Specialty/Critical Care Transport
High-acuity patients requiring specialized medical equipment and therapies – such as hemodynamic monitoring, fetal monitoring, mechanical ventilation and intravenous medication therapy – mandate the presence of a specialty/critical care transport team. Examples include a stroke patient receiving thrombolytic therapy, an acute spinal cord injury patient receiving steroids and a patient with a cerebral hemorrhage who has an ICP drain and arterial line in place.
The JeffSTAT specialty/critical care team includes a registered nurse (RN) and an emergency medical technician–paramedic (EMT-P) – both of whom provide care to the patient – and an emergency medical technician–basic (EMT-B) who drives the ambulance.
Medical equipment on the specialty/critical care transport ambulance includes:
• Zoll CCT cardiac monitor/defibrillator/external transcutaneous pacer with capnography and invasive monitoring capabilities
• Pulmonedic mechanical ventilator
• IVAC MiniMed III infusion pumps
• Philips fetal heart monitor
• Intubation and airway management equipment
• Intravenous access equipment and fluids
• Medications
• Spinal immobilization equipment
• Pediatric and neonatal resuscitation equipment
• Radio equipment for contact with physicians at the Hospital
• Ventricular assist devices (VADs) and intra-aortic balloon pumps are added to the ambulance as necessary
• Isolettes (incubators) and nitric oxide, as necessary
• Medtronic dual-chamber transvenous pacemaker