Inside an Ambulance: The difference between an ALS and BLS ambulance

To help answer the $45,000 question, Russ Hall explains the differences between an ambulance equipped for Advanced Life Support and Basic Life Support

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Education

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[klringdahl]

It's a Horton ambulance built in Grove City OH. Top of the line

[Rummeltobi]

Nice video :)

Who built the ambulance?

[highcountrytimber]

@101southsideboy

The 110 VAC keeps the vehicle battery's charged and any portable ALS devices as well.

[JHENSLEY551]

@37659Kevin 9 times out of 10 for pulmonary problems, you use albuterol, or levalbuterol (Xopenx) backed with a dose of Solumedrol. If it doesn't fix it, then there are other interventions that will be used to maintain an airway, such as a 4" MAC, 8 ET tube, and 200 of Succinylcholine :p

[JHENSLEY551]

@37659Kevin Paramedics are NOT allowed to act as a Physician. Everything we do is guided by written protocals by a MD. Any type of Epinepherine is an airway management drug, even the Epi 1:1000 which is what TN EMT-IVs are allowed to administer IM injection for anaphylaxis, because it is a bhronco-dilator / vaso-constrictor. The Epi 1:10000 is what paramedics use either down the ET tube, or IV for cardiac care. Racemic Epi is the only epi used for pulmonary problems and its nebulized.

[DaRksHaDoW7686]

fancy ambulance

[101southsideboy]

I noticed every time I see a ALS ambulance at the fire station it is always has a 110 cord pluged into it . what is the reason for ? do some of the drugs have to be refrigerated? and/or is it to make sure the ekg and the other battery operated equipment is always fully charged?



[MySpinalInjury]

I had no idea so much went into keeping an ambulance stocked with supplies. I guess none of this goes through your mind when you are sick or injured. Thank you for sharing this video!

[JackJack360]

I am an EMT, and the big difference is that Paramedics can do IV's, set up a heart monitor and have access to alot more medictions

[37659Kevin]

@jgah123 Paramedics have more training/abbilities than EMTs. Courses vary by state, in TN paramedics recieve 2 years of training, and basic EMTs recieve 45 days. EMTs can be ALS certified but they must recieve addionional training. Paramedics are allowed to act as a physician in the absence of a physician. They can do many procedures w/o doctor's orders. As well as, administer drugs for airway management, such as epinepherin. However, they do have to get orders for some complex procedures.