Note
This list is not all inclusive and should not replace your decision to transport based on medical judgment.
When:
- Mutual aid for BLS and ALS units requiring a Critical Care RN / Paramedic MICU team
- Blood or plasma is needed
- A decreased transport time is necessary to optimize patient outcome
- The patient’s condition requires critical care life support (monitoring, personnel, medications or specific equipment) not otherwise available
- Patient requires rapid access to a definitive care facility not available within the local area
- The potential for delays in transport may be associated with worsened patient outcome
- The use of your local ambulance would leave the local area without adequate EMS coverage for an extended period of time
- The local resources are overwhelmed with the number of patients (MCI)
Trauma:
- Multiple system injury
- Spinal cord injury
- Paralysis
- Chest wall injury with known or possible development of respiratory/cardiac issues
- Patients requiring advanced airway treatment
- Unstable pelvis or long bone fractures
- Fractures/dislocations/injuries to extremities with the loss of distal pulses
- Pre-hospital Blood Transfusions
- Death of occupant in same car
- Prolonged extrication with known or unknown injuries
- Altered mental status secondary to trauma related incident
- Falls > 20 feet or with significant injury
- Near-drownings
- Shootings/Stabbings to the head, neck, chest, thorax or pelvis
Medical:
- Respiratory distress
- Altered Mental status
- Mechanical ventilation required
- Suspected Sepsis
- Cardiogenic shock
- Cardiac arrhythmias
- STEMI
- Stroke
- Overdose with an altered level of consciousness
- Uncontrolled seizure activity
- Suspected DKA or other diabetic emergencies
- Anaphylaxis
- Environmental emergencies (hypothermia, hyperthermia)