Hands On August 2011
BOMImed Fiber Optic Laryngoscope Blades
Cleaning laryngoscope blades is one of the nastiest parts of cardiac arrest clean-up. They need to soak in the appropriate solution for 20 minutes, and of course that’s just when you get dispatched for another run. The new single patient use fiber optic laryngoscope blades and handles from BOMImed offers you an affordable, disposable way to return to full service sooner. With the clarity and brightness of fiber-optics, these blades are made from high-quality stainless steel with your choice of a metal or plastic heel for handle attachment. They’re made for daily use, and they reduce cross contamination in challenging infection control environments.
Sizes: Miller 0–4; Macintosh 1–4
Light Source: Fiber Optic
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Bridgford Food’s Ready to Eat Sandwiches
Meal breaks can be a hot topic when speaking with EMS crews. Does your EMS agency provide a designated, “duty-free” meal break? I didn’t think so. It can be even more frustrating when you’re on an extended scene call, a USAR or disaster deployment, or work in an area in which high temperatures make meal storage near impossible. Bridgford Food’s Ready to Eat Sandwiches offer a tasty, easy-to-store alternative to snacks, traditional MREs and freeze-dried camping meals. Menu selections include barbecued beef sandwich, barbecued chicken sandwich, Italian style sandwich, bacon and cheddar sandwich, pepperoni sandwich, Italian soy marinara sandwich, flat bread to make your own, and cinnamon bun for dessert. The sandwiches are designed for a three-year shelf life at 80° F and six months at 100° F.
Weight: 2.5–3.5 oz.
Shelf Life: Three years at 80° F
Price: $16 per box of four
First Line Technology No Notice AmbuBus
Mass casualty transport brings to mind lines of ambulances moving patients from a disaster scene to area hospitals. Recent natural disasters, such as the tornado in Joplin Mo., have demonstrated the need for resources to evacuate entire hospitals that have been damaged. The largest expense for this type of resource is the specialty vehicle chassis, which often has to be custom built to handle the number of patients desired. The No Notice AmbuBus from First Line Technology converts a standard school bus to a transport-capable vehicle that can accomodate 18 patients, six operators and their medical support equipment. Because this is a palletized, bolt-on conversion, it’s also reconfigurable in the field and transferable in the event of vehicle malfunction.
Capacity: 18 stretchers
Aisle Width: 24"
Weight: 840 lbs. per crate
Price: $33,000 per average install (excludes vehicle)
Simulaids CPR Recording Manikin
“Push hard, push fast” is the mantra for CPR compressions, but do you know how many of your student’s compressions were the proper depth with full release and at the correct speed? The CPR Recording Manikin from Simulaids allows you to do so using an existing laptop or a low-cost, compact netbook PC to record every compression and ventilation during an instructor-set CPR timeframe. Instructors need only select a performance time span and initiate the recording. When the student completes their skill test for the necessary length of time, the recording device automatically rates the student on a percentage basis according to the preset parameters. If the instructor selects to score just the compressions, the score will reflect pure compression information.
Manikin Weight: 16 lbs.
Computer OS: Windows
North American Rescue ARS Needle Decompression Kit
Studies by the National Registry of Emergency Medical Technicians indicate needle decompression of a tension pneumothorax is one of the skills that most medics will rarely, if ever, use. But when your patient has a tension pneumo, you must quickly make the decision to decompress and precisely execute the skill. Any delay can result in an increase of the pneumothorax and subcutaneous emphysema, which can make landmarks more difficult to palpate. The ARS Needle Decompression Kit from North American Rescue is a 10-gauge, 3.25" monster of a catheter that has a 60% larger diameter than a 14-gauge catheter. As the February JEMS Research Review column reported, the 3.25" length makes it possible to get into the pleural space for those patients with such significant subcutaneous emphysema that would prevent the typical 1.25" IV catheter from entering the space.
Diameter: 10 gauge
Tytek Medical’s Emergency XTricate
Removing a patient from a technical rescue situation often involves special immobilization challenges. This scenario can be further complicated if the patient is being hoisted or lowered by rope or helicopter. Tytek Medical’s Emergency XTricate (EXT) is an immobilization sleeve for vertical and horizontal lifting. The EXT will allow you to immobilize your patient’s neck, spinal and other injuries during removal from confined or technical spaces. Five chest and leg straps, and one additional fail-safe strap, will keep your patient secure with Mil Spec buckles. With a rated capacity of 1,000 lbs., the EXT has been load tested to more than 2,500 lbs,. providing a significant safety margin that meets or exceeds the PIA-H-7195 standard for parachute hardware.
Weight: 16 lbs.
Load Capacity: 1,000 lbs.
Carry Handles: 12
Vitaid Boussignac CPAP1
Continuous positive airway pressure (CPAP) has revolutionized the treatment for congestive heart failure and pulmonary edema. The old practice of awake, nasotracheal intubation has become a skill that many new paramedics may never have to perform. We first reviewed the Boussignac CPAP in June 2006. This was the first disposable CPAP system. It runs off of a standard, low-pressure oxygen regulator, which makes it possible for systems to use CPAP without a capital budget expense. The Boussignac CPAP1 from Vitaid has been upgraded to enhance patient safety. In the unlikely event of an exhalation port occlusion, a series of fins ensures the maximum airway pressure doesn’t exceed that set by the paramedic.
Mask Sizes: 3–6
CPAP Pressures: 8–12 cm H2O
Price: $69.50 each
Rural/Metro Debuts Santa Clara County EMS
Rural/Metro was the successful bidder for the high performance contract in Santa Clara County. The new system in Santa Clara covers 1.8 million people over approximately 1,000 square miles with a staff of 268 EMTs and paramedics.
The new system started operation on July 1 with 55 custom designed Taylor Made ambulances with safety striping and added safety features. Five of the ambulances are specially equipped and configured bariatric units. The system also operates nine supervisory vehicles, custom outfitted by Rural/Metro.
All of the Santa Clara ambulances are equipped with Opticoms, Whelen vibration generating emergency Howler low frequency tone sirens, forward- and rear-facing Digital Ally safety cameras, Stryker Power-PRO XT stretchers, Philips MRx monitor/defibrillator systems and TapChart electronic patient care record systems.
Two 4X4 rugged terrain Kubota alternative patient transport vehicles and specially equipped bicycles ensure access to and transport of patients at special events and in difficult-to-reach areas.
A dedicated disaster response vehicle (pictured to the rear in the below photo) carries medical supplies sufficient for continued EMS operations for 96 hours in the event of an emergency or disaster.
Santa Clara County
Forward and Rear Facing Digital Ally Safety Cameras
DIGITAL ALLY INC.
7311 W. 130th St., Suite 170
Overland Park, Kan. 66213
913/814-7774; 800/440-4947 (toll free)
Global Traffic Technologies
7800 Third Street North
St. Paul, Minn. 55128-5441
Whelen Howler Siren & Siren Sounds
C.A.T. Tourniquet – North American Rescue
Combitube™ Esophageal and Tracheal Double-Lumen Airway
Digit Finger-Oximeter – Smiths Medical
Laerdal Stifneck Select
ProtectIV® Plus Safety IV Catheters
EMS Airway Clinic