, saline, sharps container

Big Bag: D50, sodium bicarb, narcan, adenocard, lasix, lidocaine, epi, atropine, nitro, aspirin, albuterol, glucagon, zofran, mag sulfate, benadryl, versed, morphine, fentanyl, lorazepam, diazepam, BVM, IV start kit, glucometer, neb mask, neb pipe, BLS bandages, ET tubes, combitubes, chricothyrotomy kit, mac blades, miller blades, laryngoscopes, BP cuff, ears, sharps container, syringes

Monitor: Capnography, SPO2, NIBP, 4 lead and 12 lead EKG, pacing, defibrillation

O2 Bag: D cylinder, NRBs, nasal canullas, oral and nasal airways

Trauma bag: about 8 1000 bags of saline, trauma dressings, IV start kit

Peds Bag: Same as first due bag, only everything is smaller and add a Broslow tape

I think that covers it, bag-wise.

 

[Veneficus]

First In Bag: Epi, atropine, lasix, sodium bicarb, D50, narcan, albuterol, nitro, aspirin, a BVM, ears, BP cuff, neb mask, neb pipe, IV start kit, glucometer, BLS bandages, saline, sharps container

Big Bag: D50, sodium bicarb, narcan, adenocard, lasix, lidocaine, epi, atropine, nitro, aspirin, albuterol, glucagon, zofran, mag sulfate, benadryl, versed, morphine, fentanyl, lorazepam, diazepam, BVM, IV start kit, glucometer, neb mask, neb pipe, BLS bandages, ET tubes, combitubes, chricothyrotomy kit, mac blades, miller blades, laryngoscopes, BP cuff, ears, sharps container, syringes

Monitor: Capnography, SPO2, NIBP, 4 lead and 12 lead EKG, pacing, defibrillation

O2 Bag: D cylinder, NRBs, nasal canullas, oral and nasal airways

Trauma bag: about 8 1000 bags of saline, trauma dressings, IV start kit

Peds Bag: Same as first due bag, only everything is smaller and add a Broslow tape

I think that covers it, bag-wise.

8 litres of NACL?!!! any left in the ocean?

seriously what do you need to carry around that much water for that is more than the volume of circulating blood.

 

[EMTinNEPA]

8 litres of NACL?!!! any left in the ocean?

seriously what do you need to carry around that much water for that is more than the volume of circulating blood.

Local protocol states that victims of significant trauma are to get two lines with saline running wide open. If we have multiple victims, or LifeFlight won't fly due to weather conditions and we have an extended transport time, or there is significant bleeding, then we might need it. Plus, there are days when we won't see the station for hours at a time and we may wind up dumping the truck.

 

[boingo]

I thought the 2 large bore IV's and w/o fluids went out over a decade ago?

We carry a pelican box for our drugs, LP12, O2 bag and a jump kit, mine is set up for both adult and peds.

 

[emtjack02]

I thank everyone who has shared their thoughts. I am pitching the idea of combining stuff tonight at the meeting.

 

[Veneficus]

I thought the 2 large bore IV's and w/o fluids went out over a decade ago?

I wouldn't go so far as to say over a decade. Probably within the last 5 years. But I would suggest that protocol be looked at and possibly updated. I would also think it a good idea to have a trauma or critical care surgeon give their input on trauma protocols. The 8th edition ATLS is supposed to advocate permissive hypotension in specific patient groups, but the guidlines are not published yet, but I would expect this year or next.