B.L.S -vs- A.L.S. Ambulance service (In the State of Arkansas)
A Basic Life Support ambulance service has two or more people with an
Arkansas E.M.T.-Basic certification on an ambulance.
- Basic CPR with Automatic Defibrillator Operation.
- Basic Trauma care: Splinting, bleeding control, and
- Basic Airway Management: Use of BVM for ventilation,
OPA/NPA to open upper airway and suction.
- Use of pulse oximetry equipment to measure the
amount of oxygen in the blood.
- Activated Charcoal
An Advance Life Support service has one or more State Licensed
Paramedic(s) with at least one other Paramedic or EMT-Basic on the ambulance.
Procedures. All of the
- I.V. (intravenous) fluid establishment.
- I.O. (intraosseous)
- Ability to draw blood
via IV or IO.
- Use of Cardiac Monitor with the ability to read and
interpret 4 and 12-lead EKG rhythms for diagnosis and
treatment of "heart attacks"and heart dysrhythmias
- Use of Cardiac Monitor for manual defibrillation and
- Use of Capnography to measure CO2 output and
- Use of Glucometer to measure blood glucose levels.
- Intubation: Placing a tube directly into the lungs
to ventilate persons in need.
- Tracheostomy: Surgical procedure to open airway
below mouth/nose when needed.
- Limb realignment: Used when person is at risk of
loosing a limb due to poor circulation.
- Use of C.P.A.P. (Continuous Positive Airway
Pressure): For use on persons in Congestive Heart
Failure and other illnesses.
- N.G. (Naso Gastric) tube placement. For "stomach
pumping" and relieve of air build up in stomach.
- Induced Hypothermia
- Dextrose 50%
- Magnesium Sulfate
- Morphine Sulfate
- Sodium Bicarbonate
* indicates medication not carried by RFD (in the interest of patient care)
but available to Arkansas ALS Services.